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Lung cancer, effects on patients with newly diagnosed lung cancer, related nursing interventions

March 24, 2016 | Author: | Posted in health and medicine

Newly diagnosed Lung Cancer : Nursing Interventions


Lung cancer is the second most common as well as the first leading cause of cancer deaths in the United States . [CDC] In spite of the medical advances , Lung cancer has poor prognosis and statistics indicate high incidence of deaths , particularly among the elderly people . Asides the difficulties in symptomatic management , the management of the psychosocial issues presents a difficult task for the patients . Being diagnosed with lung cancer is a terrible shock to patients and nurses as primary care providers have an indispensable [banner_entry_middle]

role in relieving the psychological stress . Surgical resection is not a possibility in majority of the cases as more than 80 of the patients diagnosed with lung cancer are either in stage 3 or stage 4 . [S S Birring] Under these circumstances , the role of the nurse as a trainer , caregiver and a proactive participant in facilitating the psychosocial wellbeing of the patient is very significant . Let us have a brief overview of etiology and the pathology of the disease before discussing the significance of nursing interventions

Etiology and Pathology

Lung cancer is attributed to environmental carcinogens and tobacco being the most directly responsible in the etiology of the disease . It is important to note that though only 1 to 15 of all smokers develop the disease , around 80 to 90 of lung cancer patients are found to be smokers at some stage in their life . [Habibul Ahsan , 2004] It is also found that exposure to certain chemical substances such as asbestos mustard gas , radioactive ores etc , in combination with tobacco increases the chances of acquiring lung cancer . Further an array of host factors such as previous history of tuberculosis , carcinoma , etc tend to increase the chances of developing lung cancer . [LUMEN] Lung cancer refers to the epithelial neoplasms of the airways . Only 3 of these neoplastic growths are benign . Lung cancers result from a serious of genetic changes , particularly of the epithelial oncogenes There are four different types of lung cancers namely small cell carcinoma , large cell carcinoma , adenocarcinoma and squamous cell carcinoma . Of these the small cell carcinoma develops and spreads (metastatic spread ) rapidly to other organs of the body via lymph or blood . While lymphatic spread is typically localized (hilar , mediastinal and peribronchial lymph nodes , spread by blood can affect any organ in the body (brain , bones , liver , etc . [Will Roberts] Lung Cancer Diagnosis (Nurses role

Being diagnosed with lung caner can be quite debilitating . There is no need to mention the enormous amount of emotional burden that patients have to deal with when the diagnosis is confirmed . Patients tend to be confused and overwhelmed by the new diagnosis or recurrence of the disease . Asides the somatic factors , it is found that depression has a huge negative impact on the prognosis of the patients . The quality of life as well as the outcome for the patient is affected by depression and as a study shows around 43 of lung cancer patients are depressed [G Buccheri] Studies… [banner_entry_footer]

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