Perspectives on Cancer Care

by Tonks N. Fawcett (Editor), Anne McQueen (Editor)

Overview

Perspectives on Cancer Care is a unique collection of insights from contributors, based on their specific expertise and experience. It provides a range of perspectives on cancer care to inspire readers and encourage high-quality care through an enhanced understanding of patients' needs and carers' skills.

The book presents a series of chapters highlighting different circumstances and approaches to the complex reality of cancer care. In each chapter the author presents their own picture of their experience of the individual's needs and the care required to address these needs, illustrating the particular sensitivity, trust, empathy and support required in the care of patients with cancer and their families. The holistic approach to total care is a prominent feature in cancer care and this is illustrated throughout the various chapters.

This collection of perspectives on cancer care:

• highlights particular issues in the field
• encourages best practice
• draws on the expertise of specialist practitioners in the field of cancer care
• features a holistic approach to cancer care, illustrated through scenarios

Product Details

ISBN-13:	9781444329322
Publisher:	Wiley
Publication date:	11/11/2010
Sold by:	JOHN WILEY & SONS
Format:	eBook
Pages:	272
File size:	2 MB

About the Author

Josephine (Tonks) N Fawcett is Senior Lecturer and Anne McQueen is an Honorary Lecturer in the School of Health in Social Science at the University of Edinburgh

Table of Contents

Contributors ix

Foreword by Professor Roger Watson xi

Acknowledgements xiii

Introduction 1
Tonks N. Fawcett and Anne McQueen

1 Cancer: a journey of discovery 8
Tonks N. Fawcett

Cancer 8

Cancer as a journey 9

The treatment journey 11

Life after treatment 13

The cancer care journey: then and now 15

Cancer journeys: stories and narratives 18

Reflections on the journeys 19

2 Integrating cancer genetics into healthcare 24
Roseanne Cetnarskyj

The relevance of genetics to the nurse's practice 25

Identifying individuals with or at risk of genetic conditions 28

Gathering multi-generational family history information 29

Using family history information to draw a pedigree 30

Recognising a mode of inheritance in a family 33

Assessing genetic risk 34

Referring individuals to specialist sources 37

Genetic laboratory testing 39

Communicating with individuals, families and healthcare staff 41

Rare cancer syndromes 41

Conclusion 42

3 'Being with woman': the care of the childbearing woman with cancer 48
Rosemary Mander

Significance of cancer in childbearing 49

Interaction of the cancer with the pregnancy and childbirth 50

Cancer, childbearing and conflicts of interest 50

Implications for the midwife and other staff 52

Support for the childbearing woman with cancer and her family 56

Conclusion 59

4 Mucositis and the development of a new instrument for the measurement of oral mucositis in children 63
Deborah Tomlinson and Lillian Sung

Pathophysiology of oral mucositis 64

Measuring oral mucositis in adults 65

Measuring oral mucositis in children 68

Development of children's international mucositis evaluation scale 71

Conclusion 80

5 Facing the challenges of primary malignant brain tumours 87
Shanne McNamara

Incidence 87

Origins and classification 88

Aetiology 88

Clinical manifestations of primary malignant brain tumours 89

Prognosis 90

Impact of diagnosis on the patient and their family 92

Diagnostic investigations 92

Treatment 93

Medical management 98

Palliative care 102

A multidisciplinary approach 103

The future 103

6 Cancer and the surgeon 109
Ashley Brown

Becoming a cancer surgeon 109

Surgery as a treatment regime for cancer 110

Principles of cancer surgery 110

The surgeon and the patient newly diagnosed with cancer 112

The multidisciplinary team 113

Recovering from cancer surgery 115

The surgeon and the clinical nurse specialist 116

The joys and heartaches of a cancer surgeon 118

Conclusion 120

7 Cancer pain 122
Papiya B. Russell and Anil Tandon

The concept of total pain 123

Assessment and management of emotional, psychological or spiritual pain 125

Assessment and management of pain 127

The use of adjuvant analgesics 143

The specific challenge of neuropathic pain 145

Other pain-relieving measures 146

Relieving pain at the end of life 148

Conclusion 148

8 Cancer-related fatigue 159
Antonia Dean

Definitions of cancer-related fatigue 160

The experience of cancer-related fatigue 160

Assessing and measuring cancer-related fatigue 161

Causes and mediators of cancer-related fatigue 162

Management of cancer-related fatigue 165

Discussion 171

Conclusion 174

9 The clinical research nurse in cancer clinical trials 179
Patricia B. Campbell

Preparation of research nurses 181

Phases of clinical trials in cancer care 183

The nurse–patient relationship in cancer clinical trials 187

Conclusion 191

10 Emotional work of caring in cancer nursing 196
Anne McQueen

Caring 196

Emotional work 199

Emotional intelligence 202

Caring in cancer nursing 204

Conclusion 208

11 The management of rectal cancer and the consequences of treatment 212
Gillian Knowles and Rachel Haigh

Incidence, risk factors and aetiology 212

Presenting features, diagnosis and staging 215

Management and treatment 217

Self-care and supportive interventions 222

Conclusion 225

12 Sustaining hope in people with cancer: developments in palliative and end-of-life care 229
Margaret Colquhoun and Vicky Hill

The nature of hope 230

Models and frameworks 231

The Gold Standards Framework 233

Person-centred care 236

Liverpool Care Pathway for the Dying Patient 240

Models, frameworks and hope 244

Conclusion 245

Conclusion 250
Tonks N. Fawcett and Anne McQueen

Index 251

Colour plate section follows page 50

Editorial Reviews

"This is a well-written book with practical information backed up by evidence on contemporary issues relating to cancer nursing. It is a resource that clinical nurses will identify with and appreciated." (Nursing Standard, 1 February 2012)

"Perspectives on Cancer Care has been written to support undergraduate and postgraduate nurses. The chapter on the management of cancer pain will be particularly useful for all nurses caring for patients in hospitals and receiving care in the community." (Nursing Times.net, 1 December 2011)

"This book is likely to find a place in libraries and individual chapters may be useful to support course work . . . The use of case studies is a welcome illustration". (Cancer Nursing Practice, 1 June 2011)

 

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