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Clinical journal of oncology nursing [journal]
- Telephone Calls Postdischarge From Hospital to Home: A Literature Review. [JOURNAL ARTICLE]
- Clin J Oncol Nurs 2013 Dec 10.:A1-A8.
The oncology population is particularly affected by hospital readmissions because hospitalized patients with cancer often have complex needs. The complexity and diversity of care requirements create substantial challenges in planning for appropriate postdischarge support. Implementing postdischarge telephone calls in the population of patients with cancer could offer a low-cost intervention to address the complex needs of patients during the transition from hospital to home. The goal of the current literature review is to provide an understanding about postdischarge telephone calls in patients with cancer. Findings from this review support the notion that discharge phone calls could improve care continuity for patients transitioning from hospital to home. The literature review outlines information related to telephone call content, timing, and structure for healthcare systems that want to use a postdischarge telephone intervention for patients with cancer. However, additional research is needed to develop and test cancer-specific protocols.
- Resources for physical activity in cancer centers in the United States. [Journal Article]
- Clin J Oncol Nurs 2013 Dec 1; 17(6):E71-6.
Physical activity (PA) has many benefits for cancer survivors. However, the available PA resources for survivors at cancer centers throughout the United States are undocumented. The current study surveyed major cancer centers concerning the availability and types (e.g., facilities, programs, counseling, information resources) of PA resources available. Of supportive care services, PA resources were the least commonly reported. Significant correlations were found among availability of PA resources and other supportive care services. Although many cancer centers reported offering PA programming, formal and informal PA guidance and support seem to fall on oncology nurses and other clinicians. Oncology nurses should be reminded that they may be one of the only sources of PA guidance available to survivors at cancer centers.
- Who am I? Reflections on self-image among patients with cancer in clinical trials. [Journal Article]
- Clin J Oncol Nurs 2013 Dec 1; 17(6):E68-70.
Patients with cancer who participate in research face difficult challenges. Their lives change in many ways, and they often question their self-image. Self-image includes how patients see themselves and who they want to become. The current commentary addresses the issue of self-image in patients with cancer who participate in clinical trials and how their sense of who they were changes as they shift from patients with cancer to research participants. Patients with cancer who participate in research may suffer from multiple identity transitions, ranging from physical alterations in appearance and bodily capabilities to psychological burdens of job loss and the inability to contribute financially to their families. The author aims to provide insight as to how researchers can help patients find meaning in their lives during the process of participation in clinical trials as they undergo identity transitions.
- The pathway to becoming a professional nurse. [Journal Article]
- Clin J Oncol Nurs 2013 Dec 1; 17(6):673-4.
Back on a beautiful autumn day in Seattle, which also just happened to be my 50th birthday, I was selected as the 2012 Ruth McCorkle Award Lecturer by the Puget Sound Oncology Nursing Society (ONS) chapter. The lectureship was started in 1987 as a special tribute to Ruth McCorkle, PhD, RN, FAAN, who was a member of the chapter. Chapter members are nominated by peers in recognition of their contribution to oncology nursing and to ONS, both locally and nationally. The timing of the award prompted me to reflect on my nursing values and the steps that led me to where I am today.
- Dietary flavonoids for the prevention of colorectal cancer. [Journal Article]
- Clin J Oncol Nurs 2013 Dec 1; 17(6):671-2.
To assess whether dietary flavonoids have an effect on the incidence of colorectal adenoma and colorectal cancer.
- Enhancing patient outcomes in healthcare systems through multidisciplinary teamwork. [Journal Article]
- Clin J Oncol Nurs 2013 Dec 1; 17(6):669-72.
The increasingly complex needs of patients with cancer and their families call for a multidisciplinary team to achieve optimal patient outcomes. The purpose of the current article is to describe a teamwork model that can be used to address the needs of patients and the challenges associated with a healthcare system. The teamwork model was developed to address the mechanism needed to establish a paradigm shift in achieving high-quality patient care through effective teamwork.
- Tumor cell dissemination secondary to surgical interventions in the breast. [Journal Article]
- Clin J Oncol Nurs 2013 Dec 1; 17(6):667-8.
Dissemination secondary to surgical interventions is an issue that arises in conversations between patients and providers prior to breast biopsy. Research supports needle biopsies over incisional or excisional biopsies in most situations. Tumor cell dissemination is a rare occurrence. However, the fear of dissemination as experienced by the patient is very real. That fear may influence the patient's decision to proceed with a recommended biopsy.
- Diagnosis, treatment, and management of immune thrombocytopenia. [Journal Article]
- Clin J Oncol Nurs 2013 Dec 1; 17(6):664-6.
Management of immune thrombocytopenia (ITP) requires accurate assessment and evaluation, appropriate treatment strategies, and timely nursing interventions (e.g., monitoring, bleeding prevention, patient education). The overview of ITP in the current article reviews its etiology and provides updates about medical management and key components of nursing care.
- Head and neck cancer: historical evolution of treatment and patient self-care requirements. [Journal Article]
- Clin J Oncol Nurs 2013 Dec 1; 17(6):659-63.
The purpose of this literature review is to explore the historical progression of treatment and its impact on care requisites in patients with head and neck cancer. Head and neck cancers are some of the most visible types of cancer. Patients often experience difficulties in self-care because of problems adapting to and coping with the diagnosis and disease management. Evaluation of the literature from the 1960s to present indicated a shift from coping with disfigurement to focusing on dysfunction and rehabilitative self-care. The process of assisting patients with self-care activities occurs from the time of diagnosis through post-treatment and beyond. Adapting to and coping with changes in physical appearance and function begins with the cognitive decision to initiate treatment modalities specific to the cancer site. Current knowledge of the manifestations of head and neck cancer provides the healthcare team with a better understanding of the disease trajectory and how best to assist patients in adapting to and coping with changes affecting their quality of life.
- The benefits of medical qigong in patients with cancer: a descriptive pilot study. [Journal Article]
- Clin J Oncol Nurs 2013 Dec 1; 17(6):654-8.
Medical Qigong (MQ) is a mind-body exercise that includes movement and meditation and is beneficial in reducing high blood pressure, high cholesterol, anxiety, stress, pain, and incidence of falls. The purpose of the current study was to determine whether patients with cancer and survivors who participated in an MQ class experienced a change in fatigue, depression, and sleep from a preintervention evaluation to a postintervention evaluation. Participants were patients diagnosed with cancer who participated in MQ classes. Some were actively undergoing cancer treatment (e.g., surgery, hormone therapy, radiation therapy, chemotherapy) and some were receiving no treatment. Patients diagnosed with cancer and enrolled in an MQ class were invited to participate. A packet of surveys was completed before the first class and before the final class. Scores showed a reduced depression score after completing the five-week MQ course. Those findings indicate that MQ is helpful in reducing some of the problems associated with cancer and cancer treatment.