Clinical Pocket Guide to Women and Cancer

Pocket Guide for Women and Cancer......Page 2
CONTENTS......Page 4
PREFACE......Page 9
CONTRIBUTING AUTHORS......Page 11
PART 1— MEDICAL CARE PLANS......Page 15
Section 1— Collaborative Problems......Page 16
Pre-existing Medical Conditions......Page 17
Anasarca......Page 18
Ascites......Page 19
Peritonitis......Page 20
Gastrointestinal Dysfunction/Obstruction......Page 21
Malignant Effusions/Respiratory Compromise......Page 22
Section 2— Nursing Diagnoses......Page 23
Altered health maintenance related to insufficient knowledge of basic reproductive female anatomy, c.........Page 24
Anxiety/fear related to insufficient knowledge about screening techniques, uncertainty about outcome.........Page 27
Anxiety/fear related to loss of feelings of control of life, unpredictability of nature of disease, .........Page 29
Anxiety/fear related to insufficient knowledge of prescribed chemotherapy (including clinical trials.........Page 34
Anxiety/fear related to insufficient knowledge of prescribed intraperitoneal chemotherapy and necess.........Page 37
Anxiety/fear related to insufficient knowledge of prescribed radiation therapy and necessary self ca.........Page 40
Anxiety/fear related to insufficient knowledge of prescribed gynecologic radiation implant: Conventi.........Page 49
Anxiety/fear related to insufficient knowledge of prescribed gynecologic radiation implant: Remote a.........Page 54
Anxiety/fear related to insufficient knowledge of prescribed biotherapy and self care measures.......Page 58
Grief related to potential loss of body function, negative effects of treatment on body image, chang.........Page 62
Risk for injury related to hypersensitivity and anaphylaxis during chemotherapy, particularly paclit.........Page 66
Alteration in comfort related to flu-like syndrome, arthralgia, and/or myalgia.......Page 69
Alteration in comfort related to intraperitoneal instillation of fluid.......Page 72
Alteration in comfort related to therapy and/or disease process.......Page 78
Alteration in quality of life related to fatigue.......Page 80
Risk for alteration in cardiac output during chemotherapy, particularly paclitaxel infusion.......Page 87
Risk for alteration in respiratory function related to abdominal distention (disease process and/or .........Page 89
Risk for infection related to immunosuppression neutropenia secondary to chemotherapy and/or radiati.........Page 100
Risk for bleeding related to immunosuppression thrombocytopenia secondary to chemotherapy and/or rad.........Page 105
Risk for infection related to indwelling peritoneal access port and catheter (PAC).......Page 108
Risk for injury related to acute water intoxication (SIADH).......Page 111
Altered nutrition: Less than body requirements related to nausea, vomiting, anorexia, and/or stomati.........Page 113
Alteration in elimination: Constipation related to malnutrition, decreased fluid intake, decreased m.........Page 132
Altered elimination: Diarrhea related to radiation-induced enteritis.......Page 135
Alteration in elimination related to development of fistulae.......Page 143
Altered health maintenance due to knowledge deficit about colostomy/ileostomy and/or ileal conduit.......Page 150
Risk for alteration in urinary elimination related to hemorrhagic cystitis and nephrotoxicity.......Page 157
Risk for alteration in skin integrity related to treatment modality (alopecia) and/or disease proces.........Page 160
Alteration in sensory perception related to neurotoxicity, neurological pain and paresthesias, ototo.........Page 173
Risk for injury related to neurologic dysfunction from brain metastasis.......Page 178
PART 2 SURGICAL CARE PLANS......Page 181
Section 1 Collaborative Problems......Page 182
Bleeding/Hemorrhaging/Disseminated Intravascular Coagulopathy (DIC)......Page 183
Thromboembolic Event......Page 185
Fluid/Electrolyte Imbalance......Page 187
Atelectasis/Pneumonia......Page 188
Bowel Dysfunction......Page 189
Urinary Dysfunction......Page 191
Section 2 Nursing Diagnoses......Page 192
Altered health maintenance related to insufficient knowledge of condition, diagnostic tests, prognos.........Page 193
Altered health maintenance related to insufficient knowledge of dietary restrictions, medications, a.........Page 196
Decisional conflict related to insufficient knowledge of treatment options.......Page 198
Anxiety/fear related to impending surgery and insufficient knowledge of preoperative routines, intra.........Page 203
Anxiety/fear related to insufficient knowledge of potential impact of condition and treatment on rep.........Page 207
Risk for sexual dysfunction related to disease process, surgical intervention, fatigue, and/or pain..........Page 217
Alterations in sexual activity related to disease process, surgical intervention, fatigue, and/or pa.........Page 221
Inability to engage in genital intercourse (severe or permanent).......Page 247
Grieving related to potential loss of fertility and the perceived effects on life-style.......Page 251
Alteration in coping related to infertility.......Page 256
Altered comfort related to effects of surgery, disease process, and immobility.......Page 260
Risk for impaired physical mobility related to surgical interruption of body structures, incisional .........Page 263
Risk for sleep pattern disturbance/fatigue related to disease process, pain, and unfamiliar surround.........Page 266
Risk for fluid volume deficit related to losses secondary to surgical wound or gastrointestinal dysf.........Page 269
Risk for alteration in respiratory function related to immobility secondary to imposed bedrest and p.........Page 271
Risk for infection related to susceptibility to bacteria secondary to wound, invasive vascular acces.........Page 274
Risk for altered nutrition: Less than body requirements related to disease process, wound healing, a.........Page 277
Risk for bowel dysfunction related to decreased peristalsis secondary to surgical manipulation of bo.........Page 281
Risk for urinary dysfunction related to loss of sensation of bladder distention secondary to surgica.........Page 284
Impaired skin integrity related to surgical wound, decreased tissue perfusion, ostomy stomas, drain .........Page 287
Risk for impaired tissue integrity/infection related to lymphedema secondary to surgical removal of .........Page 292
APPENDIX A PROFESSIONAL RESOURCE LIST......Page 296
APPENDIX B PATIENT RESOURCE LIST......Page 300
A......Page 306
C......Page 307
D......Page 308
E......Page 309
H......Page 310
I......Page 311
M......Page 312
P......Page 313
R......Page 314
S......Page 315
T......Page 316
W......Page 317