Discharge And Home Healthcare Guidelines

Provide a complete explanation of all emergency treatments, and answer the patient's and family's questions. Explain the possibility of complications to recovery, such as poor wound healing, infection, and anemia. As needed, provide information about any follow-up laboratory procedures that might be required after discharge from the hospital. Provide the dates and times that the patient is to receive follow-up care with the primary healthcare provider or the trauma clinic. Give the patient a phone number to call with questions or concerns. Provide information on how to manage urinary drainage systems if the patient is discharged with them in place. Demonstrate catheter care, emptying the bag, and the need for frequent hand washing. Explain when the patient can resume sexual activity. If the patient has sexual dysfunction, provide the patient with information about alternatives to intercourse; refer the patient to a support group if she or he is interested.

Uterine Cancer

DRG Category: 366 Mean LOS: 5.9 days Description: MEDICAL: Malignancy, Female Reproductive System with CC DRG Category: 354 Mean LOS: 5.9 days Description: MEDICAL: Uterine, Adnexa

Procedure for Nonovarian, Adnexal Malignancy with CC

Uterine cancer most commonly occurs in the endometrium, the mucous membrane that lines the inner surface of the uterus. Endometrial cancer, specifically adenocarcinoma (involving the glands), accounts for more than 95% of the diagnosed cases of uterine cancer. There has been an increase noted in the number of women with endometrial cancer, partly owing to women living longer and more accurate reporting. Endometrial cancer is the fourth most common cause of cancer in women, ranking behind breast, colorectal, and lung cancer. It is the most common neoplasm of the pelvic region and reproductive system of the female, and it occurs in 1 in 100 women in the United States. Other uterine tumors include adenocarcinoma with squamous metaplasia (previously referred to as adenoacanthoma), endometrial stromal sarcomas, and leiomyosarcomas.

Endometrial cancer can infiltrate the myometrium, thus resulting in an increased thickness of the uterine wall, and it can eventually infiltrate the serosa and move into the pelvic cavity and lymph nodes. It can also spread by direct extension along the endometrium into the cervical canal; pass through the fallopian tubes to the ovaries, broad ligaments, and peritoneal cavity; or move via the bloodstream and lymphatics to other areas of the body. It is a slow-growing cancer, taking 5 or more years to develop from hyperplasia to adenocarcinoma. Endometrial cancer is very responsive to treatment, provided it is detected early. Prognosis depends on the stage, uterine signs, and lymph node involvement.

In 2005, 40,880 new cases of uterine cancer would be diagnosed and 7310 women would die in the United States.

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