LEVELS OF PREVENTION

PRIMARY SECONDARY TERTIARY

1. Health 1. Early Diagnosis 1. Intent is to how

Promotion and Prompt the
2. Health treatment disease/injury
Education 2. Case finding process & assist
3. Genetic measures the person in
Screening 3. Individual and obtaining an
4. Marriage mass screening optimal health
Counseling survey status
5. Use of specific 4. Prevent 2. Maximize use of
immunization complication remaining
6. Attention to and sequel capacities
personal 5. Shorten period 3. Restoration and
hygiene of disability rehabilitation
7. Avoidance of 6. Disability 4. Monitor for and
allergens limitations preventing the
8. Protection recurrence of
from the primary
carcinogens cancer

TYPES OF PROCEDURES:

1. Electrosurgery
o Pg 347
o Use of electric current
2. Cryosurgery
o substance used is LIQUID NITROGEN
o increased freezing point- damages tissues
o necrosis or necrotize
3. Chemosurgery
o Use of CHEMICALS
4. Laser surgery
o Use of laser
o vaporized
5. Photodynamic therapy
o IV Therapy
o Light sensitizing agent injection
o IV
6. Radiofrequency Ablation
o Ablation means tang tang
o Uses thermal (init) 50 degree celcius

Note: Existence of body cancer is body temperature

INDICATIONS FOR PALLIATIVE SURGERY

PROCEDURE INDICATIONS

o Pleural Drainage Tube Placement >Pleural effusion (>

o Peritoneal Drainage Tube Placement
>Ascites
o Abdominal Shunt Placement/ Levine Shunt
Shunt (abnormal pathway) >>Ascites
o Pericardial Drainage Tube Placement
o Colostomy / Ileostomy
o Gastrostomy/ Jejunostomy Tube Placement
o Biliary Stent Placement >Pericardial effusion
o Bone Stabilization

o Excision of Solitary Metastatic Lesion >Bowel obstruction

o Ureteral Stent Placement
>Upper gastro intestinal tract obstruction
o Never Block
o Venous Access Device Placement >Biliary obstruction
o Epidural Catheter Placement
>Displaced bone fracture related to metastatic dse.
o Hormone Manipulation
>Metastatic lung, liver, or brain lesion

>Ureteral obstruction

>Pain

>Pain

>Pain

> Tumors that depend on hormone for growth

COMMON CANCER DIAGNOSIS STUDIES:

o Mammography
o Lymphangiography
o Tumor Marker
o Colposcopic examination of cervix
o Sputum – pus yellow containing substasnce
o Stool Analysis – FOBT
o X-ray
o Computerized Axial Tomography
o Cytology Study
o Radionuclide Scan/Imaging

• CERVICAL AND UTERINE CANCER

o Papanicolaou/ pap smear test ANNUALLY for all women who are or who have been sexually
active or have reached AGE 18 ( after a woman has had three(3) or more consecutive satisfactory
normal annual examination.

o Pelvic examination EVERY 1 – 3 YEARS w/ pap test BEGINNING AT AGE 18-40.

o Endometrial tissue sample at menopause and if high risk and thereafter at the discretion of
the physician.