Materiały źródłowe

• #1 Cancer of the oral cavity | PPT

  https://www.slideshare.net/slideshow/cancer-of-the-oral-cavity/67118990

  Cancer of the oral cavity, which can occur in any part of the mouth or throat, are curable if discovered early. If the cancer is detected before it has spread to the lymph nodes, the 5 year survival rate is approximately 80 %. Oral cancers are often associated with the use of alcohol and tobacco, which if used together have a synergistic carcinogenic effect. About 95% of oral cancers occur in people older than 40 years of age, but the incidence is increasing in men younger than 30 years because of the use of smokeless tobacco, especially snuff. […] Nursing management patients with cancer of the oral cavity The nurse assess the patients nutritional status preoperatively, and a dietary consultation may be necessary. The patient may require enteral (through the gastrointestinal tract or parenteral IV feedings before and after surgery to maintain adequate nutrition.

• #1 Tongue Cancer | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/types/mouth/types-mouth/tongue

  Speech pathologist Margaret Ho works with people whove been diagnosed with tongue cancer to minimize the side effects of treatment. […] The goals of the treatment of tongue cancer are to: cure the cancer, preserve your appearance and the function of your tongue, prevent the cancer from coming back. […] People who have surgery to remove large tongue cancers may require reconstructive surgery, as well as help from experts trained in rehabilitation for speech, chewing, and swallowing. […] Our speech and swallowing experts work closely with you before and after your surgery. They will design a personalized rehabilitation regimen for you and make sure you maintain as much function in your tongue as possible. […] The radiation therapy team at Memorial Sloan Kettering is highly experienced in caring for people with tongue cancer. They work closely with other members of your care team and will customize a treatment plan so precise that it factors in the size and shape of your tumor to the millimeter.

• #1 Base of Tongue Cancer | Condition | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/base-tongue-cancer/

  Our treatment options for this type of cancer include the following, sometimes in combination: […] Reconstructive surgery: Patients with advanced cancer might need reconstruction after cancer surgery to rebuild the tongue. Our plastic surgery and ENT experts work together to restore swallowing, speaking, and other oral functions for a more natural appearance of the throat and neck. […] For patients who are having radiation therapy for cancer in the base of the tongue, we recommend having any necessary dental work done before treatment. Radiation treatment slows healing and can cause other side effects. […] We offer a variety of head and neck cancer support services for patients and their families, such as: […] As a medical research institution, UT Southwestern frequently conducts head and neck cancer clinical trials, giving our patients access to the newest treatments. Patients should speak with their doctors about the availability of clinical trials.

• #1 Tongue cancer – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tongue-cancer/diagnosis-treatment/drc-20549478

  Tongue cancer is usually found first by a doctor, dentist or other member of your health care team during a routine checkup. […] Our caring team of Mayo Clinic experts can help you with your tongue cancer-related health concerns Start Here. […] Treatment for tongue cancer usually includes surgery followed by radiation, chemotherapy or both. Your health care team considers many factors when creating a treatment plan. […] Surgery is the most common treatment for tongue cancer. […] Surgery to remove some or all of the tongue. This surgery is called a glossectomy. […] Surgery to remove lymph nodes in the neck. When tongue cancer spreads, it often goes to the lymph nodes in the neck first. […] Reconstructive surgery may be needed when parts of the face, jaw or neck are removed during surgery.

• #1 Nursing Care Plan For Oral Cancer

  https://royalimplant.com/blogs/nursing-care-plan-for-oral-cancer/

  Address any damage to the oral tissues caused by the cancer or its treatment. […] Monitor for issues related to eating and drinking, ensuring the patient receives adequate nutrition. […] Watch for signs of infection, which can be more common due to compromised oral health. […] Provide support for emotional challenges related to the cancer diagnosis and treatment. […] Keep pain under control to enhance comfort and well-being. […] Administer prescribed pain medications and monitor their effectiveness. […] Explore non-medication options, like relaxation techniques, to help manage pain. […] Protect and maintain the health of the oral tissues. […] Provide guidance on proper oral hygiene and use mouthwashes that dont irritate. […] Work with an oral surgeon to monitor the condition of the oral mucosa and manage any issues.

