I need to know the final stages of COPD and what a family should look for?
Question by wrboers: I need to know the final stages of COPD and what a family should look for?
Need help getting a direct answer on this, family is deperate for information on what to be prepared for.
What can be done to help comfort the patient in the final days, what should a family be prepared for when tending to the patient. How do you tell the time span of life when patient is in the final stages.
Best answer:
Answer by Amy I
End stage Pulmonary Emphysema/ Chronic COPD is characterized differently from one facility to another. But some signs you will see are a barrel chest. Take a look at your their chest it will seem just like that shape or similar to a box. Their airways have little air sacs at the base of her lungs. At this point her luns have lost the elasticity and air has leaked out of the sacs into his/her chest wall unable to be exhaled. That is what is causing the barrel chest.
Their fingertips might seem large or bloated. Rounded off from the cuticle to the tip.
They will have low oxygen levels in her blood but thats whats helping them breathe and HE/SHE WILL, in end stage COPD/Emphysema and any stage of typical COPD, look like he/she has a blue tint to her skin.
**Theywill have high PCo2 levels in her blood because of the air trapping.
****************************************…
If youre ever with them in the hospital and he/she is awake, alert, responsive make sure your monitor how much Oxygen he/she is on. typically 2-4LPM on a Nasal Cannula is adequate but in advanced patients can be higher and provided via a VentiMask or even NonReBreather Mask. As long as his/herOxygen level in her blood(SPO2) doesnt go above 93% MAX!!! A simple handheld monitor can quickly and painlessly assess her SPO2. Keep a very close eye because unfortunately some Nurses arent aware of this and will raise it higher which can slow her breathing and will eventually stop.
GOD BLESS!!!
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Q&A: what are the stages of pulmonary fibrosis?
Question by : what are the stages of pulmonary fibrosis?
Best answer:
Answer by bubbles
pulmonary fibrosis is the gradual scarring of lung tissue. there are several theories as to what causes the injury from genetic to autoimmune to enviromental factors. Air sacs become slowly replaced by scar tissue eventually affecting air exchange. Research in this area is limited. Pt have different stages of progession of disease
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If I don’t have any symptoms of Cancer, except for a lump, is it possible its in the early stages?
Question by : If I don’t have any symptoms of Cancer, except for a lump, is it possible its in the early stages?
I am 20 and found a lump in my neck which is about slightly smaller than a dime last December. I went to my doctor and he did some blood work and referred me to another doctor to get additional test this week. He said it could be Lymphoma or leukemia or Lung cancer. Anyway I told him I haven’t been having any symptoms. I’m not fatigued, no night sweats, no persistent cough, no difficulty breathing, nothing. My doctor was even surprised on how I even felt that lump in my neck cause it could have been easily missed. So Anyway if I’m not having an symptoms does that mean it could be in the early stages IF, GOD forbid Its the “C” Word. Right now I’m so shaken up by what he said that I can’t sleep or concentrate. I’m just terrified!!! I’m freaking the FUCK out and that my hands are shaking. I haven’t even told my family the news that I found a lump in my neck and that I went to the doctor today.
Best answer:
Answer by well wisher
Seems more like a lymphnode.
Unlikely to be cancer.
Get second opinion.
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What are the “STAGES” of Cancer- do you start vomiting 1st or what starts happening & how does it usually end?
Question by : What are the “STAGES” of Cancer- do you start vomiting 1st or what starts happening & how does it usually end?
(as far as physical symptoms go)? LUNG CANCER.
Best answer:
Answer by thinkingtime
You start by feeling slightly unwell. If you don’t get effective, timely treatment, you die.
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“stages of dying from congestive heart failure”
stages of dying from congestive heart failure bit.ly
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Q&A: Does a child with stage 4 Wilms Cancer have a higher risk of relapse than one with stages 1,2 &3?
Question by lil Darling: Does a child with stage 4 Wilms Cancer have a higher risk of relapse than one with stages 1,2 &3?
Stage 4 favorable Wilms Tumor-My daughter has been in remission for six months but the fear of relapse is never far from my mind. Please don’t sugar coat any thing I just want a straight answer. Her cancer tumor had taken over her right kidney and had also spread to her lungs. She had the tumor removed along with right kidney. Treatment was 6 months of chemo and 8 radiation treatments. I know all kids a different but I just would like to know some statistics.
