Nursing Care plan for Lung Tumors
In general, lung tumors are divided into benign tumors (5%), among others; adenoma, hamartoma and malignant tumors (90%) were bronchogenic carcinoma.
According Alsagaff Hood, et al. 1993, bronchogenic carcinoma is a malignant primary lung tumors, which originate from the respiratory tract. Meanwhile, according to Susan Wilson and June Thompson, 1990, lung cancer is an uncontrolled growth of anaplastic cells in the lung.
Such as cancer in general, a definite etiology of lung cancer is still unknown, but it is thought that long-term inhalation of carcinogenic substances is a major factor, without ruling out the possibility of a predisposing role of family relationships or tribe or race, and immunological status.
- Effect of cigarette.
- Effect of exposure to industry.
- The influence of the presence of other diseases or predisposition to other diseases due.
- The influence of genetic and immunological status.
The average length of life of patients with lung cancer from initial diagnosis 2-5 years. The reason is that when lung cancer is diagnosed, it is lymphatics and metastasis to other areas. In elderly patients and patients with other illnesses, longer life may be shorter.
Nursing Diagnosis and Interventions for Lung Tumors
1. Ineffective airway clearance related to bronchial obstruction secondary to tumor invasion.
Goal: patent airway clearance
Outcomes: cough disappeared, breathing clean, clean chest X-ray.
Interventions:
- Auscultation of the lungs would crackles, rales or wheezing.
- Monotr ABGs.
- Monitor the results of sputum cytology.
- Give the position of the head of the bed elevated optimal.
- Set oxygenation.
- Assist patients with ambulation or change position.
- Encourage intake of 1.5 to 2 L / day unless contraindicated.
- Help the patient with a cough.
2. Chronic pain related to nerve compression by lung tumors.
Goal: demonstrate free from pain.
Outcomes: relaxed facial expression, optimal lung development, expressed the pain disappeared.
Interventions:
- Give analgesics and evaluation of its effectiveness.
- To minimize pleural chest pain: is recommended to hold the chest with both hands or with a pillow when coughing, encourage patients to stop smoking, humidifiers and provide appropriate orders and antitussive drug.
- To minimize bone pain: flipping carefully and provide support, avoid limb pull, give a soft mattress, reposition every 2 hours.
