A guide to oncology symptom management / edited by Carlton G. Brown.

Format:

Book

Contributor:

Brown, Carlton G. (Carlton Gene), editor.

Oncology Nursing Society, issuing body.

Language:

English

Subjects (All):

Cancer--Complications.

Cancer.

Cancer--Treatment--Complications.

Cancer--Patients--Care.

Neoplasms--nursing.

Cancer--Patients.

Oncology Nursing--methods.

Neoplasms--physiopathology.

Neoplasms--therapy.

Medical Subjects:

Neoplasms--nursing.

Oncology Nursing--methods.

Neoplasms--physiopathology.

Neoplasms--therapy.

Physical Description:

xv, 680 pages : illustrations ; 26 cm

Edition:

Second edition.

Other Title:

Oncology symptom management

Place of Publication:

Pittsburgh, Pennsylvania : Oncology Nursing Society, [2015]

Summary:

Despite the progress being made in cancer symptom management, many patients with cancer still experience distress in their symptom experience, whether from the disease or its treatment. Symptoms such as pain, nausea, and mucositis, often in combination with other symptoms, pose ongoing challenges to clinicians. Managing symptoms is essential to enhance patients' quality of life, and clinicians must stay up to date on effective, evidence-based interventions. This new edition of A Guide to Oncology Symptom Management provides revised and updated content on the management of common symptoms experienced by patients with cancer. Chapters detail incidence and prevalence of disease-and treatment-related symptoms, describe the pathophysiology related to the topic, and provide appropriate evidence-based assessment and treatment strategies. New chapters examine symptom management at the end of life, symptom distress, and caregiver burden. Featuring case studies and extensive tables and figures to illustrate key points, this accessible yet comprehensive text is an essential resource for oncology nurses and other cancer-care clinicians. Book jacket.

Contents:

Chapter 1 Age-Related Challenges in Symptom Management 1

Case Study 1

Overview 1

Normal Aging 2

Common Health Issues in the Aging Population 2

Cancer-Related Symptom Issues 7

Evidence-Based Interventions 11

Expected Patient Outcomes 15

Need for Future Research 15

Conclusion of Case Study 15

Conclusion 16

References 16

Chapter 2 Alopecia 21

Case Study 21

Overview 21

Pathophysiology 22

Hair Loss During Cancer Treatment 22

Prevention of Hair Loss 24

Human Responses to Hair Loss 26

Clinical Practice Recommendations 27

Conclusion of Case Study 29

Conclusion 30

References 30

Chapter 3 Anemia 35

Case Study 35

Overview 35

Pathophysiology 36

Assessment 39

Evidence-Based Interventions 43

Expected Patient Outcomes 49

Patient Teaching Points 49

Need for Future Research 50

Conclusion of Case Study 50

Conclusion 50

References 51

Chapter 4 Anxiety 55

Case Study 55

Overview 55

Incidence 58

Pathophysiology 58

Assessment 59

Measurement 62

Evidence-Based Interventions 63

Patient Resources 71

Expected Patient Outcomes 71

Patient Teaching Points 71

Need for Future Research 72

Conclusion of Case Study 72

Conclusion 73

References 73

Chapter 5 Bowel Dysfunction 77

Introduction 77

Pathophysiology of the Lower Digestive Tract 77

Constipation 78

Diarrhea 91

Need for Future Research 114

Conclusion 115

References 115

Chapter 6 Cancer Anorexla-Cachexia Syndrome 119

Case Study 119

Overview 119

Risk Factors and Associated Incidence 120

Pathophysiology 121

Assessment 122

Treatment Overview 124

Evidence-Based Interventions 126

Patient Teaching Points 134

Need for Future Research 135

Conclusion of Case Study 135

Conclusion 136

References 136

Chapter 7 Caregiver Burden 143

Case Study 143

Overview 143

Caregiving Activities 144

Caregiver Perceptions 145

Risk Factors and Associated Incidence 146

Consequences of Caregiving 147

Assessment 151

Evidence-Based Interventions 153

Family/Caregiver Teaching Points 162

Expected Patient Outcomes 163

Need for Future Research 163

Conclusion of Case Study 163

Conclusion 164

References 164

Chapter 8 Chemotherapy-Induced Nausea and Vomiting 171

Case Study 171

Overview 171

Prevalence 173

Pathophysiology 173

Impact 176

Risk Factors 178

Continuation of Case Study 181

Assessment 181

Evidence-Based Interventions 183

Need for Future Research 195

Conclusion of Case Study 195

Conclusion 196

References 196

Chapter 9 Cognitive Impairment 203

Case Study 203

Overview 203

Descriptions and Consequences of Cognitive Impairment 204

Pathophysiology 205

Cancer Therapy and Cognition 211

Assessment 215

Evidence-Based Interventions 219

Patient Teaching Points 225

Need for Future Research 226

Conclusion of Case Study 226

Conclusion 228

References 228

Chapter 10 Depression 239

Case Study 239

Overview 239

Risk Factors and Associated Incidence 240

Pathophysiology 242

Assessment 243

Evidence-Based Interventions 246

How Do I Ask About Depression? 255

Patient Teaching Points 255

Conclusion of Case Study 256

Need for Future Research 257

Conclusion 258

References 258

Chapter 11 Distress 265

Case Study 265

Overview 266

Incidence and Risk Factors 266

Measurement and Assessment 268

Evidence-Based Interventions 271

Patient Teaching Points 276

Need for Future Research 276

Conclusion of Case Study 277

Conclusion 277

References 278

Chapter 12 Dyspnea 283

Case Study 283

Overview 283

Definitions 284

Incidence 284

Etiology of Dyspnea 285

Risk and Associated Factors 285

Assessment 286

Evidence-Based Interventions 294

Expected Patient Outcomes 306

Patient Teaching Points 306

Need for Future Research 310

Conclusion of Case Study 311

Conclusion 312

References 312

Chapter 13 Electrolyte Imbalances, Syndrome of Inappropriate Antidiuretic Hormone, and Tumor Lysis Syndrome 319

