1Cancer
Group of diseases with uncontrolled cell growth and spread
2Tumour
Neoplasm or new abnormal cell growth
3Malignant
Tumors with invasive characteristics
4Benign
Non-invasive tumors with normal characteristics
5Proto-oncogenes
Genes promoting cell growth
6Tumour Suppressor Genes
Genes inhibiting cell division
7DNA Repair Genes
Genes maintaining DNA integrity
8Inflammatory Theory
Proposes infectious agents as primary cancer causes
9Anaplasia
Loss of cell differentiation in cancer
10Cancer Initiation
Starts with genetic mutation in a cell
11Cell Invasion
Abnormal cells infiltrate tissues
12Tumour Doubling Time
Varies from hours to months based on tumor type
13Cell Differentiation Loss
Cancer cells lose normal cell appearance and function
14Cancer Development Stages
Initiation
15Carcinoma
Cancer of epithelial origin
16Sarcoma
Cancer of supportive tissues like bones or muscles
17Lymphoma
Cancer of lymphatic system glands or nodes
18Cancer Mortality
Deaths attributed to cancer in a defined time and population
19Cancer Incidence
Newly diagnosed cancer cases in a specified population
20Cancer Prevalence
Measurement of all cancer cases at a specific time
21Cancer Epidemiology
Studies disease distribution
22Cancer Survival Analysis
Observes cancer patients' survival probabilities over time
235-Year Relative Survival Rate
Percentage of cancer patients alive 5 years post-diagnosis
24Cancer Screening Initiatives
Linked to reduced cancer rates in the US
25Advancing age
Significant risk factor for cancer
26Immunosuppression
Increases cancer risk
27Alcohol and Cancer
Alcohol increases risk for cancers of mouth
28Chronic Inflammation
Can lead to DNA damage and cancer
29Tobacco Use
Linked to various cancers
30Diet and Obesity
Obesity increases cancer risks in various organs
31Cancer Risk Factors
Includes alcohol
32Ionizing Radiation
Includes radon
33Infections and UV Rays
Infections like HBV
34Genetics and Cancer
Genes control cell function
35Cancer Patterns
Different cancers prevail in regions due to various causative agents
36Cancer Screening
Early detection tests like mammograms
37Screening Benefits and Risks
Benefits include mortality reduction; risks include false positives and radiation exposure
38National Cancer Strategy
Aims to reduce cancer burden
39BreastCheck and CervicalCheck
National screening programs for breast and cervical cancers
40CervicalCheck
Program offering free smear tests every 3 years to women aged 25-44 in Ireland
41Colposcopy
Procedure to closely examine the lining of the cervix for abnormal cells
42BowelScreen
National Bowel Screening Programme providing free home FIT tests every 2 years
43FIT test
Faecal immunochemical test used in BowelScreen for home screening
44Tumour markers
Antigens indicating cancer presence
45PSA
Prostate-specific antigen; a tumour marker for prostate cancer
46TNM staging
Method to stage tumours based on size
47Grading of tumours
Microscopic examination to determine cancer cell differentiation and mitosis levels
48Metastasis
Spread of malignant cells from the primary tumour to distant sites
49Lymphatic spread
Transport of tumour cells via lymphatic circulation
50Hematogenous spread
Dissemination of cells through the bloodstream
51Angiogenesis
Malignant cells inducing growth of new capillaries
52Tumour grading
Determining cancer cell differentiation and mitosis levels
53Tumour staging
Assessing tumour size
54Chemotherapy
Drugs used to destroy tumor cells by interfering with cell function
55Chemotherapy Function
Kills enough cancer cells for the body's immune system to eliminate the rest
56Chemotherapy Facts
Affects normal rapidly dividing cells
57Chemotherapy History
Began early 1900s
58Chemotherapy Administration
Can be topical
59Chemotherapy Classification
Chemotherapeutic agents classified by cell cycle relationship and chemical groups
60Cell Cycle
Phases of cell division
61Combination Chemotherapy
Uses multiple drugs to kill more cancer cells and prevent resistance
62Chemotherapy
Regimens Specific drug combinations for breast
63Chemotherapy Safety
Risks to healthcare workers
64Chemotherapy Adverse Effects
Targets rapidly dividing cells
65Nadir Period
Lowest blood cell count post-chemotherapy
66Tumor Lysis Syndrome
An emergency condition due to rapid breakdown of cancer cells
67Chemotherapy Side Effects Severity
