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GANGLIOBLASTOMA images1 (DIAGNOSTIC PROCEDURE (Stereo-tactic biopsy,…
GANGLIOBLASTOMA
DEFINITION
Intermediate tumour that arise on the verve tissue
CAUSES AND RISK FACTORS
Non-ionized radiation
urban residence
Age and gender
Genetically inherited syndrome
Family history
Ionized radiation
PATHOPHYSIOLOGY
Or both cancerous respectively
Rare and they primarily in children under 5
Can either be benign or malignancy
SURGERY
craniotomy
surgical excision
radiation
chemotherapy
DIET
Eat dry food, like crackers, toast
every few hours during the day
Eat smaller meals more often
avoid food or room with strong odours
avoid hot or spicy food
NURSING INTERVENTION
PLAN
and outcome of diagnostic tests in a supportive manner
provide patient with information about diagnosis
asses the level of pain
for support system and coping style
assess other factors that may contribute
Interview patient and relatives to assess
to the occurrence of pain
teach the patient complementary
pain management technique
administer analgesics
provide a cord bed to the patient
restrain if necessary
provide most comfortable environment
for the patient to calm him down
EVALUATION
No anxiety
no risk of infection
No pain
NURSING DIAGNOSIS
Anxiety
risk of infection
Acute pain
DIAGNOSTIC PROCEDURE
Stereo-tactic biopsy
diffusion MRI
Immunohistochemistry
Susceptibility weighted imaging
Brain biopsy
MRI
Position emission tomography
Fluorescence in situ hybridization
CLINICAL MANIFESTATIONS
headache
vomiting
nausea
Cognitive problems
Seizures
blurred vision
Personality changes
drowsiness
PHARMACOLOGICAL TREATMENT
Endostatin
temodar
avastin
Temozolomide
HEALTH EDUCATION
Health educate the patient about his condition
and changes that might occur
teach the patients’ relatives about the psychological
changes that may occur and how to maintain it
Follow-ups to monitor
discuss around the palliative care
