About
Malignancy of the liver; can be primary or secondary ( metastatic).
Assess
Weight loss, pain in right upper quadrant, back pain, hepatomegaly, fatigue, weight loss, weakness, anemia, loss of appetite, jaundice, ascites, elevated CEA, elevated alkaline phosphatase, lactic dehydrogenase, AST, WBC's, RBC's. Hypercalcemia, decreased blood sugar, history of alcohol and/or smoking, history of hepatitis or cirrhosis.
Complications
Metastasis, death
Diagnosis
- Risk for infection related to immunodeficiency secondary to treatment.
- Risk for injury related to impaired immune defenses secondary to treatment.
- Fear related to threat of death.
- Disturbed body image related to changes in physical appearance secondary to treatment.
- Nutrition less than body requirements related to impaired oral intake.
- Impaired mucous membranes related to stomatitis secondary to treatment.
- Fatigue related to immune system compromise secondary to treatment.
- Knowledge deficit related to disease management and treatment options.
- Impaired skin integrity related to surgical intervention.
Goals
- The client will be able to express concerns and fears related to diagnosis.
- The client will identify treatment options and choices.
- The client will identify post-procedure complications and ways to minimize complication.
- The client will remain free from complications.
Interventions
- Assess and monitor vitals, pain levels, intake and output.
- Encourage small, frequent meals.
- Administer medications for pain as indicated.
- Encourage client to discuss feelings related to diagnosis.
- Teach client about treatment options, including pre- intra-, and post-care interventions.
- Monitor for complications related to diagnosis and treatment.
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