肺癌護理英語講課稿

匯報人：xxx20xx-03-26肺癌護理英語講課稿目錄CONTENTSIntroductiontoLungCancerNursingCareforLungCancerPatientsMedicalManagementinLungCancerTreatmentNutritionalSupportDuringLungCancerTreatment目錄CONTENTSRespiratoryCareforLungCancerPatientsRespiratoryRehabilitationAfterLungCancerTreatment01IntroductiontoLungCancerLungcancerisamalignanttumorthatformsintheissuesofthelung,monlyinthecellsliningairpassesLungCancerDefinitionThetwomaintypesoflungcanceraresmallcelllungcancer(SCLC)andnon-smallcelllungcancer(NSCLC)NSCLCisfurtherdividedintosquarecellcarcinoma,adenocarcinoma,andlargecellcarcinomaTypesofLungCancerDefinitionandTypesofLungCancerSmokingCigarettesmokingistheleadingcauseoflungcancer,responsibleforabout80-90%ofallcasesOccupationalExposuresCertainoccurrencesmayexposeindividualstocarcinogenssuchasasbestos,radon,andacute,whichcanincreasetheriskoflungcancerAirPollutionLongtermexposuretooutdoorairpollution,particularlyinurbanareas,hasbeenlinkedtoanincreasedriskoflungcancerSecondhandSmokeExposetosecondhandsmokealsoincreasestheriskofdevelopinglungcancerCausesandRiskFactorsSymptoms01Commonsymptomsoflungcancerincludepersistentcough,coughingupblood,chestpain,shortnessofbread,andweightlossDiagnosis02LungcanceristypicallydiagnosedthroughimagingtestssuchasChestX-raysorCTscans,followedbyabiopsytoconfirmthepresenceofcancercellsStaging03Oncediagnosed,lungcancerisstagedbasedonthesizeofthetuber,whereithasspreadtolymphnodes,andwhereithasmetastasizedtootherpartsofthebodySymptomsandDiagnosisSurgerySurgicalremovalofthetutorisoftenthefirstlineoftreatmentforearlystagelungcancerRadiationTherapyRadiationtherapyuseshighenergyX-raystokillcancercellsandshrinktubersChemotherapyChemotherapyinvolvestheuseofdrugstokillcancercellsthroughoutthebodyTreatmentOptionsOverviewTargetedTherapyTargetedtherapyusesdrugsthatspecificallytargetcancercellswhileminimizingdamagetohealthycellsImmunotherapy,whichstimulatesthebody'simmunesystemtofitcancer,isalsoatypeoftargetedtherapyTreatmentOptionsOverview02NursingCareforLungCancerPatientsPatientAssessmentandMonitoringConductingthroughphysicalassessmentstoidentifysignsandsymbolsoflungcancerMonitoringvitalsigns,includingrespirationrate,oxygensaturation,andtemperatureRegularlyassessingthepatient'spaylevelandmanagingiteffectivelyMonitoringthepatient'snutritionalstatusandensuringequalintakeofnutrientsAdministeringpaymedicineassubscribedbythehealthcareproviderManagingrespiratorysymptoms,includingshortnessofbreathandcoughManagingPainandOtherSymptomsUtilizingnonpharmacologicalmethodsofpayrelief,suchasrelaxationtechniquesandmassProvidingfortmeasurestoallocatefatigueandimprovesleepqualityProvidingEmotionalSupporttoPatients01Offeringemotionalsupportandassurancetopatientsandtheirfamilies02Listeningactivelyandempathizingwiththepatient'sfeelingsandconcerns03Providingeducationandinformationaboutlungcanceranditstreatmentoptions04Encouragingpatientstoparticipateinsupportgroupsandseekprofessionalcounselingifneeded01CommunicatingeffectivelywiththepatientandtheirfamilytoensurecontinuityofcareCoordinatingappointments,tests,andtreatmentswithdifferenthealthcareprovidersMonitoringthepatient'sprogressandadjustingthecareplanasneededCollaborativeclosurewiththehealthcareproviderandothermembersofthemultidisciplinaryteam020304CoordinatingCarewithMultidisciplinaryTeam03MedicalManagementinLungCancerTreatmentUnderstandingChemotherapyDrugsandTheirSideEffectsChemotherapyDrugsAclassofmedicinesthatdestroycancercellsbyinferencewiththeirgrowthandreproductionCommonSideEffectsNausea,invoicing,hairloss,fatigue,increasedriskofinfection,andblendingManagingSideEffectsClosemonitoring,supportivecare,andtimelyinterventionscanhelppatientsmanagesideeffectseffectively123DrugsthatspecificallytargetcancercellswhileminimizingdamagetonormalcellsTargetedTherapyClosemonitoringforadversereactions,doadjustmentsbasedonpatienttolerance,andavoidingdruginteractionsSafetyConsiderationsEnsuringproperdoing,scheduling,androutingofadministrationforoptimalthermaleffectEffectiveAdministrationAdministeringTargetedTherapySafelyandEffectivelyOpioidUseinLungCancerOpioidsaremonlyusedtomanagepaintinadvancedlungcancerpatientsRisksandBenefitsOpioidsprovideeffectivepayreliefbutalsocarryriskssuchasrespiratorydepression,constriction,andadditionSafeandEffectiveManagementClosemonitoring,properdoing,andpatienteducationonthesafeuseofopioidsarecriticalManagingOpioidUseforPainControlinAdvancedDiseaseMonitoringPatientResponsetoTreatmentPromptrecognitionandmanagementoftreatmentrelatedtoxicitycanhelpimprovepatientoutesandqualityoflifeManagingTreatmentRelatedToxicitiesRegularmonitoringoftumorsize,symptoms,andlaboratoryvaluestoassesspatientresponsetotreatmentAssessingResponseClosemunicationwiththehealthcareteamisessentialtoensuretimelyadjustmentstothetreatmentplanCommunicatingwiththeHealthcareTeam04NutritionalSupportDuringLungCancerTreatment010203ConductathroughnutritionalassessmentThisincludesevaluatingthepatient'scurrentweight,height,andbodymassindex(BMI)todeterminetheirnutritionalstatusAdvisorthepatient'sbinaryhistoryUnderstandingthepatient'spersonaldieandanyrecentchangescanhelpidentifypotentialnutritionaldeficienciesAssesssymptomsandsideeffectsLungcanceranditstreatmentcancausearangeofsymptomsthatmayaffectthepatient'sabilitytoeatandabsorbnutrientsAssessingNutritionalNeedsofthePatientDevelopingIndividualizedMeatPlansIfneeded,suggestnutritionalsuppliessuchasproteinpowder,multivitamins,oromega-3fattyacidstohelpmeetthepatient'snutritionalgoalsSuggestednutritionalsuppliesBasedonthepatient'sweight,activitylevel,andtreatmentplan,calculatetheirspecificscaleandprocessrequirementsDeterminethepatient'sscaleandprocessneedsWorkwiththepatienttocreateamedicalplanthatmeetstheirnutritionalneedsandconcernsabouttheirfoodpreferencesanddietaryrestrictionsProvidemedicalplanningguidanceOfferantinaseamedicinePrescribeantinaseamedicineasneededtohelpmitigatesymptomsandimprovethepatient'sabilitytoeatProvidedietarymodificationsSuggestdietarychangessuchaseatingsmall,morefrequentmealsoravoidingcancerfoodsthatmaytriggernauseaUtilizealternativetherapiesAdvisoralternativetherapiessuchasacquisitionoraromatherapytohelpmanagenaseaandinvoicing010203ManagingNausea,Vomiting,andLossofAppetiteEmphasisoftheimportanceofabalanceddieExplaintheimportanceofeatingavarietyoffoodstoensureequalintakeofvitamins,minerals,andothernutrientsDiscussionshealthcookingmethodsTeachthepatienthowtopreparehealthmealsusinglowfatcookingtechniquesandvolatileherbandspicebinationsEncourageregularmealsStresstheimportanceofeatingregularmealstomaintainbloodsugarlevelsandavoidHungerpansProvideresourcesforfurtherlearningOfferbrochures,websites,orotherresourcesthatthepatientcanusetolearnmoreabouthealtheatingduringlungcancertreatmentProvidingEducationonHealthyEatingHabits05RespiratoryCareforLungCancerPatientsRegularassessmentofrespiratoryrate,depth,andrhythmMonitoringoxygensaturationlevelsusingpulseoximetryObservingforsignsofrespiratorydistresssuchasnasalflareoruseofaccessmusicListeningforadventurousbreadsoundssuchaswheeling,cracks,orstreamers01020304MonitoringRespiratoryFunctionClosureManagingBreathlessnessandCoughingEffectivelyTeachingpatientsbreakingexercisestoimprovelungcapacityandreducebreakthroughAdministeringoxygentherapyassubscribedtomaintainequaloxygenlevelsProvidingfortmeasuressuchasfans,coolair,andpositionchangestoalleviatebreathlessnessEncouragingpatientstodrinkplentyoffluidstoloosesecretsandfacilitateteachingEncouragingpatientstomaintaingoodhygieneandavoidexposuretorespiratoryinfectionsTeachingpatientshowtoperformeffectivecoachinganddeepbreakingexercisestoclearsecretsAdministeringprophylacticantibioticsassubscribedtopreventinfectioninhighriskpatientsMonitoringforsignsandsymptomsofpneumoniasuchasfever,chills,andincreasedcoughPreventingComplicationsSuchasPneumoniaorCollectedLungInstructingpatientsontheimportanceofregularexercisetoimprovelungfunctionandoverallhealthDemonstratingbreakingexercisessuchas