Stomach Cancer Nursing Diagnosis

NAME OF STUDENT: DATE OF ASSIGNMENT: NAME OF PATIENT: CIVIL STATUS: Single WARD: I BED NO.: AGE: SEX: Male DIAGNOSIS OR CLINICAL IMPRESSION: Gastric cancer T3N3M0, s/p radical near total gastrectomy, roux-en-ygastrojejunostomy; currently on 3

Does not currentlywear protective maskwhen there are otherpeople in the roomDemonstratedimproper handwashingtechniqueReduced dietary intakefrom 4 cups of rice permeal to 1 cup of ricedue to altered tasteupon initiation of chemotherapy

Ineffective protection isthe state in which anindividual experiences adecrease in the abilityto guard againstinternal or externalthreats, such as illnessof injury. It represents a broad diagnosticcategory under whichImpaired Tissue/SkinIntegrity, Impaired OralMucous Membrane, andRisk for Bleeding, andRisk for Infection(Carpenito-Moyet, L.Handbook of NursingDiagnosis, 12

Esophageal Cancer Nursing Diagnosis And Care Plan

After the nursingintervention, theclient will:( ) Manifestednormal vital signs( )Manifested nosigns of infection inIV insertion site( ) Manifested clearbreath sounds andabsence of sputumproduction ( ) Manifested nowhite coating in thetongue( ) CBC results

Cycle of chemotherapy(epirubicin-cisplatin-fluorouracil regimen)-Day 2 as of 2/16/11With ongoing 1 L PNSS+ 750 mg 5Fluorouracil receivedat ~350 cc levelrunning at 11 gtts/mininserted on thedorsum of left hand;intact dressing; (-)inflammation; (-)tendernessMost chemotherapeuticdrugs cause bonemarrow suppressionwhich results toleucopenia, thrombocytopenia, andanemia. This thereforeincreases the risk of infection and bleedingtendencies. Moreover, the nutrional status of the patient has an effecton the resistance of thepatient to fight off infections. Nutrition isalso a key factor in theoxygen-carryingcapacity of the blood inthe patient. (Smeltzer, S. et. al. Textbook of Medical-SurgicalNursing. 11

Ed. (2008).Lippincott Williams andWilkins). Nutrition alsohas an impact on thepatient’s immunefunction and outcome of cancer treatments(Tian, et.al. The Effectsof Nutrition Status of Patients with DigestiveSystem Cancers onPrognosis of theDisease. Cancer of Nursing. 2008)This is the priorityproblem becauseinfections in the patientundergoingchemotherapy arePerform thenecessaryprecautionsneeded topreventinfection.Demonstrate

Ncp ( Oncology)

For bleeding and infection. Due tomyelosuppression caused by thechemotherapy, the number and type of WBCs required to fight infection isdecreased. Anemia is also common. Platelets are usually decreased, thus placing the patient at high risk for bleeding.

This reduces the possibility of introduction of  pathogens to the patient. Proper hand hygiene is one of the best ways to stoptransmission of infection.

Advise patient to avoid fresh, unpeeled fruitsand vegetables; uncooked meat;unprocessed/uncooked animal products; andyogurt and other fluid with lactobacilli suchas Yakult. (Neutropenic diet).

Constipation Nursing Diagnosis & Care Plan [2023 Update]

Manifested: __No signs of infection __ No worsening of the indicators of anemia __ Platelets withinacceptable limits( ) Manifestedabsence of symptoms of anemia( ) Manifested nosigns of bleeding ( ) Dry, intactdressing of IV site, (-)inflammation/pain/tenderss( ) Wore mask whenhe is not alone inthe room( ) Verbalized thatshe will consume aneutropenic diet

Harder to evaluatebecause the bodycannot mount adequateimmune response to theinfection. Thus, theinfections usuallyworsen and becomefatal to theimmunocompromisedpatient.proper handwashingtechniquePerform waysto enhanceresistance toinfectionPerform thenecessaryprecautionsneeded toprevent andmonitor forbleedingIdentify earlysigns of developinginfection, worseninganemia, andpresence of clottingabnormalitieshe has to reportto the nurse orphysicianDiscuss and demonstrate proper handwashing technique to the patient andwatcher.

Gums and oral mucosa may bleed easily because of altered clotting. Moreover, chemotherapeutic drugs can cause drynessof the oral mucosa, thus making it more prone to injury.

Drug & Ncp For Plueral Effusion.docx

This will help prevent trauma to oral cavity.Hot foods cause vasodilation, thereby increasing bleeding tendencies. Moreover, the patient has missing teeth and ill fittingdentures which makes it harder to chew

Report the following to the nurse/doctor.-Cough/colds-Pus in urine- Development of white coating in the oralcavity especially the tongue-Pain/tenderness in IV site- Bruising, easy bleeding, petechiae, bleedinggums, and nosebleed, occult bleeding- Weakness- Shortness of breath, alteration in mental( ) Returndemonstratedproper handwashingtechnique( ) Achievedadequate rest( ) Able to drink at least 1 ½ L of waterper day( )Demonstratedproper meticulousoral care( ) Adhered toavoiding hot foodsand eating soft diet( ) Refrained fromeating dark foods( )Stated all earlysigns of developinginfection, worseninganemia, andpresence of clottingabnormalities hehas to report to thenurse or physician

Manifested: __No signs of infection __ No worsening of the indicators of anemia __ Platelets withinacceptable limits( ) Manifestedabsence of symptoms of anemia( ) Manifested nosigns of bleeding ( ) Dry, intactdressing of IV site, (-)inflammation/pain/tenderss( ) Wore mask whenhe is not alone inthe room( ) Verbalized thatshe will consume aneutropenic diet

Harder to evaluatebecause the bodycannot mount adequateimmune response to theinfection. Thus, theinfections usuallyworsen and becomefatal to theimmunocompromisedpatient.proper handwashingtechniquePerform waysto enhanceresistance toinfectionPerform thenecessaryprecautionsneeded toprevent andmonitor forbleedingIdentify earlysigns of developinginfection, worseninganemia, andpresence of clottingabnormalitieshe has to reportto the nurse orphysicianDiscuss and demonstrate proper handwashing technique to the patient andwatcher.

Gums and oral mucosa may bleed easily because of altered clotting. Moreover, chemotherapeutic drugs can cause drynessof the oral mucosa, thus making it more prone to injury.

Drug & Ncp For Plueral Effusion.docx

This will help prevent trauma to oral cavity.Hot foods cause vasodilation, thereby increasing bleeding tendencies. Moreover, the patient has missing teeth and ill fittingdentures which makes it harder to chew

Report the following to the nurse/doctor.-Cough/colds-Pus in urine- Development of white coating in the oralcavity especially the tongue-Pain/tenderness in IV site- Bruising, easy bleeding, petechiae, bleedinggums, and nosebleed, occult bleeding- Weakness- Shortness of breath, alteration in mental( ) Returndemonstratedproper handwashingtechnique( ) Achievedadequate rest( ) Able to drink at least 1 ½ L of waterper day( )Demonstratedproper meticulousoral care( ) Adhered toavoiding hot foodsand eating soft diet( ) Refrained fromeating dark foods( )Stated all earlysigns of developinginfection, worseninganemia, andpresence of clottingabnormalities hehas to report to thenurse or physician

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