1. Linda S. Williams / Paula D. Hopper Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Chapter 11 Nursing Care of Patients with Cancer

2. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Review of Normal Anatomy and Physiology

3. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Cell Cycle

4. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Cancer Concepts  Neoplasm  Benign  Malignant

5. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Cancer Pathophysiology  Mutation of Cellular Genes  Abnormal Cell Growth  No Cell Division Limit  Lack of Contact Inhibition

6. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Etiology  Carcinogen Exposure  Initiation  Promotion

7. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Risk Factors  Oncoviruses  Radiation  Chemicals  Irritants  Genetics  Diet  Hormones  Immune Factors

8. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Cancer Types  Carcinoma  Sarcoma  Leukemia  Lymphoma  Melanoma

9. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Adenocarcinoma of the Caecum

10. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Lung Cancer

11. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Metastasis  Invade Blood or Lymph Vessels  Move by Mechanical Means  Lodge and Grow in New Location

12. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Metastasis to Skin

13. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Most Common Cancers  Men  Prostate  Lung  Colon  Women  Breast  Lung  Colon

14. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Prevention  Early Detection  Regular Screening  Genetic Testing  Healthy Lifestyle

15. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Prevention (cont’d)  Protectant Foods  Folate  Fruits and Vegetables  Vaccines

16. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Diagnosis  Biopsy  Laboratory Tests  Cytological Study  Radiological Studies

17. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Diagnosis (cont’d)  Nuclear Imaging Procedures  Ultrasound  MRI  Endoscopy

18. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Fine Needle Biopsy

19. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Stereotactic Biopsy

20. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Mammogram

21. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Staging  Tumor  Nodes  Metastasis

22. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Therapeutic Interventions  Surgery  Radiation Therapy  Chemotherapy

23. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Side Effects of Radiation  Fatigue  Nausea, Vomiting, Anorexia  Mucositis  Xerostomia  Skin Reactions  Bone Marrow Depression

24. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Radiation Safety  Time  Distance  Shielding

25. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chemotherapy  Action  Routes of Administration  Combination Chemotherapy

26. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Side Effects of Chemotherapy  Bone Marrow Depression at Nadir  Leukopenia  Thrombocytopenia  Anemia

27. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Chemotherapy Extravasation

28. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Side Effects of Chemotherapy (cont’d)  Nausea, Vomiting, Diarrhea  Stomatitis  Alopecia  Reproductive Alterations  Neurotoxicity

29. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition BITES  Bleeding  Infection  Tiredness  Emesis  Skin Changes

30. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Colony Stimulating Factors  G-CSF  GM-CSF  Erythropoietin  Interleukin-II

31. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Nursing Diagnoses  Ineffective Coping  Acute or Chronic Pain  Risk for Infection  Ineffective Protection  Imbalanced Nutrition  Deficient Self-Care

32. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Nursing Diagnoses (cont’d)  Grieving  Risk for Ineffective Role Performance  Social Isolation  Ineffective Sexuality Pattern  Disturbed Body Image

33. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Hospice Care  Less than 6-Month Prognosis  Inpatient  Outpatient

34. Copyright © 2011. F.A. Davis Company Linda S. Williams / Paula D. Hopper Understanding Medical Surgical Nursing, 4th Edition Oncological Emergencies  Superior Vena Cava Syndrome  Spinal Cord Compression  Hypercalcemia  Pericardial Effusion/Cardiac Tamponade  Disseminated Intravascular Coagulation