摘要:

In order to understand why hypoalbuminemia is common in advanced cancer and what causes it, the role of albumin in health and disease is explored. Malnutrition/hypoalbuminemia as a consequence of starvation, stress, and cancer cachexia are contrasted. Cancer-related hypoalbuminemia has been thought to be directly related to the patient's malnutrition. Other obscure tumor-related factors are probably also involved. Hypoalbuminemia in advanced cancer is usually irreversible by ordinary dietary means. In cases where treatment has failed, there may be patient/family problems centering around food. Being realistic, patient autonomy in making decisions about nutrition is advocated.

ISSN:0162-220X    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

This article addresses the problem of infection associated with granulocytopenia as the leading cause of mortality and morbidity in the adult cancer patient. A brief overview of the pathobiology of granulocytes introduces the problem of granulocytopenia and infection in the adult cancer patient. Included in the discussion are etiologic factors of granulocytopenia, the cancer patient's predisposition to infection, and clinical manifestations of granulocytopenia. Nursing management of the granulocytopenic patient includes interventions directed toward the prevention, early detection, and treatment of infection.

ISSN:0162-220X    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Stress is an unavoidable, yet, in the right doses, a beneficial part of our lives. The role played by stress in the development and progression of cancer is a topic which has been examined by many health professionals. Implications of some of this research and theory for nursing are discussed. One model for viewing the effects of stress on the adult, both before the development of cancer and after its diagnosis is presented. In addition, areas where nurses might devise interventions to reduce stress in patients and in themselves are presented for consideration.

ISSN:0162-220X    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Volunteers are recognized as vital contributors to hospice care. Frequently, however, their value as a resource is not so readily acknowledged in the acute-care setting. A training program which focuses on cancer care and evolves from the nursing unit's philosophical framework demonstrates how a productive and satisfying liaison between the oncology nurse and the volunteer can be achieved.

ISSN:0162-220X    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

This paper describes the interrelationship between sexuality and gynecologic cancer, reviews specific treatment effects on the woman's sexuality, and reinforces the importance of the nurse's role in assisting sexual rehabilitation of women with gynecologic cancer.

ISSN:0162-220X    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Care-givers frequently misperceive how patients feel but no systematic studies have been found which show whether they accentuate or minimize the patient's feelings. The purpose of this study was to determine whether there was congruence between care-givers' evaluations of oncology patients' levels of anxiety, hostility, and depression, and the oncology patients' self-reported levels of these three affective states. A control hypothesis was also tested by evaluating the patients' levels of denial. Twenty-eight terminally ill hospitalized oncology patients were asked to complete a denial test and the Multiple Adjective Affect Check List (MAACL) which measures levels of anxiety, hostility, and depression. Twenty-eight care-givers who were each familiar with one of the patients were requested to fill out the MAACL as they believed the patient would fill it out. Analysis of variance revealed a statistically significant discrepancy between patient-care-giver paired perceptions for all three affective states (pranged from 0.01 to 0.001).For each affective state the care-giver rated the patients as feeling considerably worse than the patients themselves reported feeling; correlational procedures ruled out denial as affecting patients' self-reported states. These findings are discussed in light of Wright's requirement of mourning hypothesis, a theoretical formulation that states that care-givers need to see clients as feeling negatively in order to reassure themselves (care-givers) that their value systems, emphasizing health, are intact. Additional selected demographic data on care-givers and patients are discussed and nursing implications are explicated.

ISSN:0162-220X    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1981

数据来源: OVID