cancer of cervix surgical (1) and nursing manageemnt .pptx

cervix cancer

1. 1   Army CoN Cervical Cancer Prevention, detection, and awareness Capacity building ECHO for Nurses in Punjab CASE PRESENTATION PRESENTER’S NAME – MS. KHUSHNASIB ( ASSO PROF )

2. Patient Information Name: XYZ Age: 46 years Gender: female Date of admission: 26 – 6 - 2024 Date of discharge: 06– 07 - 2024 Chief Complaints: excessive bleeding Diagnosis: cancer of cervix , stage 3 malignanacy is assessed Past History of medical illness (if any): bleeding some times Social History – Tobacco Use Any H/O Surgery/BT/IV Drug use/Tattooing: nil Comorbidities (if any): immune thrombocytopenic purpura Family history (Any family history of cancer) : history of irregular bleeding at some times in female members of family

3. Physical Examination: Vital Signs: Blood Pressure- 100/70mmhg Temperature- Afebrile General Appearance : patient's overall appearance is weak and any excessive bleeding and symptoms of anemia (Pallor present) Systemic Examination : On palpation firm palpable cervical mass, a distended abdomen . This process typically helps to detect large myomas on the front and backside of the cervix .

4. Diagnostic Evaluation: Pap Smear Results: Positive Biopsy Results: Abnormal menstrual periods (heavy, prolonged, or irregular bleeding) Bleeding after menopause. Bleeding from taking hormone therapy medicines. Thickened uterine lining seen on ultrasound. Biopsy revealed malignancy Imaging Studies: C ervical cancer diagnosed in ultra sound

5. Investigations(lab) 1) Colposcopy A doctor uses a special microscope, called a colposcope , to examine the cervix. The colposcope is designed to provide an enlarged view of the areas, allowing to observe any abnormal tissue. An abnormal tissue is identified, the tissue is biopsied. 2) Biopsies – biopsy revealed presence of malignancy

6. Nursing Assessment Vitals - Respiratory rate is high 32 / min . Measurements – stage 3 malignanacy is assessed Skin - swelling and tenderness , itch, change color, are sensitive to the touch and can cause tenderness. Patient has swelling and tenderness Respiratory system – patient has shortness of breath CVS : Crepitus sounds present GI – swelling and tenderness in abdomen Family history – Patient is married and having 4 children – 3 girls and 1 boy Pregnancy – G4 present in patient Menstrual history – irregular bleeding at some intervals

7. Treatment and Management: Treatment - chemotherapy, radiation therapy, or palliative care measures are performed Surgical Management – During an open TAH , meticulous surgical technique was employed with an emphasis on hemostasis . Electro cautery was used cautiously and precise ligation was performed to control bleeding for vascular structures . Tranexemic acid was administered intravenously as a prophylactic measure to further reduce bleeding during surgery . The surgical team remained vigilant for any signs of bleeding or hematoma formation through out the procedure Post operatively the patient was closely monitored in intensive care unit for 24 hrs

8. Nursing Interventions Educate the patient about their symptoms, and available treatment options. Provide emotional support and counseling to address any concerns or anxieties related to the condition. Administer prescribed medications and monitor their effectiveness and potential side effects. Assist with minimally invasive procedures or surgical interventions, ensuring the patient's safety and comfort. Teach the patient self-care measures, such as managing menstrual symptoms and maintaining a healthy lifestyle. Collaborate with other healthcare professionals to ensure comprehensive care and follow-up.

9. Follow-up and Prognosis: Many uterine fibroids are asymptomatic and require no intervention, although it is advisable to follow-up patients to document stability in size and growth. Fibroid-associated symptoms include heavy menstrual bleeding and pain or pelvic discomfort. Patient Education: Medicines Take over-the-counter and prescription medicines only as told by your health care provider. Ask health care provider if you should take iron pills or eat more iron-rich foods, such as dark green, leafy vegetables. Heavy menstrual bleeding can cause low iron levels. Managing pain If directed, apply heat to your back or abdomen to reduce pain. Use the heat source that your health care provider recommends, such as a moist heat pack or a heating pad.

10. Place a towel between skin and the heat source. Leave the heat on for 20–30 minutes. Remove the heat if your skin turns bright red. This is especially important if you are unable to feel pain, heat, or cold. Patient may have a greater risk of getting burned. General instructions Pay close attention to menstrual cycle. Tell your health care provider about any changes, such as: A change in the number of days that your menstrual period lasts. A change in symptoms that come with your menstrual period, such as back pain or cramps in your abdomen. Keep all follow-up visits. This is important, especially if your fibroids need to be monitored for any changes.

11. Conclusion: When diagnosed, cervical cancer is one of the most successfully treatable forms of cancer, as long as it is detected early and managed effectively. Cancers diagnosed in late stages can also be controlled with appropriate treatment and palliative care.

12. Problem Statement A Descriptive study to assess Attitudes and beliefs about Hysterectomy in Patients with cancer of cervix Challenges faced in Fear and anxiety of patients with cancer of cervix Coping with the disease condition

13. Health education The result may be an increase in cancerous growth. Instead, focus on gentle cardiovascular exercises like sustained walking or moderate jogging, swimming or cycling. Yoga , too, can be a good source of cardiovascular activity, but you'll want to avoid bending and stretching the stomach too much.