gastric cancer胃癌患者的护理查房

《gastric cancer胃癌患者的护理查房》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、NursingCareofthePatientwithGastricCancerDepartmentofDigestiveSystemOncologyHuYatingContentsTherelatedknowledgeofgastriccancerCasemanagementNursingcareplansHealtheducationGastricCancer-DescriptionGastriccancer,alsocalledstomachcancer,isamalignanttumorarisingfromt

2、heliningofthestomachGastriccancercellscanspreadbybreakingawayfromtheoriginaltumor.Theyenterbloodvessels,whichbranchintoallthetissuesofthebody.Gastriccancercausesabout800,000deathsworldwideperyear.Menhavemorethandoubletheriskofgastriccancerthanwomen.GastricCancer

3、-CausesandRiskFactorsGastricCancerSmoked/saltedfoodHelicobacterpyloriFamilyhistoryOverweightSmokingandalcoholfactorsPrecancerousconditionsGastricCancer-SymptomsAbdominalfullnessorpainDarkstoolsDifficultyinswallowingExcessivebelchingGeneraldeclineinhealthLossofap

4、petiteNauseaVomiting,whichmaycontainbloodWeaknessorfatigueWeightlossGastricCancer-Diagnosis&TreatmentLaboratorytests1.Completebloodcount(CBC)2.StooltestX-raybariummealexaminationGastroscopyDiagnosisGastricCancer-Diagnosis&TreatmentBultrasonicCTScanCytologyandpat

5、hologyexaminationDiagnosisGastricCancer-Diagnosis&TreatmentSurgeryofstomachChemotherapyRadiationtherapyMultimodalitytherapyTreatmentCaseManagementCaiChuanyou,male,69yearsoldChiefcomplaint:Gastriccancerwith2circlesofchemotherapyCaseManagementHistoryofpresentillne

6、ss:Abdominalpainwithoutobviousinducementsince4monthsagoSeverepainintherightumbilicalregion,evenwithbackradiationAbdominaldistensionaftereatingStool1time/4days,blackstoolNoothersymptomsSelfmedicationDiagnosisofgastriccardiacadenocarcinomabygastroscopybiopsySecond

7、cyclesofchemotherapyfrom2016-01-27to2016-01-31CaseManagementMedicalhistory:NospecialconditionPhysicalexamination:KPS80%,generalvitalsignshavenospecialAssistantexamination:CurrentlytherearenoneNursingCarePlansRelatedtoworryingabouttheprognosisandlackofrelevantkno

8、wledgeAnxietyandfearBelowthebodyrequirement-Relatedtodifficultyinswallowing,disorderofdigestionandabsorption,etc.MalnutritionStomachache–RelatedtothecancerinvasionPai