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Ovarian Cancer Update: WOC Nurse's Role in Management

Kathryn G. Froiland, MSN, RN, AOCN, CWOCN, GlaxoSmithKline, Inc., Oncology Clinical Educator, 719 Omar St., Houston, TX 77009

Ovarian cancer is the fourth leading cause of cancer death for women in the United States. Although women are rarely cured, they are living longer with this disease. In fact, due to significant advances in surgical and chemotherapeutic treatment in recent years, ovarian cancer is now considered to be a chronic disease. Most women experience vague symptoms, but early diagnosis is often missed as there exists no screening tool for early detection. Consequently most women are diagnosed with advanced disease and require extensive treatment. The WOC Nurse first encounters the patient during the pre-operative phase prior to tumor-reductive surgery and staging procedures. Not all patients require a diverting colostomy, but many receive pre-op teaching and stoma marking as a precautionary measure. Following placement of the colostomy, stoma management teaching is the role taken by the WOC nurse. In the event of abdominal wound dehiscense or infection, wound management becomes the role of the WOC nurse. Wound healing is essential and challenging for this patient who has an aggressive disease process that is concurrently being treated with myelosuppressive chemotherapy. Throughout this entire process, the WOC nurse provides optimal wound care, supportive teaching in learning self-care of the ostomy, and coaching in making physical and emotional adjustments to changes of the woman's body. This is done in the support of the patient dealing with a life-threatening cancer diagnosis. The WOC Nurse plays an essential role in optimizing the clinical outcomes, as well as achieving optimal quality in the life of the ovarian cancer patient.

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