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Nursing Care Plan for Nasal Cavity Cancer


Nasal Cavity Cancer : 5 Nursing Diagnosis

Nasal Cavity Cancer is cancer that attacks the nasal cavity.

Malignant tumors of the nasal cavity and paranasal sinuses are inseparable because both affect each other.


Causes

The cause of the nasal cavity cancer is not known for certain, but there are some great possibilities, including:
  • Heavy smokers, fistula oroantral, atrophic rhinitis, alkolhol addicts.
  • Chronic infection of the nose and sinuses paranosal.
  • Contact with wood dust on furniture workers (factor of chronic irritation from dust and wood).
  • Contact with industrial materials, such as nickel, chrome, isopropanolol.
  • Thorium dioxide is used as a contrast fluid on X-ray examination.
  • Chronic maxillary sinusitis.


Pathophysiology

Foreign matter (smoke, nicotine, wood dust, nickel, chrome, etc.) into the nasal cavity occurs continuously and for a long time, causing mass formation, changes in the structure and the nasal mucosa, causing obstruction of the nasal cavity to the nasal septum (cavity deformity, nasal septum, trauma cavity / nasal septum, the septum hematoma and septal perforation) or new growth such as nasal polyps, papilloma, inversion and tumor beligna / malignant). In addition, a variety of other reasons cause nasal airway obstruction (adenoid hypertrophy, foreign bodies, atresia, koana, intra-nasal scar tissue, and collapse). This is the mass of the nasal cavity causing edema of the nasal mucosa due to the flow of lymph and venous disorders as well as shaping the polypoid on the nasal cavity. The tumor invades into the upward until cranial fossa and lateral to the orbit.


Signs and Symptoms of Nasal Cavity Cancer

Signs and symptoms of Nasal Cavity Cancer, depending on where the tumor origin and direction as well as the wide-spread.
1. Maxillary sinus tumor and spread to medial.
Signs and symptoms:
  • Nasal congestion.
  • Persistent unilateral rhinorrhea and smelling.
  • Epistaxis.
2. Ethmoid sinus tumors and lamina cribriformis.
Signs and symptoms:
  • Nasal congestion.
  • Anomsia.
  • Runny.
  • Pain frontal area.
3. The basic antrum tumor and extends downward.
Signs and symptoms:
  • Wobbly tooth.
  • Occlusive disorders.
  • Pain in molars.
  • Swelling and lacerations area palate.
4. Tumor extends to the area of the orbit and the nasolacrimal duct.
Signs and symptoms:
  • Diplopia.
  • Proptosis.
  • Blockage of the tear ducts.
  • Eye looks swollen.
  • Musa and orbital palpable.
  • Eyes stand out.
5. Tumor extends to anterior.
Signs and symptoms:
  • Enlargement cheek one side (asymmetric).
6. Advanced stage of the superior alveolar nerve.
Signs and symptoms:
  • Numbness in the upper jaw teeth and gums.
7. The tumor spread and invade into the nasopharynx.
Signs and symptoms:
  • Conductive deafness due to eustachian tube disorders.
8. Another expansion may affect the nerves.
Signs and symptoms:
  • Nerve deafness.
  • Not being able to open the mouth.
  • Facial paresis.
  • Hemiplegia.
  • Hyperesthesia.
  • Severe headache.
  • Changes in eye position.

Nursing Diagnosis for Nasal Cavity Cancer:
  1. Anxiety related to a crisis situation (malignancy), the threat of change in health status-social-economic, function-role changes, changes in social interaction, the threat of death, separation from family.
  2. Disturbance of self-esteem related to deformity of the body due to malignancy, effects of radiotherapy / chemotherapy.
  3. Pain (Acute / Chronic) related to compression / nerve tissue destruction and inflammation.
  4. Imbalanced Nutrition: less than body requirements related to the increase in metabolic status due to malignancy, effects of radiotherapy / chemotherapy and emotional distress.
  5. Risk for infection related to the inadequate secondary defenses and immunosuppressive effects of radiotherapy / chemotherapy.

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