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Clin J Oncol Nurs [journal]
- Development of a Policy and Procedure for Accidental Chemotherapy Overdose. [JOURNAL ARTICLE]
- Clin J Oncol Nurs 2014 Jun 23.:A1-A7.
A policy regarding rapid response to chemotherapy overdoses was developed by the authors in an attempt to minimize morbidity and mortality. The parameters of a chemotherapy overdose were defined to promote early recognition of an overdose incident. Resources needed to guide potential therapeutic interventions and required monitoring were developed. The policy defines the immediate actions to be taken in the event of a chemotherapy overdose. The availability of a chemotherapy overdose policy provides an enhanced level of safety for patients by ensuring that appropriate treatment is initiated without delay. The development of the policy was in response to the reporting of a tragic error at another institution. Healthcare providers must recognize and address potential areas of vulnerability to maximize patient safety.
- Decision making after BRCA genetic testing. Down the road of transition. [Journal Article]
- Clin J Oncol Nurs 2014 Jun; 18(3):E58-63.
The purpose of this study was to evaluate women who have completed hereditary cancer risk assessment and BRCA genetic testing to determine if they considered themselves prepared to proceed with decision making regarding cancer screening and prevention options. Levels of decisional conflict were explored, as was their preference for information delivery. The prospective, descriptive survey was conducted at a breast and clinical genetics clinic at a comprehensive cancer center in the northeastern United States. Twenty-seven female participants completed the Preparation for Decision Making scale, Decisional Conflict Scale, and a demographic questionnaire. Scores were consistent with high levels of preparation for decision making and low decisional conflict. The face-to-face approach was the preferred method for information delivery. Subgroup analysis demonstrated a difference in the measured objectives based on cancer status but not based on BRCA status. The current information delivery approach is meeting the decision-making needs of women considered to be at increased risk for hereditary breast and ovarian cancer.
- Reasons for nonadherence to tamoxifen and aromatase inhibitors for the treatment of breast cancer: a literature review. [Journal Article]
- Clin J Oncol Nurs 2014 Jun 1; 18(3):E50-7.
Despite improved breast cancer survival rates with the use of tamoxifen and aromatase inhibitors, patients remain at risk for cancer recurrence and mortality because of nonadherence to medication. The objective of this review was to identify factors associated with nonadherence among patients with breast cancer. Electronic databases were searched for studies, and potentially relevant studies were retrieved and assessed for eligibility. Potential factors associated with nonadherence were identified, and they included patient-related factors (e.g., patient beliefs and knowledge, fear of adverse effects, forgetfulness, smoking, age, race), therapy-related factors (e.g., duration, side effects, additional prescribed medications, treatment interfering with lifestyle), healthcare system factors (e.g., patient/provider relationships), socioeconomic factors (e.g., medication costs, burden, scheduling problems, religion, marital status), and disease-related factors (e.g., comorbidities, stage of breast cancer). Those findings highlight the need for development of interventions to promote long-term adherence in patients with breast cancer.
- The effects of music on pain and anxiety during screening mammography. [Journal Article]
- Clin J Oncol Nurs 2014 Jun 1; 18(3):E45-9.
One in four women who are diagnosed with breast cancer die annually, and the single most important way to prevent this is early detection; therefore, women older than 40 years should have an annual screening mammography. Many barriers have been reported that prevent compliance with this recommendation, including lack of insurance, fear, anxiety, pain, worry, and mistrust of the medical community. Nurses are in a position to use creative interventions, such as music therapy, to help minimize barriers. Although this study did not show that music therapy during screening mammograms decreased the amount of pain that the participants experienced, it did suggest that music therapy has the potential to decrease the amount of anxiety. Assisting patients in decreasing anxiety reduces barriers for screening mammography. The literature does suggest that music is a distraction for many populations of patients; however, when patients are faced with the possible diagnosis of breast cancer, it may be difficult to find an intervention to distract a woman's mind, which was supported by the findings of this study.
