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Oncology Nursing : The Comprehensive Perspective
- 1. ONCOLOGY NURSING Prof. DrNilima Sonawane INE , J.J. Hospital, umbai, India
- 2. Presentation Outline Revise Meaning& Definition of cancer Risk factors Early identification of Danger signs Investigations and treatment Care of client with cancer Palliative care Preventive measures 2
- 3. India Cancer Factsheet Breastcancer is the most common cancer The average age for breast cancer in India is almost a decade lower than that in the West. Cancers of major public health relevance such as breast, cervical, oral and colorectal cancer can be cured if detected early and treated adequately. 3
- 4. India Cancer Factsheet 4 Cancersof the oral cavity as well as lung cancers are due to chewing or smoking tobacco is preventable.
- 5. India Cancer Factsheet Thereare more than 100 types of cancers The five most frequent cancers in India are breast, cervical, oral cavity, lung and colorectal. Cancer is the second most common cause of death in India Use of tobacco products are the single most preventable cause of death More women in India die from cervical cancer than in any other country. 5
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- 8. LETS REVISE CANCER: Cancerbegins when cells in a part of the body start to grow out of control. ONCOLOGY : The term oncology literally means a branch of science that deals with tumours and cancers. The word “onco” means bulk, mass, or tumor while “-logy” means study. An oncology nurse is a specialized nurse who cares for cancer patients. 8
- 9. THE HEART OFHEALTH CARE: ONCOLOGY NURSING An oncology nurse is a nursing professional who specializes in caring for people with cancer. 9
- 10. Goals of OncologyNursing Comprehensive health assessment Supportive and Therapeutic Relationships Identification of danger signs Nursing management Management of Side Effects Teaching and Coaching Decision Making and Advocacy Facilitating Continuity of Care/home care 10
- 11. The Approaches ofOncology Nursing Primordial prevention Primary prevention Secondary prevention Providing services with different modalities Rehabilitation Palliative care 11
- 12. Primordial prevention /Riskfactors Awareness Creating awareness Family History Gender : Mutations of Breast cancer genes (BRCA 1 and BRCA 2) 12
- 13. Primary Prevention ofcancer Aware + Alert = knowledge Proper Sleep Stress Laughter is the Best Medicine - Go Barefoot - Reduce Meat and Dairy Intake - Avoid Fish With Long Life Spans – Avoid Long-Term Oral Contraceptive Eat Healthy Diet 13
- 14. Primary Prevention ofcancer Minimize or avoid alcohol. Say No to Tobacco Maintain weight Exercise regularly Use Glass to Store Food - Choose Your Cleaning and Personal Care Products Wisely - Consume fruits and vegetables 14
- 15. Primary Prevention ofCancer Protection from sun Get immunized Hepatitis- B ,HPV Avoid risky behaviors Rgular medical Checkup Prevent radiation exposure Occupational exposure 15
- 16. Primary Prevention ofCancer Personal hygiene Use of mobile phone Stress management Supplementary multivitamins 16
- 17. Secondary prevention Early Diagnosisand treatment History Family history Physical assessment Symptom assessment Sexual Health Food and drugs cosmetics 17
- 18. Secondary Prevention Cancer screening Treatmentof precancerous lesions Vaccination Health education 18
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- 21. Early Diagnosis ofCancer Counseling Methods of diagnosis Care during and after the diagnostic procedure : Biopsy , Mammography Sample and pathological report Cancer registration Referral 21
- 22. CARE OF CLIENTWITH CNACER 22 When someone has cancer, the whole family and everyone who loves them does too
- 23. Quality of aNurse in cancer care Be sensitive Empathetic Knowledgeable Advocacy Skillful 23
- 24. IN PATIENT CARE-CHEMOTHERAPY Counseling ( alopecia) Protecting the 6 rights Following the protocol Universal precautions Managing adverse effects 24
- 25. INPATIENT CARE- RADIATION Counseling Adequateexplanation Scheduling &Health teaching Protection of normal tissues Care during radiation Post radiation care Managing side effects 25
- 26. Cancer care modalities:Surgery Primary tumor resections Metastasis resection Palliative surgery Reconstruction surgery 26
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- 28. Hormone therapy Hormone therapyreaches cancer cells almost anywhere in the body and not just in the breast. It's recommended for women with hormone receptor-positive (ER- positive and/or PR-positive) breast cancers, Tamoxifen This drug blocks estrogen receptors on breast cancer cells. 28
- 29. INPATIENT CARE- SURGERICAL INTERVENTION Painrelief and Emotional support Electrolytes balance Antibiotics Nutrition Sleep and rest Early ambulation & Physiotherapy Prevention of infection and complications 29
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- 31. Rehabilitation Referral services Mobilize theresources Government schemes, Facilities , Ngos Working for cancer client 31
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- 33. Schemes for cancerpatients in India Health Minister's Cancer Patient Fund Under "RAN" The Financial Assistance to the Cancer Patients up to Rs.1,00,000/- (Rs.one lakhs only), would be processed by the concerned Institute/Hospitals on whose disposal, the revolving fund has been placed. 50% of Basic fare of select booking class in Economy cabin- Railway concession Rashtriya Swasthya Bima Yojana Central Government Health Scheme (CGHS): Income tax relief for cancer patients STATE ILLNESS ASSISTANCE FUND (SIAF) up to 1.50 L Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY) 33
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