培训资料gastriccancer胃癌患者的护理查房

Nursing Care of the Patient with Gastric Cancer Department of Digestive System Oncology Hu Yating Contents The related knowledge of gastric cancer Case management Nursing care plans Health education Gastric Cancer-Description Gastric cancer, also called stomach cancer, is a malignant tumor arising from the lining of the stomach Gastric cancer cells can spread by breaking away from the original tumor. They enter blood vessels, which branch into all the tissues of the body. Gastric cancer causes about 800,000 deaths worldwide per year. Men have more than double the risk of gastric cancer than women. Gastric Cancer-Causes and Risk Factors Gastric Cancer Smoked/ salted food Helicobacter pylori Family history Over weight Smoking and alcohol factors Precancerous conditions Gastric Cancer-Symptoms Abdominal fullness or pain Dark stools Difficulty in swallowing Excessive belching General decline in health Loss of appetite Nausea Vomiting, which may contain blood Weakness or fatigue Weight loss Gastric Cancer-Diagnosis If necessary, follow the doctors advice to give analgesic drugs Effectively controlled Nursing Care Plans Appropriate bed activities Assist patients with bedside activities Falls prevention Regular massage and maintain normal function Activity intolerance Physical strength has been enhanced and no fall occurred Nursing Care Plans Risk for fluid volume deficit Associated with vomiting caused by chemotherapy Ward environment：quiet, clean, well ventilated, warm, fresh air without odor Nutritional support Others：mental support and medication directions Vomiting relieved Nursing Care Plans Prevention first Observe the condition changes If happened, deal with the complication according to the doctors advice Potential complication No complications Health education Reasonable diet Eat small meals and eat slowly Regular quantitative meal Avoid too cold, too hot, too spicy, fried, salted and smoked foods Healthy lifestyle Strike a proper balance between work and rest Abstain from alcohol and tobacco Strengthen self emotional adjustment and keep an optimistic attitude Health education Patients undergoing chemotherapy Pay attention to diet Regular follow-up to check blood routine, blood biochemical, etc. Infection prevention Treatment adherence Regular reexamination Take the medicine on time according