Supportive nursing care for patients with cervical cancer and end-stage renal failure : a case study.

Abstract

     This study was case study aimed to study of supportive nursing care for patients with cervical cancer and end-stage renal failure. Study a 61-years-old Thai female patient was admitted to the hospital on 14 March 2023 with symptoms of vaginal bleeding. The patient was diagnosed with stage 4 cervical cancer and end-stage kidney failure.
     Results: The patient received hemodialysis 5 times but did not improve. Then, the patient was received with a PCN and was referred for chemotherapy 2 times. The drug was stopped because the patient's condition worsened. The patient received palliative treatment and was referred to continuing care in the community for care, assistance and rehabilitation. Visit preparation period, nurse studied patient information. The patient's child is the patient's caregiver. During the visit, the nurse assessed the body that the patient is able to help himself, is tired, and eats little. There is still vaginal bleeding. Patients had a risk of lacking fluids and food, a risk of infection around the PCN line, lacking of knowledge in food selection and infection prevention. There is anemia, stress, and slight depression. Nurses provided supportive care, teach and advised caregivers on how to help relieve discomfort, provided encouragement and promotion of dietary control behaviors to increase kidney function, followed up visits for 4 times. Patients had good self-care behaviors, no depression, followed the instructions and came for regular check-ups. Total duration of patient care is 2 months.