Lecture #8 - Cancer Flashcards Preview

NUR1 322 - Chronic Illness and Palliative Care (Xavier) > Lecture #8 - Cancer > Flashcards

Flashcards in Lecture #8 - Cancer Deck (25):
1

Viewing ovarian cancer as a chronic disease means?

Chronic refers to the pronged duration of this cancer which is rarely completely cured and fail to enter a complete remission, but pte live a long time with it.
We want to change the goal from complete cure to extended life.

2

Viewing ovarian cancer as a chronic disease changes what in management of the diseases?

This second-line therapy should:
1)optimize extended life;
2) Minimize toxicity
3)Individualize treatments

3

Role de l'infirmiere pivot en oncologie? + 4 fonctions cles?

- Personne ressource depuis 2005
1)Assessmen
2)Teaching
3)Support
4)Coordination/continuity of care

4

Est-ce que infirmiere pivot = "pt navigator" ou inf. de liaison?

Non, car garde un contact constant avec le pt tout en etant aidant les pt avec tous leurs besoins.

5

What does the supportive care framework draws upon (Fitch, 1994)?

This is about the different "soins de soutien" that cancer pt will need.
1)Human needs: physical, psych, emo, spiritual
2)Cognitive appraisal: Characterizing an event
3)Coping and Adaptation

6

Women: Biggest occurence and mortality

Breast
Lung

7

Men: biggest occurence and mortality?

Prostate
Lung

8

Supportive care framework domains of health?

physical, psych, emo, spiritual, social

9

Breast cancer different trajectories?

1) No meta= aggressive treat. with goal of cure
2) With meta=goal to control, now chronic
3)Recurrence= goal to control, now chronic

10

Breast cancer common meta?

Brain, lymph nodes, lungs, bones, liver

11

Lytic vs blastic bone lesions?

1) Less bone
2) Fill bone with extra cells

12

Ovarian cancer prevalence and mortality?

Low pre and high mor.

13

Ovarian cancer medications?

Taxane (Taxol) + platinum

14

Ovarian cancer as chronic?

b/c 75% of pt recur and reccurent disease cannot be cured

15

Goal of supportive care?

Symptom management

16

What is Chemotherapy Induced Peripheral Neuropathy (CIPN)?

Inflammation/degeneration of peripheral nervous system from direct injury by chemotherapy agents.

17

CIPN Sx?

Symmetrical, start distally, more dose = more Sx

18

CIPN management?

1) Assessment before therapy to know baseline.
2) Remove triggers
3) treat-preexisting conditions
4) Mange pain
5)PT/OT

19

CIPN grades?

grade 1: ASx
2:Some sensory alterations
3: Interferes with ADLs
4: Life threatning (paralysis)

20

CIPN meds?

Gabapentin
Pregabalin
Opioids
Amitriptyline (TCA)

21

Malignant Bowel Obstruction (MBO) caused by?

Ovarian cancer.
Sub-occlusion

22

Unique characteristics of infirmiere pivot en oncologie (IPO)?

Availability
Continuity of care
Partnership
Expertise

23

1) IPO vs
2) Outpatient Primary nurse vs
3) Acute Care Nurses

1) Present from Dx to death
2) Present during treatments
3) Present when admitted

24

Emotions controlled by.. brain part?

Amygdala

25

5 axes interventions of IPO?

1) Integrate cancer care organizations
2) Promote health, early cancer detection
3) Support pt/family
4) EBN
5) Evaluate outcomes