Professional Documents
Culture Documents
Metro College of Nursing Lesson Plan: Name: Group: Venue: Date: Topic: Subject: Previous Knowledge
Metro College of Nursing Lesson Plan: Name: Group: Venue: Date: Topic: Subject: Previous Knowledge
Lesson plan
NAME: MR.AVADHESH KUMAR
DATE: 27/03/2018
PREVIOUS KNOWLEDGE: students have previous knowledge about the ovarian cancer
OBJECTIVES:
GENERAL OBJECTIVE:
The students will be able to understand about ovarian cancer and its meaning, risk factors, clinical
manifestations, stages, types ,diagnostic methods, management including nursing management.
SPECIFIC OBJECTIVES:
Other factor
Smocking
Low level of Vitamin D in blood
human papilloma virus
Sitting
Children
Severe abdominal pain, irritation of the peritoneum, or bleeding,
Secondary sex characteristics, Amenorrhea.
To explain the Stages of stomach cancer Lecture cum
stages of Stage I:- Cancer is confined to one or both ovaries, discussion
ovarian cancer Stage II. Cancer is found in one or both ovaries, the fallopian tube
& womb. It may spread to other organs in the pelvis such as
bladder, rectum, and vagina.
Stage III. Cancer has spread outside the pelvis to other organs in
the abdomen such as bowels, the liver, the diaphragm and lymph
nodes.
Stage IV. Cancer is found in one or both ovaries, has spread to
other organs in the abdomen, and has spread to other areas of body
beyond the abdomen, such as chest.
To explain Types:-
types of ovarian Epithelial carcinoma
cancer Serous carcinoma
Small-cell carcinoma
Primary peritoneal carcinoma
Clear-cell carcinoma
Sex cord-stromal tumor
To explain Diagnosis: Lecture cum
various History collection with gynecological examination ( abdominal discussion
diagnostic discomfort/ pain, increasing girth, ascites,
methods Serum tumor marker:- ( CA125, CA19-9)
Imaging studies:-
Transvaginal ultrasound ( TVU)
CT/ MRI:- Abdomen/ pelvis
PET scan
Laproscopy.
Mammography
Endometrial biopsy
To Explain the Management ;- Lecture cum
management Pharmacological : discussion
Chemotherapy:-
Carboplatin.
Avastin,
Taxol,
Paclitaxel,
Radiation therapy:-
External beam radiotherapy (EBRT)
Brachytherapy
Radioactive phosphorus
Hormonal therapy:-
Luteinizing-hormone-releasing hormone (LHRH) agonists
(goserelin (Zoladex) and leuprolide (Lupron)
Tamoxifen (anti-estrogen)
Aromatase inhibitors
Immunotherapy
Bevacizumab, (Avastin, )
Surgical management:-
Unilateral oophorectomy,
Bilateral oophorectomy ,
Salpingectomy,
Hysterectomy,
Omentectomy.
To explain the Nursing management :- Lecture cum
Nursing Nursing Assessment discussion
management
1. Leukorrhea
2. Irregular vaginal bleeding and vaginal discharge
3. Increase in abdominal pain and pressure
4. Bowel and bladder dysfunction
5. Vulvar itching and burning
Nursing Diagnosis
1. Anxiety related to threat of a malignancy and lack of knowledge
about the disease process, and prognosis.
2. Acute pain related to pressure secondary to an enlarging tumor.
3. Disturbed body image related to loss of body part and loss of good
health.
4. Ineffective sexuality pattern related to physiologic limitations and
fatigue
5. Ineffective breathing pattern related to presence of ascites and
effusions
6. Grieving related to poor prognosis of advanced disease.
7. Imbalance nutrition: Less than body requirement
Patient Goals
1. Patient will actively participate in in treatment decisions
2. Patient will achieve satisfactory pain and symptom management
3. Patient will recognize and report problems promptly.
4. Patient will maintain preferred lifestyle as long as possible
5. Patient will continue to practice cancer detection strategies
6. Patient will appear relaxed and report anxiety is to a manageable
level.
7. Patient will use resources/support systems effectively.
8. Patient will verbalize understanding of adequate nutrition and
controlling nausea.
Nursing Interventions
1. Teach women the importance of having routine screenings for
cancer of the reproductive system.
2. Teach women about the risk factors of the reproductive system
3. Teach women about menopause signs and symptoms after bilateral
oophrectomy.
4. Teach women about hormone replacement therapy and the side
effects.
5. Manage client's pain related to chemotherapy
6. Monitor for infection
7. Teach client to prevent DVTs after surgery, i.e. frequent changes in
positions, leg exercises to promote circulation.
8. Offer encouragement and allow the patient to discuss her fears
regarding ovarian cancer.
9. Provide additional education and help the patient find a support
group.
10. Explain the need for increased intake of fruits, vegetables, and
whole grains. Also, a decreased fat intake of <30% of calories.
11. Administer anti nausea (antiemetic) medications as needed.
12. Assess patient for body image changes as a result of disfiguring
treatment.