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MULTIDISCIPLINARY NURSING FOR A PATIENT WITH MULTIPLE PRIMARY CANCERS
MingYan Shen1,2, PengXia Wan1,2
1About the authors: MingYan Shen, MD, Department of Nursing, Shulan (Hangzhou) Hospital, Shulan International Medical College, Zhejiang Shuren University, Hangzhou, Zhejiang, China.
Abstract:
Multiple primary cancers (MPCs) refer to the occurrence of 2 or more primary malignant tumors simultaneously or sequentially in different organs or regions of the body. Based on the time interval between the cancers, MPC can be classified into synchronous and metachronous types. Risk factors include environmental and lifestyle influences, such as smoking, excessive alcohol consumption, and unhealthy dietary habits. The unique nature of MPC increases the complexity of treatment and nursing care. This paper summarizes the nursing process and outcomes for a patient diagnosed with three primary cancers: gastric cancer, nasopharyngeal cancer, and liver cancer. The key nursing strategies included forming a multidisciplinary care team, focusing on antitumor drug management and post-chemotherapy bone marrow suppression care, addressing the patient's nutritional status, implementing nasopharyngeal care, providing supportive psychological interventions, and ensuring follow-up care. These measures aimed to enhance the patient's quality of life and therapeutic outcomes.
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