Classified as mild (grade 1) to life-threatening (grade 4) based on WHO scale
68Immediate Chemotherapy Side Effects
Quickly observable effects on skin
69Chronic Chemotherapy Side Effects
Includes drug resistance
70Chemotherapy Impact on Cognitive Function
Up to 75% of patients report cognitive changes during treatment
71Psychological Morbidity from Chemotherapy
Associated with high physical and psychiatric morbidity
72Chemotherapy-Induced Alopecia
Hair loss influenced by drug type
73Scalp Cooling for Alopecia Prevention
Effective method using cooled caps or 'Cryogel' bags to reduce hair loss
74Nursing Interventions for chemotherapy
Monitoring Heart Sounds Regular assessment of heart sounds for any abnormalities;assessing Kidney Function Evaluation of creatinine
75Radiotherapy
Use of ionizing radiation to treat malignant disease with minimal damage to healthy tissue
76Purpose of Radiotherapy
Eradicate disease
77Principles of Radiotherapy
Destroy cancer cells' ability to grow
78Radiation Measurement
Doses measured in gray (Gy)
79Radiosensitivity
Tumors destroyed by radiation
80Types of Radiotherapy
External-beam (Teletherapy)
81External Radiation Therapy
Delivered daily for 2-8 weeks
82Intensity Modulated Radiation Therapy (IMRT)
Precise radiation delivery to tumor while sparing healthy tissue
83Internal Radiotherapy - Brachytherapy
Implanting sealed radioactive source near cancerous area for localized treatment
84Radiotherapy Side Effects
Affect rapidly dividing cells
85Radiation Dermatitis
Injury to skin cells due to radiation
86Radiation Dermatitis Risk Factors
Treatment factors
87Acute Radiation Dermatitis
Immediate skin reactions to radiation
88Chronic Radiation Dermatitis
Long-term skin changes post-radiation
89Radiation Dermatitis Prevention
Gentle washing
90Management of Radiation Dermatitis
Varied approaches with conflicting evidence
91StrataXRT®
Silicone-based film-forming gel dressing effective in preventing grade 2 and 3 skin toxicity
92Topical Corticosteroids
Effective in managing acute radiation dermatitis
93RTOG Classification
Radiation Therapy Oncology Group classification system for radiation dermatitis severity
94Herbal Options for Radiation Dermatitis
Calendula
95Topical Vitamins for Radiation Dermatitis
Ascorbic acid (Vitamin C)
96Endogenous Agents for Radiation Dermatitis
Hyaluronic acid
97Pharmaceutical Management of Radiation Dermatitis
Topical corticosteroids
98Silver Nylon Dressings
Used daily during and post-radiotherapy to manage skin toxicity
99Daily Washing with Mild Soap
Recommended for all patients receiving radiation treatment to reduce itching
100Topical Management
Treatment applied directly to the skin surface
101Systematic Review
Comprehensive analysis of existing research studies on a specific topic
102Meta-Analysis
Statistical analysis combining results from multiple studies for increased power
103Risk Factors
Variables increasing the likelihood of developing a condition
104Treatment
Algorithm Step-by-step medical decision-making process for managing a condition
105Mepilex Lite Dressings
Specific type of dressing used for managing radiation dermatitis
106External-Beam Radiation Therapy
Delivery of radiation from outside the body to target cancer cells
107Implant
Device placed inside the body to deliver radiation directly to the tumor
108Systemic Radiation Therapy
Treatment where radioactive substances travel through the bloodstream to target cancer cells
109Cystitis
Inflammation of the bladder
110White et al. (2011)
Authors who studied treatment-induced female sexual difficulties after pelvic radiotherapy
111Linear Accelerators
Machines delivering high-energy radiation beams for cancer treatment
112Care to Drive
Programme Initiative providing transport assistance for cancer patients
113National Cancer Registry Ireland
Official database collecting cancer-related information in Ireland
114Centres of Excellence
Specialized facilities providing high-quality cancer treatment
115Safety Precautions
Measures taken to protect patients and visitors from radiation exposure
116Moist Desquamation
Skin peeling or shedding due to radiation therapy
117Radiotherapy-Related Clinical Toxicities
Adverse effects resulting from radiation treatment
118Global Quality of Life
Overall quality of life assessment encompassing various aspects
