Nursing Intervention To Radiation Effect
Fatigue: Inform the patient of the likeliness of fatigue during and after radiotherapy. Assess and promote self care strategies. Check for physical, biochemical and physcological causes fo fatigue. Encourage patient to maintain a daily record of fatigue levels and relationship to activities.
Alopecia: Reassure patient that hair will usually grow back within 2-3months, although it may be a different texture and colour. Organise provision of a wig.
Cerebal Oedema: Administer prescribed steroids. Observe and report alterations in mental status, ensure patient safety.
Xerostomia (dry mouth): Frequent mouth rinses with normal saline and sodium bicarbonate, frequent sips of water, use of artificial saliva, moist soft diet
Taste Change: due to xerostomia and damaged taste buds, assist patient to experiment with other foods
Neck and Throat
Pharyngitis, laryngitis: discourage smoking, encourage rest of voice, observe respiratory status and colour
HeartBurn: admister antacids prior to food
Abdomen and pelvis
Inflammation of gastrointestal epithelium: Nausea and vomiting, encourage small meal 3 hour before treatment, regular anti emetics, distraction/relaxation techniques
Diarrhoea: maximise privacy, low residue, bland diet, low fat, observe for dehydration
Cystitis: due to inflammation of urinary tract, encourage high fluid intake (3L daily), encourage and assist with personal hygiene
Altered sexual function: psychological support and counselling, include partner if patient wishes
MEN: Erectile Dysfunction (usually temporary), psychological support, may need referral to ED clinic, offer sperm banking if appropriate
Monitor hormone levels, testosterone replacement therapy
WOMEN: Sterility (may be temporary or permanent), advised continued contraception during and for several months after treatment, advise use of water based vaginal lubricant, use of...