• #1 Nursing Care Plan For Oral Cancer

  https://royalimplant.com/blogs/nursing-care-plan-for-oral-cancer/

  Dealing with oral cancer can be challenging, but having a well-organized nursing care plan for oral cancer can make a significant difference in managing symptoms and improving overall quality of life. […] Effective nursing care is crucial for managing symptoms, side effects of treatment, and overall well-being. […] This care plan includes collaborating with a dentist to address specific oral health needs and ensure comprehensive patient care. […] Lets walk through how nurses can provide the best care for patients with oral cancer, ensuring they receive the support they need every step of the way. […] Regular check-ups of the oral cavity are essential. Look for any changes, like tumors or sores, and consult with an oral surgeon to keep an eye on oral health. […] Use a pain scale to gauge the level of discomfort and track how well pain relief methods are working.

• #1 Oral Cancer Care During and After Treatment – OHC

  https://ohcare.com/oral-cancer-care-treatment/

  Your mouth is the first contact with food and because of that very reason it is an important area to focus on before, during, and after cancer treatment. […] During treatment, daily oral hygiene will be important. Many times, I see people begin to neglect oral cleaning due to pain and discomfort. I encourage individuals to brush with a soft bristle brush and floss gently at least twice per day to help prevent infections and long term dental problems. […] Mouth and chewing pain, taste changes and dryness can significantly impact the ability to eat nutritious foods that promote healing. Expect your healthcare team to inspect the inside of your mouth. […] Generally, oral symptoms will start to improve four-to-six weeks after treatment has completed but could take six months or longer for your mouth to heal.

• #1 Tongue Cancer – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562324/

  Tongue cancer is one of the most common sites of head and neck malignancy. […] Most of the time, surgery is the recommended therapy, with radiation and chemotherapy also having important roles. This activity outlines the evaluation and management of tongue cancer and highlights the role of the interprofessional team in improving care for patients with this condition. […] The management of tongue carcinoma is primarily surgical, with radiation also having an important role mainly in advanced disease, poor surgical candidates, unresectable disease, and importantly, as an adjuvant to surgery in some cases. […] The ultimate goal of treatment is complete cure while minimizing therapy sequela and preserving functionality. […] Patients with pathologic confirmation of disease presence in the locoregional lymph nodes, most of the time, require additional treatment after surgery to achieve a cure.

• #1 Mouth Care for Cancer Patients | Dana-Farber Cancer Institute

  https://www.dana-farber.org/health-library/mouth-care-for-cancer-patients

  Patients who are receiving cancer therapy often have changes in the mouth. This information can help you understand possible side effects of cancer treatment, including tips for mouth care that may help prevent or minimize these changes. […] Chemotherapy may also cause mouth sores (mucositis). These sores usually heal in one to two weeks; however, more serious ulcers may become infected with bacteria or yeast that are commonly found in the mouth. […] Radiation therapy is often used to treat individuals with cancer of the head and neck. It is delivered to the head and neck area to destroy cancer cells but unfortunately, some normal cells are injured as well. During radiation treatment, patients may also experience mouth sores. […] To prevent infection and tooth decay, it is very important to see your dentist early in your treatment and to continue good mouth cleaning daily.

• #1 Mouth problems and cancer treatments | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/impacts-of-cancer/mouth-problems

  Some cancer treatments can damage the cells that line your mouth or throat. […] Your specialist nurse, doctor or speech and language therapist (SLT) will talk to you about mouth care during treatment. […] Keeping your mouth as clean as possible during your treatment will help to prevent or reduce side effects in your mouth. […] Your doctor can prescribe an anaesthetic gel or mouthwash to help if needed. […] If your tongue is coated, this may make your food taste unpleasant and put you off eating. […] Radiotherapy to the head and neck area and treatment with some cancer drugs can damage the saliva glands. This may cause a dry mouth (xerostomia). […] Tell your doctor about your dry mouth. They can prescribe mouthwashes, lozenges, artificial saliva sprays, gels or tablets if needed.

