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Nursing care for patients with colorectal cancer

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https://www.readbyqxmd.com/read/27810484/cancer-screening-barriers-and-facilitators-for-under-and-never-screened-populations-a-mixed-methods-study
#1
Dionne Gesink, Brooke Filsinger, Alanna Mihic, Todd A Norwood, C Sarai Racey, Daniel Perez, Joan Antal, Paul Ritvo, Lee Vernich
BACKGROUND: Cancer screening is below targets in Ontario, Canada. Our objective was to identify and quantify the barriers and facilitators for breast, cervical and colorectal cancer screening for under and never screened (UNS) residents living in Ontario between 2011 and 2013. METHODS: We used a multi-phased mixed methods study design. Results from thematic analysis of focus group discussions with health care providers and UNS community members were used to develop an on-line, province-wide, cross-sectional survey to estimate the prevalence of barriers and facilitators for the provincial population...
December 2016: Cancer Epidemiology
https://www.readbyqxmd.com/read/27768579/the-prevalence-of-ostomy-related-complications-1-year-after-ostomy-surgery-a-prospective-descriptive-clinical-study
#2
Eva Carlsson, Jeanette Fingren, Anne-Marie Hallén, Charlotta Petersén, Elisabet Lindholm
Despite advancements in the creation and care of stomas, ostomy and peristomal skin complications are common immediately following surgery as well as in the months and years thereafter. A prospective study to determine the prevalence of ostomy and peristomal skin complications and the influence of ostomy configuration on such complications was conducted 1 year after ostomy surgery among all patients at a university hospital in Sweden. All participants received regular (10 to 14 days post discharge, 6 weeks, 3 months, 6 months, and 1 year post surgery) ostomy follow-up care by a wound ostomy continence (WOC) nurse...
October 2016: Ostomy/wound Management
https://www.readbyqxmd.com/read/27680060/-strategy-and-prospective-of-enhanced-recovery-after-surgery-for-esophageal-cancer
#3
Yin Li
Enhanced recovery after surgery (ERAS) is a patient-centered, surgeon-led system combining anesthesia, nursing, nutrition and psychology. It aims to minimize surgical stress and maintain physiological function in perioperative care, thereby expediting recovery. ERAS theory has been clinically applied for nearly 20 years and it is firstly used in colorectal surgery, then widely used in other surgical fields. However, ERAS is not used commonly in esophagectomy because of its surgical complexity and high morbidity of postoperative complications, which limits the application of ERAS in the field of esophagectomy...
September 25, 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27571677/-effects-of-a-nutritional-intervention-in-a-fast-track-program-for-a-colorectal-cancer-surgery-systematic-review
#4
Carmina Wanden-Berghe, Javier Sanz-Valero, Antonio Arroyo-Sebastián, Kamila Cheikh-Moussa, Pedro Moya-Forcen
UNLABELLED: Introducción: Preoperative nutritional status (NS) has consequences on postoperative (POSTOP) recovery. Our aim was to systematically review the nutritional interventions (NI) in Fast-Track protocols for colorectal cancer surgery and assess morbidity-mortality and patient´s recovery. METHOD: Systematic review of scientific literature after consulting bibliographic databases: Medline, The Cochrane Library, Scopus, Embase, Web of Science, Institute for Scientific Information, Latin American and Caribbean Health Sciences Literature, The Cumulative Index to Nursing and Allied Health Literature...
2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27564927/perceived-barriers-and-home-care-needs-when-adapting-to-a-fecal-ostomy-a-phenomenological-study
#5
Burcu Cengiz, Zuhal Bahar
PURPOSE: The aim of this study was to determine perceived barriers to adaptation to life with a fecal ostomy based on the Health Belief Model and to reveal home care needs related to these perceptions. DESIGN: Phenomenological study. SUBJECTS AND SETTING: Twelve participants undergoing ileostomy or colostomy within 3 months of data collection participated in the study. The participants were recruited from Stomatherapy Outpatient Clinic of Dokuz Eylül University Hospital...
August 25, 2016: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/27564435/the-effect-of-preoperative-subcutaneous-fat-thickness-on-surgical-site-infection-risk-in-patients-undergoing-colorectal-surgery-results-of-a-multisite-prospective-cohort-study
#6
Hiromi Nakagawa, Kaori Ohno, Shunya Ikeda, Masaki Muto
Surgical site infection (SSI) is one of the most frequent postoperative complications among patients undergoing elective colorectal surgery. A multisite, prospective cohort study was conducted to investigate whether the thickness of subcutaneous fat (TSF) influences the occurrence of SSI in patients undergoing colorectal surgery. Participants included patients scheduled to receive colorectal laparotomy for colorectal cancer and who were under the care of a wound ostomy continence nurse at 17 participating general hospitals in Japan...
