About
Malignancy of one or both testicles usually diagnosed in men from adolescent to 35 years of age.
Assess
Palpable mass in testicle( s), swelling of testicle( s), undescended testicle( s)
Complications
Metastasis, infertility, blood clots, treatment related complications ( radiation- burns, organ damage, tissue inflammation; chemo- neutropenia, alopecia, infection, altered immune function, renal failure, nausea, weight loss, fatigue, malaise; surgery- DVT, PE, pneumonia, atelectasis, constipation, bowel obstruction, infection, pain), severe pain, death
Diagnosis
- Knowledge deficit related to disease process and management
- Pain related to disease process.
- Ineffective coping related to concerns and fears regarding diagnosis and treatment.
- Anticipatory grieving related to diagnosis and treatment.
- Risk for infection related to immune system dysfunction and compromise.
- Risk for injury.
Goals
- The client will identify treatment options for disease.
- The client will verbalize concerns and fears related to diagnosis and treatment options.
- The client will identify signs and symptoms that require immediate follow-up.
- The client will identify signs and symptoms of infection.
- The client will identify methods to decrease the risk of infection.
- The client will remain free form complications of treatment and disease.
Interventions
- Prepare client for surgery, as indicated. ( Orchiectomy)
- Assess vitals, CBC with differential, pain level and location, presence of other masses, knowledge about disease and treatment options.
- Prepare client for additional diagnostics to rule out other malignancies or metastasis.
- Discuss with client option for sperm banking in case of post-disease infertility.
- Encourage coughing and deep breathing exercises and incentive spirometry to prevent respiratory infections.
- Administer chemotherapy and prepare for radiation therapy as indicated by physician.
- Provide opportunities for client to verbalize concerns, feelings, and fears related to diagnosis and treatment.
- Teach client signs and symptoms of infection or complications to report immediately to health care provider.
- Teach client methods to prevent infection including hand-washing, avoiding large crowds, monitoring temperature.
- Teach client factors that can increase the likelihood of additional malignancies ( smoking, excessive sun, alcohol, carcinogens).
- Teach client potential complications related to therapy ( additional malignancy, infertility, infections, immune dysfunction, fatigue).
- Monitor for complication of treatment ( chemo, radiation therapy).
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