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Nursing Clinics of North America

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https://www.readbyqxmd.com/read/28189169/cancer-nursing-care-in-the-twenty-first-century
#1
EDITORIAL
Margaret Barton-Burke
No abstract text is available yet for this article.
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189168/dermatologic-reactions-to-targeted-therapy-a-focus-on-epidermal-growth-factor-receptor-inhibitors-and-nursing-care
#2
REVIEW
Margaret Barton-Burke, Kathryn Ciccolini, Maria Mekas, Sean Burke
Cancer treatments usually have side effects of bone marrow depression, mucositis, hair loss, and gastrointestinal issues. Rarely do we think of skin side effects until patients have been treated successfully with epidermal growth factor receptor inhibitors (EGFRi). Those reactions include papulopustular rash, hair changes, radiation dermatitis enhancement, pruritus, mucositis, xerosis, fissures, and paronychia. This article discusses the common skin reactions seen when using EGFRi and presents an overview of skin as the largest and important organ of the body, including an overview of skin assessment, pathophysiology of the skin reactions, nursing care involved, and introduction to oncodermatology...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189167/changes-in-cancer-treatment-mabs-mibs-mids-nabs-and-nibs
#3
REVIEW
Joseph D Tariman
Cancer therapeutics has been growing in an unprecedented fashion and has evolved rapidly in the past two decades. Specific gene mutation, protein dysfunction and dysregulation, intracellular signaling pathways, and immune modulation have been targeted. These therapeutic advances came largely because of improved understanding of the pathobiology of cancer at the genetic and molecular levels. This article addresses the need of novice nurses for cancer treatment-related information and evidence-based nursing care of patients diagnosed with cancer while undergoing novel and breakthrough therapeutics...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189166/lung-cancer-and-tobacco-what-is-new
#4
REVIEW
Stella Aguinaga Bialous, Linda Sarna
Lung cancer is the leading cause of cancer death worldwide. Tobacco use remains the single most important preventable cause of cancer and is responsible for 80% of all cases of lung cancer. Implementation of tobacco control measures, including preventing initiation and treating dependence, are pivotal to address the lung cancer epidemic. New evidence continues to emerge on the significant positive impact of incorporating tobacco dependence treatment within all lung cancer treatment protocols. Evidence and guidelines on how to implement these strategies exist and present an opportunity for nurses to make a difference in reducing suffering and preventing deaths from lung cancer...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189165/the-big-3-an-updated-overview-of-colorectal-breast-and-prostate-cancers
#5
REVIEW
Jeanine Gordon, Erica Fischer-Cartlidge, Margaret Barton-Burke
This article provides a current overview of colorectal, breast, and prostate cancers. For each cancer, data related to incidence and prevalence are discussed, as well as nonmodifiable and modifiable risk factors. Information about detection and evidenced-based screening guideline recommendations is reviewed, with the most common and recent treatment modalities emphasized. Current clinical and treatment-related issues are discussed along with nursing care and implications for cancer care. Future directions for these 3 cancers are addressed also...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189164/equity-in-cancer-care-strategies-for-oncology-nurses
#6
REVIEW
Tracy Truant
There is growing evidence of inequities among people living with cancer. Aligning with nursing's social justice imperative, addressing these inequities is an integral, yet underdeveloped, aspect of the nurses' role. Understanding the social determinants of health, and the factors, contexts, and structures that influence individuals' opportunities for health, is an essential foundation for moving the health equity agenda forward. Oncology nurses can implement a two-pronged approach to further this agenda through strategies focusing on the direct care of individuals and communities, and addressing the root causes of inequity through leadership, policy influence, advocacy, education, and research...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189163/cancer-survivorship-models-and-care-plans-a-status-update
#7
REVIEW
Lorrie L Powel, Stephen M Seibert
This article provides a synopsis of the status of cancer survivorship in the United States. It highlights the challenges of survivorship care as the number of cancer survivors has steadily grown over the 40 years since the signing of the National Cancer Act in 1971. Also included is an overview of various models of survivorship care plans (SCPs), facilitators and barriers to SCP use, their impact on patient outcomes, and implications for clinical practice and research. This article provides a broad overview of the cancer survivorship, including models of care and survivorship care plans...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189162/symptom-management-and-palliative-care-for-patients-with-cancer
#8
REVIEW
Patsy Yates
The clinical context for advanced cancer has changed in recent years, with extended survival rates and more diverse and complex cancer trajectories and symptomatology. Advances have been made in symptom management of advanced disease, and the contribution of palliative care is better understood. Palliative care is more likely offered earlier in the disease not just at end of life. This article discusses symptom management together with palliative care. Key features are greater appreciation of the complex and multidimensional nature of mechanisms underpinning co-occurring symptoms in advanced cancer patients, comprehensive and systematic symptom assessment, and individualized approaches to cancer management...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189161/the-hidden-morbidity-of-cancer-burden-in-caregivers-of-patients-with-brain-metastases
#9
REVIEW
Marlon Garzo Saria, Adeline Nyamathi, Linda R Phillips, Annette L Stanton, Lorraine Evangelista, Santosh Kesari, Sally Maliski
Caregiving is a highly individualized experience. Although numerous articles have been published on caregiver burden from a variety of diagnoses and conditions, this article presents the unique features of caregiving in patients with brain metastases. Improved long-term survival, concerns about disease recurrence or progression, the cancer experience (initial diagnosis, treatment, survivorship, recurrence, progression, and end of life), and the increasing complexity of cancer treatments add to the demands placed on the caregivers of patients with brain metastases...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189160/organizational-strategies-for-building-capacity-in-evidence-based-oncology-nursing-practice-a-case-report-of-an-australian-tertiary-cancer-center
#10
REVIEW
Raymond Javan Chan, Alison Bowers, Margaret Barton-Burke
The ever-increasing cancer care demand has posed a challenge for oncology nurses to deliver evidence-based, innovative care. Despite efforts to promote evidence-based practice, barriers remain and executives find it difficult to implement evidence-based practice efficiently. Using the successful experience of an Australian tertiary cancer center, this paper depicts 4 effective strategies for facilitating evidence-based practice at the organizational level-the Embedded Scholar: Enabler, Enactor, and Engagement (4 Es) Model-includes a 12-week evidence-based practice program that prioritizes relevant research proposed by clinical staff and endorses high-quality, evidence-based point-of-care resources...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189159/clinical-trials-and-the-role-of-the-oncology-clinical-trials-nurse
#11
REVIEW
Elizabeth A Ness, Cheryl Royce
Clinical trials are paramount to improving human health. New trial designs and informed consent issues are emerging as a result of genomic profiling and the development of molecularly targeted agents. Many groups and individuals are responsible for ensuring the protection of research participants and the quality of the data produced. The specialty role of the clinical trials nurse (CTN) is critical to clinical trials. Oncology CTNs have competencies that can help guide their practice; however, not all oncology clinical trials are supervised by a nurse...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189158/oral-agents-for-cancer-treatment-effective-strategies-to-assess-and-enhance-medication-adherence
#12
REVIEW
Laura A Fennimore, Pamela K Ginex
As cancer treatment shifts to a combination of oral and intravenous agents for systemic treatment, health care professionals must adapt with practice changes aimed at supporting patients and optimizing adherence. Moving toward a shared decision-making model or a personal systems approach is a potential mechanism to minimize barriers and enhance facilitators to oral treatment adherence. Additional research is needed to understand what works for patients and how health care providers can change systems and care strategies to support patients with the ultimate goal of improved patient care and outcomes...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189157/genetics-and-genomics-in-oncology-nursing-what-does-every-nurse-need-to-know
#13
REVIEW
Julie Eggert
In addition to the need for basic education about genetics/genomics, other approaches are suggested to include awareness campaigns, continuing education courses, policy review, and onsite clinical development. These alternative learning strategies encourage oncology nurses across the continuum of care, from the bedside/seatside to oncology nurse research, to integrate genomics into all levels of practice and research in the specialty of oncology nursing. All nurses are warriors in the fight against cancer. The goal of this article is to identify genomic information that oncology nurses, at all levels of care, need to know and use as tools in the war against cancer...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/27863584/implications-of-disaster-preparedness-for-nursing
#14
EDITORIAL
Deborah J Persell
No abstract text is available yet for this article.
December 2016: Nursing Clinics of North America
https://www.readbyqxmd.com/read/27863583/disaster-planning-preparedness-mitigation-response-and-recovery-a-call-for-all-nurses-to-action
#15
EDITORIAL
Stephen D Krau
No abstract text is available yet for this article.
December 2016: Nursing Clinics of North America
https://www.readbyqxmd.com/read/27863582/vehicle-of-hope-faith-based-disaster-response
#16
REVIEW
Deborah J Persell
In August 2005, the United States experienced one of the most catastrophic and costly disasters in its history: Hurricane Katrina. Faith-based Organizations (FBOs) made a major contribution to the response and recovery efforts. Whereas the activities and skill sets of FBOs vary, their core missions are very similar: they want to provide hope. As a concept, hope has been purported to be essential for health and well-being, is viewed as multidimensional and a life force, as well as is highly individualized. This mixed methods study used interviews of the phenomenology tradition and the Herth Hope Index...
December 2016: Nursing Clinics of North America
https://www.readbyqxmd.com/read/27863581/radiation-fear-and-common-sense-adaptations-in-patient-care
#17
REVIEW
Robert C Beauchamp
Lack of understanding about the basic nature of radiation exposure and contamination may lead to unreasonable fear in nursing staff. A brief review of a well-known case shows that in general, both the public and health care providers are radiophobic. Studies have shown that the level of fear correlates inversely with an understanding of radiation. This article explores underlying principles of ionizing radiation and their application in patient management. Reality based, scientifically accurate information along with practical suggestions can free health care providers from unreasonable fear of victims of a radiation accident...
December 2016: Nursing Clinics of North America
https://www.readbyqxmd.com/read/27863580/hospital-decontamination-what-nurses-need-to-know
#18
REVIEW
Brent Cox
Incidents involving the release of hazardous materials challenge medical providers with safely, quickly, and correctly removing contaminants from the victim. While doing so, the safety of the first receiver, current patients, bystanders, as well as the victim all have to be considered. Key challenges with hospital decontamination include, but are not limited to, selection of team members, training protocols, employee turnover, and funding. Best practices, based on the available literature and evidence, include administration buy-in and support; strong policy and procedure documentation; equipment maintenance programs; and team member recruitment, retention, and education...
December 2016: Nursing Clinics of North America
https://www.readbyqxmd.com/read/27863579/evolution-of-a-nursing-model-for-identifying-client-needs-in-a-disaster-shelter-a-case-study-with-the-american-red-cross
#19
REVIEW
Janice Springer, Mary Casey-Lockyer
From the time of Clara Barton, Red Cross nursing has had a key role in the care and support of persons affected by disasters in the United States. Hurricane Katrina and other events brought to light the need for a shelter model that was inclusive of the whole community, including persons with disabilities, at-risk and vulnerable populations, and children. From an intake process to a nursing model for assessment, an evidence-guided process informed a systematic approach for a registered nurse-led model of care...
December 2016: Nursing Clinics of North America
https://www.readbyqxmd.com/read/27863578/wildfire-disasters-and-nursing
#20
REVIEW
Patricia Frohock Hanes
Multiple factors contribute to wildfires in California and other regions: drought, winds, climate change, and spreading urbanization. Little has been done to study the multiple roles of nurses related to wildfire disasters. Major nursing organizations support disaster education for nurses. It is essential for nurses to recognize their roles in each phase of the disaster cycle: mitigation, preparedness, response, and recovery. Skills learned in the US federal all-hazards approach to disasters can then be adapted to more specific disasters, such as wildfires, and issues affecting health care...
December 2016: Nursing Clinics of North America
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