Thanks
Best answer:
Answer by JD
Stage IV Wilms’ tumor is defined as the presence of hematogenous metastases (lung, liver, bone, or brain), or lymph node metastases outside the abdomenopelvic region.
Treatment: Nephrectomy + abdominal radiation + 24 weeks of chemotherapy + radiation of metastatic site as appropriate
Outcome: 90% 4-year , 17% 4-year survival if anaplastic. If she is in remission now and they have removed all the cancer, chances are good for no relapse since the kidney was removed. but like you said all kids are different. with the proper treatment there is a 90% chance of no remission. As for the other stages the chance of no remission is from 95-98%. I hope this helps and hope everything goes well and sorry to hear you have to go through this. have been in the medical field for some time and its always hard with children.
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What are the COPD Gold Ratings,The Stages of COPD?
Question by : What are the COPD Gold Ratings,The Stages of COPD?
My Doctor has diagnosed me with COPD Gold Stage IIb. What does this mean? What are the Gold Rating Stages of COPD? I am on Oxygen Continuosly at 3 liters and I am on a CPAP Machine at night as I have sleep apnea.
Best answer:
Answer by Mary
http://www.goldcopd.com/index.asp?l1=1&l2=0
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Categories: News Tags: ratingsthe, copd, stages, gold
What are the symptoms of final stages of squamous cell lung cancer?
Question by : What are the symptoms of final stages of squamous cell lung cancer?
Best answer:
Answer by rachel
my husband didn’t make it to the last stages of squamous cell lung cancer.he died because the “treatment”knocks off the immune system. he died from sepsis and organ failure due to pneumonia.i have read that this happens way to often.
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when Neoadjuvant Chemotherapy is used in breast cancer treatment in advanced stages only or early or both?
Question by hghsghl: when Neoadjuvant Chemotherapy is used in breast cancer treatment in advanced stages only or early or both?
Best answer:
Answer by sunflowers
I don’t know what you mean by “neoadjuvant” chemo. Chemo is used when the size and type of the tumor call for it.
Here is a link to breast cancer staging and treatment. Don’t forget to turn the pages. It is important to ask the oncologist what are the statistics on how many women survive at that stage with chemo and how many women survive at that stage who refuse chemo. Sometimes it is not a very big difference. Sometimes only 1% more survive who do the chemo…5 years later. But the figures are different for different stages and types of cancers.
http://www.webmd.com/breast-cancer/treatments-stage
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Categories: News Tags: breast, treatment, both, stages, chemotherapy, only, neoadjuvant, used, advanced, early
Ambassador Stages UN Coup, Issues Long List of Non-Binding Resolutions
Uganda’s Ambassador is threatening to abolish the Committee on Conferences and author the draft calendar of conferences and meetings himself.
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Categories: Videos Tags: nonbinding, resolutions, coup, list, stages, ambassador, long, issues
Begining stages of endocrine pancreatic cancer?
Question by lonely only: Begining stages of endocrine pancreatic cancer?
My cousin may be having the beginning stages of endocrine pancreatic cancer’ has to do with duodenum blocking aids in digestion. I’m curious to know if either her gastric bypass (2004) or fibromyalgia play a role in this in any way.
Best answer:
Answer by Voytek
So very sorry to hear of your cousin’s potential diagnosis. I’m not aware of either previous condition having anything to do with the onset of cancer.
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Q&A: Mom is in last stages of colon cancer and is shaking badly and has a temp of 103. what is causing this?
Question by : Mom is in last stages of colon cancer and is shaking badly and has a temp of 103. what is causing this?
Mom has had cancer for 7 yrs and is now in last stages of colon cancer. Now she is spiking temps of 101 to 103 and shaking constantly.How can I resolve this matter?
Best answer:
Answer by missydotnet
Call 911.
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My Life In-Between BRAIN CANCER tumors — radiation, treatment, signs, symptoms, stages
The weirdness of this movie is not caused by brain damage (due to tumors) But the clips do attempt to show how radiation affects my treatment, signs, smptoms and stages or my developing brain tumors. The cliips in this movie are just weird, because they are, and for no other reason. which is a good sign that I am healthy and true to who I am. BY Joshua Kline, ,”Diaries of a Dying Man” #111
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Categories: Videos Tags: cancer, radiation, symptoms, stages, inbetween, treatment, tumors, brain, signs, life
[Medical Question] Confused regarding the stages of lung cancer…?
