renal cancer

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Specializes in Geriatrics.

Need some diagnosis for renal cancer. Have risk for infection r/t foley catheter. and Altered renal tissue perfusion. need help cant think of another.

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Specializes in Trauma,ER,CCU/OHU/Nsg Ed/Nsg Research.

Thread moved to Nursing Student Assistance forum to encourage responses.

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Specializes in med/surg, telemetry, IV therapy, mgmt.

renal cancer is a medical diagnosis made by a physician based on performing an examination, medical testing and analyzing the presenting signs and symptoms as well as the data from the tests and making a determination as to what is going on. we nurses diagnose nursing problems using the same approach using the nursing process. begin by assessing the patient (step #1 of the nursing process). assessment consists of:

collect all your assessment data together. nursing diagnoses are always based upon the symptoms (abnormal data) your patient is having. we are interested in the responses a patient has to their medical condition. every nursing diagnosis just like every medical diagnosis has a list of patient behaviors called cues or symptoms that we can observe and are characteristic of that specific nursing problem. nanda calls these cues or symptoms defining characteristics. a related group of cues and symptoms (defining characteristics) becomes a specific nursing problem and is given a label called a nursing diagnosis.

what signs and symptoms of this cancer does the patient have? flank pain? hypertension? anemia? electrolyte and fluid imbalances? has the cancer metastasized? cancer is treated in 3 ways ordered by physicians: by surgery, radiation therapy and with chemotherapy. which of these is your patient receiving? each of these treatment modalities has to be monitored for side effects and complications. surgery makes them a surgical patient with all the same concerns that any pre-op or post-op patient undergoing general anesthesia will have. radiation therapy is a local treatment that has an effect on all the tissues the radiation beam touches. if the patient is having or going to have chemotherapy then the side effects of the drugs will be systemic and of concern because the drugs affect the good cells as well as the cancerous ones. so, there will be teaching needs. in addition, having cancer imposes some psychosocial concerns. did your patient express any?

complete your assessment first and write down what you obtained. to see examples of how this works, see this thread: https://allnurses.com/general-nursing-student/help-care-plans-286986.html - help with care plans. i am always willing to help, but you have not provided enough assessment information about your patient--the beginning point for any nursing care plan. the medical diagnosis is not enough to plan nursing care upon when it seems that there could be more information about this patient that has not been divulged. you also have an obligation as a student to do some independent research about renal cancer and discover what it is so you have a better understanding of what the patient is experiencing and why the doctors are ordering the things they have.

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