الثلاثاء، 26 يونيو 2018

94-pencrias cancer

About
Malignancy of the pancreas; poor prognosis
Assess
Pain, jaundice, weight loss, mid-abdomen pain, ascites, hyperglycemia
Complications
Metastasis, diabetes, 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.
  • Provide opportunities to discuss end-of-life care and wishes.

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