Contemporary issues in breast cancer : a nursing perspective / [edited by] Karen Hassey Dow.

Format:

Book

Contributor:

Dow, Karen Hassey.

Series:

Jones and Bartlett series in oncology

Language:

English

Subjects (All):

Breast--Cancer.

Breast.

Breast Neoplasms.

Medical Subjects:

Breast Neoplasms.

Physical Description:

xvi, 349 pages : illustrations ; 24 cm.

Edition:

Second edition.

Place of Publication:

Sudbury, Mass. : Jones and Bartlett, [2004]

Summary:

Now in its second edition, Contemporary Issues in Breast Cancer addresses the significant changes that have occurred in breast cancer treatment in recent years. Completely revised and updated, the second edition offers current breast cancer findings and research interventions. The latest information on epidemiology, treatment, and symptom management is presented from a nursing perspective, and new chapters focus specifically on the treatment of recurrent and metastatic breast cancer. This unique book also explores survivorship and end of life in the context of the individual, family, and community, and provides insight into the role that culture and ethnicity play in understanding and treating breast cancer. Contemporary Issues in Breast Cancer, Second Edition is an indispensable resource for both oncology nurses and advanced practice nurses in medical and surgical oncology.

Contents:

Section I Breast Cancer Epidemiology

1. Incidence, Epidemiology, and Survival / Karen Hassey Dow, PhD, RN, FAAN 3

Incidence Trends in the United States 3

Worldwide Breast Cancer Trends 4

Age 4

Histology 4

Racial and Ethnic Differences 5

Sociocultural Factors 7

The Future 8

2. Nongenetic and Heritable Risk Factors / Patricia M. Clark, MSN, APRN, BC, AOCN 10

Nonheritable Risk Factors 10

Heritable Risk Factors 15

Risk Assessment 17

Oncology Nursing and Risk Assessment 20

3. Prevention Strategies / Jennifer Bucholtz, RN, MS, CRNP, OCN 25

Scientific Beliefs Involved in Primary Breast Cancer Prevention 26

General Guidelines for Breast Cancer Prevention 27

Current Chemoprevention Studies 40

Considerations in Prevention Options 41

4. Screening and Early Detection / Joelle Machia, RN, BSN, BA 45

The Gold Standard for Breast Cancer Screening 46

Other Screening and Early Detection Methods 51

Detection of Breast Cancer 54

5. Diagnosis and Staging / Teresa Fraker, RN, BSN, OCN 58

Breast Cancer Detection 58

Adjunct Diagnostic Imaging Tools 61

Percutaneous Biopsy of Palpable Lesions 63

Percutaneous Biopsy of Nonpalpable Lesions 64

Excisional and Incisional Biopsy of Palpable Lesions 64

Excisional Biopsy of Nonpalpable Lesions 65

Diagnosis 65

Sentinel Lymph Node (SLN) Mapping and Dissection 67

Staging of Breast Cancer 73

Section II Treatment of Primary Breast Cancer

6. Surgery Techniques / Jean Lynn, MPH, RN, OCN 81

Breast Cancer Surgery 81

Surgical Treatment of Stage 0 Ductal Carcinoma in Situ (DCIS) and Lobular Carcinoma in Situ (LCIS) 82