119Cancer Symptoms
New problems indicating progression and prognosis
120Psychological Symptoms
Includes depression
121Neurological Symptoms
Include weakness
122Respiratory Symptoms
Manifest as dyspnoea
123Dermatological Symptoms
Present as skin ulceration
124Urinary Symptoms
Include haematuria
125Gastrointestinal Symptoms
Manifest as oral mucositis
126Haematological Symptoms
Include haematuria
127Oral Symptoms
Present as halitosis
128Symptom Clusters
When patients experience multiple related symptoms concurrently
129Cancer Pain
Experienced by 20-50% of cancer patients
130Pain - Classification
Categorizing pain based on duration and cause
131Pain - Assessment
Utilizes tools like Visual Analog Scale and Verbal Description Scale
132Pain - Management
Involves non-pharmacological interventions and WHO ladder for opioids
133Cancer Related Fatigue
Subjective sense of tiredness not proportional to activity
134CRF - Classification
Distinguishes between acute and chronic cancer-related fatigue
135Fatigue - Causes
Factors like stress
136Fatigue - Causes: Treatments
Chemotherapy
137Fatigue - Management
Includes screening
138CRF
Cancer-related fatigue impacting daily living activities
139Bone Marrow Transplant
Procedure where stem cells are transplanted to treat cancer
140Hodgkin's Lymphoma
Cancer of the lymphatic system
141Psychological Distress
Emotional suffering affecting mental well-being
142Psychosocial Factors
Anxiety
143Nausea & Vomiting
Common side effects in cancer patients
144Chemotherapy
Treatment using drugs to kill cancer cells
145Radiotherapy
Treatment using high-energy radiation to kill cancer cells
146Anticipatory Nausea & Vomiting
Learned response to environmental triggers before treatment
147Antiemetics
Medications to prevent or treat nausea and vomiting
148Constipation
Difficulty in passing stools
149NCCN
National Comprehensive Cancer Network providing cancer care guidelines
150ESMO Guidelines
European Society for Medical Oncology's cancer treatment recommendations
151CRF Impact
CRF affects daily activities in cancer patients
152NV Causes
Factors like cancer
154Emesis Control Principles
Prevention and proper antiemetic selection for nausea and vomiting
155Constipation Consequences
Obstruction
156Neutropenia
Neutrophil count <1000-1500/μl; causes: drugs
157Neutropenia Management
Includes broad spectrum antibiotics
158Fever
May be the only sign of neutropenia; requires immediate medical attention
159Mucositis
Inflammation of mucosal tissue; common in chemo patients; causes pain and difficulty eating
160Mucositis Signs
Include red
161Mucositis Assessment
Process of evaluating the severity and impact of mucositis on the patient
162Mucositis Management
Involves analgesia
163Malnutrition
Present in 15-40% of cancer diagnoses; increases during treatment
164Cancer Cachexia
Progressive muscle loss in cancer patients; not reversible by normal nutrition
165Nutritional Consequences
Surgery and radiotherapy can lead to severe nutritional problems and complications
166Psychosocial Impact of mucositis
Mucositis can affect eating and communication
167Neutropenic Diet
Involves high-temperature cooked food; limited evidence of effectiveness
168Waste Management
Involves regular bin emptying
169Food Precautions
Wash fruit thoroughly
170Handwashing Importance
Critical in preventing infections in neutropenic patients
171Mucositis Impact on Quality of Life
Causes functional limitations
172Lean Body Mass Loss
Sarcopenia in cancer patients is a risk factor for poor outcomes
173Gene Expression Profiles
Distinct in tumours like lung and pancreas
174Inflammation in Malnutrition
Systemic inflammation plays a role in malnutrition in GI cancers
175Nutrient Absorption
Reduced in cancer patients due to treatment-induced damage
176Protein and Energy Intake
Must meet individual needs to prevent malnutrition in cancer patients
177Surgery Complications
Include anaemia
178Radiotherapy Effects
Can impact oral mucosa
179Stomatitis
Inflammation of the mouth and lips
180Candida
Fungal infection causing oral thrush
181Xerostomia
Dry mouth condition
182Mediastinum
Area between the lungs
183Anorexia
Loss of appetite
184Gastric Distension
Abdominal bloating due to gas or fluid accumulation
185Biotherapy
Treatment using substances to stimulate the immune system
