摘要:

The environment in which the oncology clinical nurse specialist practices is often an influencing factor in role performance. Hence, with a variety of setting options, oncology clinical nurse specialists may function with minimal role similarities. Although this cannot be avoided completely, guidelines for more complementary role delineation are needed, regardless of practice setting. Cancer-specific role components, strategies for successful delivery of the role, organizational considerations, and marketing suggestions for oncology clinical nurse specialist practice are described.

ISSN:0162-220X    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

The severity and treatment of rectal infections in persons with acute leukemia has been given little attention in the nursing literature. Perirectal infections in this patient population have been associated with mortality rates as high as 50%. The clinical presentation of infections of the perirectal area is often altered, with typical signs and symptoms absent. The nursing care of persons undergoing intensive therapy for acute leukemia is the major factor in preventing and/or minimizing infections. This article discusses risk factors, clinical manifestations, complications, and medical treatment of rectal infections. Appropriate nursing interventions are suggested so that infectionlimiting treatment can be initiated expediently.

ISSN:0162-220X    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Fifty percent of all cancer occurs in individuals 65 years or older. Unfortunately, the elderly have been found to be less involved in cancer detection behaviors and to seek care at more advanced stages of disease. Inadequate knowledge of cancer among the elderly is one possible reason for these differences. This study reports on an assessment of cancer knowledge among 198 elderly individuals interviewed in 1984. Cancer knowledge was defined in terms of the respondents' scores on three categories of questions: (a) belief in cancer myths; (b) recall of the American Cancer Society's seven warning signals; and (c) recognition of symptoms of disease. Significant differences in cancer knowledge based on race, education, and income are presented. Multiple regression with myths, American Cancer Society seven warning signals, and knowledge of symptoms questionnaire as dependent variables showed consistent, statistically significant effects due to education and race.

ISSN:0162-220X    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Stimulated by the need for a patient education program to address both informational and emotional concerns of cancer patients and their families, a volunteer committee under the direction of the Massachusetts Division of the American Cancer Society developed Living with Cancer. This five-session program uses multiple educational strategies to achieve its objectives. Evaluation revealed that the program met expectations in the aspects studied. This article describes the theoretical framework, program content, methodology, and evaluation results of the two programs piloted during 1982–83. Since pilot-testing, Living with Cancer has been taught 38 times throughout Massachusetts.

ISSN:0162-220X    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

As terminal care receives increasing attention from clinicians and is formalized in benefit packages, studies of the various patterns of care during the final days of life are needed urgently. This descriptive study examined the relationships among patient symptoms, family anxiety and fatigue, and patterns of hospice service utilization and compared patients who were and were not institutionalized for inpatient hospice care. Two groups of 50 patients from the Connecticut Hospice Home Care Program were chosen randomly for retrospective chart review. They were compared on six symptoms (pain, nausea/vomiting, elimination problems, respiratory deficit, nutritional deficit, and mental status deficit), two family coping parameters (anxiety and fatigue), and resource utilization (frequency and duration of home visit by discipline, telephone contact, and place of death) during the final 10 days of life. Patients who required periods of institutionalization experienced more individual symptoms and more combinations of symptoms, and their families exhibited greater anxiety and fatigue in response to uncontrolled symptoms. In addition, this group demanded higher service intensity during the last days of life. Limitations of the study and implications for practice, administration, and research are discussed.

ISSN:0162-220X    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Although the work of oncology nurses is physically and emotionally demanding, this may not be perceived as the focus of oncology work by the nurses themselves. In a field study, 17 oncology nurses described a shift in work focus and redefinition of goals from quantitative progress to qualitative care. This created a new environment for nurse-patient interaction, where the nurse perceived that nurse and patient were working together toward shared goals. The nurse's caring for the patient and family was a caring or connectedness with dimensions beyond what usually is found in nursing work. The relationship remained professional, but also went beyond that. These oncology nurses discussed the caring relationship aspect of their work and often called their work “real nursing.” Those nurses who described the greatest overall satisfaction with their work also described a work environment that supported independence and was nourishing to the nurse. For those unhappy with their work setting, satisfaction with the nurse-patient relationship seemed a refuge from an otherwise unrewarding job. What these nurses seemed to receive from the nurse-patient exchange was a perception of self as a good person being a good nurse contributing to a worthwhile endeavor. The focus for these nurses was on having gained on two levels, i.e., professional and personal. The impact from these two levels seemed to combine to have a positive impact on the nurses' lives extending beyond the work world.

ISSN:0162-220X    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

This paper examines the evolution of hospice care as a reflection of societal attitudes toward both aging and death. The modern hospice concept is viewed as it interacts with nursing education's philosophy of the person as both a holistic individual and a member of a complex system of family, friends, society, and culture. This philosophical change, as well as an increasing population of elderly persons with chronic diseases, led to the need for a new approach to care of the terminally ill. The modern hospice is actually a refinement of ancient practice. By understanding the evolution and growth of modern hospice, nurses can increase their ability to influence its future development.

ISSN:0162-220X    

出版商:OVID    

年代:1986

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1986

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1986

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1986

数据来源: OVID