MetroHealth Cancer Care Center People with cancer Statistics American Cancer Society estimates for 2014 In US 1665540 new cases In US 585720 deaths In Ohio 67000 new cases Cancer is the 2 ID: 569975
Download Presentation The PPT/PDF document "Linda Miller, RN, OCN" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Linda Miller, RN, OCNMetroHealth Cancer Care Center
People with cancerSlide2
Statistics
American Cancer Society estimates for 2014
In US 1,665,540 new cases
In US 585,720 deaths
In Ohio 67,000 new cases
Cancer is the 2
nd
most common cause of death in the US, responsible for 1 in 4 deathsSlide3
Statistics
By 2030 expect 2.3 million new cases annually in US
By 2030 cancer will be leading cause of death
People living at least 5 years after cancer diagnosis
1970s 50%
Currently 66% Slide4
Cancer treatments
Modes of treatment
Surgery
Radiation
Chemotherapy
Treatment with single mode or multiple modes
Example of multi-modal: Breast cancer (radiation to reduce tumor prior to surgery, chemotherapy after surgery)
Slide5
Chemotherapy
Usually given in outpatient setting
Prevents cancer cells from metastasizing
Systemic therapy
Given intravenously
Destroys good and bad cells
Treatments on set scheduleSlide6
Radiation therapy
Local treatment directed at specific area
Treatments scheduled daily, but treatment extends for weeksSlide7
Oral chemotherapy
Increasing number of patients receiving oral chemotherapy
PRECAUTIONS NEEDED:
Handled with proper protection including chemo gloves
Keep away from others in secure areaSlide8
Side effects of therapy
Fatigue
Nausea/vomiting
Diarrhea
Fever
Skin
Pain
OtherSlide9
Side effects of cancer treatment
Fatigue
Most common side effect
Due to decreased red blood cells leading to lower oxygen levels
Inability to perform basic tasks
No over-exertion, conserve energy
Accommodations
Frequent rest periods
Nutritious foods, plenty liquidsSlide10
Side effects of therapy
Nausea
Anti-nausea medications can prevent vomiting
Nausea triggers
Perfumes and odors
Fried foods, spicy foods, fatty foods, overly sweet foods
Dehydration
Increased risk of nausea
Women
Younger patients
Women with history of morning sickness Slide11
Helping people avoid nausea
Provide small frequent meals (nausea occurs on an empty stomach)
Avoid strong odors
Assure availability of anti-nausea medication, encourage to take as prescribed
Provide dry crackers/dry toast
Avoid spicy, greasy, fatty foodsSlide12
Helping people with diarrhea
Imodium
BRAT diet – bananas, rice, applesauce, dry toast
Avoid high fiber, high fat, greasy, spicy foods
Avoid caffeine, milk, alcohol
Increase fluidsSlide13
People with fever
Due to low blood counts, usually 7 to 10 days after chemo
Observe for temperature increase
First sign of infection
If fever of 100.4°F or 38°C (have thermometer available)
To ER or call oncologist on dutySlide14
Infection precautions
Chemotherapy patients can reside in general population shelter, but away from ill people
Dependent on instructions from physician
Provide isolation if necessarySlide15
Skin problems
Especially for people receiving radiation therapy
Redness of skin
Provide
E
ucerin
,
AquaphorSlide16
People with pain
Treat with medication
Opioids
Keep in secure place!Slide17
Other side effects
Less frequent side effects related to attack on the “good cells”
Alopecia
May use head covering, even at night
Numbness in fingers
Difficulty feeling, holding things
StomatitisSlide18
Questions to ask
If a shelter resident identifies as a person being treated for cancer, ask about
Pain medicine
Anti-nausea medicine
Oral chemotherapy
Personal supplies: ostomy bags, etc.
Time and place of next treatmentSlide19
Have available
Rest area
Nutritious foods
Fluids (water, juice, Gatorade, popsicles, Jell-O)
Imodium
T
hermometerSlide20
End of life concerns
Understanding
prognosis
patients
continue to "hope" -
requesting
more
treatments
Ask person (and listen to the answers) what care or treatment
will be needed
in the
shelter and how best to
provide the care
Ask if caregiver is with person
Ask about others providing care
Ask about advanced directivesSlide21
End of life concerns – symptom control
Pain – adequate pain control
Secretions – control and/or managing secretions
Constipation – adequate hydration, stool softeners
Anxiety – medication, comforting environment, caregivers
Dyspnea (difficulty breathing) – positioning, oxygenSlide22
POD related information
Per CDC – no live vaccines
Herpes Zoster (shingles)
Flu mist (nasal spray)
Measles, mumps and rubella (MMR)
Smallpox
Yellow fever
Chicken poxSlide23
Thank you
Questions?
Comments?