Showing posts with label Nasopharyngeal Carcinoma. Show all posts
Showing posts with label Nasopharyngeal Carcinoma. Show all posts

Staging of Nasopharyngeal Carcinoma

Nasopharyngeal carcinoma is a rare tumor arising from the epithelium of the nasopharynx.

Nasopharyngeal carcinoma is difficult to detect early. That's probably because the nasopharnyx isn't easy to examine and symptoms of nasopharyngeal carcinoma mimic those of other more common conditions.

Three subtypes of NPC are recognized in the World Health Organisation (WHO) classification [20]:

• type 1: squamous cell carcinoma, typically found in the older adult population

• type 2: non-keratinizing carcinoma

• type 3: undifferentiated carcinoma

Possible noticeable symptoms of nasopharyngeal carcinoma include:

  • A lump in your neck caused by a swollen lymph node
  • Blood in your saliva
  • Bloody discharge from your nose
  • Nasal congestion
  • Hearing loss
  • Frequent ear infections
  • Headaches

Staging of Nasophayngeal Carcinoma

Staging of Nasophayngeal Carcinoma is based on clinical and radiologic examination. Most patients present with Stage III or IV disease.

Stage I is a small tumor confined to nasopharynx.

Stage II is a tumor extending in the local area, or that with any evidence of limited neck (nodal) disease.

Stage III is a large tumor with or without neck disease, or a tumor with bilateral neck disease.

Stage IV is a large tumor involving intracranial or infratemporal regions, an extensive neck disease, and/or any distant metastasis.

No sure way exists to prevent nasopharyngeal carcinoma. However, if you're concerned about your risk of nasopharyngeal carcinoma, you may consider avoiding habits that have been associated with the disease. For instance, you may choose to cut back on the amount of salt-cured foods you eat or avoid these foods altogether.

Treatment for nasopharyngeal carcinoma usually involves radiation therapy, chemotherapy or a combination of the two. You can work with your doctor to determine the exact approach depending on your particular situation.

Acute Pain related to Nasopharyngeal Carcinoma

Nursing Diagnosis and Nursing Interventions for Nasopharyngeal Carcinoma

Nasopharyngeal carcinoma is a malignancy of the nasopharynx from nasopharyngeal mucosal epithelium or glands found in the nasopharynx. Nasopharyngeal carcinoma is the most carcinomas in the ENT. Most of the clients come to the ENT in a state of advanced or late.

Nursing Diagnosis: Acute Pain related to agency physical injury (surgery)

Objectives: After nursing intervention, client comfort level increases,

evidenced by the level of pain: the client may report pain in workers, frequency of pain, facial expressions, and states of physical and psychological comfort, blood pressure 120/80 mmHg, pulse: 60-100 x / min, respiration: 16-20x/mnt
Control of pain evidenced by client to report symptoms of pain and pain control.

Nursing Interventions:

Pain management:

  1. Perform a comprehensive pain assessment, including the location, characteristics, duration, frequency, quality factor and precipitation.
  2. Observation nonverbal reactions of discomfort.
  3. Use therapeutic communication techniques to determine the client's experience of pain before.
  4. Control of environmental factors that affect pain such as room temperature, lighting, noise.
  5. Reduce pain precipitation factor.
  6. Choose and pain management (pharmacological / non-pharmacological) ..
  7. Teach non-pharmacological techniques (relaxation, distraction, etc.) to overcome the pain.
  8. Give analgesics to reduce pain.
  9. Evaluation of pain reducers / pain control.
  10. Collaboration with the doctor if there are complaints about the administration of analgesics to no avail.
  11. Monitor client's acceptance of pain management.
Analgesic administration:.
  1. Check program providing analgesic; types, dosage, and frequency.
  2. Check history of allergy.
  3. Determine the analgesic of choice, route of administration and optimal dosage.
  4. Monitor vital signs before and after the administration of analgesics.
  5. Give analgesics on time especially when pain appears.
  6. Evaluation of analgesic efficacy, side effects signs and symptoms.