1、Nursing Care of the Patient with Gastric CancerDepartment of Digestive System OncologyHu YatingContentsGastric 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
2、tumor. They enter 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 pyloriFamil
3、y historyOverweightSmoking 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-Diag
4、nosis & Treatment Surgery of stomach Chemo therapy Radiation therapy Multimodality therapyTreatmentCase ManagementCai Chuanyou, male, 69 years oldChief complaint: Gastric cancer with 2 circles of chemotherapyCase Management History of present illness: Case Management Medical history: No special cond
5、ition Physical examination: KPS 80%, general vital signs have no special Assistant examination: Currently 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
6、of digestion and absorption, etc.MalnutritionStomachache Related to the cancer invasion PainNursing Care PlansRelated to the protracted course of this disease Activity intoleranceRelated to chemotherapy-induced vomitingRisk for fluid volume deficitGastric bleeding, obstruction, etc.Potential complic
7、ationNursing Care PlansAnxiety and fearMore communication and encouragementMeet the basic needs Introduce the relevant knowledgeExamples of recover patients Deep breathing, music therapy, etc.Anxiety and fear reducedNursing Care Plans Encourage the patient to eat Choose appropriate time to dine Mult
8、iple-meal-with-small-amount-for-eachMalnutritionNursing Care PlansMake a reasonable diet(according to the patients eating habits) high heat high in protein high in vitamin low fat easily digestible low-residueMalnutritionNursing Care Plans Explain the important role of diet on disease recovery Regul
9、ar monitoring weight change Strengthen the parenteral nutrition support, and give the digestive medicineMalnutritionNursing Care PlansPainEffectively controlledNursing Care Plans Appropriate bed activities Assist patients with bedside activities Falls prevention Regular massage and maintain normal f
10、unctionActivity intolerancePhysical strength has been enhanced and no fall occurredNursing Care PlansRisk for fluid volume deficitVomiting relievedNursing Care Plans Prevention first Observe the condition changes If happened, deal with the complication according to the doctors advice Potential complicationNo complicationsHealth educationReasonable diet Healthy lifestyleHealth education Patients undergoing chemotherapy Treatment adherenceThanks for listening! If you have any questions,contact me and my e-mail address is .