186Deficiencies
Lack of essential nutrients like Vitamins B1
187Taste Alterations
Changes in taste perception
188Fatigue
Extreme tiredness
189Enteral Feeding
Nutritional support through the gastrointestinal tract
190Parenteral Feeding
Nutritional support through intravenous delivery
191Albumin
Protein in the blood
192Cholesterol
Fatty substance in the blood
193Cachexia
Severe muscle wasting and weight loss
194Oral Candidiasis
Fungal infection in the mouth
Wasting Progressive decline in health and muscle mass
195Self-Care Agency
Ability to care for oneself and manage symptoms
196Neuropathic Pain
Pain caused by nerve damage
197Cancer diagnosis challenges
Specific difficulties faced by individuals receiving a cancer diagnosis
198Psychosocial impact
Effects on emotional
199Common emotional responses
Includes denial
200Adjustment to Cancer
Initial emotional distress followed by seeking information and help
201Psychological distress
Fears of isolation
202Psychological disorders in cancer
Anxiety and depression present in a third of cancer patients
203Distress in cancer
Unpleasant emotional experience interfering with coping effectively
204Screening Tools
Instruments like Edinburgh Depression Scale used to assess mental health
205Anxiety Response
Manifests during screening
206Existential Crises in Cancer
Thoughts on mortality
207Model of Care of Psycho-Oncology
Levels of intervention based on the severity of distress in patients
208Depression and Cancer
Common yet overlooked source of suffering impacting quality of life
209Periods of Increased vulnerability for depression
Times during cancer journey where depression risk is heightened
210Risk Factors for Depression in People With Cancer
Includes psychiatric history
211Managing Depression and Anxiety in Cancer Care
Strategies to address mental health challenges in cancer patients
212Risk Factors for Depression in Cancer Patients
Includes previous psychiatric illness
213Survivorship in Cancer
As treatment improves
214Economic Impact on Cancer Survivorship
Emerging as a crucial dimension
215Psychological Distress in Family Members of Cancer Patients
Relatives
216Informal Carers in Cancer Treatment
Significantly contribute to patient support and self-management
217Impact on Children of Parents with Cancer
Exclusion or involvement affects psychological morbidity
218Role Adjustment in Cancer Patients
Roles may change dramatically
219Spiritual Distress in Cancer Crisis
Prompting questions of meaning and existence
220Body Image and Sexuality in Cancer Patients
Assaults to body image include surgery
221Quality of Life Issues in Cancer Patients
Involves decisional conflict
222Social Support in Cancer Care
Includes emotional
223Supportive Care for Cancer Patients
Dependent on support services
224Supportive Interventions in Cancer Care
Includes psychological interventions
225Irish Cancer Society Services
Provides various services like counseling
226Cancer Nurseline
Service providing telephone support for cancer-related queries
227Daffodil Centres
Physical locations offering cancer support services
228Survivor Support
Programs aiding individuals post-cancer treatment
229Hematopoietic Stem Cells
Cells in bone marrow capable of reproducing into blood cells
230Lymphoid Tissue
Includes lymph nodes
231Autologous Transplant
Patient's own stem cells used for transplant
232Allogeneic Transplant
Stem cells from a donor
233Umbilical Cord Blood Transplant
Stem cells from a newborn's umbilical cord used for transplant
234Graft Versus Host Disease (GVHD)
Immune cells from transplant attacking recipient's body
235Conditioning
High-dose chemoadiotherapy to prepare for transplant
236Engraftment
Transplanted stem cells start producing new blood cells
237HLA Typing
Checking compatibility through Human Leukocyte Antigen markers
238Total Body Irradiation (TBI)
Radiation therapy affecting the entire body
239Graft Failure
Transplanted cells fail to establish in recipient's body
240Acute Complications
Early post-transplant issues like myelosuppression and infections
241Late Complications
Long-term effects post-transplant like secondary malignancies
242Psychological Issues
Emotional challenges post-transplant affecting mental health
243Rehabilitation Services
Support services aiding recovery post-transplant
244Isolation Precautions
