PALL9010 Ovarian Cancer (Group Assignment).pptx

Ovarian Cancer

1. PALL 9010 EXPLORING THE PROGNOSIS FROM DIAGNOSIS TO DEATH Ovarian Cancer CRUZ, Jordan Albert DE LA CRUZ, Vornnet GINES, Jeremiah MABALOT, Faye MACAVINTA, Joseph Celrin III

2. Ovarian Cancer Patient Shares Her Story

3. Agenda Description of the Major Malignancy including “In the News” Ovarian Cancer 01 Incidence and Mortality Rates in Canada The Stats 02 The Modifiable and Non-Modifiable Risk Factors How do you get it? 03 Initial Symptoms. Symptoms that become prevalent. How can Nursing help? The Symptoms 04 Exploring the Prognosis from Diagnosis to Death. Expectation on Life Expectancy. End-of-Life 05

4. Ovarian Cancer begins when cells grow out of control in the ovaries. Types Stromal tumors Germ cell tumors Epithelial tumors The ovaries are the reproductive glands found in women. The cancer cells may then spread to other parts of the body, which can lead to malignant tumors.

5. Ovarian Cancer Stage 1 Stage 3 Stage 4 Stage 2 1A 1B 1C 2A 2B 3A 3B 3C 4A 4B

6. Seventy-five women are diagnosed with ovarian cancer in Saskatchewan each year, and 55 lose their lives. But does that outcome need be so severe? Ovarian Cancer Canada thinks not and it is hopeful a new drug can reduce that number.  Some women facing a deadly form of cancer are having trouble finding a doctor who can treat them. There is a shortage of gynecological oncologists in Canada, and the situation has become so critical, specialists from other parts of the country are having to fly in to help. In The News

7. The STATS! Incidence and Mortality Rate of Ovarian Cancer in Canada RANK 8 in selected cancers for female in Canada RANK 17 in selected cancers for both sexes in Canada 13.7% 2,800 ovarian cancer cases in Canada out of 103,200 female population with selected cancers 8.2% 1,800 died due to ovarian cancer in Canada out of 38,200 female death recorded with selected cancers (Canadian Cancer Statistics: A 2018 special report, p.44)

8. The STATS! The World SERBIA RANK 1 16.6 Age-standardized rate per 100,000 (https://www.wcrf.org/dietandcancer/cancer-trends/ovarian-cancer-statistics)

9. How do you GET it? Pregnancy The CAUSES Gyne Surgeries Breastfeeding Contraceptives

10. Age Risk Factors Non-Modifiable Modifiable Genetics Previous Cancer Race Tall Adult Reproductive History and Infertility Obesity Use of HRT Use of Talcum Powder Hx of Endometriosis Smoking Diet and Sedentary Lifestyle

11. The SIGNS and Symptoms Feeling the need to urinate urgently or often Trouble eating or feeling full quickly Bloating Pelvic / Abdominal Pain Disease-related & Treatment-related

12. The SIGNS and Symptoms Disease-related & Treatment-related Pain Sleep Problems Fatigue Nausea Loss of Appetite Anxiety Depression Nerve or muscle problems

13. To treat symptoms such as pain or nausea Medications Treating the Symptoms How Palliative Care Can Help To help with depression and anxiety Emotional Counselling To improve appetite Nutritional Counselling To relieve nerve and muscle problem Physical Therapy Acupuncture, Aromatherapy or Massage Complimentary Medicine Alleviating symptoms but not curative Standard Cancer Treatment

14. 90% (Stage 1)  17% (Stage 4) Epithelial-type Prognosis Survival Rate 95% (Stage 1)  35% (Stage 4) Stromal-type 98% (Stage 1)  69% (Stage 4) Germ Cell-type

15. Patient’s Life – Expectation/Expectancy Prognosis Survival Rate Time Since Diagnosis All Stages Localized Regional Distant Percent Surviving Diagnosis 100 100 100 100 1 year 75.2 97.6 89.4 68.6 2 years 64.6 96.2 84 53.9 3 years 56.2 95 79.7 42.4 4 years 50 93.7 76 33.9 5 years 45.4 92.8 72.6 27.9 6 years 42.2 91.8 70.3 23.9 7 years 40 91.2 68.7 21.1 8 years 38.2 90.7 66.9 18.9 9 years 36.8 90 65 17.4 10 years 35.7 89.4 63.7 16.1

16. OVARIAN CA END-of-LIFE CARE Provide Comfort Supportive Care – Dying Process Improve Quality of remaining Life Help ensure a Dignified Death Role of the Nurse in End-of-Life Care

17. Q & A During the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which symptom as typical of the disease ? A Diarrhea B Hypermenorrhea C Abnormal Bleeding D Abdominal Distention

18. Q & A A client recently diagnosed with ovarian cancer says to the nurse, “I cannot believe this has happened to me. I wish that I were dead!” Which nursing response is most therapeutic? A “Every client diagnosed with this type of cancer says the same thing.” B “You must be feeling very upset. Are you thinking of hurting yourself?” C “I know what you mean, but there are a lot of treatments available for ovarian cancer.” D “Why are you talking that way? Your children would not want to hear you say that, would they?”

