gynecology nursing

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CERVICAL
CANCER
Chandni Thampi
Assistant Professor
Travancore college Of
Nursing,Kollam

2. DEFINITION

3. CAUSE
HUMAN PAPILLOMA VIRUS

4. RISK FACTORS : -
Sex at young age.
Smoking
Multiple sexual
partners.
Depressed immune
system.
Family history.
Long term use of
contraceptives
Pills
Having sex with the
person infected with
HPV

5. TYPES OF CERVICAL CANCER
SQUAMOUS CELL
CARCINOMA
ADENOCARCINOMAS

6. SIGNS & SYMPTOMS

7. Abnormal vaginal bleeding

8. Bleeding
intercourse
or pain after sexual

9. Bleeding after menopause

10. Heavier and larger menstrual periods

11. Unusual vaginal discharge

12. Discomfort while urinating

13. Pelvic pain

14. Leg pain

15. Weight loss

16. Constant fatigue

17. PHYSICAL SIGNS : -
The cervix bleeds on touch.
It is friable.
It is fixed and lost it mobility.
Induration of cervix.

18. PATHOPHYSIOLOGY
Entry of HPV
Virus enters in the basal layer of cervix
HPV infects the basal cells
Sexual activity

19. PATHOPHYSIOLOGY
Cells become pre cancerous
Damaged cells continue to multiply
Damages the genetic material of the cells

20. PATHOPHYSIOLOGY
CERVICAL CANCER
Invasion to the near by tissues

21. STAGING OF CERVICAL CANCER

22. DIAGNOSTIC EVALUATIONS

23. 1. PHYSICAL EXAMINATION

24. 2. PV EXAMINATION

25. 2. PAP SMEAR TEST

27. COLPOSCOPY

29. BIOPSY

30. BIOPSY

31. Other investigations to determine the extent of tumor:
-
1.CT Scan.
2.MRI.
3.Cytogram.
4.Barium X-ray studies.

34. CHEMOTHERAPY

35. Surgical management

36. LASER SURGERY

37. L.E.E.P loop electro surgical excision proceedure

38. CRYOSURGERY

39. HYSTERECTOMY

40. RADIATION THERAPY

41. EXTERNAL PELVIC RADIATION

42. INTERNAL PELVIC RADIATION

43. PREVENTIVE MEASURES
Avoidance of early marriages.
Avoid early and frequent intercourse.
Strictly avoid monogamous relationships.
Restriction of number of children.
Improvement of genital hygiene.
Periodically clinical cytological screening.
Good obstetric care.
Avoid smoking
No harm in pregnancies.

44. VACCINATION

45. NURSING MANAGEMENT
Listen to the patient’s fear and concerns
and offer reassurance when appropriate.
encourage patient to use relaxation techniques to promote comfort during
diagnostic procedures.
Monitor the patient’s response to the therapy.
Watch for the complications related to the therapy by listening to and observing the
patient.

46. NURSING MANAGEMENT
Monitor the lab studies and obtain frequent vital signs.
Understand the treatment regimen.
Give adequate fluid and nutritional intake to promote tissue healing.
Explain any surgical procedure or therapeutic procedure to the patient, including
what to expect both before and after the procedure.
Review the possible complications of any procedure to be done.

47. NURSING MANAGEMENT
Remind the patient to watch for and report adverse reactions.
Reassure the patient that this disease and its treatment shouldn’t radically alter
her lifestyle or prohibit sexual intimacy. DISCHARE
TEACHING:-
Explain the importance of follow up to the oncologist. Perform
prescribed abdominal strengthening excercises. Avoid heavy lifting
for about 2 months.
Avoid activities that increase pelvic congestion.
Early ambulation