Question by Maaz S: [Medical Question] Confused regarding the stages of lung cancer…?
A patient is diagnosed with an apical right upper lobe non-small cell lung cancer (NSCLC). It is considered treatable by surgery and a pneumonectomy is performed. However, a few weeks later, he notices a lump in his (R) axilla, which is proven by biopsy to be NSCLC.
Now my question: regarding this patient’s TNM stage, does an enlarged ipsilateral axillary node count as N1 or M1. I ask because the difference has an impact on the stage of the cancer, thus impacting their management plan.
so are axillary lymph nodes considered “regional” or “distant” in the context of NSC lung cancer?
Best answer:
Answer by Mopar Muscle Gal
N1
* T describes how far the main (primary) tumor has grown into the wall of the intestine and whether it has grown into nearby areas.
* N describes the extent of spread to nearby (regional) lymph nodes. Lymph nodes are small bean-shaped collections of immune system cells that are important in fighting infections.
* M indicates whether the cancer has spread (metastasized) to other organs of the body. (Colorectal cancer can spread almost anywhere in the body, but the most common sites of spread are the liver and lungs.)
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list the stages of lung cancer and what do they mean?
Question by mary o: list the stages of lung cancer and what do they mean?
Best answer:
Answer by koalahash
This is a rather broad question and may take some time. I am assuming you have some medical knowledge but will try to explain as much as I can.
First, lung cancers (right now we’ll focus on non-small cell lung cancer, as opposed to small cell lung cancer which is on the whole associated with a much worse prognosis) uses something called the TNM staging system.
T stands for Tumor and takes into account the local characteristics of the tumor. It is graded 0-4, written as T0-T4.
T0 — No evidence of primary tumor
Tis — Carcinoma in situ
T1 — Tumor that is 3 cm or less in its greatest dimension, does not invade the visceral pleura, and is without bronchoscopic evidence of invasion more proximal than a lobar bronchus
T2 — Tumor that has any of the following features:
– Size more than 3 cm in its greatest dimension
– Involvement of a mainstem bronchus, with a proximal extent at least 2 cm away from the carina
– Invasion of the visceral pleura
– Association with atelectasis or obstructive pneumonitis that extends to the hilar region but does not involve the entire lung
T3 — Tumor of any size with any of the following features:
– Invasion of the chest wall (including superior sulcus tumors), diaphragm, mediastinal pleura, or parietal pericardium
– Involvement of a mainstem bronchus within 2 cm of the carina, but without invasion of the carina
– Association with atelectasis or obstructive pneumonitis of the entire lung
T4 — Tumor of any size with any of the following features:
– Invasion of the mediastinum, heart, great vessels, trachea, esophagus, vertebral body, or carina
– Association with a malignant pleural or pericardial effusion
– Presence of satellite tumor nodule(s) within lobe of lung containing the primary tumor
N stands for Node and describes the regional lymph node involvement. It is graded 0 through 3, or N0-3.
N0 — No regional lymph node involvement
N1 — Involvement of ipsilateral peribronchial, intrapulmonary, and/or ipsilateral hilar lymph nodes, either by metastasis or direct extension
N2 — Involvement of ipsilateral mediastinal and/or subcarinal lymph nodes
N3 — Metastasis to contralateral mediastinal or contralateral hilar nodes, or either ipsilateral or contralateral involvement of scalene or supraclavicular lymph nodes
M stands for metastasis which obviously refers to distant spread of the malignancy. It is graded as a 0 or 1, M0 or M1.
M0 — no distant metastasis
M1 — distant metastasis present. Separate ipsilateral metastatic tumor nodule(s) in a different lobe from the primary tumor are classified as M1.
The staging of non-small cell lung cancer is broken down into four major stages of disease (stages I through IV) that are recognized, based upon the particular combination of T, N, and M characteristics. Stages I through III are divided into A and B subcategories.
Stage 0 — Carcinoma in situ, ie, TisN0M0.
Stage I — Limited local disease without nodal or distant metastatic involvement: stage IA (T1N0M0) and stage IB (T2N0M0).
