Anxiety and Self-Esteem Disturbances related to Nasal Cavity Cancer

Nursing Care Plan for Nasal Cavity Cancer

Nursing Diagnosis for Nasal Cavity Cancer : Anxiety related to a crisis situation (malignancy), the threat of change in health status-social-economic, function-role changes, changes in social interaction, the threat of death, separation from family.

Nursing Interventions :

1. Orient the client and the people closest to routine procedures and activities are expected.
2. Exploration client anxiety and provide feedback.
3. Emphasize that anxiety is a common problem experienced by many people in the client's current situation.
4. Allow clients accompanied by a family (significant others) during the phase of anxiety and maintain tranquility of the surroundings.
5. Collaboration of sedative drugs.
6. Monitor and record verbal and non-verbal responses that show the client's anxiety.

Rational :

1. Precise information about the situation faced by the clients can reduce anxiety / foreign flavor to the surrounding environment and help the clients to anticipate and accept the situation.
2. Identify trigger factors / ballast anxiety problems and offering solutions that can be done by the client.
3. Indicate that anxiety is normal and not only experienced by the client only in the hope the client can understand and accept his condition.
4. Mobilize support system, prevent feelings of isolation and reduce anxiety.
5. Reduce anxiety, ease of rest.
6. Assessing the development of the client's problem.

Nursing Diagnosis for Nasal Cavity Cancer : Self-Esteem Disturbances related to deformity of the body due to malignancy, effects of radiotherapy / chemotherapy.

Nursing Interventions :

1. Discuss with the client and family influence diagnosis and treatment of the client's personal life and work activities.
2. Explain the side effects of surgery, radiation and chemotherapy are to be anticipated by the client.
3. Discuss on problem-solving efforts in the client's changing role of the family and community associated with the disease.
4. Thank difficulty client adaptation to the problems faced by the client and inform the possible need for psychological counseling
5. Evaluation of the support system that can help the client (family, relatives, social organization, spiritual leaders)
6. Evaluation of the symptoms of hopelessness, helplessness, denial of treatment and feelings of worthlessness that show impaired self-esteem the client.

Rational :

1. Assist the client and the family understand the problems he faced as a first step problem-solving process.
2. Anticipated therapeutic effect further facilitate the process of adaptation to the client's problems that may arise.
3. Changes in health status that brings change socio-economic status-role-function is a problem that often occurs on the client malignancy.
4. Inform alternative professional counseling that may be taken in solving client problems.
5. Identify sources of support that may be used in alleviating the problem the client.
6. Assessing the development of the client's problem.

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Nursing Care Plan for Nasal Cavity Cancer

Nasal Cavity Cancer : 5 Nursing Diagnosis

Nasal Cavity Cancer is cancer that attacks the nasal cavity.

Malignant tumors of the nasal cavity and paranasal sinuses are inseparable because both affect each other.


Causes

The cause of the nasal cavity cancer is not known for certain, but there are some great possibilities, including:

• Heavy smokers, fistula oroantral, atrophic rhinitis, alkolhol addicts.
• Chronic infection of the nose and sinuses paranosal.
• Contact with wood dust on furniture workers (factor of chronic irritation from dust and wood).
• Contact with industrial materials, such as nickel, chrome, isopropanolol.
• Thorium dioxide is used as a contrast fluid on X-ray examination.
• Chronic maxillary sinusitis.

Pathophysiology

Foreign matter (smoke, nicotine, wood dust, nickel, chrome, etc.) into the nasal cavity occurs continuously and for a long time, causing mass formation, changes in the structure and the nasal mucosa, causing obstruction of the nasal cavity to the nasal septum (cavity deformity, nasal septum, trauma cavity / nasal septum, the septum hematoma and septal perforation) or new growth such as nasal polyps, papilloma, inversion and tumor beligna / malignant). In addition, a variety of other reasons cause nasal airway obstruction (adenoid hypertrophy, foreign bodies, atresia, koana, intra-nasal scar tissue, and collapse). This is the mass of the nasal cavity causing edema of the nasal mucosa due to the flow of lymph and venous disorders as well as shaping the polypoid on the nasal cavity. The tumor invades into the upward until cranial fossa and lateral to the orbit.


Signs and Symptoms of Nasal Cavity Cancer

Signs and symptoms of Nasal Cavity Cancer, depending on where the tumor origin and direction as well as the wide-spread.
1. Maxillary sinus tumor and spread to medial.
Signs and symptoms:

• Nasal congestion.
• Persistent unilateral rhinorrhea and smelling.
• Epistaxis.

2. Ethmoid sinus tumors and lamina cribriformis.
Signs and symptoms:

• Nasal congestion.
• Anomsia.
• Runny.
• Pain frontal area.

3. The basic antrum tumor and extends downward.
Signs and symptoms:

• Wobbly tooth.
• Occlusive disorders.
• Pain in molars.
• Swelling and lacerations area palate.

4. Tumor extends to the area of the orbit and the nasolacrimal duct.
Signs and symptoms:

• Diplopia.
• Proptosis.
• Blockage of the tear ducts.
• Eye looks swollen.
• Musa and orbital palpable.
• Eyes stand out.

5. Tumor extends to anterior.
Signs and symptoms:

• Enlargement cheek one side (asymmetric).

6. Advanced stage of the superior alveolar nerve.
Signs and symptoms:

• Numbness in the upper jaw teeth and gums.

7. The tumor spread and invade into the nasopharynx.
Signs and symptoms:

• Conductive deafness due to eustachian tube disorders.

8. Another expansion may affect the nerves.
Signs and symptoms:

• Nerve deafness.
• Not being able to open the mouth.
• Facial paresis.
• Hemiplegia.
• Hyperesthesia.
• Severe headache.
• Changes in eye position.

Nursing Diagnosis for Nasal Cavity Cancer:

1. Anxiety related to a crisis situation (malignancy), the threat of change in health status-social-economic, function-role changes, changes in social interaction, the threat of death, separation from family.
2. Disturbance of self-esteem related to deformity of the body due to malignancy, effects of radiotherapy / chemotherapy.
3. Pain (Acute / Chronic) related to compression / nerve tissue destruction and inflammation.
4. Imbalanced Nutrition: less than body requirements related to the increase in metabolic status due to malignancy, effects of radiotherapy / chemotherapy and emotional distress.
5. Risk for infection related to the inadequate secondary defenses and immunosuppressive effects of radiotherapy / chemotherapy.

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