• #1 Oral Complications of Cancer Therapies – NCIFacebookFollow on XInstagramYoutubeLinkedin

  https://www.cancer.gov/about-cancer/treatment/side-effects/mouth-throat/oral-complications-pdq

  Patients treated for head and neck cancers have a high risk of malnutrition. […] Treatment for head and neck cancers may affect the ability to move the jaws, mouth, neck, and tongue. […] Swallowing problems are common in patients who have head and neck cancers. […] The oncologist works with other health care experts who specialize in treating head and neck cancers and the oral complications of cancer treatment.

• #1 Oral Cancer Care During and After Treatment – OHC

  https://ohcare.com/oral-cancer-care-treatment/

  During healing, it is important to strive for a nutrient dense diet to help with tissue healing and repair. […] Many people who have completed cancer treatment for oral cancer experience long-term side effects like dry mouth, taste alterations, changes in their ability to chew and swallow like normal and bone loss. Foods may need to be soft, moist and/or chopped small for ease of eating. […] During and after completion of cancer treatment, many survivors of oral cancer rely on puddings, custards, milkshakes and supplemental nutrition drinks.

• #1 Supportive care for oral cancer | Canadian Cancer Society

  https://cancer.ca/en/cancer-information/cancer-types/oral/supportive-care

  Supportive care helps people meet the physical, practical, emotional and spiritual challenges of oral cancer. It is an important part of cancer care. […] Recovering from oral cancer and adjusting to life after treatment is different for each person, depending on the location of the tumour, the stage of the cancer, the organs and tissues removed during surgery, the type of treatment and many other factors. […] A speech therapist can assess speech problems and help to manage them. Speech therapists can teach you to use other ways to speak and communicate including adaptive communications devices, laryngeal speech, esophageal speech and a prosthetic voice box (larynx) if necessary. […] If you have hypothyroidism after treatment for oral cancer, you may need to take daily medication to manage the thyroid gland.

• #1 Follow-Up Care Oral and Oropharyngeal Cancer Treatment – Brigham and Women’s Hospital

  https://www.brighamandwomens.org/cancer/oral-cavity-and-oropharyngeal-cancer/follow-up-care

  Managing Speech and Eating Challenges After Oral or Oropharyngeal Cancer Treatment […] Cancer and its treatments can impact speech, especially if the cancer is in the tongue, soft palate, lips or voice box. […] Eating and Drinking Challenges: Cancer in the mouth or throat and its treatments can make eating and drinking difficult. […] If your treatment affects swallowing, a speech and language therapist and a dietitian will be part of your care team. […] Maintaining good oral hygiene is important, even if you’re not eating much. […] A dietitian may evaluate whether you need a feeding tube before starting treatment. […] Cancer treatments can change your sense of taste, making food taste metallic, bitter, salty or bland. […] Radiation therapy can cause dry mouth, making eating and talking uncomfortable. […] Cancer treatment can reduce appetite and cause weight loss. […] Surgery in the mouth or jaw can cause numbness or pain, making chewing difficult. […] Radiation therapy or surgery can cause a stiff jaw, known as trismus, making it hard to open your mouth, eat or chew.

• #1 Tongue Cancer – UChicago Medicine

  https://www.uchicagomedicine.org/cancer/types-treatments/head-neck-cancers/tongue-cancer

  At UChicago Medicine, we believe in a team approach to tongue cancer that considers all possible treatments (surgery, radiation and drug therapy). This means that all of our experienced cancer specialists—medical oncologists, radiation oncologists, head and neck surgical oncologists, speech pathologists and others—will be involved in your case, combining their expertise to determine how to best treat it. […] When surgery is recommended, our experienced head and neck surgeons aim to only remove as much of the tongue as necessary to ensure they remove all the cancer. When beneficial, our expert reconstructive surgeons can reconstruct your tongue, to restore speech and swallowing function. […] At UChicago Medicine, our speech pathologists, nutritionists and other rehabilitation team members get involved in your care from the very beginning. This can help reduce treatment side effects. For instance, by evaluation of swallowing at the time of diagnosis, the speech pathologists take a proactive role to maintain the highest level of function and safety with individualized care plans. Early evaluation allows the speech pathologists to identify any potential speech and swallowing problems that you may develop during or after treatment, and provide ways to prevent or lessen these issues with the focus on function and quality of life. […] In addition, our dedicated supportive oncology program provides a range of supportive care services to patients and their families, including mental health counseling, social work services and more.

