UTERINE CANCER and management of this problem PPT.pptx

this ppt is only for seminar presentation i was not deal proper knowledge but i was deal the specific points and topic main objectives

1. CHHATTISGARH NURSING COLL E G E BHILAI BSC NURSING 4 th SEMESTER ADULT HEALTH NURSING - II PRESENTED TO M R . PRESENTED BY ……………… BSC NURSING 4 TH SEMESTER CNC DHANORA BHILAI

2. UTERINE CANCER INTRODUCTION - The uterus is hollow muscular, pear- shaped organ flattened anteroposteriorly . It lies in the pelvic cavity between the urinary bladder and the rectum. In most women it leans forwards (ante version) and is bent forwards (ante flexion) almost at right angles to the vagina so that its anterior wall rests partly against the bladder below forming the vesicouterine pouch between the two organs.

3. DEFINITION - “ ACCORDING TO DR RASHMI P. JOHN ” “ U terine cancer or cancer of uterus is a condition that begins when healthy uterine cells undergo mutation and start growing abnormally forming a cancerous or benign tumor. ” “ ACCORDING TO JANICE L.HINKLE ” “ Uterine cancer also known as endometrial cancer and it involves a malignant growth the originates in the lining of uterus the endometrium . ”

4. “ ACCORDING TO ROSS & WILSON ” The uterus is a hollow muscular pear – shaped organ flattened anteroposteriorly . It lies in the pelvic cavity between the urinary bladder and the rectum. “ANATONY & PHYSIOLOGY ” UTERUS :- Uterus is a pear – shaped organ that plays a critical role in menstruation, fertility and pregnancy its hollow and muscular and sits between your rectum and bladder in your pelvis. FUNCTION :- The uterus receives a fertilized egg and protects the fetus (baby) while it grows and develops. The uterus contracts to pus the baby out of the body during birth.

5. DIAGRAM OF UTERUS

6. STAGING STAGE 1 :- In this stage cancer has not spread to any other body organ except uterus. STAGE 2 :- In this stage cancer has spread to the cervix. STAGE 3 :- In this stage cancer has spread to the vagina, ovary and lymph nodes. STAGE 4:- In this stage cancer has progressed to the bladder or other organ that are for from the uterus.

7. causes BIRTH CONTROL PILLS:- OBESITY :- INFERTILITY :-

8. FAMILY HISTORY:- PCOS:-

9. RISK FACTORS 1. Endometrial hyperplasia (thickened wall lining). 2. Starting periods early (before age 12). 3. Never having children . 4. High blood pressure or diabetes. 5. Being over weight or obese. 6. A genetic condition. 7. In menopause or postmenopause women (after age55).

10. PATHOPHYSIOLOGY

11. CLINICAL MANIFESTATION WEIGHT LOSS :- HEAVY VAGINAL BLEEDING :- MENORRHAGIA :-

12. PELVIC PAIN :- ABDOMINAL PAIN :-

13. DIAGNOSTIC MEASURES PHYSICAL EXAMINATION :- ENDOMETRIAL BIOPSY:- BLOOD AND URINE TEST:-

14. PAP TEST :- TRANSVAGINAL ULTRASOUND:-

15. MEDICAL MANAGEMENT SURGICAL MANAGEMENT NURSING MANAGEMENT MANAGEMENT

16. MANAGEMENT Medical Management SN Drug Dose Route Action Side Effect 1. 2. Dostarlimabg -xly injection Durvalumab injection 15mg10ml 500mg/10ml IV IV Blocking the action of a certain protein in cancer cells. Promote the antitumor responses mediated by immune cells. Bladder pain Bloating Bloody or cloudy urine Confusion Constipation Depressed mood Cough Chest pain or tighten Difficult, burning or painful urination Body aches or pain

17. SN Drug Dose Route Action Side Effect 3. 4. Megestrol acetate tablet Lenvatinib mesylate capsule 40mg/ml 10mg Oral By mouth Appetite stimulant and antineoplastic agent Blocking proteins that single cancer cells to divide. Acid or sour stomach Belching Heart burn Indigestion Inability to have or keep an erection. Abdominal pain headache high blood pressure vomiting . Hand foot skin reaction shortness of breath

18. MANAGEMENT Medical Management SN Drug Dose Route Action Side Effect 5. Keytruda ( pembrolizamab ) injection 100mg/4ml IV Pembrolizumab is a therapeutic antibody that binds to and blocks pd-1 located on lymphocytes Fatigue Fever Reduced appetite Cough Shortness of breath Pain in your mescals or bones

19. SURGICAL MANAGEMENT TOTAL ABDOMINAL HYSTERECTOMY :- VAGINA HYSTERECTOMY :-

20. RADICAL HYSTERECTOMY:- MINIMALLY INVASIVE HYSTERECTOMY:-

21. DIETARY MANAGEMENT Incorporate a variety of fruits, vegetables whole gains healthy oils and lean protein. Eat smaller amounts of food more frequently to sustain energy and manage a poor appetite. Try ginger for a natural way to prevent or reduce nausea . Eat yogurt and food with high fiber to help support digestion. Low amount of meat and dairy products.

22. DIETARY MANAGEMENT

23. PREVENTION PHYSICAL ACITIVITY :- Highly physically active women head 20% lower risk of endometrial cancer than women with low levels of activity. WEIGHT LOSS :- L osing weight without trying to is another possible sing of uterine cancer . HORMONAL CONTRACEPTIVE :- Women who have ever used oral contraceptive have a lower risk of endometrial cancer than women who have never used oral contraceptives. Low -Sugar diets can reduce the risk of uterine cancer. Food rich in beta -Carotene foliate fiber vitamins C, K and E diet like broccoli.

24. COMPLICATION Menorrhagia Abdominal pains Infertility Premature birth labor problems miscarriages

25. HEALTH EDUCATION Avoid consuming any alcoh0l or smoking. Exercise can lower your risk of uterine cancer and help you maintain a healthy weight. If uterine cancer runs in your family, schedule routine checks. Consume a balanced diet rich in fresh produce whole grains and other phytonutrients . Women report any abnormal vaginal bleeding or discharge to the doctor.

26. Women report any abnormal vaginal bleeding or discharge to the doctor. Encourage patient to maintain personal hygiene. Encourage patient to drink plenty of water. Avoid spicy food.

27. CONCLUSIONS Uterine cancer is the most common form of cancer that occurs in the uterus of women due to abnormal cell growth. This is caused by the uncontrolled genetic mutation. Significantly there are two types of uterine cancer endometrial cancer and uterine sarcomas.

28. THANK YOU