My role as a nurse navigator, for both patients with cancer and in the neuroscience arena, is the culmination of a 40-year career in oncology nursing. Both Morgan and Downey agree, part of ambulatory oncology nursing is being adaptable and flexible to overcome whatever practice challenges exist. Accessed January 5, 2014. This often leaves us working in small teams, and that means fewer nurses to rely on for support or to discuss specific patient care issues,” Morgan says. “We also help them and their families navigate the complicated healthcare system, and we must make sure they remain psychologically healthy while dealing with their disease.”. United Kingdom Oncology Nursing Society (UKONS). It can also leave the patient feeling they have lost control of any choice about telling others about their condition and treatment.52. Thanks to significant scientific and technologic advancements in the past 15 years, the majority of cancer care—an estimated 80% or higher—is being delivered in the outpatient setting. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3413734/, http://www.npc.co.uk/improving_safety/improving_quality/resources/single_comp_framework.pdf, http://www.npsa.nhs.uk/corporate/news/patient-safety-risks-of-incorrect-dosing-of-oral-anti-cancer-medicines/, http://public.ukcrn.org.uk/search/StudyDetail.aspx?StudyID=10054, http://www.nap.edu/openbook.php?isbn=0309095956, http://www.ncsi.org.uk/wp-content/uploads/MAC13689_Identifying-concerns_Pad_v3.pdf, http://www.macmillan.org.uk/Cancerinformation/Cancertreatment/Treatmenttypes/Chemotherapy/Chemotherapy.aspx, http://www.cancerresearchuk.org/cancer-help/about cancer/treatment/chemotherapy/about/how-chemotherapy-works, http://www.quality-health.co.uk/surveys/national-cancer-patient-experience-survey, http://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/Cancercosts.pdf, http://www.mascc.org/assets/documents/MOATT_English_2010.pdf, http://www.teachbacktraining.org/Institute, http://ctep.cancer.gov/protocolDevelopment/electronic_applications/docs/ctcmanual_v4_10-4-99.pdf, http://publications.nice.org.uk/neutropenic-sepsis-prevention-and-management-of-neutropenic-sepsis-in-cancer-patients-cg151, http://www.tvcn.nhs.uk/index.aspx?o=12763, http://www.asco.org/guidelines/chemotherapyinducednauseaandvomiting/, http://www.managinghairloss.com/_pdf/Hair-loss-report-summary.pdf, http://emedicine.medscape.com/article/1079570-overview, http://www.oncologynews.biz/pdf/jun_jul/ON_junjul06_18.pdf, http://www.ukomic.co.uk/new-om-guidelines.html, http://voices.yahoo.com/side-effects-cancer-treatment-chemo-head-389300.html?cat=68, http://www.bps.ac.uk/view/index.html. Working with the interdisciplinary team to develop a plan of care is the cornerstone of the role. Accessed February 16, 2014. Available from: http://voices.yahoo.com/side-effects-cancer-treatment-chemo-head-389300.html?cat=68 Accessed February 16, 2014. This paper offers a guide to assessment of chemotherapy patients, including the process of chemotherapy, key information needs, and consent, taking account of the recent 2013 National Cancer Patient Experience Survey. Just a small sample has been given above, and readers are directed to the full common toxicity criteria for a complete guide.77. 2009;36(2):E47–E56. Cancer Research UK. The process of information-giving often starts at the initial consultation when specific information regarding chemotherapy is discussed and supported by written information. In addition, this service reduced the need for admission to intensive care from 17% to 3%. “Part of ambulatory oncology nursing’s future is understanding patients’ evolution. Much of this policy direction called for specialization and a drive to develop services across professional boundaries rather than remaining in professional silos.1 Amongst other possibilities, this shift has created opportunities for nurses to be fully involved in the assessment and management of patients undergoing chemotherapy. October 17, 2013. By accessing the work you hereby accept the Terms. Goals (cure , Mynewhair. Use the drop down menu below to jump to a specific section. In the clinic, the nursing assessment establishes the presence of any toxicities and determines the need for intervention. Accessed Sep 2013. Lost in transition. National Prescribing Centre. This paper looks at the evidence for nurse-led services and discusses the competencies and skills required. 2009;27:1899–1905. Accessed February 16, 2014. Ensuring that the patient has understood the information provided, particularly in relation to oncological emergencies, is vitally important. The switch to electronic health records has definitely seen to that,” Downey says. There are several opportunities for nurses to pursue oncology specialist work to meet this need. Practice guidance concerning the management of chemotherapy-induced nausea and vomiting is available from the Multinational Association of Supportive Care in Cancer and the American Society of Clinical Oncology, as well as summary documents from UKONS.9,24,39 Nurses have an important role in implementing appropriate strategies to minimize the occurrence of chemotherapy-induced nausea and vomiting. PLEASE NOTE: The contents of this website are for informational purposes only. Ongoing diarrhea can have a profound effect on performance status and may interrupt treatment schedules. • Privacy Policy Extravasation is a potential consequence of receiving intravenous chemotherapy, and is defined as occurring when the chemotherapy agent accidently leaks into the surrounding tissue instead of the intended intravenous or intra-arterial administration site.72 Although extravasations are more likely to occur when a peripheral cannula is being used, they can also occur when using central venous access devices, and have the potential to cause further damage.73 It is therefore vital that nurses involved in administering intravenous chemotherapy have the knowledge and skills to minimize the risk of an extravasation, detect signs early should they occur, and manage the incident effectively.74 Distinguishing cutaneous reactions which are not extravasations, ie, flare reactions, is also important.75. Nurses need a full awareness of the toxicities associated with chemotherapy regimens including for any new drugs. Information such as this can help navigate a patient through the complicated journey of chemotherapy and reduce anxiety.22 Indeed, the 2013 Cancer Patient Experience Survey reported that only 54% of patients were offered such advice.21 This local information is an ideal opportunity for professionals to work with their patient and carer groups to ensure that the information they provide is in the form required by patients. MASCC™ teaching tool for patients receiving oral agents for cancer. What Leadership Positions Are Available for ADN Nurses? Finally, it briefly outlines a new initiative of acute oncology services that has enhanced not only the quality of services but the safety of patients receiving chemotherapy.
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