Assessment for Gastric Cancer
Nurses get a history of the patient's diet that focuses on issues such as high food intake and input smoked or marinated fruits and vegetables are low. Is the patient experiencing weight loss, if so how much.
Does the patient smoke ? If yes how much a day and how long ? Is the patient complained of stomach discomfort during or after smoking ? Does the patient drink alcohol ? If so how much ? The nurse asks the patient if there is a family history of cancer. If such a close family member or immediate or distant relatives affected ? Is the patient's marital status ? Is there someone who can provide emotional support ?
During the physical examination is possible to palpate a mass. Nurses must observe the presence of anxiety. Organs examined for tenderness or masses. Pain is usually the symptoms are slow. (Brunner & Suddart, 2001).
1. Anamnesis (Hamsafir, 2010) :
- Pain.
- Weight loss.
- Vomiting.
- Anorexia.
- Dysphagia.
- Nausea.
- Weakness.
- Hematemesis.
- Regurgitation.
- Easily satisfied.
- Ascites (abdominal bloating).
- Abdominal cramps.
- Real or faint blood in the stool.
- The patient complained of discomfort in the stomach, especially after eating.
2. Physical Examination (Hamsafir, 2010) :
- Hemodynamic Status : blood pressure, pulse, acral and breathing.
- Less weight, cachexia, conjunctiva sometimes anemic.
- Abdominal examination may be palpable mass epigastric region, epigastric pain. In malignancy can be found hepatomegaly, ascites.
- If there are complaints of melena, do a digital rectal examination.
- Malignancy = search enlargement supraclavicular (Virchow's node), axillary nodes left (Irish 's node), to the umbilicus (Sister Mary Joseph's nodes), palpable tumors pelvic cul - de - sac on the digital rectal examination (Blumer's shelf), enlarged ovaries (Krukenberg's tumor).
Nursing Care Plan for Gastric Cancer
Nursing Diagnosis for Gastric Cancer
1. Pain ( acute / chronic ) related to the presence of abnormal epithelial cells , nerve impulse disorders of the stomach .
2. Imbalanced Nutrition : less than body requirements related to anorexia .
3. Anxiety related to malignancy advanced disease .
4. Risk for Infection related to the surgical incision .
5. Risk for ineffective airway clearance related to the buildup secret .
loading...