Cervical cancer

Definition:

- A malignant neoplasm of the cervix uteri or cervical area

Physiology:• Location: lower portion of uterus

extending into the vagina• Function: connects uterine cavity

with vagina opens to allow passage of menstrual flow and

infant

stages

Causative factor:•HPV: Human Papilloma

Virus

Risk factors:• Having sex at an early age• Multiple sexual partners• Poor economic status• Sexual partners who have multiple partners• Weakened immune system• Multiple pregnancies• History of HPV or other bacterial or viral infections • Untreated chronic cervictis• smoking

Sign and symptomsEARLY CERVICAL CANCER

• Any bleeding after menopause

• Abnormal vaginal bleeding between periods after intercourse

• Continuous vaginal discharge which may be pale, watery pink, brown, bloody

• Periods become heavier and lasts longer than usual

ADVANCED CERVICAL CANCER

• Back pain• Bone fracture• Fatigue• Heavy vaginal bleeding• Leaking of urine• Leg pain• Loss of appetite• Pelvic pain• Single swollen leg• Weight loss

Medical management• Total hysterectomy• Radical hysterectomy

• Radical vaginal hysterectomy• Bilateral pelvic lymphadenectomy• Pelvic exenteration

Nursing diagnosis• Anxiety related to the diagnosis of cancer, fear

of pain, perceived loss of femininity, or child bearing potential.

• Disturbed body imazage related to altered fertility, fears about sexuality, and relationships with partner and family.

• Pain related to surgery and other adjuvant therapy.

• Deficient knowledge of perioperative aspects of hysterectomy and self- care

Nursing interventions• Relieving anxiety

-Determine how this experience affects the patient and allow the pt to verbalize feelings and identify strengths.-Explain all pre- and postoperative and recovery period preparations and procedure.

Nursing interventions• Improving body image

-Assess how pt feels about undergoing a hysterectomy related to the nature of diagnosis, significant others, religious beliefs, and prognosis.-Acknowledge patient’s concerns about ability to have children, loss of femininity, and impact on

Nursing interventions• sexual relations

-Educate pt about sexual relations-Explain that depression and heightened emotional sensitivity are expected because of upset hormonal balances-Exhibit interest, concern, and willingness to listen fears

Nursing interventions• Relieving pain

-Assess the intensity of the patient’s pain and administer analgesics-Encourage pt to resume intake of food and fluids gradually when peristalsis is auscultated (1-2 days)-Encourage early ambulation-Apply heat to abdomen or insert a rectal tube if prescribed for abdominal distension.

Thanks for listening!

Ambros, Charisse L.Batanes, Gabriel

Fomak-chong, Claudio

Ortiz, LorrieneSingit, Fregeline