Nursing care of radiation

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  • XerostomiaDysphagiagastroenteritis
  • Nursing care of radiation

    1. 1. Nursing Care of Radiation
    2. 2. Warning • C—Change in Bowel or Bladder habits • A—A Sore doesn’t Heal • U—Unusual Bleeding or Discharge • T—Thickening or lump in breast or elsewhere • I—Indigestion or difficulty swallowing • O—Obvious change in warts or moles • N—Nagging Cough or Hoarseness
    3. 3. Cancer Treatment • Based on Cell Origin • Focus on Removing or Destroying cancer cells • Guide by Client Factors • Adjuvant treatment • Hormone • Radiation • Targeted Therapies • Immunotherapy • Chemotherapy
    4. 4. Procedures • Manipulation or removal of the tumor • Cryosurgery • laser therapy, • Ablation • Excision may be • open or • endoscopic
    5. 5. Nursing Priorities • Informed Consent • NPO • Withhold meds as prescribed • Med administration • Monitor Lab finding • Postop care per location/procedure type • PAIN • Educate on wounds, drains, implanted devices • Complications • Infection • f/e imbalances • Bleeding • Inadequate oxygenation • Shock • Thromboembolism
    6. 6. Radiation Nursing Care • Radiation therapy involves the use of ionizing radiation to target tissues and destroy cells • Given preoperatively to decrease the size of a tumor • Radiotherapy and chemotherapy are/can be used in combination
    7. 7. Radiation • Adverse Effects • Fatigue • Skin changes • Hair loss
    8. 8. Internal Radiation Therapy • Radiation comes from implants or liquids placed inside the body. • Brachytherapy • placed close to the target tissue • placement in a body orifice • placement in a body cavity • delivered via IV
    9. 9. IRT Nursing Care • Private room • Limit visitors 30mins @ 6ft • Radiation Warning Sign • Wear a dosimeter film badge • pregnant or under the age of 16 should not come • Lead Container in Room
    10. 10. IRT Nursing Education • Lead Container • Pregnant women stay away • Prevent dislodging of implant (positioning) • Limit visitors • Keep children < 16yr away
    11. 11. External Radiation Therapy • Most common • Teletherapy • over the course of several weeks • machine aimed at the body from an external source
    12. 12. ERT Nursing Care • Preparation of skin over targeted area • Marked with “TATTOOS” • “TATTOOS ARE POSITION GUIDES • No Red Meat Diet • Dysgeusia is common • Rest periods • Scheduling activities 2 promote rest • Sit during shower or ADL’s • Treat symptoms of irradiation
    13. 13. ERT Nursing Education • Restrict Visitor • Fatigue common • Wash irradiated area w/mild soap & H2O • Dry area w/patting • Don’t Remove Radiation “Tattoos” Please. • Don’t expose irradiated skin 2 Sun or Heat • Soft Clothing • Avoid tight clothes • Don’t put on irradiated skin • Power • Lotion • Ointments • Perfumes
    14. 14. Thanks

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