gastriccancer胃癌患者护理查房.pptVIP

Nursing Care of the Patient with Gastric Cancer Department of Digestive System Oncology Hu Yating Contents The related knowledge of gastric cancer Case management Nursing care plans Health education Gastric Cancer-Description Gastric cancer, also called stomach cancer, is a malignant tumor arising from the lining of the stomach Gastric cancer cells can spread by breaking away from the original tumor. They enter blood vessels, which branch into all the tissues of the body. Gastric cancer causes about 800,000 deaths worldwide per year. Men have more than double the risk of gastric cancer than women. Gastric Cancer-Causes and Risk Factors Gastric Cancer Smoked/ salted food Helicobacter pylori Family history Over weight Smoking and alcohol factors Precancerous conditions Gastric Cancer-Symptoms Abdominal fullness or pain Dark stools Difficulty in swallowing Excessive belching General decline in health Loss of appetite Nausea Vomiting, which may contain blood Weakness or fatigue Weight loss Gastric Cancer-Diagnosis Treatment Laboratory tests 1.Complete blood count(CBC) 2.Stool test X-ray barium meal examination Gastroscopy Diagnosis Gastric Cancer-Diagnosis Treatment B ultrasonic CT Scan Cytology and pathology examination Diagnosis Gastric Cancer-Diagnosis Treatment Surgery of stomach Chemo therapy Radiation therapy Multimodality therapy Treatment Case Management Cai Chuanyou, male, 69 years old Chief complaint: Gastric cancer with 2 circles of chemotherapy Case Management History of present illness: Abdominal pain without obvious inducement since 4 months ago Severe pain in the right umbilical region, even with back radiation Abdominal distension after eating Stool 1 time /4 days, black stool No other symptoms Self medication Diagnosis of gastric cardiac adenocarcinoma by gastroscopy biopsy Second cycles of chemotherapy from 2016-01-27 to 2016-01-31 Case Management Medical history: No special condition Physical examination: KPS 80%, general vital signs have