Section 2 Interventions

 Nutrition  Activity  Breathing  Fatigue  Comfort

 Chemotherapy  Radiation  Biologic Therapies  Hormonal Manipulation  Antianemic  Blood transfusion  Surgery  Complimentary therapies  Alternative therapies  Transplant e.g. stem cell  Palliative Care  Photodynamic therapy  Gene therapy

 Prophylactic  Diagnostic  Curative  Palliative  What are the differences?

 Purpose is to destroy cancer cells with minimal exposure of normal cells  Local treatment  Amount of radiation is called exposure  Amount of radiation absorbed is called radiation dose

 Chemotherapy-used to cure and to increase survival time  Cytotoxic  Combination therapy  Categories of Chemotherapeutic drugs

 Can slow cancer rate  Usually does not lead to a cure

 Modify patient’s biologic response to tumor cells  Ex: interleukin, interferon  Supportive therapy: colony-stimulating factors

 Experimental  Targeted therapy combines gene therapy and immunotherapy

 Neutropenia  Anemia  Thrombocytopenia  Extravasation  Stomatitis  Mucositis  Infection-sepsis  Chemotherapy induced vomiting  DIC  Graft versus host disease  Peripheral Neuropathy  Spinal cord compression  Superior vena cava syndrome  Changes in cognitive function  SIADH  TLS

After receiving report on your patient who is on neutropenic precautions you are delegating am care and vital signs to the unlicensed assistive personnel (UAP). What are 3 pieces of information you would need to stress to the UAP and why? Regarding this same patient discuss 3 pieces of education you can provide to the patient and family members regarding prevention of infection.

 Pharmacologic- antiemetic  Alternative therapies: music, guided imagery, accupressure, muscle relaxation  Palliative care

 You are caring for a 45-year-old breast cancer patient who is experiencing side effects from chemotherapy. During report you are told that she is experiencing alopecia, mucositis and her lab values are as follows:  Hemoglobin: 8gm/dL  Absolute neutrophil count (ANC): 400/microL  Platelets: 120,000/microL  Based on the information provided please your plan of care for your shift (goals & interventions).