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ID:19663505
大小:864.43 KB
页数:24页
时间:2018-10-04
《培训资料gastriccancer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,isamalignanttumora
2、risingfromtheliningofthestomachGastriccancercellscanspreadbybreakingawayfromtheoriginaltumor.Theyenterbloodvessels,whichbranchintoallthetissuesofthebody.Gastriccancercausesabout800,000deathsworldwideperyear.Menhavemorethandoubletheriskofgastriccancert
3、hanwomen.GastricCancer-CausesandRiskFactorsGastricCancerSmoked/saltedfoodHelicobacterpyloriFamilyhistoryOverweightSmokingandalcoholfactorsPrecancerousconditionsGastricCancer-SymptomsAbdominalfullnessorpainDarkstoolsDifficultyinswallowingExcessivebelch
4、ingGeneraldeclineinhealthLossofappetiteNauseaVomiting,whichmaycontainbloodWeaknessorfatigueWeightlossGastricCancer-Diagnosis&TreatmentLaboratorytests1.Completebloodcount(CBC)2.StooltestX-raybariummealexaminationGastroscopyDiagnosisGastricCancer-Diagno
5、sis&TreatmentBultrasonicCTScanCytologyandpathologyexaminationDiagnosisGastricCancer-Diagnosis&TreatmentSurgeryofstomachChemotherapyRadiationtherapyMultimodalitytherapyTreatmentCaseManagementCaiChuanyou,male,69yearsoldChiefcomplaint:Gastriccancerwith2c
6、irclesofchemotherapyCaseManagementHistoryofpresentillness:Abdominalpainwithoutobviousinducementsince4monthsagoSeverepainintherightumbilicalregion,evenwithbackradiationAbdominaldistensionaftereatingStool1time/4days,blackstoolNoothersymptomsSelfmedicati
7、onDiagnosisofgastriccardiacadenocarcinomabygastroscopybiopsySecondcyclesofchemotherapyfrom2016-01-27to2016-01-31CaseManagementMedicalhistory:NospecialconditionPhysicalexamination:KPS80%,generalvitalsignshavenospecialAssistantexamination:Currentlythere
8、arenoneNursingCarePlansRelatedtoworryingabouttheprognosisandlackofrelevantknowledgeAnxietyandfearBelowthebodyrequirement-Relatedtodifficultyinswallowing,disorderofdigestionandabsorption,etc.MalnutritionStomachache–RelatedtothecancerinvasionPai
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