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BRAIN TUMOR

Basics ..

What is Primary BrainTumor ?.Initiating care plan forPrimary Brain Tumorpatient .

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Tumor ? benign or

malignant ! Def:The formation and growth of abnormal cells that

have no function and not needed .

So its without definite cause , function , limit , control

Generally the causes of tumor classifies to : Environmental Inheritance

Life stile

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Tumor ? benign or

malignant !

Tumor

MalignantEvil rabid growth

Invade healthy nearby tissue.

Benignkind slow growth

does not spread.

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Tumor ? benign or

malignant ! Benign tumor will continue to grow

if it doesn't get treated .

And more pressure will be apply onorgans .

Metastasis : its the process in

which malignant tumor spreadinside human body via blood orlymph .

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Brain Tumor Brain tumor is a mass of

unnecessary cells growing in the

brain .So it will form localized intracranial

lesion that occupies space within

the skull .And there is the Primary and

Secondary type .

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Brain Tumor - Primary Brain Tumor : which start

forming in the brain or close to it , such

as brain membranes , cranial nervesand glands . benign malignant

- Secondary Brain Tumor : its originor center in somewhere else , andspread (metastasizes ) to the brain andgrowth to form a lesion . malignant

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Primary BrainTumorThe cause of it still mystery except

one risk factor which is exposure

to Ionizing Radiation. Also somespecific genetic diseases neurofibromatosis type 2 .

Hint : primary brain tumor almostnever spread to other parts of thebody

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Primary BrainTumor Clinical manifestation :

Just as we are a unique individuals, each

brain tumor is unique. Think of thebrain as the computer center for yourbody; each part of the brain controls adifferent function of your body.Symptoms depend on where within thebrain the tumor is located.

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Primary BrainTumor But here are the most

common symptoms and signs :

Headache : common and sever in the morning ,and gradually getting moderate to mild during theday.

Vomiting : seldom related to food intake , isusually related to irritation of vagal centers in the

medulla .New onset seizures : may be the initial sign ofbrain tumor in some patient , and about the halfof patient have seizure activity during theirillness .

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Primary BrainTumor A mass effect : caused from IICP.

Visual disturbance .

Localized symptoms .

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Nursing management :

Nursing process Assessment : base line neurologic examination . address symptoms that distress

the patient . nutritional status . assess the impact of the illness on

the family.

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Diagnosis : Self care deficit related to loss or impairment of

motor and sensory function and decreasecognitive ability .

Imbalanced nutrition less than bodyrequirement related to cachexia due totreatment and tumor effect , decreasednutritional intake , and malabsorption.

Anxiety related to fear of dying , uncertainty ,change in appearance , altered life style .

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Diagnosis : Pain related to tumor compression .

Impaired gas exchange related to dyspnea

Sleep pattern disturbance related todiscomfort and fear of dying

Decrease mobility related to fever andmotor\sensory function decrease

See text book P : 1976 ^_^

Also chapter 16 .

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Goals: compensating for self care deficit.

improving nutrition .

reducing anxiety .

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Intervention : compensating for self care deficit:

encouragethe family to keep the patientindependent as possible for as long as

possible .

help patients to maintain somesense of control

participate the patient inindividualized exercise program

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Intervention :

give meals in times that patient in lessdistress from pain or other effect of treatment.

improving nutrition :

Administer prescribed antiemetics ,sedative

Suggest food that are preferred and

well tolerated by the patient .

Suggest smaller , more frequent meals .

Provide pain relief measures.

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Intervention : Relieving anxiety :

Asses the need of spiritual counseling andrefer as appropriate .

Allow the patient and family to express anxiety

and fear

Encourage active participation in acommunication group with same interest.

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Outcomes : engages in self care activities as

long as possible.

Maintain as optimal a nutritionalstatues as possible

Report being less anxious.

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Thank you for your attentionand I hope that you learn newthings ^_^

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Reference1-TEXT BOOK OF MEDICAL SURGICAL NURSING .Brunner and Suddarths 10th edition .

2-American Brain Tumor Association.

http://www.abta.org/index.cfm?contentid=13

3-mayoclinic.comhttp://www.mayoclinic.com/health/brain-tumor/DS00281

4- nursingcenter.comhttp://www.nursingcenter.com/prodev/ce_article.asp?tid=686821PDF version responding to primary brain tumor.BY : RACHEL L .PALMEIRI

http://www.abta.org/index.cfm?contentid=13http://www.mayoclinic.com/health/brain-tumor/DS00281http://www.mayoclinic.com/health/brain-tumor/DS00281http://www.nursingcenter.com/prodev/ce_article.asp?tid=686821http://www.nursingcenter.com/prodev/ce_article.asp?tid=686821http://www.mayoclinic.com/health/brain-tumor/DS00281http://www.mayoclinic.com/health/brain-tumor/DS00281http://www.abta.org/index.cfm?contentid=13