Nursing Care Plan (NCP) for Kidney Cancer

Included In This Lesson
Study Tools For Nursing Care Plan (NCP) for Kidney Cancer
Outline
Lesson Objective for Nursing Care Plan (NCP) for Kidney Cancer
To provide nurses with a comprehensive framework for managing and supporting patients with kidney cancer. This care plan will focus on understanding the disease, its symptoms, and the implementation of effective nursing interventions to manage symptoms, prevent complications, and provide psychological support.
Pathophysiology for Kidney Cancer
Kidney cancer, primarily renal cell carcinoma (RCC), originates in the kidneys, the organs responsible for filtering waste from the blood and producing urine. In RCC, cancer cells form in the lining of the small tubes (tubules) in the kidney. These cells can grow into a mass (tumor) and may spread to other parts of the body.
Etiology for Kidney Cancer
Factors that may increase the risk of kidney cancer include:
- Smoking:
- A significant risk factor for kidney cancer.
- Obesity:
- Higher body weight is associated with increased risk.
- High Blood Pressure (Hypertension)
- Family History of Kidney Cancer
- Long-term Dialysis Treatment
- Exposure to Certain Substances:
- Like asbestos, cadmium, and some organic solvents, particularly trichloroethylene.
Desired Outcomes for Kidney Cancer
- Effective management of symptoms such as pain, hematuria (blood in urine), and fatigue.
- Maintenance of optimal kidney function and prevention of complications.
- Adequate nutritional support and maintenance of healthy body weight.
- Patient and family understanding of the disease process, treatment options, and lifestyle modifications.
Nursing Care Plan (NCP) for Kidney Cancer
Subjective Data:
- Reports of flank pain (pain in the side and back).
- Fatigue and general feeling of unwellness.
- Loss of appetite
- Changes in urinary habits.
Objective Data:
- Blood in the urine (hematuria) visible on urinalysis.
- Palpable mass in the abdominal area.
- Abnormal findings on imaging studies (CT, MRI, ultrasound).
- Altered renal function tests.
- Weight Loss
Nursing Assessment for Kidney Cancer
- Assessment of Renal Function:
- Monitor renal function tests to assess the impact of the tumor or treatments on kidney function.
- Pain Assessment:
- Evaluate the location, intensity, and nature of any pain.
- Nutritional Status Assessment:
- Monitor for signs of weight loss, muscle wasting, and malnutrition.
- Psychosocial Assessment:
- Assess the patient’s emotional and psychological response to the diagnosis and treatment.
- Blood pressure monitoring due to the effect kidney dysfunction has on hemodynamic stability.
- Urinary assessment – output, visual inspection
Nursing Diagnosis for Kidney Cancer
- Acute Pain related to tumor growth or metastasis.
- Risk for Impaired Kidney Function related to the tumor or treatment effects.
- Imbalanced Nutrition:
- Less Than Body Requirements related to decreased appetite and cancer metabolism.
- Anxiety related to cancer diagnosis and treatment uncertainties.
Nursing Interventions and Rationales for Kidney Cancer
Monitor Renal Function: Regularly check renal function tests to assess the impact of the tumor or treatment on kidney function.
- Rationale: Early detection of changes in kidney function can guide treatment modifications.
Pain Management: Administer prescribed pain medication and utilize non-pharmacological pain management techniques.
- Rationale: Reduces discomfort and improves quality of life.
Nutritional Support: Assess nutritional needs and collaborate with a dietitian to manage weight loss and malnutrition.
- Rationale: Adequate nutrition supports overall health and recovery.
Emotional Support: Provide psychological support and refer to counseling services as needed.
- Rationale: Addresses anxiety and emotional distress associated with cancer.
Patient Education: Educate the patient and family about treatment options, side effects, and self-care strategies.
- Rationale: Informed patients are more likely to participate actively in their care.
Monitor for Complications: Regularly assess for signs of complications like infection, metastasis, or treatment side effects.
- Rationale: Early detection and management of complications can improve outcomes.
Nursing Evaluation for Kidney Cancer
- Pain Management Effectiveness:
- Regularly assess pain levels and the effectiveness of pain management strategies.
- Renal Function Status:
- Monitor and document changes in renal function and fluid balance.
- Nutritional Status:
- Evaluate dietary intake, weight stability, and signs of nutritional adequacy.
- Patient and Family Understanding and Coping:
- Assess their comprehension of the condition, treatment plan, and their coping strategies.
- BP and urine output
Further Reading and Verification:
- [NURSING.com – Kidney Cancer](https://www.nursing.com)
- [Mayo Clinic – Kidney Cancer](https://www.mayoclinic.org/diseases-conditions/kidney-cancer/symptoms-causes/syc-20352664)
- [NIH.gov – Kidney Cancer](https://www.cancer.gov/types/kidney)
This care plan aims to provide a holistic approach to managing kidney cancer, with a focus on symptom relief, maintaining kidney function, nutritional support, and providing emotional and educational support. Tailoring these interventions to individual patient needs is essential for effective management and improved outcomes.
Example Nursing Diagnosis For Nursing Care Plan (NCP) for Kidney Cancer
- Acute Pain related to tumor growth or metastasis.
- Risk for Impaired Kidney Function related to the tumor or treatment effects.
- Imbalanced Nutrition:
- Less Than Body Requirements related to decreased appetite and cancer metabolism.
- Anxiety related to cancer diagnosis and treatment uncertainties.
Nursing Care Plans
Concepts Covered:
- Basics of NCLEX
- Test Taking Strategies
- Central Nervous System Disorders – Brain
- Lower GI Disorders
- Pregnancy Risks
- Labor Complications
- Immunological Disorders
- Infectious Respiratory Disorder
- Respiratory Disorders
- Respiratory Emergencies
- Disorders of the Adrenal Gland
- Substance Abuse Disorders
- Cognitive Disorders
- Shock
- Hematologic Disorders
- Cardiac Disorders
- Anxiety Disorders
- Vascular Disorders
- Gastrointestinal Disorders
- Noninfectious Respiratory Disorder
- Emergency Care of the Cardiac Patient
- Neurologic and Cognitive Disorders
- Peripheral Nervous System Disorders
- Urinary Disorders
- Oncology Disorders
- Respiratory System
- Integumentary Disorders
- Integumentary Disorders
- Liver & Gallbladder Disorders
- Acute & Chronic Renal Disorders
- EENT Disorders
- Musculoskeletal Disorders
- Cardiovascular Disorders
- Endocrine and Metabolic Disorders
- Depressive Disorders
- Disorders of Pancreas
- Disorders of the Posterior Pituitary Gland
- Personality Disorders
- Eating Disorders
- Renal and Urinary Disorders
- Male Reproductive Disorders
- Urinary System
- Upper GI Disorders
- EENT Disorders
- Renal Disorders
- Disorders of the Thyroid & Parathyroid Glands
- Hematologic Disorders
- Disorders of Thermoregulation
- Microbiology
- Infectious Disease Disorders
- Postpartum Care
- Prenatal Concepts
- Newborn Complications
- Neurological
- Bipolar Disorders
- Central Nervous System Disorders – Spinal Cord
- Newborn Care
- Female Reproductive Disorders
- Trauma-Stress Disorders
- Postpartum Complications
- Labor and Delivery
- Musculoskeletal Disorders
- Sexually Transmitted Infections
- Psychotic Disorders
- Emergency Care of the Neurological Patient
- Musculoskeletal Trauma
- Somatoform Disorders
- Neurological Trauma
- Neurological Emergencies
- Psychological Emergencies