• #1 Nursing Care Plan For Oral Cancer

  https://royalimplant.com/blogs/nursing-care-plan-for-oral-cancer/

  Suggest soft, bland foods to reduce discomfort while eating. […] Ensure the patient gets the nutrients and fluids they need. […] Partner with a dietitian to create a meal plan that meets the patients needs. […] Keep track of the patients weight and nutritional intake, offering supplements if needed. […] Support emotional health and coping. […] Provide access to counseling or mental health resources. […] Encourage participation in support groups to help manage emotional stress. […] Avoid infections related to oral mucosa issues. […] Follow strict hygiene protocols and educate the patient about infection prevention. […] Monitor for signs of infection and respond promptly to any concerns. […] Teach the patient and their family about oral care, pain management, and nutritional needs.

• #1 Optimising Patient Outcomes in Tongue Cancer: A Multidisciplinary Approach

  https://www.mdpi.com/2072-6694/16/7/1277

  A multidisciplinary approach to the management of tongue cancer is vital for achieving optimal patient outcomes. Nursing and allied health professionals play essential roles within the team. […] The purpose of this educational review paper is to describe the importance and process of multidisciplinary tongue cancer care from diagnosis to treatment and rehabilitation, with a focus on the disciplines involved. […] The head and neck coordinator is pivotal, managing referrals, organising multidisciplinary meetings, and ensuring comprehensive patient evaluations and consultation for optimal treatment planning. This multifaceted approach addresses all care aspects, including educational and supportive needs. […] The Optimal Care Pathway for head and neck cancer highlights the need for supportive care throughout all stages of cancer: diagnosis, treatment, survivorship, and end-of-life care. Supportive care may be categorised into five major domains: informational, emotional, psychosocial, spiritual, and physical. A variety of health care professionals including medical, nursing, and allied health professionals can be involved in meeting these supportive care needs.

• #1 Follow-up after treatment for oral cancer | Canadian Cancer Society

  https://cancer.ca/en/cancer-information/cancer-types/oral/treatment/follow-up

  Follow-up after treatment is an important part of cancer care. Follow-up for oral cancer is often shared among the cancer specialists and your family doctor. Your healthcare team will work with you to decide on follow-up care to meet your needs. […] The chance that oral cancer will come back (recur) is greatest within 2 to 3 years, so you will need close follow-up during this time. It is important to quit smoking to help reduce the risk of cancer coming back. People with a history of heavy tobacco and alcohol use also have a risk of developing a second primary tumour of the digestive tract. […] Follow-up visits for oral cancer are usually scheduled: every 1 to 3 months for the first year, every 2 to 6 months for the second year, every 4 to 8 months for the third to fifth year, every 12 months from the sixth year onward.

• #1 Follow-up after treatment for oral cancer | Canadian Cancer Society

  https://cancer.ca/en/cancer-information/cancer-types/oral/treatment/follow-up

  During a follow-up visit, your healthcare team will usually ask questions about the side effects of treatment and how you’re coping. […] If you had surgery or radiation therapy to the mouth it is important to have lifelong dental follow-up care and rehabilitation. If you need dental work such as having teeth pulled after you have had radiation therapy to the mouth, it should be done in the hospital by a dental oncologist or oral surgeon.

• #1

  https://www.portea.com/nursing/tongue-cancer/

  Palliative care is a part of tongue cancer treatment at home in patients. It involves being supportive to patients and nurses for tongue cancer are assigned to make sure patients take their necessary medications. Palliative care speeds up recovery in many cases and ensures that patients enjoy fully functional lives after surgery. It has been proven to be beneficial throughout all phases of tongue cancer treatment. […] Our team of doctors and nurses for tongue cancer will visit your home and assess your condition. We provide nutrition support and make sure you take your medications on time. Our tongue cancer care at home starts with a diagnostic test from the comfort of your home and reviews your condition. Based on the results of the diagnosis, we create a suitable tongue cancer home treatment plan tailored to your needs. Personal care, companionship, and psychological support are included with our in-home nursing services. If your condition is serious, our doctors may recommend you to undergo surgery or suggest alternative medical therapies.

