St.

Anthony College of Roxas City

San Roque Ext., Roxas City, Capiz

College of Nursing

BSN 4C – Marcantonio Durando

in cooperation with

Carl E. Balita Review Center

“The Crab Effect: GOOD CELLS GONE

BAD”
Theme: Widening the Scope towards Cancer Management

Integrated Seminar on Oncology Nursing

Roel Evangelista. R.N., M.D.

Resource Speaker

February 13,2011
Nestas’ Hilltop Hotel
8:00am-5:00pm
 St. Anthony College of Roxas City
San Roque Ext., Roxas City, Capiz

College of Nursing

WORKING COMMITTEE

Chairman: Jessarel Sebido

Co-Chairman: Judy Bargas
Seminar Adviser: Ms. Flora May Cortel, R.N.

COMMITTEES

Program & Invitation

Bargas, Judy Sebido, Jessarel
Daliva, Icy Evangelista, Jan Carlo
Batuigas, Joanna Keith Banico, Summer Gay
Lauz, Dwight Horneja, Angel Lou
Ariza, Emmanuel Billones, Ma. Catherine
Benitez, April Rose

Registration
Marcelo, Carla Rendon, Agnes
Ferraris, Shiehon Baydo, Nor Altaire
Lastrilla, Remelle Daradar, Kirsi
Biaco, Mary Jane Sijera, Jovelyn
Benedicto, Rhea Pungot, Freina
San Antonio, Drexcy Alba, Venus
Roblete, Mary Frances Dela Cruz, Esther

Multimedia
Albaña, Xy-za Balbuena, Khris John
Erada, Christy Mae Casugbo, Analyn
Bulan, Karen Kay Bellosillo, Charmaine
Paclibar, Free Van Azarraga, Wilter

Documentation
Anisco, Glorie Anne Delgado, Patrick Glenn
Bernales, Jay Paul Veñas, Michelle
 Summary

In view with Nursing Care Management 105 basic requirements, we the Bachelor of Science in
Nursing Section Marcantonio Durandobatch 2011 sponsored a seminar entitled: “The Crab effect:
Good cells Gone Bad.”……
Held at Nestas’ Hilltop Hotel last February 13, 2011.
The seminar was envisioned to convey new information on childhood illnesses, vital for each and
every partaker that will served as their anchor for future nursing practice.
Organization and the whole event, was subject headed by Mr. P-Jay D. Fortes, the over-all-
chairman, different working committees under the direction and supervision of our humble seminar
adviser, Ms. Naihla O. Balleta and the persistent support of our honoured Level IV coordinator Ms.
Lualhati H. Angel and erudite dean Mr. Neil G. Cabbo, whom we give our recognition for the
triumph of this occurrence.
26
Achievement of this affair is equated with the numerous partaker whom themselves grace the
event with fervent interest to gain knowledge on childhood illnesses, these are Bachelor of Science
in Nursing Level III and Level IV students, Bachelor on Science in Midwifery students, clinical
instructors and members of the faculty of Martinez Memorial Colleges
The successful-organized-envisioned colloquium on “INTEGRATED MANAGEMENT OF CHILDHOOD
ILLNESSES: Help to Save Thousand Lives.”, was made uniformly evocative by our seminar Resource
Speaker Mr. Tim C. Concepcion an alumni of Bachelor of Science in Nursing at the University of
Santo Tomas and currently working as head reviewer of Saint Thomas Review Center

Last of all, the preferred theme: “INTEGRATED MANAGEMENT OF

CHILDHOOD ILLNESSES: Help to Save Thousand Lives.” Have truly lifted a mark to everyone to be
more vigilant and watchful on matters pertaining to childhood illnesses and their welfare.

Source: http://www.scribd.com/doc/16313355/integrated-management-of-\\childhood-illnesses

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 Registration

Clinical Instructor’s
Registration Area

Student’s Registration
Area
Doxology
Shiehon Ferraris

Ave Maria
National Anthem

Lupang Hinirang
Bayang magiliw At awit sa paglayang minamahal.
Perlas ng Silanganan,
Alab ng puso, Ang kislap ng watawat mo'y
Sa dibdib mo'y buhay. Tagumpay na nagniningning,
Ang bituin at araw niya
Lupang Hinirang, Kailan pa ma'y di magdidilim.
Duyan ka ng magiting,
Sa manlulupig, Lupa ng araw, ng luwalhati't
Di ka pasisiil. pagsinta,
Buhay ay langit sa piling mo.
Sa dagat at bundok, Aming ligaya, na pag may mang-
Sa simoy at sa langit aapi
mong bughaw, Ang mamatay nang dahil sa iyo.
May dilag ang tula
 Opening Remarks