Case Study 319

Overview 319

Calcium Imbalances 321

Sodium Imbalances 333

Potassium Imbalances 341

Magnesium Imbalances 349

Syndrome of Inappropriate Antidiuretic Hormone 354

Tumor Lysis Syndrome 358

Conclusion of Case Study 365

Conclusion 365

References 366

Chapter 14 End of Life 369

Case Study 369

Overview 369

Pain 370

Dyspnea 371

Delirium 374

Secretions at the End of Life 376

Hemorrhage 377

Wounds 377

Seizures 378

Anorexia 379

Conclusion of Case Study 380

Conclusion 380

References 381

Chapter 15 Fatigue 385

Case Study 385

Overview 385

Definition 386

Etiology 387

Pathophysiology 389

Assessment 391

Evidence-Based Interventions 396

Expected Patient Outcomes 403

Patient and Family Teaching Points 404

Need for Future Research 405

Conclusion of Case Study 405

Conclusion 406

References 407

Chapter 16 Hot Flashes 421

Case Study 421

Overview 421

Risk Factors and Incidence 422

Pathophysiology 425

Assessment 427

Evidence-Based Interventions 428

Patient Teaching Points 440

Need for Future Research 440

Conclusion of Case Study 441

Conclusion 442

References 442

Chapter 17 Lymphedema 449

Case Study 449

Overview 449

Risk Factors and Associated Incidence 452

Pathophysiology 452

Assessment 456

Evidence-Based Interventions 458

Patient Teaching Points 464

Expected Patient Outcomes 464

Need for Future Research 464

Conclusion of Case Study 465

Conclusion 465

References 465

Chapter 18 Mucositis 469

Case Study 469

Overview 469

Risk Factors and Associated Incidence 470

Pathophysiology 472

Assessment 474

Evidence-Based Interventions 475

Patient Teaching Points 478

Expected Patient Outcomes 479

Need for Future Research 479

Conclusion of Case Study 479

Conclusion 480

References 480

Chapter 19 Neutropenia and Infection 483

Case Study 483

Overview 483

Definitions 484

Risk Factors 485

Pathophysiology 488

Assessment 488

Evidence-Based Interventions 490

Expected Patient Outcomes 499

Patient Teaching Points 499

Need for Future Research 499

Conclusion of Case Study 500

Conclusion 500

References 501

Chapter 20 Pain 505

Case Study 505

Overview 505

Risk Factors and Associated Incidence 506

Pathophysiology 507

Assessment 509

Evidence-Based interventions 511

Patient Teaching Points 523

Expected Patient Outcomes 524

Need for Future Research 524

Conclusion of Case Study 525

Conclusion 525

References 526

Chapter 21 Peripheral Neuropathy 531

Case Study 531

Overview 531

General Causes 532

Incidence 533

Risk Factors 533

Clinical Manifestations 535

Pathophysiology 535

Assessment 538

Evidence-Based Interventions 542

Quality of Life and Functional Outcomes 543

Patient Teaching Points 543

Need for Future Research 544

Conclusion of Case Study 544

Conclusion 545

References 545

Chapter 22 Sexuality and Reproductive Issues 551

Case Study 551

Overview 551

Erectile Dysfunction 553

Dyspareunia 560

Altered Body Image 565

Changes in Libido 571

Infertility 575

Expected Outcomes 582

Patient Teaching Points 583

Need for Future Research 583

Conclusion of Case Study 584

Conclusion 584

References 584

Chapter 23 Skin and Nail Alterations 599

Case Study 599

Overview 599

Quality-of-Life Issues 600

Assessment 600

Nail Changes 603

Paronychia and Onycholysis 605

Hyperpigmentation 608

Adverse Events of the Palms and Soles 608

Xerosis 610

Pruritus 611

Rash 611

Patient Teaching Points 617

Need for Future Research 618

Conclusion of Case Study 618

Conclusion 619

References 619

Chapter 24 Sleep-Wake Disturbances 623

Case Studies 623

Overview 624

Sleep Physiology 625

Sleep-Wake Disturbances in Patients With Cancer 626

Assessment 630

Evidence-Based Interventions 632

Expected Patient Outcomes 639

Patient Teaching Points 639

Need for Future Research 639

Conclusion of Case Studies 640

Conclusion 641

References 641

Chapter 25 Spiritual Care From the Oncology Nurse 649

Case Study 649

Overview 649

Meaning of Spirituality 649

What Patients Have to Say About the Spirit 650

Prerequisites and Self-Care for Engagement in Spiritual Care 652

Assessment of Spiritual Needs 653

Application of FICA to Case Study 654

Interventions 655

Conclusion of Case Study 659

Conclusion 660

References 660.

Notes:

Includes bibliographical references and index.

ISBN:

9781935864530

193586453X

OCLC:

890851075