August 2016: Ostomy/wound Management
https://www.readbyqxmd.com/read/27436515/working-up-rectal-bleeding-in-adult-primary-care-practices
#7
Saul N Weingart, Elena M Stoffel, Daniel C Chung, Thomas D Sequist, Ruth I Lederman, Stephen R Pelletier, Helen M Shields
RATIONALE, AIMS AND OBJECTIVES: Variation in the workup of rectal bleeding may result in guideline-discordant care and delayed diagnosis of colorectal cancer. Accordingly, we undertook this study to characterize primary care clinicians' initial rectal bleeding evaluation. METHODS: We studied 438 patients at 10 adult primary care practices affiliated with three Boston, Massachusetts, academic medical centres and a multispecialty group practice, performing medical record reviews of subjects with visit codes for rectal bleeding, haemorrhoids or bloody stool...
July 20, 2016: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/27417602/expert-and-advocacy-group-consensus-findings-on-the-horizon-of-public-health-genetic-testing
#8
Stephen M Modell, Karen Greendale, Toby Citrin, Sharon L R Kardia
DESCRIPTION: Among the two leading causes of death in the United States, each responsible for one in every four deaths, heart disease costs Americans $300 billion, while cancer costs Americans $216 billion per year. They also rank among the top three causes of death in Europe and Asia. In 2012 the University of Michigan Center for Public Health and Community Genomics and Genetic Alliance, with the support of the Centers for Disease Control and Prevention Office of Public Health Genomics, hosted a conference in Atlanta, Georgia to consider related action strategies based on public health genomics...
2016: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/27401890/cancer-control-in-central-and-eastern-europe-current-situation-and-recommendations-for-improvement
#9
Eduard Vrdoljak, Gyorgy Bodoky, Jacek Jassem, Razvan A Popescu, Jozef Mardiak, Robert Pirker, Tanja Čufer, Semir Bešlija, Alexandru Eniu, Vladimir Todorović, Kateřina Kubáčková, Galia Kurteva, Zorica Tomašević, Agim Sallaku, Snezhana Smichkoska, Žarko Bajić, Branimir I Šikić
: : The incidence of many cancers is higher in Western European (WE) countries, but mortality is frequently higher in Central and Eastern European (CEE) countries. A panel of oncology leaders from CEE countries participating in the South Eastern European Research Oncology Group (SEEROG) was formed in 2015, aiming to analyze the current status and trends of oncology care in CEE and to propose recommendations leading to improved care and outcomes. The SEEROG panel, meeting during the 11th Central European Oncology Congress, proposed the following: (a) national cancer control plans (NCCPs) required in all CEE countries, defining priorities in cancer care, including finance allocation considering limited health care budgets; (b) national cancer registries, describing in detail epidemiological trends; (c) efforts to strengthen comprehensive cancer centers; (d) that multidisciplinary care should be mandated by the NCCPs; (e) that smaller hospitals should be connected to multidisciplinary tumor boards via the Internet, providing access to specialized expertise; (f) nationwide primary prevention programs targeting smoking, obesity, and alcohol consumption and centrally evaluated secondary prevention programs for cervical, colorectal, and breast cancers; (g) prioritize education for all involved in cancer care, including oncology nurses, general practitioners, and palliative care providers; (h) establish outpatient care in day hospitals to reduce costs associated with the current inpatient model of care in CEE countries and to improve patients' quality of life; (i) long-term pharmacoeconomic evaluations of new therapies in CEE countries; (j) increase national oncology budgets in view of the higher mortality rates in CEE compared with WE countries; and (k) CEE countries urgently need help from the European Union to increase and monitor overall investment in cancer care...