• #1 Nurses’ Knowledge and Education about Oral Care of Cancer Patients Undergoing Chemotherapy and Radiation Therapy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4441186/

  Majority 81 (51.3%) of the staff nurses had poor knowledge of oral care in cancer patients. […] Majority 128 (81%) of the respondents said to have acquired enough knowledge of oral care in general, but not for patients on cytotoxic drugs or radiation therapy. […] Only 43 (27.2%) of the staff nurses reported to have received basic education in oral care of cancer patients. […] This study also recommends the importance of inclusion of cancer patient specific oral care in the curriculum which can enhance competency of the qualified nurses in cancer wards. […] The present study showed that majority of the staff nurses 81 (51.3%) had poor knowledge of oral care in cancer patients. […] This study emphasizes the need for developing more suitable material for systematic assessment of the oral cavity and analysis of existing oral care protocols.

• #1 Nurses’ Knowledge and Education about Oral Care of Cancer Patients Undergoing Chemotherapy and Radiation Therapy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4441186/

  Therefore, it seems suitable to recommend that nurses require more education in oral care and on the effects of chemotherapy and/or radiation therapy on the oral cavity. […] This study recommends formulation of a more structured curriculum emphasizing on the preventive and post-treatment oral care in cancer nursing.

• #1 Nurses’ practice and educational needs in oral care for postoperative patients with oral cancer in ICUs: a multicenter cross-sectional study | BMC Oral Health | Full Text

  https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-022-02426-5

  Seven ICUs (36.8%) developed evaluation regulations for the oral care of postoperative patients with oral cancer, and eight ICUs (42.1%) described the operating standards. […] The majority of participants (69.4%) had never received continuing education or training in oral care for postoperative patients with oral cancer, and almost all (98.8%) of the respondents stated their preference to receive training in standardized oral care skills. […] The lack of oral care knowledge was deemed the main barrier in delivering quality oral care, and the educational need was stated by almost all participants. […] We suggest that a standard protocol or clinical practice guidelines for oral care for postoperative patients with oral cancer should be developed, and nurses should be educated to equip them with professional knowledge and skills.

• #1 Nurses’ practice and educational needs in oral care for postoperative patients with oral cancer in ICUs: a multicenter cross-sectional study | BMC Oral Health | Full Text

  https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-022-02426-5

  The lack of theory knowledge was considered to be the main barrier in delivering quality oral care, and the training demand was stated by almost all participants. […] We suggest that oral care clinical practice guidelines for postoperative patients with oral cancer should be established according to the characteristics of patients, and nurses should be educated to improve their knowledge and skills, which will directly impact the patients oral health and clinical outcomes.

• #1 Tongue Cancer – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562324/

  Patients with known distant metastatic spread of disease are not surgical candidates and are offered primary chemoradiation, chemotherapy, or immunotherapy. […] Patients with oral/tongue carcinoma should receive care from an interprofessional team, ideally in an institution that allows for efficient communication and minimal delays in management.

• #1 Nursing Care Plan For Tounge Cancer – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-tounge-cancer/

  In conclusion, the nursing care plan for tongue cancer reflects a commitment to providing patient-centered care that addresses the unique challenges posed by this diagnosis. By adhering to the outlined interventions and goals, healthcare professionals aim to support individuals in their journey toward recovery, fostering not only physical healing but also emotional and psychosocial well-being.

• #1 Optimising Patient Outcomes in Tongue Cancer: A Multidisciplinary Approach

  https://www.mdpi.com/2072-6694/16/7/1277

  Oncology specialist nurses/nurse consultants participate in multidisciplinary meetings for treatment planning, provide patient guidance on chemotherapy, including potential side effects, cytotoxic precautions, and infection risks, along with vaccination advice pre-treatment. They also coordinate referrals for audiology, pathology, fertility preservation, and oversee ongoing care and side effect management. […] The recovery trajectory for tongue cancer patients encompasses multiple stages, each with distinct supportive care needs. Patients often experience a range of emotions and challenges, including uncertainty, life disruption, and isolation. Adapting to changes in speech and swallowing becomes central to recovery, which is guided by the biopsychosocial model.

