Seminars in Oncology Nursing | Page 2

Tanya DiFrancesco, Ashish Khanna, Michael D Stubblefield
OBJECTIVES: To define radiation fibrosis and radiation fibrosis syndrome; review the basics of radiotherapy, the pathophysiology of radiation injury, and the principles of clinical evaluation and management of the common late effects resulting from radiation therapy for cancer treatment. DATA SOURCES: Peer-reviewed journal articles, book chapters, Internet. CONCLUSION: There is no cure for radiation fibrosis syndrome, but supportive treatment of its clinical sequelae can potentially result in improved function and quality of life...
February 2020: Seminars in Oncology Nursing
Grace Campbell, Beverly S Reigle
No abstract text is available yet for this article.
February 2020: Seminars in Oncology Nursing
Rachelle Brick, Elizabeth Skidmore
OBJECTIVES: This article discusses the effects of cancer on broader domains of health; the evidence and application of activity-focused rehabilitation approaches in rehabilitation populations; and the role of nurses in the promotion of activity-focused rehabilitation. DATA SOURCES: Narrative review of rehabilitation literature. CONCLUSION: Cancer impacts activity engagement, community participation, and quality of life. Optimal cancer rehabilitation may lie in adoption and implementation of activity-focused rehabilitation approaches...
February 2020: Seminars in Oncology Nursing
Alexander Lukez, Jennifer Baima
OBJECTIVES: To recognize cancer prehabilitation as a pretreatment regimen to increase functional status for patients requiring cancer treatment. This article presents current evidence addressing the efficacy and benefits of prehabilitation regimens in different cancer survivor populations. DATA SOURCES: Studies and case reports in the PubMed database. CONCLUSION: Cancer prehabilitation may improve outcomes. Prehabilitation may include targeted or whole-body exercise, nutrition, education, psychologic counseling, and smoking cessation...
February 2020: Seminars in Oncology Nursing
Lynn Tanner, Kirsten Keppner, Diane Lesmeister, Kristin Lyons, Kelly Rock, Jessica Sparrow
OBJECTIVES: To identify body impairments, activity limitations, and participation restrictions in children, adolescents, and young adults with cancer amenable to rehabilitation, and provide the recommended screening, assessment and rehabilitation referral information for the health care community. DATA SOURCES: A review of the rehabilitation and pediatric oncology literature regarding functional impairments in combination with clinical expertise from practicing pediatric oncology rehabilitation therapists...
February 2020: Seminars in Oncology Nursing
Vishwa S Raj, Terrence M Pugh, Susan I Yaguda, Charles H Mitchell, Sarah S Mullan, Natalie S Garces
OBJECTIVE: To review the key components necessary for successful application of rehabilitation principles to oncology survivors. DATA SOURCES: Validated databases, including PubMed, MEDLINE, and Scopus. CONCLUSION: Rehabilitation is an essential component of cancer care that addresses functional needs for oncology survivors and is best accomplished via an interdisciplinary team. Interdisciplinary care, provided by nursing, physiatry, rehabilitation therapy, and exercise physiology, are critical components for comprehensive intervention...
February 2020: Seminars in Oncology Nursing
Adriana M Coletta, Anna Campbell, G Stephen Morris, Kathryn H Schmitz
OBJECTIVES: To differentiate between rehabilitation and exercise training and propose how rehabilitation professionals and exercise physiologists can collaborate to optimize cancer survivor care. DATA SOURCE: Professional organizations and peer-reviewed manuscripts. CONCLUSION: Both professions offer complementary skillsets that, when integrated, optimize the ability of the cancer care team to implement more effective survivorship care plans...
January 29, 2020: Seminars in Oncology Nursing
Sandy J Falk, Don S Dizon
OBJECTIVE: To review the sexual health issues cancer survivors may experience, including incidence, association with treatment modalities, and approach to evaluation and treatment. DATA SOURCES: Peer-reviewed journal articles, medical society or government Web sites. CONCLUSION: Cancer diagnosis and treatment often impacts sexual function and addressing this is a key component of health-related quality of life. IMPLICATIONS FOR NURSING PRACTICE: Screening, evaluation, and treatment of sexual dysfunction should be incorporated into routine oncologic care...
January 24, 2020: Seminars in Oncology Nursing
Edith Pituskin, Amy A Kirkham, Nanette Cox-Kennett, Rebecca Dimitry, John Dimitry, Ian Paterson, Gabor T Gyenes
OBJECTIVES: To examine and summarize current international guidelines regarding cardiovascular risk reduction before and during cancer therapy, and to discuss the emerging role of cardio-oncology as a subspecialty in cancer care and the role of cardio-oncology rehabilitation. DATA SOURCES: Published articles and guidelines. CONCLUSION: With improvements in cancer detection and the use of novel adjuvant therapies, an increasing number of individuals now survive a cancer diagnosis...
January 23, 2020: Seminars in Oncology Nursing
Robert Knoerl, Laura Gilchrist, Grace A Kanzawa-Lee, Clare Donohoe, Celia Bridges, Ellen M Lavoie Smith
OBJECTIVE: To review assessment and management approaches for chemotherapy-induced peripheral neuropathy-related physical function deficits. DATA SOURCES: Peer-reviewed articles from PubMed, Ovid MEDLINE, CINAHL PsycINFO, SPORTDiscus, Scopus, and key studies' reference lists. CONCLUSION: Brief clinical tests (eg, gait, Timed Up and Go) can screen for neuropathy-related physical function deficits. Exercise and physical therapy may be promising treatments, but the efficacy and optimal dose of such treatments for chemotherapy-induced peripheral neuropathy are unclear...
