ISSN:0162-220X    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Adolescents with cancer undergo numerous stresses due to their disease, its treatment, and its potential late effects. These patients may experience delayed mastery of developmental tasks, intimacy, and independence and may have long-term psychological sequelae. Parents of adolescents with cancer also encounter many stresses related to coping with their child's illness. Lasting Impressions, a support program for adolescent cancer patients and their parents, was developed to help overcome these problems. The purpose of the program is to promote positive mental health and adaptation in participants. This article describes the program's goals and methods for accomplishing them, including components and therapeutic activities. The activities include a scrapbook, a newsletter, peer visitation, and a speakers' bureau. The most recent project is a video that is shown to newly diagnosed cancer patients. This program could be easily replicated by other oncology nurses who work with adolescents or young adults with cancer.

ISSN:0162-220X    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Inadequate knowledge of opioid analgesic drugs and the incidence of psychological dependence are major barriers to nursing management of patients in pain. This study analyzed data obtained from 27 workshops on pain across 14 states (2,459 nurses) to determine current nursing knowledge of pharmacological management of pain. Results indicate that nurses lack knowledge in classification of opioids ranging from 23 to 98% correct response across seven analgesic drugs. Less than 25% of nurses correctly identified the frequency of psychological dependence. Further analysis revealed significant differences in basic versus advanced learners and geographical differences in knowledge. Implications are made for nursing education and practice.

ISSN:0162-220X    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Nurses often are responsible for administering narcotic analgesics to patients with pain due to cancer or the treatment of cancer. Because of frequent use of these agents, and their various and dramatic effects throughout the body, it is important to understand their pharmacological properties and appropriate therapeutic use. This article reviews the actions and side effects, appropriate selection and use of narcotic analgesics and provides guidelines for administration.

ISSN:0162-220X    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

The present study explored whether an “activation program” for relatives of cancer patients increases the frequency and duration of the relatives' visits at the hospital. It also explored the willingness of relatives to participate in patient care at the hospital and at home. Similarly, the patients' willingness to contribute to this process was examined. Relatives offered an activation program were compared by interview with relatives subjected to a routine program. Interviews were repeated at intervals of 3–4 weeks. The attitude of 67 relatives (31 in the activation group and 36 in the comparison group) were examined twice during the patient's treatment period. Of these relatives, a subgroup of 42 (22 in the activation group and 20 in the comparison group) experienced the death of the patient during the study period. At the time of the last interview, there was a difference between the groups in relatives' willingness to care for the patient at home. Contrary to expectations, more of the relatives (of all patients receiving treatment as well as the subgroup of patients who died) in the activation group were “completely unwilling” to care for the patient at home (p < 0.05 and p < 0.01, respectively).

ISSN:0162-220X    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

This pilot study examines the effect of a cancer education program on the knowledge and beliefs of elderly adults. The program, developed for this age group, was based on principles of adult education and on an understanding of changes related to aging. It focused on cancer risks and early diagnosis of cancer for older adults. The sample included 21 elderly adults from three retirement centers. The questionnaire used to determine knowledge and beliefs about cancer included seven scales based on the Health Beliefs Model: knowledge, severity, susceptibility, utility, barriers, behavioral intentions, and cues to action. A week following administration of the questionnaire, a program was presented: the modified cancer education program, a conventional cancer education program, or a program not related to cancer. The questionnaire was then readministered as a posttest. Findings were insignificant except that the group receiving the modified cancer program had increased scores on the knowledge scale from pretest to posttest; and the level of education accounted for 25% of the variability of posttest utility scores. The pilot study was useful for identifying problems with the questionnaire, the testing procedure, and the educational program that need to be corrected before a larger study can be undertaken.

ISSN:0162-220X    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

An overview providing current knowledge about non-Hodgkin's lymphoma (NHL) is presented. The patho-physiology, epidemiology, clinical signs and symptoms, and the classification system of NHL are outlined. In addition, the staging of NHL, diagnostic procedures, treatment options, and recommendations related to follow-up care and managing recurrent disease are presented.

ISSN:0162-220X    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

The question of whether or not to give intravenous fluids to cancer patients who are in the last stages of their illness is one that has become problematic to health professionals, particularly those working in terminal-care settings. This article attempts to give a better understanding of the subject by unraveling some of the issues involved. The different types of dehydration and the signs and symptoms that may be experienced by dying patients who are dehydrated are defined. Some of the beneficial effects, as well as the ill effects, that such dehydration may cause are delineated. An analysis is made of health professionals' attitudes to dehydration in dying cancer patients and the special ethical problems associated with the question. There is then a practical synthesis of these facts into the formation of guidelines to facilitate the decision-making process related to the initiation of parenteral fluids in dying patients, and a discussion on the law as it pertains to the treatment of dehydration in such patients.

ISSN:0162-220X    

出版商:OVID    

年代:1990

数据来源: OVID