Jessarel Sebido
Class President

To or beloved Dean I the College of Nursing, Sr. Editha A. Bagayaua, to our

ever industrious over-all Clinical Coordinator, Mrs. Suzette Vela, to our ever
dynamic Level 4 Coordinator, Mrs. Edel Degala, BCRC Staff, wonderful
Clinical Instructors, our ever supportive and kind adviser Ms. Flora May
Cortel, classmates, schoolmates, friends and most especially to our smart and
witty guest speaker Dr. Roeal Evangelista, ladies and gentlemen good
morning.
Nursing is not an easy profession. You need to have patience, dedication and
understanding for you to have that knowledge, skills and competence and the
right attitude for us to deliver a safe, quality, effective and efficient nursing
care to out patients. Oncology Nursing is one of the most important topic in
the nursing profession since cancer is considered to one of the leading cause
of mortality and morbidity worldwide. Our role as a care giver becomes
broader as we do not only prevent, promote and restore health but it enable us
to deal with those patients with critical cases and what we need to do is to
give them a comfortable and peaceful death. This seminar would be of great
help for all of us as we take unto the nest chapter of our lives and be an
excellent oncologic nurse someday. So welcome, sit back, relax and enjoy
this seminar. Thank you and may God bless us all!

Introduction of the Speaker

 Judy Bargas

Discussion Proper
ONCOLOGY
Dr. Roel Evangelista, R.N., M.
- Cancer is a group of diseases with different causes, signs and symptoms, management, and prognoses.
It is a disease process that begins when an abnormal cell is transformed by the genetic mutation of the
cellular DNA.
- Epidemiologic studies have shown that cancer incidence differs with regards to: gender
( males>females), age group (older>younger), race ( African-Americans).
- The leading type of cancer is prostate (men) and breast (women). The leading cause of cancer death is
lung cancer.
- Characteristics of benign and malignant tumors:
o Benign Malignant
1. Cell characteristics Well-differentiated Undifferentiated
2. Mode of growth Expansion Infiltration
3. Rate of growth Usually slow Usually rapid
4. Metastasis Does not metastasize Metastasizes
5. General effects Usually none Weight loss,anemia, anorexia
- Carcinogenesis, or malignant transformation has a three-step cellular process: initiation, promotion,
and progression.
- Etiology
1. Genetic and familial factors
2. Chemical agents- tobacco smoke, pesticides, formaldehyde, polyvinyl chloride,
Radon, betel nuts, asbestos, ethylene oxide, benzene
3. Dietary factors- high-caloric, fats, salt-cured, smoked, nitrate-containing,
processed meats, alcohol.
4. Hormonal agents
5. Physical agents
6. Viruses, bacteria
- Cancer Detection and Prevention: Primary and secondary prevention
- Diagnosis of Cancer
1. Biopsy- Fine needle aspiration and biopsy (FNAB)
Excision biopsy
Incision biopsy

2. Imaging studies- Ultrasound, mammography, CT scan, MRI

 3. Laboratory tests- PSA, AFP, CEA
* Staging- determines the size of the tumor and the presence of local invasion and metastasis.
The TNM ( Tumor, Nodal involvement, Metastasis) is the most frequently used.
* Grading- refers to the classification of the tumor cells. A tumor is graded I-IV, depending on
the differentiation of cells.
- Management of Cancer
1. Surgery
a. Prophylactic surgery- removing nonvital tissues/ organs that are at
increased risk to develop cancer
b. Palliative- used when cure is not possible. The goal is to relieve the signs/symptoms and to
make the patient as comfortable as possible.
c. Reconstructive- to improve function or obtain a more desirable cosmetic effect.
d. Curative
2. Radiation therapy- can be used as curative, palliative, prophylactic, and
as neoadjuvant( prior to local definitive measure) treatment.
o Causes disruption of the DNA, which eventually leads to cell death. Tissues
that undergo frequent cell division are most sensitive to radiation therapy.
A. Ways of administration
a. External radiation (Teletherapy)
b. Internal radiation ( Brachytherapy)
B. Protecting the caregiver
a. Shield
b. Time
c. Distance
3. Chemotherapy
A. Cell-cycle specific drugs
a. Antimetabolites
- Methotrexate
- 5-Flourouracil (5-FU)
b. Plant alkaloids
- Vincristine
- Vinblastine
c. Taxanes- Paclitaxel
B. Non cell-cycle specific drugs
a. Alkylating agents
- Cyclophosphamide
- Chlorambucil
b. Nitrosoureas
- Carmustine (BCNU)
- Lomustine (CCNU)
c. Antitumor antibiotics
- Bleomycin
- Doxurubicin
- Daunorubicin
General side effects ( Radiotherapy and chemotherapy)
1. Nausea and vomiting
2. Alopecia
3. Stomatitis
4. Bone marrow suppression
5. Sterility
 PHOTOS

Open Forum
PHOTOS
 Seminar Objectives

Awarding of Plaque and

PHOTOS
Closing Remarks
Dr. Roel Evangelista, R.N., M.