HS 20 – Miss Weir TREATMENT OPTIONS What is treatment? ______________________________________________________________ ______________________________________________________________________________ Types of Treatment: _____________________ treatment: Therapy that eases the symptoms without addressing the basic cause of the disease. Sometimes called _____________________ treatment For example: For advanced lung cancer that has metastasized pain management will be provided but will not get rid of the disease _____________ treatment: Treatment directed immediately to the cure of the disease or injury. ____________________________ treatment: designed to avoid radical medical therapeutic measures or operative procedures ________________________ treatment: usually highly invasive and difficult for the patient; ethics come into consideration when making a decision regarding this extreme treatment Treatment Options Used High Blood Pressure Treatment Plan for High Blood Pressure The first step often includes ________________________ changes such as: _______________________________ Being physically active Maintaining a ____________________________ Limiting alcohol intake Managing and coping with ______________ HS 20 – Miss Weir If the high blood pressure continues after lifestyle changes have been made the physician may ____________________________________________ Blood pressure medicines work in different ways to ____________ or _____________ some of the body’s functions that cause high blood pressure Even if medication is prescribed the patient must also keep up the healthier lifestyle choices Kidney Disease/Failure Kidney Disease: Most diseases of the kidney attack the filtering units of the kidneys—the _____________ Disease damages their ability to ________________ wastes and excess fluids. This means high and life threatening levels of waste products and chemicals are in the body Chronic kidney disease (CKD) is defined as the presence of kidney damage, or a decreased level of kidney function, for a period of three months or more Kidney Failure: Is when your kidneys stop working well enough for you to live without dialysis or a kidney transplant In most cases, kidney failure is _______________________. Kidney failure is the ____________________ level of kidney disease __________________ and _______ blood pressure cause most cases of kidney failure However the following can also be causes: - Autoimmune diseases - Genetic diseases - Injuries - Some medicines or other drugs HS 20 – Miss Weir Symptoms of Kidney Disease: Symptoms of kidney failure are due to the build-up of waste products in the body In its early stages CKD produces very few if any symptoms Develops so slowly that many people are unaware of it until the disease is _________________________ and must be rushed to the hospital for life-saving dialysis. CKD is __________________ In some cases some symptoms may become apparent. Some symptoms may include…. Passing too __________ or too _____________ urine Nausea & vomiting _______________________________________ _______________________________________ Unpleasant taste in the mouth and urine-like odor to the breath Puffy eyes, hands & feet Tests for Kidney Function: __________________________ (checks for blood or protein in the urine) ___________________________ (high blood pressure can indicate kidney disease) eGFR estimates your glomerular ________________________ If you suffer from kidney failure you may need 1 of 2 treatment options… Treatment Plan for Kidney Disease/Failure 1) ___________________________ Used primarily as an ___________________________________________ for kidney function in people with kidney failure Is the artificial process of removing waste and excess water from the blood Dialysis is necessary when the kidneys are not able to adequately ________________ the blood. Without dialysis the amount of waste products in the blood would increase and reach levels that would cause ____________ and ______________. HS 20 – Miss Weir 2) _____________________________ This is often the best treatment option for kidney failure A person of any ________ can receive a kidney transplant Once a transplant has taken place the patient must take medication to ensure the body does not ______________________________________ Cancer Treatment Plan for Cancer: 1) ____________________________________ the treatment of disease, especially cancer, using _____________ or similar forms of radiation uses high-energy radiation to ________________________________________________ About ___________ of all cancer patients receive some type of radiation therapy sometime during the course of their treatment. How does radiation kill the cancer cells? Radiation therapy kills cancer cells by damaging their _____________ Cancer cells whose DNA is damaged beyond repair _____________________________________. When the damaged cells die, they are broken down and eliminated by the body’s natural processes. When is radiation used? Is sometimes given with ____________________ intent (with the hope that the treatment will cure a cancer) In such cases, radiation therapy may be used alone or in combination with surgery, chemotherapy, or both. Radiation therapy may also be given with ___________________ intent. **Note: Palliative improves the quality of life for a patient facing a life-threatening illness. HS 20 – Miss Weir Palliative treatments are not intended to cure. Instead, they _______________ symptoms and reduce the suffering caused by cancer. 