The nursing about appetite and mentality after stomach cancer operated.

thisnurse · Jan 31, 2002

not sure i understand the question

a-rose · Jan 31, 2002

after a patient¡-s stomach has been operated because of cancer, how to tell him to eat which foods, and take care of him in psychology.

Do you understand?

Home Health Columnist / Guide · Jan 31, 2002

Hello! Here are some websites for this information:

What You Need To Know About Stomach Cancer

http://www.cancer.gov/cancer_information/doc_wyntk.aspx?viewid=b0b874d8-bc0d-410c-8d80-38d6438db916

Coping with Cancer

Complications of cancer and its treatment for patients, survivors, and caregivers

http://www.cancer.gov/cancer_information/list.aspx?viewid=db8acb05-69a3-4aa0-b4ef-3f795a567007

Support and Resources

Information about cancer support organizations, finances, insurance, hospice care, and home care.

http://www.cancer.gov/cancer_information/list.aspx?viewid=f0514fa7-8d36-4c5a-afff-9e70fce62ee0

Hope you are doing well in your studies. Nursing is hard work...even more since you are converting our information to another language!

prn nurse · Feb 1, 2002

a patient after a gastrectomy? Which foods does he begin eating? And how do you treat the patient from a psychological viewpoint? Does anyone treat the patient for the altered body image and function? I haven't worked this kind of surgery and do not know the answers.

Home Health Columnist / Guide · Feb 1, 2002

Nutrition + Cancer Care:

http://www.cancer.gov/cancer_information/doc_pdq.aspx?viewid=56FC02AB-59C1-4860-8C90-5FEA5040366A

prn nurse · Feb 7, 2002

Does anyone know if there is any kind of psychological support for patients' undergoing a total gastrectomy? Either before or after the operation? It would seem to me that it would be barbaric to alter a patients' lifestyle to that degree, and not give some kind of support. But, is this one of those things we wish we had time to do and do not? I worked in an ENT ( ear, nose, and throat) area for five years and I know patients in their forties who were coming in for total laryngectomies and there was NO support and extremely little preparation....like 2 days of x-rays and tests, and then -- surgery...I think the prep was "you won't be able to talk". And a gastrectomy has to rank right up there. When I think of everything I have shoved down the gullett in the past week !! Super Bowl Sunday !! :) It would be a mentally challenging event, for sure !! Is there psych support at your hospital?

mustangsheba · Feb 8, 2002

Rose is also coming from a different culture. I think the most important thing, Rose, is to answer questions truthfully. State the problems that one can anticipate and be able to provide some solutions for each problem. Because of our time constraints here in the U.S., I would probably start the conversation when I go in to do vitals. I would ask how the person is doing, if their pain is diminishing, etc. I would then let them know that I will be in and out for the rest of the evening and encourage them and their families to make a list of questions that I will make time to answer later in the evening. That is what I would do on my lunch half hour. The hospitals where I work all have preprinted dietary instructions which I use for guidelines in dietary instruction. The most important part is the listening. But you already know that. Let us know if this is helpful.

a-rose · Feb 8, 2002

Thank you very much!

It is said that the patient doesn¡-t know his state of an illness. After gastrectomy, always he want to work. He doesn¡-t know himself whit stomach cancer. His relatives hopes he can get help. How help them best?

prn nurse · Feb 8, 2002

Are you saying the patient does not know about the cancer? It used to be, in this country, about fifty years ago, that the doctors and the families did not tell the patient he had cancer. That was common in the 1940's and 1950's. Now, the patient is told he has cancer. I think it is because the doctors find the cancers earlier now. And also, the doctor wants to give the patient chemotherapy and radiation treatments. The patient knows his diagnosis so he can help the doctor and also participate in his care. I would not worry about helping the family members. They will adjust to the diagnosis. I think the situation would be difficult to work with, if the patient does not know the true diagnosis. Of course, this is a difference in cultures.

a-rose · Feb 9, 2002

Now people have a dread mind to cancer. So the patient with cancer doesn¡-t know own true diagnosis.