• #2 Oral Complications of Cancer Therapies – NCIFacebookFollow on XInstagramYoutubeLinkedin

  https://www.cancer.gov/about-cancer/treatment/side-effects/mouth-throat/oral-complications-pdq

  Oral complications are common in cancer patients, especially those with head and neck cancer. […] Preventing and controlling oral complications can help you continue cancer treatment and have a better quality of life. […] Patients receiving treatments that affect the head and neck should have their care planned by a team of doctors and specialists. […] The goals of oral and dental care are different before, during, and after cancer treatment: Before cancer treatment, the goal is to prepare for cancer treatment by treating existing oral problems. During cancer treatment, the goals are to prevent oral complications and manage problems that occur. After cancer treatment, the goals are to keep teeth and gums healthy and manage any long-term side effects of cancer and its treatment. […] The most common oral complications from cancer treatment include the following: Oral mucositis (inflamed mucous membranes in the mouth).

• #2 Base of Tongue Cancer | Condition | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/base-tongue-cancer/

  UT Southwestern Medical Centers head and neck cancer experts have the experience and training to treat complex cancers such as those affecting the base of the tongue. We offer exceptional care and supportive services to guide patients and their families from diagnosis through the treatment journey. […] Our highly trained surgeons, doctors, nurses, and other providers at the Harold C. Simmons Comprehensive Cancer Center specialize in treating cancers of the head and neck. Our team for base of the tongue cancer includes otolaryngologists (ear, nose, and throat specialists), radiation and medical oncologists, oral and reconstructive surgeons, physical and occupational therapists, and speech pathologists. […] Treatment options vary based on the stage of cancer, which includes its size, location, and whether it has spread. Whenever possible, we develop a plan that preserves the patients ability to breathe, talk, and eat normally. The most common treatments for cancer of the base of the tongue are surgery and radiation therapy.

• #2 Nursing Care Plan For Oral Cancer

  https://royalimplant.com/blogs/nursing-care-plan-for-oral-cancer/

  Suggest soft, bland foods to reduce discomfort while eating. […] Ensure the patient gets the nutrients and fluids they need. […] Partner with a dietitian to create a meal plan that meets the patients needs. […] Keep track of the patients weight and nutritional intake, offering supplements if needed. […] Support emotional health and coping. […] Provide access to counseling or mental health resources. […] Encourage participation in support groups to help manage emotional stress. […] Avoid infections related to oral mucosa issues. […] Follow strict hygiene protocols and educate the patient about infection prevention. […] Monitor for signs of infection and respond promptly to any concerns. […] Teach the patient and their family about oral care, pain management, and nutritional needs.

• #2 Tongue Cancer – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562324/

  Patients with known distant metastatic spread of disease are not surgical candidates and are offered primary chemoradiation, chemotherapy, or immunotherapy. […] Patients with oral/tongue carcinoma should receive care from an interprofessional team, ideally in an institution that allows for efficient communication and minimal delays in management.

• #2 Oral Complications of Cancer Therapies – NCIFacebookFollow on XInstagramYoutubeLinkedin

  https://www.cancer.gov/about-cancer/treatment/side-effects/mouth-throat/oral-complications-pdq

  Patients receiving high-dose chemotherapy, stem cell transplant, or radiation therapy should have an oral care plan in place before treatment begins. […] It is important that patients who have head or neck cancer stop smoking. […] Regular Oral Care: Good dental hygiene may help prevent or decrease complications. […] Oral mucositis is an inflammation of mucous membranes in the mouth. […] Pain control helps improve the patient’s quality of life. […] Oral mucositis breaks down the lining of the mouth, which lets bacteria and viruses get into the blood. […] Dry mouth (xerostomia) occurs when the salivary glands don’t make enough saliva. […] Careful oral hygiene can help prevent mouth sores, gum disease, and tooth decay caused by dry mouth. […] Changes in taste (dysguesia) are common during chemotherapy and radiation therapy.

• #2 Mouth problems and cancer treatments | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/impacts-of-cancer/mouth-problems

  Some chemotherapy, targeted therapy and immunotherapy drugs, and radiotherapy for head or neck cancer can affect the cells in the lining of the throat. This can make it painful to chew or swallow. […] Tell your doctor or dietitian if you have any difficulties chewing or swallowing. […] Taking painkillers 30 minutes before meals may help you chew and swallow more easily.