19. Q & A The home health care nurse is caring for a client with ovarian cancer who is complaining of acute pain. The most appropriate determination of the client’s pain should include which assessment? A The client’s pain rating B Nonverbal cues from the client C The nurse’s impression of the client’s pain D Pain relief after appropriate nursing intervention.

20. References: Canadian Cancer Statistics Advisory Committee.  Canadian Cancer Statistics 2018. Toronto, ON: Canadian Cancer Society; 2018. Retrieved at: cancer.ca/Canadian-Cancer-Statistics-2018-EN (accessed July 2019). Cancer.org. (2019).  What Causes Ovarian Cancer | How Do You Get Ovarian Cancer . [online] Available at: https://www.cancer.org/cancer/ovarian-cancer/causes-risks-prevention/what-causes.html [Accessed 4 Jul. 2019]. Cancer.org. (2019).  Ovarian Cancer Risk Factors . [online] Available at: https://www.cancer.org/cancer/ovarian-cancer/causes-risks-prevention/risk-factors.html [Accessed 4 Jul. 2019]. Cancer Treatment Centers of America. (2019).  Top Ovarian Cancer Causes & Factors That Put You at Risk . [online] Available at: https://www.cancercenter.com/cancer-types/ovarian-cancer/risk-factors [Accessed 4 Jul. 2019]. Cdc.gov. (2017).  CDC - What Are the Risk Factors for Ovarian Cancer? . [online] Available at: https://www.cdc.gov/cancer/ovarian/basic_info/risk_factors.htm [Accessed 4 Jul. 2019]. LEHMAN COLLEGE NUR 409. (2010, November 6). Retrieved from AuthorStream : http://www.authorstream.com/Presentation/aSGuest74442-635768-palliative-care-end-of-life/

21. References: National Ovarian Cancer Coalition. (n.d.). What are the Signs & Symptoms? Retrieved July 3, 2019, from http://ovarian.org/about-ovarian-cancer/what-are-the-signs-a-symptoms Ovarian Cancer Research Alliance. (2019).  Origins and Causes - Ovarian Cancer Research Alliance . [online] Available at: https://ocrahope.org/patients/about-ovarian-cancer/origins-and-causes/ [Accessed 4 Jul. 2019]. Ovarian Cancer: Early Signs, Detection, and Treatment. (2019). Retrieved from https://www.healthline.com/health/cancer/ovarian-cancer-early-signs#stages Ovarian Cancer Research Alliance. (2019).  Risk Factors for Ovarian Cancer . [online] Available at: https://ocrahope.org/patients/about-ovarian-cancer/risk-factors/ [Accessed 4 Jul. 2019]. Palliative and Hospice Care for Advanced Ovarian Cancer. (n.d.). Retrieved July 3, 2019, from https://www.healthline.com/health/ovarian-cancer/palliative-and-hospice-care-for-advanced-ovarian-cancer?fbclid=IwAR39Wt-oT24ylkhofexDgvCHcxvVa1PfZGJ9fTR8JXOtYkHL2OjRvK0ZCRs#palliative-care System, M. S. (2017, October 06). Ovarian Cancer Patient Shares Her Story - Mount Sinai Chelsea. Retrieved July 4, 2019, from https://www.youtube.com/watch?v=OyXl0Lhi8B0

22. References: Targetovariancancer.org.uk. (2016).  Risk and protection factors of ovarian cancer | Target Ovarian Cancer . [online] Available at: https://www.targetovariancancer.org.uk/information-and-support/what-ovarian-cancer/risk-and-protection-factors-ovarian-cancer [Accessed 4 Jul. 2019]. www.cancer.ca. (2019).  Risk factors for ovarian cancer - Canadian Cancer Society . [online] Available at: https://www.cancer.ca/en/cancer-information/cancer-type/ovarian/risks/?region=on [Accessed 4 Jul. 2019]. Yourex -West, H. (2019, January 17). Ovarian cancer patients fearful as Canada grapples with specialist shortage. Retrieved July 2, 2019, from https://globalnews.ca/news/4850341/ovarian-cancer-patients-canada-specialist-shortage/

23. Thank You