January 18, 2020: Seminars in Oncology Nursing
Diane Von Ah, Adele Crouch
OBJECTIVE: To provide an overview of cognitive rehabilitation approaches for cognitive dysfunction after cancer and cancer treatment. DATA SOURCES: Review and synthesis of empirical articles. CONCLUSION: Cognitive rehabilitation approaches, including cognitive behavioral therapy and cognitive training, for cognitive dysfunction appear feasible to deliver, satisfactory to participants, and have shown promising results in cancer survivors. Future research is needed to address optimal dose, delivery method, access, cost, and the vulnerable aging cancer survivor population...
January 17, 2020: Seminars in Oncology Nursing
Jacklyn Balliot, Madison Morgan, Brooke Cherven
OBJECTIVE: To summarize the issues pediatric, adolescent, and young adult patients face during and after a diagnosis of acute lymphoblastic leukemia (ALL) and guide appropriate nursing care for patients with ALL in these young age groups. DATA SOURCES: Peer-reviewed journal articles, published guidelines, patient and family resources, and data from the Surveillance, Epidemiology, and End Results Program. CONCLUSION: Nursing care of children, adolescents, and young adults with ALL requires a comprehensive approach that is appropriate for the developmental needs of patients in this age group...
December 2019: Seminars in Oncology Nursing
Jason A Webb, Thomas W LeBlanc, Areej R El-Jawahri
OBJECTIVE: To provide an overview of the past, present, and future of the integration of palliative care services for patients with hematologic malignancies, such as acute myeloid leukemia (AML). DATA SOURCES: Published literature as indexed in Medline, relevant guideline documents, textbooks, and clinical experience. CONCLUSION: Patients with acute leukemias have substantial palliative care needs that often go unmet with standard oncology care...
December 2019: Seminars in Oncology Nursing
Daniel R Richardson, Matthew C Foster, Catherine C Coombs, Joshua F Zeidner
OBJECTIVE: To review the current state of molecular and genetic profiling of acute myeloid leukemia (AML) and its implications. DATA SOURCE: Peer-reviewed journal articles. CONCLUSION: Significant advances in the understanding of the pathology of acute myeloid leukemia have led to refined risk stratification of patients and application of novel targeted therapies based on genetic profiles. Minimal residual disease testing allows for highly sensitive disease surveillance that can be used to predict relapse and assess treatment response...
December 2019: Seminars in Oncology Nursing
Lisa M Blackburn, Sarah Bender, Shelly Brown
OBJECTIVE: To provide an overview of acute leukemia, comparing incidence, presenting symptoms, diagnosis, prognosis, and treatment of the major subtypes. DATA SOURCES: Review of articles dated 2010 to present in PubMed and CINAHL, and National Comprehensive Cancer Network Guidelines. CONCLUSION: The diagnosis of acute leukemia is comprised of a variety of hematopoietic neoplasms that are both complex and unique. Each subtype of acute leukemia has defining characteristics that affect prognosis and treatment...
December 2019: Seminars in Oncology Nursing
Stephanie Gregory
OBJECTIVE: To present an overview of novel therapies for the treatment of adult acute lymphoblastic leukemia and to discuss nursing implications for these new therapies. DATA SOURCES: Published manuscripts, Web sites, and pharmaceutical package inserts. CONCLUSION: Several promising therapies have emerged in the treatment of relapsed/refractory and minimal residual disease acute lymphoblastic leukemia. IMPLICATIONS FOR NURSING PRACTICE: With the changing paradigm for hematologic malignancies, nurses must remain current in their knowledge regarding novel therapies, including their administration, toxicity profile, and management of adverse events...
November 20, 2019: Seminars in Oncology Nursing
Sudipto Mukherjee, Mikkael A Sekeres
OBJECTIVE: To provide a comprehensive review of evidence-based data on the newly approved therapeutic agents in acute myeloid leukemia (AML) with regards to appropriate indications for use, efficacy, and safety. DATA SOURCES: Published clinical trials and observational studies. CONCLUSION: Optimal treatment decisions for AML should be personalized based on individual patients' performance status, disease risk as determined by mutational profile, response status, and prior therapies received...
November 20, 2019: Seminars in Oncology Nursing
Thomas W LeBlanc
OBJECTIVES: Shared decision-making (SDM) is the gold standard approach to cancer treatment decision-making in the 21st century, but it is frequently misunderstood, and many clinicians do not know how to operationalize the SDM framework in their busy practices. Here we review the principles behind SDM, discuss unique aspects of acute myeloid leukemia (AML) that complicate the decision-making process, and provide one recommended framework for how to implement SDM into practice. DATA SOURCES: Published literature and clinical experiences...
November 20, 2019: Seminars in Oncology Nursing
Alex J Fauer, Sung Won Choi, Christopher R Friese
OBJECTIVE: To review and summarize nurses' roles in the care of the older adult undergoing an allogeneic hematopoietic cell transplant (HCT) for the treatment of leukemia. DATA SOURCES: Published literature indexed in PubMed, CINAHL, textbooks, and clinical expertise. CONCLUSION: Nurses are a vital component of the highly specialized care delivered before, during, and after an allogeneic HCT. IMPLICATIONS FOR NURSING PRACTICE: Nurses who are prepared for the complex HCT care trajectory will be able to optimally meet the complex needs of the older adult patient and their caregiver(s)...
November 18, 2019: Seminars in Oncology Nursing
Tara A Albrecht, Ashley Leak Bryant
OBJECTIVES: To review and summarize psychological and financial distress in adults with acute leukemia and provide evidence-based methods that nurses can apply to alleviate distress experienced by patients. DATA SOURCES: Oncology and palliative care literature published over the past decade. CONCLUSION: Current evidence supports the efficacy of psychosocial interventions to improve psychological well-being and reduce distress for adults undergoing treatment for leukemia...
November 18, 2019: Seminars in Oncology Nursing
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