• #2 Oral Cancer Care During and After Treatment – OHC

  https://ohcare.com/oral-cancer-care-treatment/

  During healing, it is important to strive for a nutrient dense diet to help with tissue healing and repair. […] Many people who have completed cancer treatment for oral cancer experience long-term side effects like dry mouth, taste alterations, changes in their ability to chew and swallow like normal and bone loss. Foods may need to be soft, moist and/or chopped small for ease of eating. […] During and after completion of cancer treatment, many survivors of oral cancer rely on puddings, custards, milkshakes and supplemental nutrition drinks.

• #2 Tongue cancer – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tongue-cancer/diagnosis-treatment/drc-20549478

  Radiation therapy uses powerful energy beams to kill cancer cells. […] Chemotherapy uses strong medicines to kill cancer cells. […] Treatment for advanced tongue cancer can impact your ability to speak and eat. Working with a skilled rehabilitation team can help you cope with changes that result from tongue cancer treatment. […] Your health care team will work to keep you comfortable and help you get nutrition during treatment.

• #2 Oral Cancer Care at City of Hope

  https://www.cancercenter.com/cancer-types/oral-cancer/care-at-city-of-hope

  At City of Hope, we understand that oral cancer and its treatment can impact a patients quality of life, sometimes in debilitating ways. […] Our multidisciplinary care team of oral cancer experts works with you to develop a personalized treatment plan based on your individual needs, preferences and goals. […] We also offer services to manage disease- and treatment-related side effects. […] Your care team may also include a medical, surgical and/or radiation oncologist, oncology nurses and a variety of supportive care clinicians. […] Our supportive care services include nutritional support to help you develop a diet plan to help stay nourished, while pain management physicians offer medication and non-medicinal approaches to help you keep your pain in check. […] And our spiritual support and behavioral health providers help support your mental and emotional health before, during and after your treatment.

• #2 Nursing Care Plan For Oral Cancer

  https://royalimplant.com/blogs/nursing-care-plan-for-oral-cancer/

  Offer emotional support and connect the patient with resources for additional help. […] Regularly check on the patients progress and adjust the care plan as needed. […] Work closely with other healthcare professionals, including dentists, to ensure comprehensive care. […] Assess how well pain is controlled and make changes if needed. […] Evaluate the condition of the oral mucosa and the effectiveness of care strategies, including regular dental consultations. […] Monitor the patients intake and weight to ensure they are meeting their nutritional needs. […] Reassess emotional health and provide additional support if necessary. […] Evaluate the effectiveness of infection prevention measures and adjust as needed. […] If pain remains severe or becomes unmanageable despite medication, seek advice from an oral surgeon for additional pain management options.

• #2 Tongue Cancer: Symptoms, Pictures, Prognosis

  https://www.healthline.com/health/oral-cancer/tongue-cancer

  Tongue cancer is a type of cancer that starts in the cells of the tongue, and can cause lesions or tumors on your tongue. Its a type of head and neck cancer. […] Treatment for tongue cancer depends on how big the tumor is and how far the cancer has spread. You might only need one treatment or you might need a combination of treatments. […] If doctors remove a large piece of your tongue, you might undergo reconstruction surgery. In this surgery, your doctor will take a piece of skin or tissue from another part of your body and use it to rebuild your tongue. […] Glossectomy can lead to severe side effects, including changes in how you eat, breathe, talk, and swallow. Speech therapy can help you learn to adjust to these changes. In addition, talk therapy can help you cope. […] You can reduce your risk of tongue cancer by avoiding activities that can lead to tongue cancer, and by taking care of your mouth. To reduce your risk: dont smoke or chew tobacco, dont drink, or drink only occasionally, dont chew betel, get a full course of the HPV vaccine, practice safe sex, especially oral sex, include lots of fruits and vegetables in your diet, make sure that you brush your teeth daily and floss regularly, see a dentist once every six months, if possible. […] If you have a lump, ulcer, or sore on your tongue that doesnt go away after a long period of time, you should see your doctor. Early diagnosis of tongue cancer allows for more treatment options, with fewer side effects, and a good five-year survival rate.

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