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Nursing Science Three

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Lynn Monroe

on 13 November 2013

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Transcript of Nursing Science Three


Group members:

Ang Xue Li Lina
July Ja Tawng
Lim Jo vy
Muhammed Faizuan
Ng Jiaqi Jacqi



Nursing Careplan

Clinical Manifestation

Risk Factors leading to Ovarian Cancer

Medical Management

Ovarian Cancer
Lab Test / Investigations
1. Definition of Ovarian Cancer
2. Case Study of Ovarian Cancer
2. Pathophysiology of Ovarian Cancer
3. Risk Factors of Ovarian Cancer
4. Clinical Manifestation of Ovarian Cancer
5. Lab Test / Investigations of Ovarian Cancer
6. Medical / Surgical Management of Ovarian Cancer
7. Pre / Post Operation Care
8. Nursing Care Plan of Ovarian Cancer
9. Patient Education of Ovarian Cancer
10. Summary

Malignant growth arising from different parts of the ovaries

The fifth most common gynecologic cancer in woman in the Singapore

There were a total of 1,506 cases diagnosed from year 2007 to 2011 based on the Singapore Cancer Registry Annual Report

Aged > 55
Types of ovarian cancer

epithelial tumors
germ cell tumors,
gonodal stromal tumours

Epithelial tumors originating from the surface epithelium of the ovary
Spreads by local shedding of cancer cells into peritoneal cavity
Direct invasion of bowel and bladder
Cancer cells implant itself in the intestine, bladder and messentary. Tumours spread via lymph and blood to other organs such as liver and etc
Tumour cells may block lymphatic drainage from abdomen resulting in ascites
Staging for ovarian cancer is based on surgical and histologic evaluation
High fat diet
Infertility Drugs
Genetic Mutations
History of breast CA
Having no children or giving birth after age 35
Early menarche and late menopause
Hormone replacement therapy after menopause

Ovarian Biopsy
Computed Tomography (CT) Scan
Magnetic Resonance Imaging (MRI)
Positron Emission Tomography (PET)
Blood test for CA125 antigen level
Vaginal and abdominal ultrasound

Surgical Management
Nursing Diagnosis 1 : Anxiety
Expected outcome : Patient will be able to allay anxiety due to disease
process as evidenced by appear of good coping mechanism

Nursing Diagnosis 3 : Acute Pain
Evaluation : Patient reported pain is relief as evidenced by decreased
in pain score

Case Study
Ms Weewit ,
39 years old lady
, visit
the A&E complaining of
constant pubic pain for 2weeks
causing her
to feel
. She claimed that
she will have
back pain when performing intercourse
with her partner. She also notice an
abnormal vaginal bleeding
she is not due for her menses.
Dr Wokwok, sent her for abdominal ultrasound and CT scan of the pelvis and abdomen for investigation. He suspect she suffer from cervical cancer.

BP: 128/74 RR: 18bpm
PR: 129bpm Pain score: 7


Radiation therapy

Pain management : opioid

Hormone therapy

Bilateral salpingo-oophorectomy Omentectomy

Medical Management
Radical Hysterectomy
Post Operation Care
1. Monitor vital signs every 4 hours
2. Monitor for haemorrhage by keeping a perineal pad
3. Monitor voiding after surgery or after removal of
4. Assess pain score on a regular basis
5. Explain that appetite maybe depressed and bowel
elimination sluggish
Pre Operation Care
1. Written Consent
2. Keep patient NBM
3. Explain procedure to patient
4. Review Prothrombine time and
platelet count
Nursing Diagnosis 2 : Risk for Infection
Evaluation : Patient will be free from infection related to surgical process
1. Knowing the difference between the 3 stages of ovarian CA
2. Early detection of signs and symptoms
3. Regular check up - CA Marker
4. Social Support
5. Reinforce patient education
Full transcript