Slide 1. Slide 2. Slide 3. Here's your outline to get started. Related topics to research

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1 Key facts about your topic Refers to cancers of the throat, voice box, and tonsils. name: Head and neck cancer description: Refers to cancers of the throat, voice box, and tonsils. long_desc: The cancer develops as a result of genetic changes in cells of the throat lining, making them divide uncontrollably. Cough, ch... Introduction: The choice of treatment is based on the location of cancer, types of cells involved, and overall health of the patient. Tre... Disclaimer1: Consult a medical professional for advice. Disclaimer2: Data from: Focus Medica See more: Open the Notes below for more information. Use Smart Lookup to learn more Highlight one of the related topics Right-click on the topic Choose "Smart Lookup" Slide 1 Here's your outline to get started en.wikipedia.org - Text under CC-BY-SA license Slide 2 Related topics to research Epstein Barr virus Don Rhymer Radiation therapy Bobby Hamilton Neck dissection Chemotherapy Mohs surgery Oncology Edna Purviance Laryngectomy Slide 3 RADIATION EFFECTS and SURVIORSHIP Sharon Jamison, BSN, RN, CORLN

2 Slide 4 DISCLOSURE The presenter has no financial disclosures. There may be discussion of some products, but, the presenter does not endorse or dissuade the use of these products. Slide 5 To assist the laryngectomee to attain the highest possible quality of life. GOALS To highlight the possible long- term side effects of radiation therapy that the laryngectomee may experience To delineate the reason behind those side effects To discuss tips and methods that may alleviate or ameliorate the effects. Slide 6 RADIATION EFFECTS

3 Slide 7 SKIN EFFECTS Most patients experience some degree of skin dryness, itching, erythema Degree of skin reaction dependent on amount of treatment as well as anatomic location of the treatment field, proximity of the tumor to the skin surface, nutritional status of the patient, other treatment modalities at the time of radiation treatment, comorbidities Slide 8 LATE SKIN EFFECTS DOSE PHOTOSENSITI PIGMENTATIO ATROPHY- FIBROSIS- DEPENDENT VITY- N CHANGES- PERMANENT. USUALLY LIFELONG. DUE HYPO OR THIN AND BEGINS 4-6 TO HYPERPIGMEN FRAGILE MONTHS DESTRUCTION TATION- EPIDERMIS AFTER OF DISRUPTION COMPLETION MELANOCYTES OF OF AND SLOWER MELANOCYTES TREATMENT. MELANIN TELANGIECTAS MAY WORSEN RESPONSE TO IA- MAY OVER TIME UV RAYS OCCUR UP TO 8 YEARS AFTER TREATMENT Slide 9 TELANGECTASIA

4 Slide 10 What do you do to protect, maintain skin integrity? Slide 11 Major salivary glands Parotid Submandibular Sublingual Minor salivary glands Mucus producing glands Serous fluid producing glands Mixed glands SALIVARY FUNCTION Slide 12 Avoid alcohol based Acupuncture mouthwashes Use of mouth Frequent moisteners fluid intake

5 Slide 13 Osteoradionecrosis 1 Late effect 2 Danger following trauma/ dental extractions 3 Prevention is key Slide 14 DRY MOUTH Slide 15 Digestion Swallowing GASTROINTESTINAL Mouth Tongue Teeth Saliva Esophagus Chewing Saliva production Muscle coordination Nerves

6 This Photo by Unknown Author is licensed under CC BY-SA Slide 16 Oral/ dental care Maintenance Preventative Oral phase Saliva replacement Fluid intake Muscle function Exercise Monitor for changes Slide 17 Slide 18 PULMONARY/ RESPIRATORY

7 Anosmia Loss of smell Inability to detect Nat ural gas Sm oke Rot ten foo d Bod y odo rs Ageusia Hypogeusia Total loss of taste Partial loss of taste Problems Ap peti te loss Slide 19 PULMONARY Stoma covers Shower covers Humidity Hydration Slide 20 SENSES SMELL Odor molecules Receptors Roof of nose Olfactory bulbs Frontal lobe TASTE Taste buds Tongue/cheeks, soft palate/ epiglottis/ esophagus Salty Bitter Sweet Sour Percentage of taste/ smell Slide 21 Problems

8 Slide 22 VASCULAR Concerns Vascular deficit Tissue damage Carotid arteries Jugular veins Slide 23 LYMPHATIC SYSTEM Lymph system Lymphedema Part of the vascular system Interstitial fluid collection Lymphocyte creation Drainage system Slide 24 LYMPHEDEMA Surgery Removal of lymph nodes Interruption of muscle activity Radiation Scarring and fibrosis Muscular involvement Damage to vessels

9 Slide 25 Lymphedem a Managemen Secondary lymphedema Interventions t Exercise Massage Bandaging Compression therapy Slide 26 VASCULAR/ LYMPHEDEMA ISSUES/ Ideas? Helpful hints? Slide 27 ENDOCRINE SYSTEM Thyroid Location Function Parathyroid Location Function

10 Slide 28 SYMPTOMS Thyroid Puffy face and eyes Dry skin Coarse hair Hair loss Sluggishness Constipation Parathyroid Muscle cramping Tingling of fingers, feet, lips, face Confusion Depression Seizures Abnormal heart rhythm Slide 29 QUESTIONS? Slide 30 REFERENCES American Cancer Society (October 2017). Coping with radiation treatment. Retrieved 01/06/2019 from: Encyclopedia Britannica (November, 2018). Lymphatic system. Retrieved from: Brain Facts (April 2012). Taste and smell. Retrieved 01/08/2019 from: Sensing-and-Behaving/Taste/2012/taste-and-smell Harvard Health Publishing (May 2015). Loss of taste and smell in adults. Retrieved 01/09/2019 from: University of Wisconsin Madison (January 2017). Stages of swallowing. Retrieved 01/09/2019 from: WebMD (May 2006). Radiation skin effects. Retrieved 01/06/2019 from: