Homeworks academic writing service


A nurses exemplar caring for a patient with cancer

Advanced breast cancer clinical nursing curriculum: The needs and concerns of patients with advanced breast cancer are changing at every phase of the care intervention.

Subscribe to receive notifications of new issues

Management and coordination of hospital resources and services are also steadily evolving. The objective of the present expert report is to define a new oncology nursing role specialising in advanced breast cancer, to help guide patients throughout the whole healthcare itinerary. A group of eight experts in oncology nursing and medical oncology defined the content index of the curriculum document.

  1. A systematic review of bibliography was carried out, and the relevant contents were extracted. Management and coordination of hospital resources and services are also steadily evolving.
  2. For example, nausea and vomiting are two of the most common symptoms associated with chemotherapy. The life-threatening potential of cancer for the patient and the perception of potential and actual suffering does impact on nurses, their learning and their clinical practice.
  3. However, it is an overlooked symptom without routine use of instruments to assess anxiety.
  4. State cancer pain initiatives, guidelines, and organizational position statements have been excellent efforts toward improving pain management. The application of instruments guided patient care and improved communication.

A systematic review of bibliography was carried out, and the relevant contents were extracted. Based on these contents and the participants' experience, recommendations were formulated and validated through a Delphi questionnaire and a participative meeting.

The advanced breast cancer clinical nurse ABCCN should develop a clinical, psychosocial role focused on coordinating patients in the healthcare network. The nurse would be in charge of evaluating and supervising the care administered and the healthcare resources used. The ABCCN should be aware and participate in the protocols and available resources, be able to solve conflicts, deal with burn-out signs and have clinical, coaching and team-working abilities.

The proposed curriculum provides a specific process for the care of patients, as well as an implementation process. This review and consensus document provides the required tools for the implementation in hospitals. An issue for the primary malignant brain tumour population.

Can J Neurosci Nurs. Reports highlight the growing unmet need for palliative care as it applies to all cancers, yet the system and health care professionals HCP appear slow to respond. The following discussion paper highlights the current state of palliative care within the context of the primary malignant brain tumour PMBT population and argues for a shift in the current health care system's approach, which continues to place greater emphasis on cure over care.

An exploration of extant literature over the past 10 years. The current literature demonstrates that timely referrals to palliative care consult teams and access to community-based resources have been associated with fewer hospitalizations and visits to emergency departments and a decrease in the initiation of invasive, aggressive treatment at end of life.

Timely referral to palliative care has also been shown to reduce distress, enhance quality of life and, in some cases, increase life expectancy. Earlier referral to palliative care has yet to become a reality for many patients diagnosed with life-limiting illnesses and, in particular, those with a PMBT.

More research is needed to uncover and challenge the barriers to early transition including communication issues among professionals, patients and families around palliative care. A prospective study of patient-centred outcomes in the management of malignant pleural effusions. Int J Palliat Nurs.

In a patient population with a limited life expectancy, malignant pleural effusion can significantly impact quality of life QoL.

Different treatment options are available, each with its own effect on QoL. To date, satisfaction with treatment options has not been evaluated.

Admiring courage: Nurses' perceptions of caring for patients with cancer.

To evaluate QoL and satisfaction with treatment using patient-reported outcomes for four different treatment strategies. A prospective, cohort study that compared four treatment options: A total of 104 participants were treated across four acute care teaching hospitals in a large Canadian city.

  1. A group of eight experts in oncology nursing and medical oncology defined the content index of the curriculum document. BC Decker ; 2003.
  2. Patient Education The nurse often has a better opportunity than any other member of the healthcare team to develop the required rapport for effective educational efforts with patients and their families.
  3. This review and consensus document provides the required tools for the implementation in hospitals. Start studying ch 16.

No significant difference was identified between the four treatments based on patient-reported outcomes. VATS talc poudrage provided the most durable improvement. While all treatment options addressed the patients' symptoms and relieved dyspnoea, an IPC offered effective treatment with minimal discomfort and time in hospital yet still high satisfaction.

A nurses exemplar caring for a patient with cancer

Anxiety is a risk for reduced quality of life in advanced cancer patients. However, it is an overlooked symptom without routine use of instruments to assess anxiety. To gain insight into the use of instruments by nurses to assess anxiety in advanced cancer patients and the rationale behind it.

Data with regard to nurses' use of instruments were collected from medical records of 154 patients in three settings. Additionally, 12 nurses were interviewed.

Four instruments were used to assess anxiety.

The frequency of assessed anxiety differed among settings. The application of instruments guided patient care and improved communication. Lack of knowledge was the main reason not to use instruments. Application was influenced by patient and environmental factors, knowledge, attitudes and beliefs of nurses. Multifaceted strategies, leadership and education of nurses in the assessment and analysis of anxiety are needed to improve symptom management in advanced cancer patients.

The integration of BRCA testing into oncology clinics. Therefore there is an urgent need to test patients and obtain results in time to influence treatment. Models of BRCA testing, such as the mainstreaming oncogenetic pathway, involving oncology health professionals are being used. The authors report on the establishment of the extended role of the clinical nurse specialist in consenting women for BRCA testing in routine gynaecology-oncology clinics using the mainstreaming model.

Nurses undertook generic consent training and specific counselling training for BRCA testing in the form of a series of online videos, written materials and checklists before obtaining approval to consent patients for germline BRCA1 and BRCA2 mutations.

Patient Assessment

Between July 2013 and December 2015, 108 women with ovarian cancer were counselled and consented by nurses in the medical oncology clinics at a single centre The Royal Marsden, UK. Feedback from patients and nurses was encouraging with no significant issues raised in the counselling and consenting process.

The mainstreaming model allows for greater access to BRCA testing for ovarian cancer patients, many of whom may benefit from personalised therapy PARP inhibitors.

This is the first report of oncology nurses in the BRCA testing pathway. Specialist oncology nurses trained in BRCA testing have an important role within a multidisciplinary team counselling and consenting patients to undergo BRCA testing.