CERVICAL CANCER }Radiotherapy

Two types: Adenocarcinoma and Squamous cell }Chemotherapy

carcinoma

 –Squamous cell carcinoma- Nursing Diagnosis:

}Acute Pain related to disease process
} Deficient fluid volume related to excessive
– bleeding
 Adenocarcinoma- }Anxiety related to threat of death
}Risk for imbalanced body temperature related
to presence of invading pathogens
ETIOLOGY: }Risk for Constipation related to tumor
obstruction
Precipitating Factors
}Sexual History-
NURSING INTERVENTIONS
}HPV- Humanpapilloma virus }Assess vital signs, including temperature, pulse,
respiration and blood pressure.
}HIV- Human immunodeficiency virus }Obtain client’s assessment of pain to include
location, characteristics, onset, duration,
}Diet frequency, and intensity; use pain scale for
evaluating
}Immunosuppression }Identify client’s perception of the threat
represented by the situation
Predisposing Factors: }Observe behaviors that can point to client’s
}Age level of anxiety
}Race }Observed for discharges from the vagina and
}Low socioeconomic status note for its odor, color, and amount
}Encourage client to express feelings about the
current condition
Signs and Symptoms: }Be available to client for listening
Initial symptoms includes: }Help the patient seek information on stage of
}Post-coital bleeding cancer, treatment options.
}Irregular vaginal bleeding or spotting between }Provide comfort measures such as quiet
periods or after menopause environment, and calm activities
}Malodorous discharge }Administer analgesics as prescribed by the
doctor
Late symptoms include: }Provide adequate fluid intake including high-
}Bleeding becomes more constant and fiber foods.
accompanied by pain that radiates to buttocks }Encourage client to comply well with treatment
and legs regimen
}Weight loss }Explain the importance of life-long follow up
}Anemia regardless of treatments to determine the
}Fever response to treatment and to detect spread of
cancer.
Diagnostic test: }Provide privacy for patient.
 PAP TEST (Pap smear)

 Colposcopy

 Endocervical curettage

MEDICAL-SURGICAL MANAGEMENT
}HPV Vaccine
}Cervical Conization
}Hysterectomy
}Cryosurgery
}Laser Surgery