Monday, May 11, 2015

Nursing Care

Nursing Care for Women with Ovarian Cancer

Women who are being treated for Ovarian Cancer may be undergoing chemotherapy and major surgery, often at the same time. Along with these massive medical treatments, they may be dealing with severe psychological stress and self-image issues because of the effects of the treatment on their bodies. Some common nursing diagnoses for patients with ovarian cancer include:
  1. Disturbed body image r/t removal of reproductive organs, or hair loss
  2. Acute pain r/t gynecologic surgery 
  3. Ineffective sexuality pattern r/t physiologic limitations and mood 
  4. Risk for infection r/t immuno-suppressed status in chemo 
Nursing care related to the first diagnosis would include: therapeutic listening, providing information on recovery groups, help patient identify positive changes, teach patient adaptive behavior

Nursing care related to acute pain would include: frequent pain assessment, utilization of pharmacolical and non-pharmacological pain management techniques

Nursing care for ineffective sexuality pattern would include: access to resources, using a relaxed, accepting normalizing approach to talking about sexuality, assisting patient and significant other in exploring and verbalizing fears, thoughts, preferences surrounding sexuality

Nursing care for infection includes: monitoring WBCs, temperature, BP and HR, maintaining sterile technique in administering chemo medications,  scrupulous hand washing, educating on importance of no sick visitors coming to visit

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