Currently, low cure rates and very toxic • Immune system is wiped out: so all cells can be damaged • We worry about bacterial and fungal infections COMPLICATIONS/EMERGENCIES: TABLE 15-19 Malnutrition & Infection (complications) primary cause of death with cancer is infection o Check temp o Wash food thoroughly o Eat high calorie foods o Make sure they have food they will like/will eat Spinal cord compression Superior Vena Cava Syndrome Third Spacing SIADH Hypercalcemia Tumor Lysis Syndrome CANCER PAIN • Under treatment of pain causes • Needless suffering • Decreased quality of life • Increased burden on family caregivers • Inadequate pain assessment is the single greatest barrier to effective cancer pain management Management of cancer pain is necessary to optimize the quality of life of a person who has cancer Not all cancer patients have pain Cancer pain may be caused by the tumor or the cancer treatment MANAGEMENT OF CANCER PAIN Palliative cancer pain management is intended to provide comfort and reduce pain rather than cure the cancer The goal of palliative management is to reduce pain to improve quality of life while maintaining dignity and mental clarity
Psychologic support • Variety of psychosocial concerns • Nursing Actions: • Be available • Exhibit caring attitude • Active Listening • Maintain HOPE-which is the key to effective cancer cure
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- Spring '14