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1. Cervicalcancer

2. Definition: - A malignant neoplasm of the cervix uteri or cervical area

3. Physiology: Location: lower portion of uterus extending into the vagina Function: connects uterine cavity with vagina opens to allow passage of menstrual flow and infant

5. stages

6. Causative factor: HPV: Human Papilloma Virus

7. Riskfactors: Having sex at an early age Multiple sexual partners Poor economic status Sexual partners who have multiple partners Weakened immune system Multiple pregnancies History of HPV or other bacterial or viral infections Untreated chronic cervictis smoking

8. Sign and symptoms Early cervical cancer Advanced cervical cancer Any bleeding after menopause Abnormal vaginal bleeding between periods after intercourse Continuous vaginal discharge which may be pale, watery pink, brown, bloody Periods become heavier and lasts longer than usual Back pain Bone fracture Fatigue Heavy vaginal bleeding Leaking of urine Leg pain Loss of appetite Pelvic pain Single swollen leg Weight loss

9. Medical management Total hysterectomy Radical hysterectomy Radical vaginal hysterectomy Bilateral pelvic lymphadenectomy Pelvic exenteration

10. Nursing diagnosis Anxiety related to the diagnosis of cancer, fear of pain, perceived loss of femininity, or child bearing potential. Disturbed body imazage related to altered fertility, fears about sexuality, and relationships with partner and family. Pain related to surgery and other adjuvant therapy. Deficient knowledge of perioperative aspects of hysterectomy and self- care

11. Nursing interventions Relieving anxiety -Determine how this experience affects the patient and allow the pt to verbalize feelings and identify strengths. -Explain all pre- and postoperative and recovery period preparations and procedure.

12. Nursing interventions Improving body image -Assess how pt feels about undergoing a hysterectomy related to the nature of diagnosis, significant others, religious beliefs, and prognosis. -Acknowledge patient’s concerns about ability to have children, loss of femininity, and impact on

13. Nursing interventions sexual relations -Educate pt about sexual relations -Explain that depression and heightened emotional sensitivity are expected because of upset hormonal balances -Exhibit interest, concern, and willingness to listen fears

14. Nursing interventions Relieving pain -Assess the intensity of the patient’s pain and administer analgesics -Encourage pt to resume intake of food and fluids gradually when peristalsis is auscultated (1-2 days) -Encourage early ambulation -Apply heat to abdomen or insert a rectal tube if prescribed for abdominal distension.

16. Thanks for listening! Ambros, Charisse L. Batanes, Gabriel Fomak-chong, Claudio Ortiz, Lorriene Singit, Fregeline