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Oncology Nursing Considerations

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Managing Cancer Pain

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Assess pain levels, administer pain medications, and adjust pain management plan according to patient needs.

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Mucositis Management

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Provide oral care, administer topical anesthetics as ordered, and educate about maintaining oral hygiene.

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Nutritional Support for Cancer Patients

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Assess nutritional status, collaborate with dietitians for meal planning, and monitor for weight changes and malnutrition.

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Monitoring Cardiotoxicity

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Perform baseline and periodic cardiac function tests, educate about signs of heart failure, and coordinate care with cardiology.

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Skin Reactions from Targeted Therapy

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Monitor skin changes, provide dermatologic care, and collaborate with dermatologists if severe reactions occur.

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Leukostasis Management

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Monitor for respiratory distress and altered mental status, coordinate with oncologists for leukapheresis, and manage hydration.

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Fatigue Management

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Assess energy levels, encourage appropriate physical activity, and provide strategies to conserve energy.

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Immunotherapy Treatments

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Monitor for immune-related adverse effects, administer premedication when necessary, and provide patient education for self-monitoring.

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End-of-Life Care

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Provide symptom management, offer emotional support to patients and families, and respect patient wishes regarding end-of-life decisions.

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Psychosocial Support

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Assess for distress, provide counseling or support group referrals, and support coping mechanisms.

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Post-surgical Oncology Care

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Manage post-operative pain, monitor for complications, and provide wound care education.

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Malignant Hypercalcemia

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Monitor calcium levels, administer bisphosphonates as ordered, and ensure hydration and mobility.

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Chemotherapy-induced Nausea and Vomiting

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Administer antiemetics as ordered, monitor fluid and nutrition status, and provide comfort measures.

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Oncologic Emergencies - Cord Compression

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Identify early neural changes, collaborate with the medical team for urgent response, and provide pain management.

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Superior Vena Cava Syndrome

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Identify early symptoms, elevate head of the bed, and prepare for possible medical interventions.

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Tumor Lysis Syndrome

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Monitor electrolyte levels, manage potential renal failure, and provide education on the importance of fluid intake.

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Oncofertility Considerations

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Discuss fertility preservation options, provide referrals to specialists, and support patient decision-making.

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Bone Marrow Suppression

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Assess for signs of bleeding, infection risk, and anemia, and provide supportive care as needed.

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Ocular Side Effects of Chemotherapy

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Monitor for changes in vision, provide eye care education, and refer to ophthalmology if needed.

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Cognitive Changes in Cancer Patients

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Monitor for 'chemo brain' symptoms, provide cognitive exercises, and adjust patient expectations.

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Radiation Therapy Care

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Assess skin integrity, provide emotional support, and educate on self-care strategies post-treatment.

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Pediatric Oncology Care

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Adapt communication to age level, involve family in care, and recognize the impact of treatment on growth and development.

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Hepatotoxicity from Cancer Therapy

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Monitor liver function tests, educate about signs of liver damage, and adjust medications as needed.

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Cancer-related Anemia

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Monitor hemoglobin levels, administer erythropoietin-stimulating agents if ordered, and assess for fatigue.

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Cancer-associated Thrombosis

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Monitor for signs of deep vein thrombosis, administer anticoagulants as ordered, and educate about prevention and signs of complications.

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Administering Chemotherapy

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Understand safe handling procedures, manage side effects, and educate patients about potential risks.

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Neutropenic Precautions

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Implement infection control measures, educate about signs of infection, and monitor blood count levels.

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Lymphedema Management

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Teach limb elevation and compression garment use, refer to physical therapy, and monitor for signs of infection.

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Breast Cancer Postmastectomy Care

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Provide education on post-surgical exercises, manage drains, and address body image concerns.

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Infection Control in Oncology Units

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Adhere to strict handwashing protocols, manage neutropenic precautions, and educate patients and visitors about infection risks.

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