CERVICAL CANCER WORKSHEET (MS.

GEOGRAPHIA)
1. Primary sources of information must come from your textbooks, Brunner & Suddarth (Hinckle & Cheever, 2018, 14 th ed) and also the one
authored by Lemone
CERVICAL CA CLINICAL MANIFESTATIONS NURSING CARE PLAN (NURSING RATIONALE
Pathophysiology (CLASSIFY BY SYSTEM) DIAGNOSES WITH INTERVENTIONS)
Most cervical cancers are squamous cell Preinvasive cancer 1. Acute Pain related to metastasis and
carcinomas that begin as neoplasia in the - limited to the cervix and rarely surgery
cervical epithelium. Precancerous causes manifestations. 2. Fear related to diagnosis of cervical
dysplasia (cervical intraepithelial Invasive cancer causes: cancer
neoplasia [CIN], cervical carcinoma in REPRODUCTIVE
situ) often associated with HPV  Vaginal (bleeding after REFER ALSO TO LEMONE PP. 1508 – 1509
infection. Studies have also found a intercourse or between
strong association with reproductive menstrual periods)
infections with Chlamydia trachomatis.  Bloody or brown vaginal
The precursor lesions may discharge that increases as the
spontaneously regress, persist or cancer progresses
progress and undergo malignant change. MUSCULOSKELETAL
A very small percent become invasive.  Referred pain in the back or
Systems of grading dysplastic changes in thighs
the cervix use the term cervica GASTROINTESTINAL
intraepithelial neoplasia (CIN) or the  bloody stools
Bethesda system. Carcinoma in situ is HEMATOLOGIC
localized; invasive cancer spreads to  Anemia
deeper layers. Cervical cancer spreads ENDOCRINE
by direct invasion accessory structures  Weight loss
including the vaginal wall, pelvic wall,
bladder and rectum.
RISK FACTORS
 women before the age of 20; 50 yo;
20% are over 65yo
 most often in Hispanic race
 infection of external genitalia and
anus with HPV (most important)
 first intercourse before 16 years of
age
 multiple sex partners
 history of STI
 infection with HIV
 smoking
 poor nutritional status
 obesity
 multiparity
 use of birth control pills (long term)
 family history of cervical cancer
 exposure to diethylstilbestrol (DES)
in utero

TYPES OF CERVICAL CA Community-Based Care (METHODS)

CLASSIFICATION SYSTEM FOR COLLABORATIVE

PAP SMEARS (REFER TO MANAGEMENT/INTERDISCIPLINARY
LEMONE) CARE (PROVIDE RATIONALE IN THE
RATIONALE COLUMN)
PREVENTIVE MEASURES
-
a. Health Promotion 1.Diagnostic Tests

2.Laboratory Tests

3.Surgical Management
4. Radiation Therapy

5.Chemotherapy
6.Pharmacologic Therapy