2) _________________________________ The treatment of disease by the use of ____________________ substances, especially the treatment of cancer Usually used if your cancer is likely to spread in the future or if it has already spread How does chemotherapy work? Circulates throughout your body in the bloodstream therefore it is a _________________________ treatment because it can treat cancer cells almost anywhere in the body Whereas surgery & radiation are _____________ treatments as they only treat a specific area Sometimes cancer cells break away from a tumor. They may travel to other parts of your body through your bloodstream or lymphatic system The cells may settle in other parts of your body and develop into new tumors. These are called _____________________________________________________ The drugs circulate in the ______________________ around the body to treat any cancer cells that have spread. Reasons for Chemotherapy: To __________________ a cancer before surgery or radiotherapy To try to stop cancer coming back after surgery or radiotherapy As a treatment on its own, if your type of cancer is very sensitive to it To treat cancer that has _________________ from where it first started **NOTE: not all cancers respond to chemo HS 20 – Miss Weir Career Profile Oncologist An oncologist is a doctor who specializes in ___________________________________. The three main types of oncologists are medical, surgical, and radiation oncologists. These different types of oncologists often work together to treat a person with cancer. Surgery The specialty of medicine that treats diseases and disorders by ___________________, ________________________ or ____________________ the body with an operative procedure Performed by a ________________ a physician with specialized training in operative procedures There are many surgical specialties providing treatment in all areas of the human body including the heart, brain, and bones. Surgeries can be minor outpatient procedures or major procedures such as a heart transplant Types of Surgery: __________________________________ requires that you stay in the hospital for a day or more so the doctors and nurses can monitor your recovery ____________________________________, you will go home the same day _____________________________________ is surgery that is scheduled in advance because it does not involve a medical emergency _____________________________________ can wait until the patient is medically stable, but should generally be done today or tomorrow ______________________________________ is one that must be performed without delay; the patient has no choice other than immediate surgery, if they do not want to risk permanent disability or death When is surgery necessary? There are situations where surgery is nearly impossible to avoid. HS 20 – Miss Weir For example if your appendix is inflamed and about to rupture, surgery is the only treatment. The same is true for badly broken bones and medical emergencies. Outside of emergencies, most patients benefit from starting with the _______________________________________treatments and only having surgery as a last resort. An example would be a shoulder injury, the least invasive treatment would be antiinflammatory drugs and pain medicine, then physical/occupational therapy with surgery as a last resort. Fractures Fracture ___________________________________________________________ An X-ray will be taken to ________________ the fracture and determine the ___________ of fracture In most situations a splint or cast will be recommended Function of a Cast: They keep broken or injured bones from __________________ so they can heal properly. They support the __________________ of injured limbs to help reduce pain and swelling Treatment Plan for Fractures Primary Casting Depending on the type and severity of the fracture a back-slab or a partial cast may be applied to stabilize and support the fracture and surrounding muscles and allowing for any further swelling. Could also be a _____________. The cast should be easy to remove if necessary. This is known as ________________________________________ This step may not always be performed Secondary Casting intended to provide ____________ support for the injury throughout the healing process. A further x-ray may be requested to ensure good bone alignment before the application of a full cast HS 20 – Miss Weir If a fracture is severe enough it may require ____________________________________ which means surgery Bone fracture repair is a surgery to fix a broken bone using metal screws, pins, rods, or plates to hold the bone in place This is done when a broken bone does not or would not heal properly with casting or splinting alone. Can occur in cases when bone is sticking through the skin (_______________________________) and fractures that involve ______________, such as wrists and ankles. Organ Transplant ________________________________________________________________________ Can also be from a donor site to another location on the person's own body Done to replace the recipient's _________________ or ______________ organ When is an organ transplant necessary? When the recipient’s organ has _________________ or has been __________________ by disease or injury If the organ is incapable of functioning on its own and the patient is at risk of _________ The ________________ is the most commonly transplanted organ Next is the _____________ These are followed by _____________________________________________________ Most commonly transplanted tissue is the _____________, the transparent covering over the eye. A transplanted cornea can restore sight to someone blinded by an accident, infection or disease. Donated ____________________ can be used as grafts for burn victims or for reconstruction after surgery. Donated ____________ can replace cancerous bones and help prevent amputation of an arm or leg. Donated _____________ can be used in cardiac bypass surgery. HS 20 – Miss Weir Issues with Organ Transplants: It is not uncommon for the human body to ______________ a donated organ Organ transplant recipients often have to be on medication called ______________________________________ or anti-rejecting drugs Patients will take this medication for the rest of their life in hopes that rejection will not occur. Treatment Options Summary In any case it is important to weigh all your options when it comes to choosing a treatment It is important that patients seek advice from both medical doctors as well as their _____________________________ (family, spouse, friends, etc.) If time allows it is a good idea to get a _______________________________ The treatments we have considered today would all be examples of _________________________________________