ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1994.tb00001.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1994.tb00002.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

This paper is intended to promote awareness among the European cancer nursing community of recent developments in the European Union's views on health. The paper outlines the background leading to the Treaty on European Union (Maastricht Treaty). The main features of the Treaty are identified and Article 129 of the Treaty on the provisions for public health and prevention of disease is discussed. The implications of the Treaty for health care in general and cancer care in particular are addressed.

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1994.tb00003.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

The concept of cure is often used in health care practices without thought to the social, cultural and psychological implications of its meaning. Frequently measured in terms of years of disease‐free survival, this measure is inadequate in evaluating treatment. Iatrogenic toxicities and illness implications may linger for many months or years after a person experiences cancer. The subcultural perspectives of cure for clinicians may be very different. Historically, the clinician's concept of cure has been the focus and reported outcome of cancer treatment and research. A more dynamic view is encouraged in exploring this concept in relation to the outcomes of nursing practic

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1994.tb00004.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

There have been significant improvements in the diagnosis and treatment of malignant tumours. However, recent advances in cytostatic therapy are associated with several adverse side‐effects which can impair the patient's well‐being and may result in refusal or delay of treatment. Nausea and vomiting are perceived to be the most unpleasant of these side‐effects. This paper addresses some of the issues involved in the improvement of these two distressing sym

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1994.tb00005.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

The effectiveness of a paediatric pain management programme was examined using a multiple case study design. This study examined both the children's pain experience during cancer treatment, as well as their parents’anxiety and behavioural stress. Fourteen people were videotaped while receiving lumbar punctures during an 8–12 month period. Baseline data were obtained at the first of three visits prior to the introduction of relaxation, imagery and distraction exercises. Self‐ratings of child fear and parent anxiety, videotaped observations of child and parent behaviour and child pain ratings were obtained at all three visits. The children's behavioural responses to the procedure varied considerably, but their fear scores were stable and their reports of pain decreased over time. Parents reported high‐trait, low‐state anxiety scores that were stable over time. They were observed to be very supportive during the procedures. Implications for further research in this area and recommendations for practice are

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1994.tb00006.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

This study explored the relationships among medical fears, coping behaviour patterns and acute pain perceptions in 17 children with cancer who were encountering a painful medical procedure. The children completed the Child Medical Fear Scale (CMFS) before undergoing a lumbar puncture (LP), which was videotaped. The children's coping behaviour during the procedure was rated independently and classified as active or passive behaviour. Immediately following the LP, the children, using a pictorial scale, reported their pain perceptions. Most of the children's scores on the CMFS indicated a moderately low level of fear of medical experiences. A majority of the children perceived a great deal of pain during the LP. During the five phases of the painful medical procedure, more than half of the children exhibited a combination of active and passive behaviour. No significant differences were found between exhibited active or passive coping behaviour and reported medical fear levels; however, children who exhibited passive coping behaviour patterns reported more pain than those who demonstrated active coping behaviour. Implications for practice relate to the need for continual preparation and support of children during a painful procedure.

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1994.tb00007.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Planning care for the patient who has cancer in his own home is at the same time similar, yet profoundly different from planning care for the patient in hospital. The similarity arises out of the diagnosis and prognosis. The difference lies in the intermittent nature of home nursing as opposed to the continuity of hospital care. Although professional care is enlisted, the bulk of the care will be given by non‐professionals, such as the patient's family and friends. Hospital doctors do not identify the same sort of goals for terminally ill patients as their hospice and their nursing colleagues in general hospitals (Lunt, 1985). They rarely include the needs of relatives in their plans and have a much smaller range of goals. Therefore, they need to be encouraged to participate with other team members and to listen to the views of their multi‐disciplinary colleagues. Everyone who is responsible for discharging a patient into the community must be aware of the appropriate services that can be provi

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1994.tb00008.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Book Reviews in this ArticleThe Diagnosis and Treatment of Gastrointestinal Tract Cancer, edited by J. Wils and H. Bleiberg.There is nothing more I can do, by David Jeffrey.Facing Grief, by S. Wallbank.Choices and Decisions in Health Care, edited by A. Grubb.

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1994.tb00009.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1994.tb00010.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY