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ONCOLOGY NURSING
Prof. Dr Nilima Sonawane
INE , J.J. Hospital,
umbai, India
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
India Cancer Factsheet
Breast cancer 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
India Cancer Factsheet
4
Cancers of the oral cavity as well
as lung cancers are due to chewing
or smoking tobacco is preventable.
India Cancer Factsheet
There are 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
The fact
6
The Fact
7
LETS REVISE
CANCER: Cancer begins 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
THE HEART OF HEALTH CARE: ONCOLOGY
NURSING
An oncology nurse is a
nursing professional
who specializes in
caring for people with
cancer.
9
Goals of Oncology Nursing
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
The Approaches of Oncology Nursing
Primordial prevention
Primary prevention
Secondary prevention
Providing services with different modalities
Rehabilitation
Palliative care
11
Primordial prevention /Risk factors Awareness
Creating awareness
Family History
Gender : Mutations of
Breast cancer genes
(BRCA 1 and BRCA 2)
12
Primary Prevention of cancer
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
Primary Prevention of cancer
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
Primary Prevention of Cancer
Protection from sun
Get immunized Hepatitis-
B ,HPV
Avoid risky behaviors
Rgular medical Checkup
Prevent radiation exposure
Occupational exposure
15
Primary Prevention of Cancer
Personal hygiene
Use of mobile phone
Stress management
Supplementary
multivitamins
16
Secondary prevention
Early Diagnosis and treatment
History
Family history
Physical assessment
Symptom assessment
Sexual Health
Food and drugs cosmetics
17
Secondary Prevention
Cancer screening
Treatment of precancerous lesions
Vaccination
Health education
18
Warning signs
19
CAUTION
20
Early Diagnosis of Cancer
Counseling
Methods of diagnosis
Care during and after the diagnostic procedure :
Biopsy , Mammography
Sample and pathological report
Cancer registration
Referral
21
CARE OF CLIENT WITH CNACER
22
When someone has cancer, the whole family and
everyone who loves them does too
Quality of a Nurse in cancer care
Be sensitive
Empathetic
Knowledgeable
Advocacy
Skillful
23
IN PATIENT CARE- CHEMOTHERAPY
Counseling ( alopecia)
Protecting the 6 rights
Following the protocol
Universal precautions
Managing adverse effects
24
INPATIENT CARE- RADIATION
Counseling
Adequate explanation
Scheduling &Health teaching
Protection of normal tissues
Care during radiation
Post radiation care
Managing side effects
25
Cancer care modalities :Surgery
Primary tumor
resections
Metastasis resection
Palliative surgery
Reconstruction surgery
26
Stem cell transplantation
27
Hormone therapy
Hormone therapy reaches 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
INPATIENT CARE- SURGERICAL
INTERVENTION
Pain relief and Emotional support
Electrolytes balance
Antibiotics
Nutrition
Sleep and rest
Early ambulation & Physiotherapy
Prevention of infection and complications
29
Tertiary Prevention
Disability limitations
30
Rehabilitation
Referral services
Mobilize the resources
Government schemes,
Facilities , Ngos Working
for cancer client
31
Palliative care
32
Schemes for cancer patients 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
34
35
THANK YOUTHANK YOU

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Oncology Nursing : The Comprehensive Perspective

  • 1. ONCOLOGY NURSING Prof. Dr Nilima 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 Breast cancer 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 Cancers of the oral cavity as well as lung cancers are due to chewing or smoking tobacco is preventable.
  • 5. India Cancer Factsheet There are 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
  • 8. LETS REVISE CANCER: Cancer begins 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 OF HEALTH CARE: ONCOLOGY NURSING An oncology nurse is a nursing professional who specializes in caring for people with cancer. 9
  • 10. Goals of Oncology Nursing 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 of Oncology Nursing Primordial prevention Primary prevention Secondary prevention Providing services with different modalities Rehabilitation Palliative care 11
  • 12. Primordial prevention /Risk factors Awareness Creating awareness Family History Gender : Mutations of Breast cancer genes (BRCA 1 and BRCA 2) 12
  • 13. Primary Prevention of cancer 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 of cancer 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 of Cancer Protection from sun Get immunized Hepatitis- B ,HPV Avoid risky behaviors Rgular medical Checkup Prevent radiation exposure Occupational exposure 15
  • 16. Primary Prevention of Cancer Personal hygiene Use of mobile phone Stress management Supplementary multivitamins 16
  • 17. Secondary prevention Early Diagnosis and treatment History Family history Physical assessment Symptom assessment Sexual Health Food and drugs cosmetics 17
  • 18. Secondary Prevention Cancer screening Treatment of precancerous lesions Vaccination Health education 18
  • 21. Early Diagnosis of Cancer Counseling Methods of diagnosis Care during and after the diagnostic procedure : Biopsy , Mammography Sample and pathological report Cancer registration Referral 21
  • 22. CARE OF CLIENT WITH CNACER 22 When someone has cancer, the whole family and everyone who loves them does too
  • 23. Quality of a Nurse 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 Adequate explanation 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
  • 28. Hormone therapy Hormone therapy reaches 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 Pain relief and Emotional support Electrolytes balance Antibiotics Nutrition Sleep and rest Early ambulation & Physiotherapy Prevention of infection and complications 29
  • 31. Rehabilitation Referral services Mobilize the resources Government schemes, Facilities , Ngos Working for cancer client 31
  • 33. Schemes for cancer patients 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
  • 34. 34