- Predicting radiotherapy-related clinical toxicities in cancer: a literature review. [Journal Article]
- Clin J Oncol Nurs 2014 Jun 1; 18(3):E37-44.
Assessment of patients receiving radiotherapy for cancer is essential, with the ability to identify those who may be more likely to experience radiotherapy-related side effects noted as an important issue for nurses. Body mass, age, and radiation dose may be predictive factors for the development of such side effects. This review considers these factors and how nurses can use this evidence to inform their care, with results indicating that the dose of radiation, the site treated, and body mass index are predictive of toxicities that may develop. Increased awareness of these predictive factors will aid nurses in identifying patients at greater risk of developing radiation-related side effects. This will assist in guiding nursing interventions, as well as enabling the individualization of patient education, by placing greater emphasis on preventive measures for patients who are more vulnerable to the development of radiation-related toxicities.
- A telling transition: new graduate nursing in the oncology and bone marrow transplantation setting. [Journal Article]
- Clin J Oncol Nurs 2014 Jun 1; 18(3):369-70.
The University of Colorado Hospital's Post-Baccalaureate Nurse Residency Program is a Commission on Collegiate Nursing Education-accredited program structured to provide critical elements important for a successful transition into professional nursing practice. As part of the program, graduate nurse residents receive a year of education that includes 12-24 weeks of precepted orientation on the clinical unit, paid specialty courses, and monthly seminars that provide additional curriculum and mentoring support. At the completion of the program, the residents complete an evidence-based practice project and a clinical narrative summarizing their residency experience. The following is an example of one resident's exemplar.
- Influenza vaccines in immunosuppressed adults with cancer. [Journal Article]
- Clin J Oncol Nurs 2014 Jun 1; 18(3):367-8.
To assess the effectiveness of influenza vaccination in immunosuppressed adult patients with malignancies.
- Oncology nurses and indoor tanning: stylish or risky behavior? [Journal Article]
- Clin J Oncol Nurs 2014 Jun 1; 18(3):363-5.
Being tan has become a social norm, and some nurses engage in that widely accepted lifestyle. Mounting evidence of the increased risk to melanoma and nonmelanoma skin cancers associated with indoor tanning supports the need for nurses to integrate skin cancer education, counseling, and referrals into routine practice. The current article presents an overview of the risks associated with indoor tanning, discusses its acceptance as a social norm, and offers strategies to support oncology nurses in changing the widespread trend.
- The need for routine monitoring of cardiac function in patients receiving 5-fluorouracil infusion. [Journal Article]
- Clin J Oncol Nurs 2014 Jun; 18(3):360-2.
Fluorouracil (5-FU) is an antimetabolite that has become the cornerstone chemotherapeutic agent used to treat tumors of the gastrointestinal tract. Although proven to be effective, 5-FU can cause cardiotoxicity, which can be life-threatening. Adverse cardiac-related events induced by 5-FU include angina pectoris, myocardial infarction, supraventricular tachycardia, and atrial fibrillation. Nurses play a crucial role in the routine monitoring of cardiac function by identifying patients at high risk of developing 5-FU-related cardiotoxicity, monitoring patients during treatment, and then implementing specific interventions if 5-FU-related cardiotoxicity is identified or suspected. This article discusses the relevance of 5-FU-related cardiotoxicity, highlights the need for routine monitoring of cardiac function, and discusses methods of early detection and management.
- Cancer genetics and genomics: essentials for oncology nurses. [Journal Article]
- Clin J Oncol Nurs 2014 Jun 1; 18(3):355-9.
Cancer genetics and genomics are rapidly evolving, with new discoveries emerging in genetic mutations, variants, genomic sequencing, risk-reduction methods, and targeted therapies. To educate patients and families, state-of-the-art care requires nurses to understand terminology, scientific and technological advances, and pharmacogenomics. Clinical application of cancer genetics and genomics involves working in interdisciplinary teams to properly identify patient risk through assessing family history, facilitating genetic testing and counseling services, applying risk-reduction methods, and administering and monitoring targeted therapies.