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Despite the progress being made in cancer symptom management, many patients with cancer still experience distress in their symptom experience, whether from the disease or its treatment. Symptoms such as pain, nausea, and mucositis, often in combination with other symptoms, pose ongoing challenges to clinicians. Managing symptoms is essential to enhance patients' quality of life, and clinicians must stay up to date on effective, evidence-based interventions. This new edition of A Guide to Oncology Symptom Management provides revised and updated content on the management of common symptoms experienced by patients with cancer. Chapters detail incidence and prevalence of disease-and treatment-related symptoms, describe the pathophysiology related to the topic, and provide appropriate evidence-based assessment and treatment strategies. New chapters examine symptom management at the end of life, symptom distress, and caregiver burden. Featuring case studies and extensive tables and figures to illustrate key points, this accessible yet comprehensive text is an essential resource for oncology nurses and other cancer-care clinicians. Book jacket.
Accompanying CD-ROM contains customizable patient self-care guides.
"Advances in technology, research, and evidence-based practice have led to improvements in the care of patients receiving radiation therapy. The knowledge and expertise required by nurses must focus on the needs of patients who come into their care at any point across the trajectory of the cancer journey. Nurses may work with patients at varying stages of the radiation therapy process and in a wide range of settings. Regardless, however, the need to be knowledgeable about the symptoms and side effects associated with this treatment is essential for nurses caring for this patient population. The Oncology Nursing Society has published the fifth edition of Manual for Radiation Oncology Nursing Practice and Education to support nurses who care for patients who will receive, are receiving, or have received radiation therapy. The fifth edition features significant updates and changes to the content to reflect advances in technology, treatment options, and symptom manage¬ment. New sections have been added based on input from radiation oncology nurses or as a result of changes in treatment options, the needs of specific patient populations, and observations from clinical practice. New topics include patients with cognitive changes and dementia; general distress and coping; patients with mental illness; special populations, such as women who are pregnant, ado-lescents, and young adults; special needs related to late effects of treatment and cardiac toxicities; and treatment modalities, includ¬ing cobalt therapy and immunotherapy. This manual serves as an essential resource for individual nurses new to working in a radiation therapy set¬ting as well as to nurses wanting to advance their knowledge in radiation biology and protection, diverse radiation therapy modalities, combination treatments, site- or disease-specific concerns, symptom management, special populations, and care during transition points. Additionally, this manual can be a resource to advanced practice clinicians, educators, and administrators, with a focus on support for nursing staff seeking the education and skills required to care for patients receiving radiation therapy and their families"--
Supplement to "Putting Evidence into Practice: Improving Oncology Patient Outcomes" (Eaton and Tipton, 2009).
Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.
- NEW! Updated evidence-based content reflects the latest national and international quality standards regarding various cancer types, major drug and non-drug treatments, treatment protocols, and approaches to symptom management. - NEW! Nursing Practice Considerations section incorporates information on communication, cultural considerations, ethical considerations, safe and quality care, evidence-based practice, patient navigation, and patient education. - NEW! 17 new chapters cover topics including myelofibrosis, neuroendocrine cancers, tumor treating fields, oral adherence, clinical trials, epistaxis, hypersensitivity reactions, hypertension, hyperglycemia, nail changes, ocular and visual changes, rashes, survivorship, quality and safety, evidence-based practice, nurse navigation, and patient education. - NEW! Expanded content on patient education keeps readers on top of best practices in this critical area. - NEW! High-quality electronic patient teaching handouts are evidence-based and have been vetted by practicing nurses.
Janet L. Abrahm argues that all causes of suffering experienced by people with cancer, be they physical, psychological, social, or spiritual, should be treated at all stages: at diagnosis, during curative therapy, in the event that cancer recurs, and during the final months. In the second edition of this symptom-oriented guide, she provides primary care physicians, advanced practice nurses, internists and oncologists with detailed information and advice for alleviating the stress and pain of patients and family members alike. The new edition includes the latest information on patient and family communication and counseling, on medical, surgical, and complementary and alternative treatments for symptoms caused by cancer and cancer treatments, and on caring for patients in the last days and their bereaved families. Updated case histories, medication tables, Practice Points, and bibliographies provide clinicians with the information they need to treat their cancer patients effectively and compassionately.
Palliative care provides comprehensive support for severely affected patients with any life-limiting or life-threatening diagnosis. To do this effectively, it requires a disease-specific approach as the patients’ needs and clinical context will vary depending on the underlying diagnosis. Experts in the field of palliative care and oncology describe in detail the needs of patients with advanced cancer in comparison to those with non-cancer disease and also identify the requirements of patients with different cancer entities. Basic principles of symptom control are explained, with careful attention to therapy for pain associated with either the cancer or its treatment and to symptom-guided antineoplastic therapy. Complex therapeutic strategies for palliative cancer patients are highlighted that involve both cancer- and symptom-directed options and address a range of therapeutic aims. Issues relating to drug use in palliative cancer care are fully explored, and a separate section is devoted to care in the final phase. A range of organizational and policy issues are also discussed, and the book concludes by considering likely future developments in palliative care for cancer patients. Palliative Care in Oncology will be of particular interest to palliative care physicians who are interested in broadening the scope of their disease-specific knowledge, as well as to oncologists who wish to learn more about modern palliative care concepts relevant to their day-to-day work with cancer patients.
Thoroughly updated and expanded, the third edition of Understanding and Managing Oncologic Emergencies: A Resource for Nurses is a comprehensive yet practical guide to understanding and managing oncologic emergencies from the nursing perspective.