Medical Surgical Nursing

 Notes increase in

weight after

improved appetite

4. He will be more likely to

consume larger servings if

food is palatable and

appealing.

5. Many chemotherapeutic

agents and radiation therapy

promote anorexia.

6. Aging and the disease

process can reduce taste

sensitivity. In addition, smell

and taste can be altered as a

result of the body's

absorption of byproducts of

cellular destruction (brought

on by malignancy and its

treatment).

7. Prevention of nausea and

vomiting can stimulate

appetite.

8. Smaller portions of food are

less overwhelming to the

patient.

9. Disability or lack of social

support can hinder the

patient's ability to obtain and

prepare foods

foods that are too spicy or

too cold).

5. Recognize effect of

medication or radiation

therapy on appetite.

6. Inform patient that

alterations in taste can

occur.

7. Use measures to control

nausea and vomiting:

a. Administer

prescribed

antiemetics, around

the clock if

necessary.

b. Provide oral hygiene

after vomiting

episodes.

c. Provide rest periods

after meals.

8. Provide frequent small

meals and a comfortable

and pleasant environment.

9. Assess patient's ability to

obtain and prepare foods.

Nursing Diagnosis: Sexual dysfunction related to effects of therapy: chemotherapy, hormonal therapy,
radiation therapy, surgery
Goal: Ability to resume/enjoy modified sexual functioning
 Describes the
reasons for changes
in sexual
functioning
 Discusses with
appropriate health
care personnel
alternative
approaches and
methods of sexual
expression
 Includes partner in
discussions related
to changes in sexual
function

1. Usually decreased libido and,

later, impotence may be

experienced.

2. Treatment modalities may

alter sexual function, but

each is evaluated separately

with regard to its effect on a

particular patient.

3. The bonds between a couple

may be strengthened with

new appreciation and support

that had not been evident

before the current illness.

1. Determine from nursing

history what effect patient's

medical condition is having

on his sexual functioning.

2. Inform patient of the effects

of prostate surgery,

orchiectomy (when

applicable), chemotherapy,

irradiation, and hormonal

therapy on sexual function.

3. Include his partner in

developing understanding

and in discovering

alternative, satisfying close

relations with each other.

Nursing Diagnosis: Pain related to progression of disease and treatment modalities
Goal: Relief of pain
 Reports relief of
pain
 Expects

1. Determining nature and

causes of pain and its

intensity helps to select

1. Evaluate nature of patient's

pain, its location and

intensity using pain rating