October 2016: Oncologist
https://www.readbyqxmd.com/read/27306909/a-randomized-controlled-trial-of-a-nurse-led-supportive-care-package-survivorcare-for-survivors-of-colorectal-cancer
#10
Michael Jefford, Karla Gough, Allison Drosdowsky, Lahiru Russell, Sanchia Aranda, Phyllis Butow, Jo Phipps-Nelson, Jane Young, Mei Krishnasamy, Anna Ugalde, Dorothy King, Andrew Strickland, Michael Franco, Robert Blum, Catherine Johnson, Vinod Ganju, Jeremy Shapiro, Geoffrey Chong, Julie Charlton, Andrew Haydon, Penelope Schofield
INTRODUCTION: Colorectal cancer (CRC) and its treatments can cause distressing sequelae. We conducted a multicenter randomized controlled trial aiming to improve psychological distress, supportive care needs (SCNs), and quality of life (QOL) of patients with CRC. The intervention, called SurvivorCare (SC), comprised educational materials, needs assessment, survivorship care plan, end-of-treatment session, and three follow-up telephone calls. METHODS: At the end of treatment for stage I-III CRC, eligible patients were randomized 1:1 to usual care (UC) or to UC plus SC...
August 2016: Oncologist
https://www.readbyqxmd.com/read/27209158/-management-and-nursing-care-for-a-patient-with-lynch-syndrome-a-case-report
#11
Luis Arturo Pacheco-Pérez, Milton Carlos Guevara Valtier
Colorectal cancer is one of the leading causes of death from cancer worldwide. Main interventions to reduce the impact are aimed to enhance prevention and early detection. Results of several studies show that tests such as the fecal occult blood test and colonoscopy are effective for early diagnosis. There are hereditary syndromes such as Lynch Syndrome that can lead to certain types of cancers, including bowel neoplasms, therefore early detection needs to be included as part of the treatment. In these cases, family genetic testing is recommended if the bowel cancer is diagnosed before 50 years old...
September 2016: Enfermería Clínica
https://www.readbyqxmd.com/read/27006355/feasibility-study-of-an-electronic-interface-between-internet-based-survivorship-care-plans-and-electronic-medical-records
#12
Christine E Hill-Kayser, Linda A Jacobs, Peter Gabriel, Steven C Palmer, Margaret K Hampshire, Carolyn Vachani, Stephen B Edge, James M Metz
PURPOSE: Survivorship care plans (SCPs) are recommended for all cancer survivors. Myriad barriers to implementation exist. This study was performed to evaluate the feasibility of interface development between an SCP and an electronic medical record (EMR). METHODS: An information technology application was developed to extract data from the EMR in use at our center (Epic). Data were transferred to autopopulate an Internet-based tool for creation of SCPs (LIVESTRONG Care Plan) that had been previously used for the creation of more than 35,000 plans...
April 2016: Journal of Oncology Practice
https://www.readbyqxmd.com/read/26935189/cancer-screening-among-peer-led-community-wellness-center-enrollees
#13
Lois E Rockson, Margaret A Swarbrick, Carlos Pratt
Growing evidence suggests health disparities exist in services for individuals with mental disorders served by the public mental health system. The current study assessed the use of cancer screening services among New Jersey residents in publicly funded mental health programs. Self-administered written surveys were completed by 148 adults using peer-led community wellness centers throughout New Jersey. Information was collected on (a) the use of breast, cervical, and colorectal cancer screening services; (b) barriers to receiving preventive services; and (c) perceptions of overall health...
March 2016: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/26808254/assessment-of-rehabilitation-needs-in-colorectal-cancer-treatment-results-from-a-mixed-audit-and-qualitative-study-in-denmark
#14
Liza Wiedenbein, Maria Kristiansen, Lis Adamsen, Dorte Hjort, Carsten Hendriksen
Background Systematic assessments of cancer patients' rehabilitation needs are a prerequisite for devising appropriate survivorship programs. Little is known about the fit between needs assessment outlined in national rehabilitation policies and clinical practice. This study aimed to explore clinical practices related to identification and documentation of rehabilitation needs among patients with colorectal cancer at Danish hospitals. Material and methods A retrospective clinical audit was conducted utilizing data from patient files randomly selected at surgical and oncology hospital departments treating colorectal cancer patients...
June 2016: Acta Oncologica
https://www.readbyqxmd.com/read/26715879/wellness-beyond-cancer-program-building-an-effective-survivorship-program
#15
M Rushton, R Morash, G Larocque, C Liska, L Stoica, C DeGrasse, R Segal
BACKGROUND: The Wellness Beyond Cancer Program (wbcp) was launched in 2012, first accepting patients with colorectal cancer (crc) and, subsequently, those with breast cancer (bca), with the aim of standardizing and streamlining the discharge process from our cancer centre. Patients are discharged either to the wbcp nurse practitioner or to their primary care provider (pcp). The program incorporates survivorship care plans (scps) and education classes; it also has a rapid re-entry system in case of recurrence...
December 2015: Current Oncology
https://www.readbyqxmd.com/read/26632954/adaptation-of-an-evidence-based-colorectal-cancer-screening-program-using-the-consolidated-framework-for-implementation-research
#16
Allison M Cole, Andrea Esplin, Laura-Mae Baldwin
INTRODUCTION: Federally Qualified Health Centers (FQHCs) provide primary care to low-income and uninsured patients in the United States. FQHCs are required to report annual measurements and provide evidence of improvement for quality measures; effective methods to improve quality in FQHCs are needed. Systems of Support (SOS) is a proactive, mail-based, colorectal cancer screening program that was developed and tested in an integrated health care system. The objective of this study was to adapt SOS for use in an FQHC system, guided by the Consolidated Framework for Implementation Research (CFIR)...
December 3, 2015: Preventing Chronic Disease
https://www.readbyqxmd.com/read/26602398/-risk-factors-for-oxaliplatin-induced-phlebitis-and-venous-pain-and-evaluation-of-the-preventive-effect-of-preheating-with-a-hot-compress-for-administration-of-oxaliplatin
#17
Kana Nakauchi, Hitoshi Kawazoe, Risa Miyajima, Chieko Waizumi, Yuki Rokkaku, Kikue Tsuneoka, Noriko Higuchi, Mitsuko Fujiwara, Yoh Kojima, Yoshihiro Yakushijin
Venous pain induced by oxaliplatin(L-OHP)is a clinical issue related to adherence to the Cape OX regimen. To prevent LOHP- induced venous pain, we provided nursing care to outpatients who were administered a preheated L -OHP diluted solution using a hot compress. We retrospectively evaluated the risk factors for colorectal cancer patients who had L -OHP induced phlebitis and venous pain. Furthermore, the preventive effect of nursing care was compared between inpatients and outpatients from January 2010 to March 2012...
November 2015: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/26586101/rural-urban-differences-in-costs-of-end-of-life-care-for-elderly-cancer-patients-in-the-united-states
#18
Hongmei Wang, Fang Qiu, Eugene Boilesen, Preethy Nayar, Lina Lander, Kate Watkins, Shinobu Watanabe-Galloway
PURPOSE: The objective of this study was to examine the rural-urban differences in Medicare expenditures on end-of-life care for elderly cancer patients in the United States. METHODS: We analyzed Medicare claims data for 175,181 elderly adults with lung, colorectal, female breast, or prostate cancer diagnosis who died in 2008. The end-of-life costs were quantified as total Medicare expenditures for the last 12 months of care including inpatient, outpatient, physician services, hospice, home health, skilled nursing facilities (SNF), and durable medical expenditure...
September 2016: Journal of Rural Health
https://www.readbyqxmd.com/read/26526080/adherence-to-competing-strategies-for-colorectal-cancer-screening-over-3-years
#19
RANDOMIZED CONTROLLED TRIAL
Peter S Liang, Chelle L Wheat, Anshu Abhat, Alison T Brenner, Angela Fagerlin, Rodney A Hayward, Jennifer P Thomas, Sandeep Vijan, John M Inadomi
OBJECTIVES: We have shown that, in a randomized trial comparing adherence to different colorectal cancer (CRC) screening strategies, participants assigned to either fecal occult blood testing (FOBT) or given a choice between FOBT and colonoscopy had significantly higher adherence than those assigned to colonoscopy during the first year. However, how adherence to screening changes over time is unknown. METHODS: In this trial, 997 participants were cluster randomized to one of the three screening strategies: (i) FOBT, (ii) colonoscopy, or (iii) a choice between FOBT and colonoscopy...
January 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/26404073/initiating-an-enhanced-recovery-pathway-program-an-anesthesiology-department-s-perspective
#20
Christopher L Wu, Andrew R Benson, Deborah B Hobson, Claro Pio Roda, Renee Demski, Daniel J Galante, Andrew J Page, Peter J Pronovost, Elizabeth C Wick
BACKGROUND: Enhanced recovery pathways (ERPs) for surgical patients may reduce variation in care and improve perioperative outcomes. Mainstays of ERPs are standardized perioperative pathways. At The Johns Hopkins Hospital (Baltimore), an integrated ERP was proposed to further reduce the surgical site infection rate and the longer-than-expected hospital length of stay in colorectal surgery patients. METHODS: To develop the technical components of the anesthesia pathway, evidence on enhanced recovery was reviewed and the limitations of the hospital infrastructure and policies were considered...
October 2015: Joint Commission Journal on Quality and Patient Safety
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