About
Metastatic or benign growths effecting the skeletal system. Vary in degree of symptoms based on the type of bone tumor it is. Metastatic bone tumors ( those arising after another cancer spreads) are more common than a primary malignant bone tumor.
Assess
May be asymptomatic; bone masses, pain, aches, malaise, disabilities, weight loss, spinal cord metastasis with accompanying neurological deficits
Complications
Malignancy, metastasis, fractures, injury
Diagnosis
- Acute pain related to bone overgrowth or fractures.
- Knowledge deficit related to disease process and management.
- Risk for injury related to weakened bone structure.
- Self care deficit related to changes in physical ability.
Goals
- The client will remain free from injury.
- The client will state a pain level less than 4 after medication intervention.
- The client will discuss concerns and fears related to treatment and disease process.
- The client will identify treatment, medical management, complications of disease and when to follow-up.
- The client will participate with ADL's as much as able.
Interventions
- Assess and monitor pain, vital signs, range-of-motion, skeletal abnormalities, symptoms, patient's understanding of disease process.
- Administer analgesics as prescribed.
- Prepare client for surgical intervention, procedures as indicated by physician.
- Explain all procedures to client and pre-medicate with analgesics as necessary.
- Provide support to patient and family during procedures, diagnosis, follow-up, exacerbations.
- Teach client about disease management and treatment strategies.
- Encourage client to discuss feelings associated with disease and treatment.
- Encourage client to participate with ADL's as much as possible.
- Collaborate with physical therapy and/or occupation therapy for strengthening, weight-bearing, adaptive techniques.
- Support extremities during transferring and/or repositioning.
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