Stage II — Limited local disease with ipsilateral hilar and/or peribronchial lymph node involvement or limited local invasion without nodal or metastatic involvement: stage IIA (T1N1M0) and stage IIB (T2N1M0 or T3N0M0).
Stage IIIA — Includes limited invasion of local structures by the primary tumor and/or ipsilateral mediastinal (and/or subcarinal) lymph node involvement (T3N1M0 and T1-3N2M0).
Stage IIIB — Includes extensive, unresectable invasion of local structures and/or contralateral mediastinal (or any supraclavicular or scalene) lymph node involvement (Any T N3M0 and T4 Any N M0).
Stage IV — Defined by the presence of distant metastasis (Any T Any N M1).
Stages 0, I, II and IIIA usually indicate potentially resectable disease (in other words, these patients can have surgery to physically remove the cancer, followed by chemotherapy or radiation therapy), assuming the patient has sufficient respiratory reserve.
So, the staging system has to do with both how to treat the patient (surgery plus chemo/radiation) or just chemo/radiation alone. The treatment of lung cancer of either type is for another time, but also changes based on stage in a slightly more complicated way than what I have just written.
For small cell lung cancer, staging is either limited or extensive.
Limited means that the cancer is limited to one lung and in lymph nodes on the same side of the chest.
Extensive means that the cancer has spread to the other lung, to lymph nodes on the other side of the chest, or farther metastasis including pleural effusions on either side of the chest.
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Malignant Mesothelioma – Types, Causes, Stages And Treatment Options
www.mesotheliomaattorneyfreeconsultation.com Francisco Rodriguez About the Author Do You Need a Mesothelioma Lawyer?
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what can expect from the final stages of liver cancer?
Question by dali333: what can expect from the final stages of liver cancer?
my dad has just been told that he has maybe 3 months to live. he has started to jaundice, and has been weak and not eating much for a little over a week. hospice will be called in next week. but we want to know what to expect. my grandma died of liver cancer and she just seemed to get sleepier and sleepier and died after about 3 to 4 weeks( from the time that symptoms like my dads came about)
btw, he has gone through nearly 3 years of chemo and the doc has said that it likely wont help anymore.
Best answer:
Answer by Renee D
im sorry about your dad. here’s what to expect:
Nausea and vomiting
Stomach growling
Urine is the color of coffee or pepsi
Stool is a black color
Sleeping a lot
Not wanting to eat
Confusion
Skin color is yellow
Speech is slurred
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Lung Cancer – If caught in early stages?
Question by Amanda: Lung Cancer – If caught in early stages?
A CT scan showed a pulmonary nodule on my grandmothers lung by accident while looking for something else not related. They want to wait 6 months before doing another scan to evaluate the growth of the nodule to see if its cancerous. Isn’t that too long to wait?? If it is cancer and its caught in this stage (its les then an inch and surrounded by normal tissue) is there a good chance of beating it?
Shes very healthy and feels fine, no coughing or wheezing at all.
Best answer:
Answer by Friedrich Wilhelm
Very good chance.
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Cancer Prevention & Treatment : Stages of Cancer
The stages of cancer reflect how the cancer is growing, as stage one indicates a non-growing or slow-growing cancer in one area of the body, and stage three indicates growth to other parts of the body. Identify the different stages of cancer with medicalinformation from a practicing oncologist in this free video on types of cancer. Expert: Dr. Kenneth Fink Contact: www.nhhn.org Bio: Dr. Kenneth Fink has been a medical doctor in the field of internal medicine specializing in hematology and oncology for 23 years. Filmmaker: Reel Media LLC
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Categories: Videos Tags: stages, cancer, treatment, prevention
Q&A: End stages of lung cancer?
Question by cheree_1969: End stages of lung cancer?
My dad was diagnosed with small cell lung cancer last January. We were told 3 weeks ago the chemo had stopped working and he was given 2-4 weeks. He is on morphine pills which keep him out of pain. He isn’t eating anymore….and can’t walk unless he is assisted with a walker. What can we expect? Is there a way to tell how much time he has left at this point?
We were told 3 weeks ago the cancer had spread to his stomach, lymph nodes and liver.
Best answer:
Answer by Stephen
No one can say exactly but weeks rather than months.
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