Concise Analysis of Primary Brain Tumors Essay

Pages: 4 (1332 words)  ·  Bibliography Sources: 4  ·  Level: Master's  ·  Topic: Health

SAMPLE EXCERPT:

[. . .] Meningiomas

Presentation

Meningiomas present symptoms through numerous means. Symptoms might emerge due to underlying cortex irritation, cranial nerves or brain compression, vascular brain injury, or hyperostosis and superimposing soft tissue invasion. Secondary meningioma symptoms and indications might surface or worsen at the time of pregnancy; however, normally, they subside following childbirth. Physical results echo the above symptoms and also encompass signs resulting from increased intracranial pressure, underlying parenchyma compression, cranial nerve involvement, and subcutaneous tissue and bone involvement by meningiomas (Haddad, 2016).

Treatment Modalities

Meningioma treatment has proved to be disappointing and restricted to either perioperative medicines or medicines administered when every other treatment method has proven unsuccessful. While a majority of meningiomas develop slowly with a small mitotic rate, several cases indicate clinical benefit with tumor stasis or regression following radiotherapy. But randomized trials fail to corroborate the above outcomes. The idea of non-malignant meningiomas' development represents a key consideration with regard to their effective management. Roughly forty percent of 273 meningioma occurrences (among 244 patients) grew in four years' time. Non-calcification, peritumoral edema and T2 MRI hyper-intensity predicted growth during the follow-up phase. Further, increased risks were linked to age<60 years and a >25-millimeter diameter tumor (Haddad, 2016).

The following constant meningioma resection principles have been defined:

1. Wherever possible, every hyperostotic or involved bone ought to be removed. Both involved dura and tumor-free dural rim ought to be resected (here, duraplasty is carried out).

1. Removal of dural tails surfacing on the MRI scans is recommended, despite some being tumor-free. Provisions to harvest an appropriate dural substitute (fascia lata or pericranium) ought to be made.

1. Commercial dural substitutes may be utilized as well. If possible, always begin by coagulation of artery feeders to meningiomas.

Patient Education

In case of patients with neurofibromatosis, neurosurgeons might refer them for audiometric tests and genetic counseling. In case of unclear radiologic diagnoses, an in-depth dialogue with radiologists can dismiss neurofibromas, sarcomas and other pathological entities. In particular instances, it might be right to consult radiation oncologists. Meningioma patients who experience operations may recommence regular activities between one and three months following surgery (i.e., after sufficient rest). There are no dietary limitations imposed on meningioma patients, but for patients administered perioperative steroids, low-salt meals are recommended (Haddad, 2016).

Nursing competency may be described as examination, planning, and care execution in aiding patients. Nursing staff must competently direct their team towards the optimal strategy for maintaining central nervous system (CNS) tumor patients' health, banking on continuous observation and careful attention to patient peculiarities. For refining nurse assistance, continuous reasoning is essential in support of decision-making with regard to cancer patients' health. In sum, nurses should evaluate the level of complexity of aid needed by CNS tumor patients. They should be sufficiently skilled and possess refined sensitivity for developing sufficient assistance for improving patients' and their families' QOL (quality of life). Hence, it is vital that nursing staff master requisite technical-scientific skills and knowledge and possess a clinical perceptiveness to cultivate and hone nursing assistance, thus providing superior quality care to CNST patients and affording them a less distressing treatment (Magalhaes, et al., 2015).

References

Batchelor, T., & Curry, W. (2016). Clinical manifestations and initial surgical approach to patients with high-grade gliomas. Literature Review.

Ford, E., Catt, S., Chalmers, A., & Fallowfield, L. (2012). Systematic review of supportive care needs in patients with primary malignant brain tumors. Neuro-Oncology, 392-404.

Haddad, G. (2016). Meningioma Clinical Presentation. Medscape.

Magalhaes, C., Moreira Vaz, J., Gontijo, P., Carvalho, G., Christo, P., Simoes, R., & Silva, K. (2015). Profi le of patients with brain tumors and the role of nursing care. Rev Bras Enferm, 150-155.

Trad, W., Koh, E.-S., Daher, M., Bailey, A., Kastelan, M.,… [END OF PREVIEW]

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