Indications for Breast-Conserving Surgery Versus Mastectomy 83

Prophylactic Mastectomy 86

Caring for Surgery Patients 87

7. Reconstructive Surgery / Roberta Baron, RN, MSN, AOCN, Nasrin Vaziri, RN, CPSN 90

Breast Reconstruction: A Personal Decision 90

Timing of Breast Reconstruction 91

Methods of Breast Reconstruction 92

Psychological Effects of Breast Reconstruction 103

The Role of Nursing 104

8. Radiation Therapy / Jana Perun, MSN, ARNP 110

Radiation Therapy for Primary Breast Cancer 111

Steps in the Radiation Treatment Process 116

9. Adjuvant Chemotherapy / Patricia I. Geddie, RN, MS, AOCN 134

Prognostic and Predictive Factors Used to Select Adjuvant Therapy 135

Adjuvant Chemotherapy Regimens 137

Chemotherapeutic Agents and Side Effect Profile 139

Sequencing of Adjuvant Chemotherapy 141

Future Directions 142

Support for Decision-Making 143

10. Hormonal Therapy / M. Joyce Dienger, DNSC, RN 146

Tamoxifen as Adjuvant Therapy 147

Anastrozole as Adjuvant Therapy 152

Section III Treatment of Recurrent and Metastatic Breast Cancer

11. Targeted Therapy and Treatment of Recurrent and Metastatic Breast Cancer / Karen Hassey Dow, PhD, RN, FAAN 163

Natural History of Recurrent and Metastatic Disease 164

Systemic Therapy 164

Local Treatment for Metastatic Disease 172

Nursing Management in Advanced Breast Cancer 173

12. Hormonal Therapy in Advanced and Metastatic Disease / M. Joyce Dienger, DNSc, RN 175

Selection of Hormonal Therapy 176

Types of Hormonal Agents 176

Nursing Management 183

Section IV Symptom Management

13. Acute Side Effect Management / Patricia I. Geddie, RN, MS, AOCN 189

Neutropenia 189

Nausea and Vomiting 191

Stomatitis/Mucositis 193

Alopecia 194

Weight Gain 194

Cancer-Related Fatigue and Sleep Disturbance 195

Arthralgia/Myalgia 195

Thromboembolic Events 195

14. Fatigue, Sleep Disturbance, and Pain / Gloria Velez-Barone, ARNP, MSN, AOCN 198

Insomnia 202

15. Lymphedema / Jane Armer, PhD, RN 209

Pathophysiology and Classification of Lymphedema 210

Diagnosis of Lymphedema 211

Incidence, Prevalence, and Impact of Lymphedema 212

Why Lymphedema is Underrecognized and Undertreated 215

Risk Factors for Lymphedema 217

Symptoms Coexisting with Post-Breast Cancer Lymphedema 219

Interventions for Lymphedema 220

Psychsocial Issues Related to Lymphedema 224

Prevention of Lymphedema 225

Nursing Management of Lymphedema 226

16. Menopausal Symptoms / Janet S. Carpenter, PhD, RN, AOCN, Julie L. Elam, RN, MSN 230

Vasomotor Symptoms: Hot Flashes 234

Osteoporosis 244

Cardiovascular Effects 247

Urogenital Tract 249

Recommendations for Practice 253

Management 254

17. Late Physical Effects of Cancer Treatment / Victoria Wochna Loerzel, RN, MSN, AOCN 263

Cardiac Dysfunction 263

Pulmonary Dysfunction 268

Impaired Cognitive Functioning 270

Neurosensory Effects 272

Secondary Cancers 274

Patient Education about Late Effects 276

Section V Culture and Ethnicity

18. African American Women & Breast Cancer / Janice Phillips, PhD, RN, FAAN, Eva Smith, PhD, RN 283

Breast Cancer Incidence 283

Breast Cancer Mortality 284

Breast Cancer Survival 284

Breast Cancer Screening and Detection 285

Sociocultural Influences Across the Breast Cancer Continuum 286

African America Women and Breast Cancer Survival 290

Implications for Improving Breast Cancer Outcomes 292

19. Asian Women and Breast Cancer / Dianne Ishida, PhD, APRN, CMC 299

Breast Cancer Risk 300

Breast Cancer Screening 302

Breast Cancer Treatment 303

Issues Facing Asian American Women 306

Section VI Survivorship and End of Life

20. Support and Survivorship Issues / Victoria Wochna Loerzel, RN, MSN, AOCN 313

Psychosocial Concerns 314

Social Support 315

Workplace Issues 318

Support Resources 319

21. End of Life and Palliative Care / Kyle-Anne Hoyer, RN, MSN, AOCN 323

The Palliative Care Trajectory 324

Metastatic Disease 326

End-of-Life Symptom Clusters 328

Communication and Decision-Making 331.

Notes:

Includes bibliographical references and index.

ISBN:

0763714828

OCLC:

51607569