Cervical Cancer

Cervical cancer is a type of cancer that occurs in the cells of the cervix — the lower part of the uterus
that connects to the vagina.

1. Acute pain related to activity of disease process (breast cancer)

-Perform a comprehensive assessment of pain esp. in pelvic, lumbar and legs area. Determine the
location, characteristics, onset, duration, frequency, quality, and severity of pain via assessment. (The
patient experiencing pain is the most reliable source of information about their pain. Thus, assessment
of pain by conducting an interview helps the nurse in planning optimal pain management strategies.)

-Provide comfort measures (e.g., back rub, change of position) to provide nonpharmacologic pain
management

-Administer analgesic as indicated to maintain acceptable level of pain

-Encourage adequate rest periods to prevent fatigue

2. Imbalanced Nutrition: Less than Body requirements related to consequences of chemotherapy for
breast cancer, as evidenced by nausea, vomiting, diarrhea,

--Monitor food intake every day, whether eating in accordance with the needs of clients. (Provide
information about the client's nutritional status.)

-Encourage patient to eat high-calorie, nutrient-rich diet, with adequate fluid intake. Encourage use of
supplements and frequent or smaller meals spaced throughout the day. (Metabolic tissue needs are
increased as well as fluids (to eliminate waste products). Supplements can play an important role in
maintaining adequate caloric and protein intake.)

-Administer antiemetic on a regular schedule before or during and after administration of antineoplastic
agent as appropriate. (Nausea and vomiting are frequently the most disabling and psychologically
stressful side effects of chemotherapy.)

3. . Deficient Knowledge May be related to lack of information regarding condition/disease process.

- Provide patient with information regarding disease process, health practices that can be changed, and
medications to be utilized. (Provides knowledge and facilitates compliance.)

-Educate the patient about the cervical treatment plan. Explain the need of chemotherapy and if the
patient is for surgery, explain the procedure. (To give the patient enough information on the treatment
plan.)

Laboratory and Diagnostic Test

-Pap test. During a Pap test, your doctor scrapes and brushes cells from your cervix, which are then
examined in a lab for abnormalities. A Pap test can detect abnormal cells in the cervix, including cancer
cells and cells that show changes that increase the risk of cervical cancer.

-Colposcopy. The doctor may do a colposcopy to check the cervix for abnormal areas. Colposcopy can
also be used to help guide a biopsy of the cervix. The colposcope magnifies the cells of the cervix and
vagina, similar to a microscope. It gives the doctor a lighted, magnified view of the tissues of the vagina
and the cervix.

-Biopsy. A biopsy is the removal of a small amount of tissue for examination under a microscope. Other
tests can suggest that cancer is present, but only a biopsy can make a definite diagnosis.