ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1995.tb00044.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1995.tb00045.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Diarrhoea is the commonest acute complication during radiotherapy treatment to the pelvis. Codeine phosphate and a low residue diet is the standard therapy for radiation‐induced diarrhoea at The Royal Marsden NHS Trust. The hypothesis put forward was that Ispaghulahusk and codeine phosphate were equally effective in the treatment of diarrhoea during radiotherapy.Participants in the study were female patients who had experienced change of bowel habit whilst receiving radiotherapy for their gynaecological cancer. Quantitive data was collected from patient diaries and treatment flow‐sheets. Ten patients were randomized into the trial, five to codeine phosphate, and five to Ispaghulahusk. Continuing the trial was questioned after 10 patients had been treated. All five patients in the codeine phosphate arm received adequate control, while the five patients allocated to the Ispaghulahusk arm were all crossed‐over to codeine phosphate with resolution of their diarrhoea.The results show that Ispaghulahusk, whilst not totally ineffective at controlling diarrhoea, was significantly less effective than codeine phosphate. Our conclusion is that there is insufficient reason to change to a less effective and less palatable preparation for the control of radiation‐induced di

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1995.tb00046.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

The purpose of this study was to examine a variety of mathematical volume formulae and their respective validity in establishing limb volume in monitoring and evaluation of treatment for lymphoedema. Using a random sample of treatment records from the Day Ward, Worthing Hospital, it is shown that the formula most commonly used at present, that for a cylinder, produces imprecise volume data. A simplified formula derived from the formula for a frustum is tested, and is found to produce more accurate data. The paper proposes that the frustum formula is more appropriate in establishing limb volume, and should be adopted by practitioners.

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1995.tb00047.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

The majority of people who are bereaved will work through their grief with support from family and friends. Over 30%, however, may require professional support, and studies have shown that most people contact their General Practitioner and primary health‐care team for counselling/support. Effective support and counselling can also be given by voluntary agencies.It was decided to audit the referrals made to a bereavement service for bereavement counselling to ascertain the level of support given prior to the referral and whether information had been given to the bereaved regarding the services available to them in the voluntary sector.Twelve referrals were received in the allotted time period, 10 of which were made within the first year of bereavement. Only one referral had been offered counselling by the primary health‐care team and one other had been informed of voluntary bereavement support/counselling agencies. Two referrals had abnormal grief reactions requiring psychiatric intervention.Conclusions include raising the awareness of general practitioners and primary health‐care teams of the normal grieving process, and increasing the provision of support for the bereaved. It is also suggested that the bereaved are made more aware of the services that voluntary agencies can pr

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1995.tb00048.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

This paper reviews the research literature concerning fatigue in cancer patients, evaluating the quality of the evidence, thus helping to focus the direction and methodological rigour required in future investigations. Since fatigue in this population has been attributed to several mechanisms these will be discussed. The prevalence of fatigue in cancer patients will then be documented. An overview of what is currently understood about fatigue in cancer will follow. Based on the literature, conceptual and methodological difficulties will be described. Finally, gaps in understanding will be identified. Suggestions for future research will be formulated and potential interventions to decrease feelings of fatigue explored.

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1995.tb00049.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

The establishment of a monthly Radiography Research and Journal Club has helped to meet the educational and professional development needs of students and qualified staff in a changing teaching and learning environment. The introduction of degree education presented opportunities for new, student centred learning styles within the pre‐registration therapeutic radiography course offered by The Royal Marsden NHS Trust and Kingston University. At the same time the need to provide a forum for academic and clinical staff to learn about the research process in general and current work in radiography and oncology in particular was recognized. A varied, and practitioner‐led, programme for the Club and a flexible approach ensures maximum participation. The review of a journal article about telephone counselling for cancer patients and the ensuing discussion is given as an example of the value of one such meeting. The topic raised issues related to current practice and the research methods used provoked a number of questions. As the result of the discussion two of the participants are involved in a research project on a related is

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1995.tb00050.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

This review considers some of the difficulties associated with quality assurance in the context of palliative care. In particular, it will focus on the key question of who should be responsible for assessing quality and the problems of over‐reliance on one particular perspective. Problems encountered in formulating criteria, setting standards and developing outcome measures, many of which are exacerbated in the palliative care setting, are discussed. A review of some of the methods currently available for assessing quality and their limitations are delineated. Finally, attention is drawn to some of the practical and methodological difficulties currently confronting palliative care with regard to quality assuranc

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1995.tb00051.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Book Reviews in this ArticlePurchasing and Providing Cancer Services: A Guide to Good Practice.Diseases of the Breast, by M. Dixon&R. Sainsbury, with contributions by G. Masterton and R. Pugh.Essential Oncology for Health Professionals, by E. M. L. Haagedoorn et a]. Van Gorcum, 1994.Pocket Companion for Cancer Nursing, by R. McCorkle and M. Grant.

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1995.tb00052.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1995.tb00053.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY