Principles of care for clients with oncological disorders

Explain principles of care for clients with oncological disorders.
Identify components of safe and effective nursing care for clients experiencing fluid and electrolyte imbalances.
Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.
Select appropriate nursing interventions for clients with upper gastrointestinal disorders.
Select appropriate nursing interventions for clients with lower gastrointestinal disorders.
Evaluate responses to nursing interventions for clients with endocrine disorders.

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Principles of care for clients with cancer consist of physician and nursing services, medical equipment, medications, grief counseling, and spiritual and religious care.

Safe and effective nursing care for client experiencing fluid and electrolyte imbalances include restoring fluid balance, drug therapy, monitoring the effects of fluid replacement and prevent fluid overload, asses the IV site and prevent infection, and administer the medications as directed.

Strategies for safe and effective nursing care for clients with acid-base imbalances are giving insulin to correct hyperglycemia which causes a metabolic acidosis, assessing the clients airway, provide patient safety by preventing further acid-base imbalances, and use fall precautions.

Upper gastrointestinal disorder interventions such as stomatitis would be eating foods at room temperature or cold foods, decrease stress levels, avoid spicy and hot food, avoid mouthwashes with alcohol, teach proper dental hygiene by brushing and flossing twice a day, and making dietary changes to decrease discomfort.

Interventions for lower gastrointestinal disorders such as IBS would include eating a diet rich in fiber, chew and eat slowly to reduce gastric discomfort, hydration, bulk forming medications to prevent constipation, and use of peppermint oil capsules to sooth the intestines.

Evaluation to nursing interventions for a client with an endocrine disorder such as hypothyroidism would be maintaining adequate gas exchange, improvement in cognition, and T4 and T3 laboratory levels increase and TSH level decreases.

Reference:

Ignatavicius, D. D., Workman, M. L., & Rebar, C. (2020). Medical-surgical nursing: Concepts for interprofessional collaborative care, 2-Volume set. Saunders

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