nursing

1. cervical cancer presentation
1. 1. ALLPPT.com _ Free PowerPoint Templates, Diagrams and Charts JOY AWALE
MEDICAL SURGICAL SEMINAR CERVICAL CANCER
2. 2. DEFINITION
3. 3. CAUSE HUMAN PAPILLOMA VIRUS
4. 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. 5. TYPES OF CERVICAL CANCER SQUAMOUS CELL CARCINOMA
ADENOCARCINOMAS
6. 6. SIGNS & SYMPTOMS
7. 7. Abnormal vaginal bleeding
8. 8. Bleeding or pain after sexual intercourse
9. 9. Bleeding after menopause
10. 10. Heavier and larger menstrual periods
11. 11. Unusual vaginal discharge
12. 12. Discomfort while urinating
13. 13. Pelvic pain
14. 14. Leg pain
15. 15. Weight loss
16. 16. Constant fatigue
17. 17. PHYSICAL SIGNS : - The cervix bleeds on touch. It is friable. It is fixed and lost it
mobility. Induration of cervix.
18. 18. PATHOPHYSIOLOGY HPV infects the basal cells Virus enters in the basal layer of
cervix Entry of HPV Sexual activity
19. 19. PATHOPHYSIOLOGY Damaged cells continue to multiply Cells become pre cancerous
Damages the genetic material of the cells
20. 20. PATHOPHYSIOLOGY CERVICAL CANCER Invasion to the near by tissues
21. 21. STAGING OF CERVICAL CANCER
22. 22. DIAGNOSTIC EVALUATIONS
23. 23. 1. PHYSICAL EXAMINATION
24. 24. 2. PV EXAMINATION
25. 25. 2. PAP SMEAR TEST
26. 26. COLPOSCOPY
27. 27. BIOPSY
28. 28. BIOPSY
29. 29. Other investigations to determine the extent of tumor: - 1.CT Scan. 2.MRI. 3.Cytogram.
4.Barium X-ray studies.
30. 30. CHEMOTHERAPY
31. 31. LASER SURGERY
32. 32. L.E.E.P
33. 33. CRYOSURGERY
34. 34. HYSTERECTOMY
35. 35. RADIATION THERAPY
36. 36. EXTERNAL PELVIC RADIATION
37. 37. INTERNAL PELVIC RADIATION
38. 38. 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.
39. 39. VACCINATION

2. 40. 40. 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.
41. 41. 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. Reviewthe possible
complications of any procedure to be done.
42. 42. 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
43. 43. PROGNOSIS