6.+Nursing+Management

=**Nursing Management for client with Ovarian Cancer **= **Nursing Assessment**
 * 1) Leukorrhea (Lewis et al, 2007).
 * 2) Irregular vaginal bleeding and vaginal discharge (Lewis et al, 2007).
 * 3) Increase in abdominal pain and pressure (Lewis et al, 2007).
 * 4) Bowel and bladder dysfunction (Lewis et al, 2007).
 * 5) Vulvar itching and burning (Lewis et al, 2007).

**Nursing Diagnosis**
 * 1) Anxiety related to threat of a malignancy and lack of knowledge about the disease process, and prognosis. (Lewis et al, 2007).
 * 2) Acute pain related to pressure secondary to an enlarging tumor. (Lewis et al, 2007).
 * 3) Disturbed body image related to loss of body part and loss of good health. (Lewis et al, 2007).
 * 4) Ineffective sexuality pattern related to physiologic limitations and fatigue. (Lewis et al, 2007).
 * 5) Ineffective breathing pattern related to presence of ascites and effusions (Lewis et al, 2007).
 * 6) Grieving related to poor prognosis of advanced disease. (Lewis et al, 2007).
 * 7) Imbalance nutrition: Less than body requirment (Lewis et al, 2007).

**Patient Goals**
 * 1) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Patient will actively participate in in treatment decisions (Lewis et al, 2007).
 * 2) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Patient will achieve satisfactory pain and symptom management (Lewis et al, 2007).
 * 3) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Patient will recognize and report problems promptly. (Lewis et al, 2007).
 * 4) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Patient will maintain preferred lifestyle as long as possible (Lewis et al, 2007).
 * 5) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Patient will continue to practice cancer detection strategies (Lewis et al, 2007).
 * 6) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Patient will appear relaxed and report anxiety is to a manageable level. (Doenges, Moorhouse, & Murr, 2008)
 * 7) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Patient will use resources/support systems effectively. (Doenges, Moorhouse, & Murr, 2008)
 * 8) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Patient will verbalize understanding of adequate nutrition and controlling nausea. (Doenges, Moorhouse, & Murr, 2008)

<span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">**<span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Nursing Interventions **
 * 1) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Teach women the importance of having routine screenings for cancer of the reproductive system. (pap smear, and pelvic exam) (Lewis et al, 2007).
 * 2) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Teach women about the risk factors of the reproductive system. (Lewis et al, 2007).
 * 3) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Teach women about menopause signs and symptoms after bilateral oophrectomy. (Lewis et al, 2007).
 * 4) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Teach women about hormone replacement therapy and the side effects. (Lewis et al, 2007).
 * 5) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Manage client's pain related to chemotherapy (Lewis et al, 2007).
 * 6) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Monitor for infection (Lewis et al, 2007).
 * 7) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Teach client to prevent DVTs after surgery, i.e. frequent changes in positions, leg exercises to promote circulation. (Lewis et al, 2007).
 * 8) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Offer encouragement and allow the patient to discuss her fears regarding ovarian cancer. (Doenges, Moorhouse, & Murr, 2008)
 * 9) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Provide additional education and help the patient find a support group. (Doenges, Moorhouse, & Murr, 2008)
 * 10) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Explain the need for increased intake of fruits, vegetables, and whole grains. Also, a decreased fat intake of <30% of calories. (Doenges, Moorhouse, & Murr, 2008)
 * 11) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Administer anti nausea (antiemetic) medications as needed.(Doenges, Moorhouse, & Murr, 2008)
 * 12) <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Assess patient for body image changes as a result of disfiguring treatment. (Doenges, Moorhouse, & Murr, 2008)

<span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Lewis, M.L., Collier, I.C., & Heitkemper, M.M. (2007). //Medical-Surgical nursing:Assessment and management of clinical problems// (7th ed.). St. Louis: Mosby. <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Herbal medicines for menopausal symptoms. (2010). Evidence-base Nursing, 13(29-33), Retrieved from [] [11/19/2010] <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">Doenges, M.E, Moorhouse, M.F., & Murr, A.C. (2008). //Nursing diagnosis manual: planning, individualizing, and documenting client care//. Philedelphia, PA: F.A. Davis.
 * <span style="font-family: 'Times New Roman',Times,serif; font-size: 110%;">References **