DIAGNOSIS/PATHO DATA ACTION RESPONSE
BRAIN TUMOR
Patho: Defined as an intracranial solid neoplasm, or an abnormal growth of cells in brain or central spinal canal. No known cause or risk factor.
Graded as: low, in
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DIAGNOSIS/PATHO DATA ACTION RESPONSE
BRAIN TUMOR
Patho: Defined as an intracranial solid neoplasm, or an abnormal growth of cells in brain or central spinal canal. No known cause or risk factor.
Graded as: low, intermediate or high Can be located in several areas of the brain:
-Healthy cells transform/mutate into malignant cells upon exposure to certain etiologic factors such as: Viruses, Chemicals, and Physical agents. When cells are malignant, they can metastasize into tissues surrounding the area, to the lymph nodes and lymphatic system, the Assess: Neurological status, ALOC, worsening symptoms/impairment,
↑ICP
Vitals: Normal, until near death
S/S & PHYS. EXAM:
- Headache
-Nausea/Vomiting
-ALOC/Changes in speech, vision or hearing
-Issues with gait, balance or walking
-Changes in mood, personality, ALOC
-Memory problems/inability to concentrate
- Seizures/Convulsions
-Muscle twitching/jerking
-Numbness/Tingling in extremities
Labs: Spinal tap, biopsy
Dx Tests: Neurological exam, MRI, CT Scan, Angiogram Nursing Interventions:
Pharm: **DEPENDS ON SIZE & TYPE OF TUMOR, AS WELL AS OVERALL HEALTH STATUS:
- Chemotherapy
Targeted therapy:
-Avastin/bevacizumab (for glioblastoma)
- Afinitor/everolimus (used to treat a benign brain tumor) Alternative Medicine:
-Acupuncture
-Hypnosis
-Music Therapy
-Relaxation Techniques
Pt. Ed: Referral to OT, PT, ST (Speech therapy) and tutoring (if child, and learning/memory problems
Surgery: Removal of tumor (If able to) Nursing Dx:
-Disturbed Body Image r/t changes in the structure and function of the brain/body
-Fear r/t recent diagnosis and unknown future
Pt. Goals/ Evaluation:
-Pt will verbalize concerns and fears about body, self perception and change of lifestyle
-Pt will verbalize anxiety as well as ways to reduce it/minimize with it.
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