Interventions to Prevent Postoperative Complications in Women With Ovarian Cancer
ABSTRACT Women with ovarian cancer often undergo multimodal treatment, which may cause physical complications and decrease quality of life. As a result, this article describes postoperative complications in women with suspected primary ovarian cancer, explains factors related to developing postoperative complications, and discusses the clinical implications of postoperative complication management. The researchers used self-report questionnaires completed by women who were within one month after surgery for suspected ovarian cancer (N = 142) to identify postoperative complications. Demographic characteristics also were examined to determine factors that may predict postoperative complications. The most common complications reported were wound infection, fever, and sepsis, followed by ileus, nausea, and vomiting. Women diagnosed with new or late-stage cancer were equally likely to develop a postoperative complication. Healthcare providers should carefully assess women diagnosed with ovarian cancer before surgery to determine their individual risk of developing postoperative complications. All women should be monitored for complications; however, women who are at higher risk because of multiple modalities, late-stage cancer, or the presence of comorbidities warrant particular attention after surgery and discharge.
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ABSTRACT: Head and neck cancer (HNC) encompasses several malignancies arising from different structures in the head and neck. The management of HNC is complex and requires multidisciplinary involvement with a range of treatment options that may lead to complications that have negative effects on patient outcomes. This article presents the role of surgery as primary treatment for HNC and describes postoperative complications, factors related to the development of complications, their clinical implications, and management. Comprehensive pre- and postoperative care is crucial in decreasing the incidence of complications and their impact on patient outcomes. Nurse need to be vigilant to prevent, monitor, and care for patients at risk for postoperative complications to decrease their morbidity, enhance their quality of life, and extend survival.Clinical Journal of Oncology Nursing 12/2012; 16(6):E203-9. DOI:10.1188/12.CJON.E203-E209