Navigating the Sea of Cancer Care Flashcards

1
Q

Supportive Care Framework: Domains of Health

A
  • Physical
  • Emotional
  • Psychological
  • Spiritual
  • Social
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2
Q

Created in 2005, the Infirmiere Pivot in oncology (nurse Navigator) role is:

A
  • Provide continuity of care
  • Provide p/f with a main contact person
  • Address the different needs of patients (social, financial, psychological)
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3
Q

As a member of an interdisciplinary team, the pivot nurse has 4 practice functions which are:

A
  1. Assessment of needs and symptoms
  2. Teaching
  3. Support
  4. Coordination/continuity of care
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4
Q

Tx/management of bone metastases:

A
  • Biphosphanates
  • Radiation therapy
  • Surgery
  • Pain management
  • Chemotherapy.
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5
Q

Transition point in the disease trajectory are indentified as the most vulnerable periods for p/f, the nurse’s role during those period is to:

A
  • Be present
  • Accompany the p/f
  • Symptom management
  • work closely with the team
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6
Q

Ovarian cancer symptoms:

A
  • Exfoliation and implantation of cancel cells on surfaces of peritoneal cavity
  • Ascites, bowel obstruction, pleural effusion
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7
Q

Tumour Marker of ovarian cancer:

A

CA-125

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8
Q

Chemotherapy induced Peripheral Neuropathy (CIPN):

A
  • Toxic neuropathy affect sensory, motor +/- autonomic nerves.
  • Reversible but may be permanent.
  • Important to frequently assess patients during therapy and to treat and recognize pre-existing conditions that put patient at risk (age, intensity, cumulative dose, duration of tx, multiple agents)
  • Agents that cause peripheral neuropathy can lead to lodd of deep tendon reflexes. Risk of injury related to sensory and motor deficits.
  • Once neuropathy occurs, continuing the same therapy may lead to progressive nerve damage and loss of function.
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9
Q

Characteristic of the Chemotherapy Induced Peripheral Neuropathy (CIPN):

A
  • Symmetrical
  • Begins in distal sites first
  • As cumulative doses increase, symptoms progress in severity and to more proximal sites (Toes–>feet–>ankles) (Fingertips –>hands)
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10
Q

Assessment of Chemotherapy Induced Peripheral Neuropathy (CIPN):

A
  • Recognize changes in peripheral neuropathy once the tx begins
  • Assess motor, sensory and autonomic function (before, during and after the tx)
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11
Q

Medications for peripheral neuropathy pain:

A

Anticonvulsants (Gabapentin)
Antidepressants tricyclics (amitriptyline)
Opioids
Pregabalin (lyrica)

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12
Q

Malignant Bowel Obstruction (MBO) is:

A
  • Any condition that prevents the normal flow of chyme through the intertinal lumens
  • Common in relapsed ovarian cancer
  • Requires a multidisciplinary approach to surgical, non-surgical management and skilled clinical judgment
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13
Q

Classifications of Malignant bowel obstruction (MBO):

A
  • Acute, chronic or recurrent
  • Partial, complete bowel obstruction
  • Acute bowel obstruction (rapid onse of cramps, abdominal distension, vomiting) or insidious obstructions (develop over weeks)
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14
Q

Infirmiere pivot en oncologie (IPO) Goal:

A

To work to reduce the effect of a diagnosis of cancer on the person experiencing cancer and their family throughout the period of care, from diagnosis to the end of the illness.

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15
Q

Unique characteristics of the Infirmiere pivot en oncology (IPO):

A

Availability
Continuity of Care
Partnership
Expertise

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16
Q

Outpatient Primary Nurses during tx period: role of the nurses in outpatient chemotherapy, radiotherapy clinics or cancer research unit.

A
  • Follow p/f for the duration of tx
  • In depth teaching and support
  • Personalizes care
  • Available by phone, drop-in consultation
  • Early identification and management of medical and psychosocial concerns
17
Q

Acute Care Nurses roles for cancer patient:

A

Provide care to Patient and family with their own experience with cancer

18
Q

Which part of the brain control emotions, conditioned effects:

A

Amygdala

19
Q

Solace is:

A

A ressource that soothes pain and great psychic stress. It gives us a neutral framework so we can cope with changing circumstances.