bypatient.Objective: • Facial maskof pain. • Guardingbehavior. • Reboundtenderness. • V/S taken asfollows:T: 37.3P: 80R: 18Bp: 110/90 • Acute painrelated toinflammationof tissues. • Appendicitis isinflammation ofthe vermiformappendixcaused by anobstructionattributable toinfection,stricture, fecalmass, foreignbody or tumor.Appendicitiscan affecteither genderat any age, butis mostcommon inmales ages 10to 30.Appendicitis isthe mostcommondiseaserequiringsurgery. If leftuntreated,appendicitismay progressto abscess,perforation,subsequentperitonitis, anddeath. • After 4 hoursof nursinginterventions, the patientwilldemonstrateuse ofrelaxationskills, othermethods topromotecomfort. Independent: • Investigate painreports, notinglocation, duration,intensity (0-10scale), andcharacteristics(dull, sharp,constant). • Maintain semi-fowler’s position. • Move patientslowly anddeliberately. • Provide comfortmeasure likeback rubs, deepbreathing.Instruct inrelaxation orvisualizationexercises.Providediversionalactivities. • Provide frequentoral care.Remove noxiousenvironmentalstimuli. • Changes inlocation orintensity are notuncommon butmay reflectdevelopingcomplications. • Reducesabdominaldistention,therebyreducestension. • Reducesmuscle tensionor guarding,which may helpminimize painof movement. • Promotesrelaxation andmay enhancepatient’s copingabilities byrefocusingattention. • Reducesnausea andvomiting, whichcan increaseintra-abdominalpressure or • After 4hours ofnursinginterventions, thepatient wasable todemonstrateuse ofrelaxationskills, othermethods topromotecomfort. Collaborative: • Administeranalgesics asprescribed.pain. • Reducemetabolic rateand aids in painrelief andpromoteshealing.

laser therapy.4 In the next section I look in more detail at the epidemiology of lung cancer. 3 By the 1970s lung cancer had become the biggest killing cancer. We are increasingly looking at ways to stop the needless suffering caused by smoking and lung cancer. Banning tobacco advertising. Smoking is the single biggest cause of preventable illness and premature death in the UK. In the UK the various types of lung cancer are the highest cancer killers in Men and second highest in Women. other environmental factors and genetic influences. little progress has been made in the treatment of lung cancer.2 The next section covers the aetiology of lung cancer and looks at the role of smoking. Despite this. increased taxation and anti-smoking campaigns are being used to prevent uptake of smoking. but still rising in women. Understanding the effect that lung cancer has on a patient and their families is very important in helping to care for these people. In America we are increasingly seeing litigation cases . I next look at the process of tumour formation and metastasis and the classification of different types of lung cancer. smoking was heavily promoted and by 1950 the top five US brands sold over 300 billion cigarettes with 44-47% of all adult Americans smoking. There have been many attempts to find a cure for lung cancer. therapies such as surgery. immunotherapy and photodynamic therapy have been subject to extensive research and improvement. After looking at the ways we can diagnose lung cancer I examine how these could be applied in screening programs. In this section I look at the effect on the patient and family and look at two suggested models for coping with diagnosis of this illness.1 Smoking causes lung cancer. Moving towards the medical aspects of lung cancer I look first at the clinical features and then what investigations are used in the diagnosis of lung cancer. The increase in lung cancer coincides with the advent of smoking as a mass habit. chemotherapy. even as late as 1912. Staging of lung cancer is important when assessing treatment options and a brief account of the staging classifications used in lung cancer is covered in the next section. In lung cancer the normal process is interrupted. There is an increasing amount of advice and support material available to help these people. chemotherapy and palliative care. over 80% of lung cancers are attributable to smoking. Lung cancer was extremely rare in the nineteenth century.3 Today the rate of lung cancer in the UK is falling in Men. In the next section I examine the options for prevention and the work ongoing in this area. with increasing numbers of children aged 1115 smoking. Adler could find only 374 cases. radiotherapy. Nicotine in Cigarette smoke is highly addictive and help is needed by people wishing to quit smoking. radiotherapy. In the first section I look at normal lung anatomy and physiology.Introduction This dissertation looks at the different cancers arising from the cells in the tissue of the lungs. with little increase in survival rates after diagnosis. In the late nineteenth century tobacco companies developed machines to mass produce cigarettes and made smoking accessible to the masses.5 The section on Management covers the options for treatment including surgery.

Lung cancer is also the most preventable cancer. eventually.3 million deaths annually. as of 2004. The most common cause of lung cancer is long-term exposure to tobacco smoke. whereas SCLC usually responds better to chemotherapy and radiation therapy.[3] Nonsmokers account for 15% of lung cancer cases.[5][6] radon gas. usually in the cells lining air passages. The diagnosis is confirmed with a biopsy. since most cases are related to tobacco use. and non-small-cell lung cancer (NSCLC). and these treatments are generally better at getting to cancer cells that have spread to other parts of the body. These types are diagnosed based on how the cells look under a microscope. This is usually performed by bronchoscopy or CT-guided biopsy. and the patient's general wellbeing.[12][13] Lung cancer may be seen on chest radiograph and computed tomography (CT scan). this growth can spread beyond the lung in a process called metastasis into nearby tissue and. Estimated new cases and deaths from lung cancer (non-small cell and small cell combined) in the United States in 2008: Lung cancer is a disease characterized by uncontrolled cell growth in tissues of the lung. measured by performance status. are carcinomas that derive from epithelial cells. and causes such a great deal of pain. known as primary lung cancers. chemotherapy. This is partly because SCLC often spreads quite early. coughing (including coughing up blood). NSCLC is sometimes treated with surgery. and is responsible for 1. Treatment and prognosis depend on the histological type of cancer.[4] and these cases are often attributed to a combination of genetic factors. The two main types are small cell lung cancer and non-small-cell lung cancer.5 I find it hard to believe that what is essentially a preventable illness. What is Lung Cancer? Cancer that forms in tissues of the lung. Most cancers that start in lung. Worldwide. also called oat cell cancer.[7] asbestos.[8] and air pollution[9][10][11] including secondhand smoke.brought against tobacco companies by American States including Texas. suffering and deaths is still so prevalent. and radiotherapy.[2] The main types of lung cancer are small-cell lung cancer (SCLC).[14] . Common treatments include surgery. and weight loss. into other parts of the body. Mississippi and Florida in attempts to recover healthcare costs for smokers under the ‘Medicaid’ schemes. Lung cancer is the leading cause of cancer death for both men and women. lung cancer is the most common cause of cancer-related death in men and women.[1] The most common symptoms are shortness of breath. the stage (degree of spread). If left untreated.

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