1、NursingCareofthePatientwithGastricCancerDepartmentofDigestiveSystemOncologyHuYatingContentsGastric Cancer-DescriptionGastric cancer,also called stomach cancer,is a malignant tumor arising from the lining of the stomach Gastric cancer cells can spread by breaking away from the original tumor.They ent
2、er blood vessels,which branch into all the tissues of the body.Gastric cancer causes about 800,000 deaths worldwide per year.Men have more than double the risk of gastric cancer than women.Gastric Cancer-Causes and Risk FactorsGastric CancerSmoked/salted foodHelicobacter pyloriFamily historyOverweig
3、htSmoking and alcohol factorsPrecancerous conditionsGastric Cancer-SymptomsAbdominal fullness or painDark stoolsDifficulty in swallowingExcessive belchingGeneral decline in healthLoss of appetiteNauseaVomiting,which may contain bloodWeakness or fatigueWeight lossGastric Cancer-Diagnosis&TreatmentLab
4、oratory tests1.Complete blood count(CBC)2.Stool testX-ray barium meal examinationGastroscopy DiagnosisGastric Cancer-Diagnosis&TreatmentB ultrasonicCT ScanCytology and pathology examinationDiagnosisGastric Cancer-Diagnosis&TreatmentSurgery of stomachChemo therapyRadiation therapyMultimodality therap
5、yTreatmentCase ManagementCai Chuanyou,male,69 years oldChief complaint:Gastric cancer with 2 circles of chemotherapyCase ManagementHistory of present illness:Case ManagementMedical history:No special conditionPhysical examination:KPS 80%,general vital signs have no specialAssistant examination:Curre
6、ntly there are noneNursing Care PlansRelated to worrying about the prognosis and lack of relevant knowledge Anxiety and fearBelow the body requirement-Related to difficulty in swallowing,disorder of digestion and absorption,etc.MalnutritionStomachache Related to the cancer invasion PainNursing Care
7、PlansRelated to the protracted course of this disease Activity intoleranceRelated to chemotherapy-induced vomitingRisk for fluid volume deficitGastric bleeding,obstruction,etc.Potential complicationNursing Care PlansAnxiety and fearMore communication and encouragementMeet the basic needsIntroduce th
8、e relevant knowledgeExamples of recover patients Deep breathing,music therapy,etc.Anxiety and fear reducedNursing Care PlansEncourage the patient to eatChoose appropriate time to dineMultiple-meal-with-small-amount-for-eachMalnutritionNursing Care PlansMake a reasonable diet(according to the patient
9、s eating habits)high heathigh in proteinhigh in vitamin low fateasily digestiblelow-residueMalnutritionNursing Care PlansExplain the important role of diet on disease recoveryRegular monitoring weight changeStrengthen the parenteral nutrition support,and give the digestive medicineMalnutritionNursin
10、g Care PlansPainEffectively controlledNursing Care PlansAppropriate bed activitiesAssist patients with bedside activitiesFalls preventionRegular massage and maintain normal functionActivity intolerancePhysical strength has been enhanced and no fall occurredNursing Care PlansRisk for fluid volume def
11、icitVomiting relievedNursing Care PlansPrevention firstObserve the condition changesIf happened,deal with the complication according to the doctors advice Potential complicationNo complicationsHealth educationReasonable dietHealthy lifestyleHealth educationPatients undergoing chemotherapyTreatment adherenceThanks for listening!If you have any questions,contact me and my e-mail address is .
