Full Description
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
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
