Esophageal Cancer Care Plan

Esophageal Cancer Care Plan - CindyRadford...

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Cindy Radford Nursing Care Plan for Esophageal Cancer Assessment and Physical Examination: Obtain an accurate history of risk factors, including race, culture, use of tobacco and/or alcohol,  or any esophageal problems.  Dysphagia, which is often the most common symptom, is usually  experienced when at least 60% of the esophagus is occluded.  Initially, it is mild and intermittent,  and it occurs only with solid foods.  Clients may report a sensation that it feels like food is  sticking in their throats.  Symptoms of the disease soon progress to the inability to swallow  semisoft or liquid food, and the client experiences a severe weight loss, as much as 40-50 pounds  over 2-3 months.  Eventually, the client is unable to swallow their own saliva.  Also inquire about  regurgitation, vomiting, chronic hiccups, painful swallowing, and dietary patterns.  Clients may  report pain radiating to the neck, jaw, ears, and shoulders. Observe the client’s ability to swallow food.  Note any chronic coughing and increased oral  secretions.  Listen to the client’s voice as tumors in the upper esophagus can involve and cause  hoarseness.  Place the client in the recumbent position.  Weigh the client, and determine the  client’s strength and motion of the extremities.  Severe weight loss and weakness are common 
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This note was uploaded on 05/03/2011 for the course NURS 2210 taught by Professor Dims during the Spring '11 term at Virginia College.

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Esophageal Cancer Care Plan - CindyRadford...

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