Protective measures to prevent infections in transplant patients
245Apheresis
Cell separation process during stem cell collection
246Myelosuppression
Decrease in bone marrow activity leading to low blood cell counts
247GVHD Drugs
Medications to manage graft-versus-host disease
248HEPA Filter
High Efficiency Particulate Arresting filter for air purification
249Graft Rejection
Recipient's immune system attacking transplanted cells
250Mobilization
Stimulating stem cell production before collection
251Graft
Transplanted tissue or organ
252Surgery Objectives
Goals include cancer elimination
253Principles of Surgical Oncology
Factors considered: Anatomic Location
254Role of Surgery in Cancer Care
Diagnostic
255Advances in Surgery
Include TNM Staging
256Sentinel Lymph Node Biopsy (SLNB)
Diagnostic test for regional lymph nodes status
257TNM Staging
System for cancer staging based on Tumour
258Role of Laparoscopic Surgery
Involves peritoneal cavity inspection and performing surgeries under visual control
259Nursing Management in cancer surgery
Includes pre-op support
260Post-Operative Rehabilitation
Involves pain management
261Hormonal Therapy Premise
Belief that body cells
262Hormone Therapy Definition
Cancer treatment inhibiting hormone-dependent cancer growth
263Hormone Therapy Role
Manipulating endocrine system through hormone administration
264Breast Cancer Hormone Receptors
Hormones like oestrogen and progesterone can stimulate breast cancer growth
265Hormone Receptor Status
Significant prognostic indicator in breast cancer
266Adjuvant Endocrine Therapy
Prescribed for hormone receptor-positive breast cancer to block oestrogen action
267Hormonal Therapy Categories in Breast Cancer
Selective oestrogen receptor modulators and Aromatase inhibitors
268Tamoxifen
Principal anti-oestrogen used in breast cancer management
269Prostate Cancer Hormone Therapy
Primary treatment strategy due to hormone-responsive nature of prostate cancer
270Androgens in Prostate Cancer
Male hormones promoting prostate cell growth
271Side Effects of Hormonal Treatment in prostate cancer
Include erectile dysfunction
272Assessment of Symptoms in cancer
Nurses evaluate depression
273Non-Adherence to Therapy
Ranges from 25%-96%
274Liaison in Therapy Management
Collaboration between nurses and pharmacists to manage side effects and improve adherence
275Chronic Diseases
Long-term conditions lasting over 1 year
276Multimorbidity
Existence of two or more chronic conditions in the same individual.
277Unhealthy Lifestyle Behaviours
Factors like smoking
278Global Chronic Disease Deaths
41 million deaths annually
279Premature Deaths
17 million die before 70 years
280Chronic Disease Impact in Ireland
38% over 50 have one condition
281Preventable Deaths in chronic disease
80% of heart disease
282Determinants of Health
Factors like birth circumstances
283Modifiable Risk Factors
Behaviors like tobacco use
284Metabolic Risk Factors
Key changes like high blood pressure
285Socio-Economic Impacts
Poverty linked to chronic diseases
286Focus of Health Budget
Historically on acute medical needs rather than prevention
287Chronic Disease
Non-fixable
288Prevention
Reducing risk factors to avoid chronic diseases
289Comprehensive Approach
Involving multiple sectors to collaborate on risk reduction
290Screening
Process of detecting diseases early through tests
291Early Detection
Identifying diseases in their initial stages
292Timely Treatment
Providing appropriate care promptly
293Health Insurance Coverage
Extent to which medical expenses are covered
294Sustainable Development Goals (SDGs)
Global goals for a better future for all
295Global Action Plan
WHO's strategy to prevent and control NCDs
296Voluntary Targets
Goals that countries are not obligated to achieve
297Structured Chronic Disease Management Programme
Population-based approach to prevent and manage chronic diseases
298Opportunistic Case Finding Programme
Identifying patients with chronic diseases during routine care
299MECC Framework
Empowering people to make healthier choices through supportive conversations; Framework for supporting healthier lifestyle choices
Healthier Lifestyle Choices Actions that promote better health and well-being
300Chronic disease and poverty
Close association between poverty and increased risk of chronic diseases