ONCOLOGY

NURSING
• Changes in stream/flow of urine or its
BLADDER CANCER
color and amount
CHANGES IN • Changes in caliber and color of stools TESTICULAR
BOWEL OR • Difficulty in urination and defecation CANCER
BLADDER HABITS
COLORECTAL
CANCER

A SORE THAT DOES • Skin irritation are usually self-limiting

• Painless sore in the mouth ORAL CANCER
NOT HEAL
• If it takes time to heal seek consult

BREAST CANCER
OVARIAN CANCER
UNUSUAL BLEEDING • Unusual discharge in the breast and
OR DISCHARGE other reproductive organ ENDOMETRIAL CANCER
CERVICAL CANCER
• Firm, non tender, non mobile mass,
Solitary, irregularly shaped mass,
Skin dimpling, orange peel BREAST CANCER
THICKENING OR LUMP appearance THYROID CANCER
IN BREAST • Neck enlargement HODGKIN’S LYMPHOMA
ELSEWHERE • Painless enlargement of lymph
nodes and night sweats

• Painful and difficulty swallowing PHARYNGEAL

INDIGESTION OR • Abdominal mass, epigastric
DIFFICULTY fullness
CANCER
SWALLOWING ESOPHAGEAL
• Jaundice, hepatomegaly CANCER
• Malnutrition, weight loss, anemia PANCREATIC CANCER
GASTRIC CANCER
LIVER CANCER

OBVIOUS CHANGE IN • Hard, red bumps on your face, neck,

WART OR MOLE arms, or hands
• Persistent, scaly patch of skin not SKIN CANCER
soothed by lotion
• Mole that changes in size or begins to
bleed
• Mole with an irregular border

NAGGING COUGH OR
HOARSENESS OF VOICE
• Blood-tinged mucus
• Hoarseness of the voice
• Chest pain
• swelling of the neck and face
• persistent problems with
pneumonia and bronchitis.

LUNG CANCER
OTHER UNEXPLAINED WEIGHT LARYNGEAL
SIGNS LOSS CANCER
OF CANCER: SEVERE ANEMIA
 COLORECTAL
CANCER
Change in Bowel habits
Colostomy care and
Irrigation
Low fiber, high fat diet
Bowel preparation
Right and left sided lesions
Carcino embryonic antigen
Colonoscopy
Occult blood test
Acceptance of body image
Lower GI series
CARE OF THE SKIN

• Skin barriers:
PRINCIPLES OF COLOSTOMY Karaya powder
Stomahesive paste
CARE
CARE OF THE STOMA Mineral oil
Mild soap and water
CARE OF THE SKIN

CARE OF THE APPLIANCE COLOSTOMY IRRIGATION

ACCEPTANCE OF BODY • Clean, invasive, consent
IMAGE • Accepts body image
• 5-7 days post-op
CARE OF THE STOMA • Performed in AM after meals
• Semi-fowler’s position; sitting in a toilet
NORMAL APPEARANCE bowl
• Pinkish to bright RED • 500 – 1500 ml
• 1/3 TO ½ protruded • Warm NSS
• Elevated
• Slightly edematous • If (+) cramps – STOP
• Moist • Lubricate 2 – 4 inches, insert gently;
• Sensation is painless circular motion, dilate anus with a gloved
finger
CARE OF THE APPLIANCE • Raise irrigating solution @ least 18 in.
• Empty pouch j1/3 to ½ full • Dwell time = 5 – 10 mins drain
• Cleans pouch with warm water
• Avoid odor and gas forming foods
• No peanuts, corn
ACCEPTANCE OF BODY
• No poultry products, eggs, IMAGE
cucumber, cauliflower LOOK, PARTICIPATE,
• No carbonated beverages; chewing VERBALIZE
gums
• No restriction in physical activities ILEOSTOMY
• Swimming (seal pouch) • Cannot be irrigated
• Avoid contact sports • No ODOR
• Emphasis on skin
barrier = digestive
enzymes are corrosives