Oncology nursing forum
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Oncology nursing forum · Mar 2008
Nurse coaching to explore and modify patient attitudinal barriers interfering with effective cancer pain management.
To describe a complex coaching intervention to help patients with cancer pain explore beliefs and attitudinal barriers interfering with pain management. Patients were coached to explore beliefs about pain, communications about pain management, and the use of analgesics and nonpharmacologic interventions. ⋯ A coaching intervention incorporating assessment of patient beliefs promotes self-management, self-efficacy, and adherence to pain management treatment plans. Advanced practice nurses should consider incorporating this intervention into their communications with patients experiencing cancer pain.
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Oncology nursing forum · Jan 2008
Symptom clusters in adults with chronic health problems and cancer as a comorbidity.
To identify and compare symptom clusters in individuals with chronic health problems with cancer as a comorbidity versus individuals with chronic health problems who do not have cancer as a comorbidity and to explore the effect of symptoms on their quality of life. ⋯ Additional studies are needed to examine symptom clusters in cancer survivors. As individuals are living longer with the disease, a comprehensive understanding of the symptom clusters that may be unique to cancer survivors with comorbidities is critical.
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Oncology nursing forum · Jan 2008
Effects of caregiving demand, mutuality, and preparedness on family caregiver outcomes during cancer treatment.
To test a model of family caregiving derived from the interactionist approach to role theory that hypothesized that three caregiving role implementation variables (caregiving demand, mutuality between caregivers and patients, and preparedness for caregiving) would predict multiple caregiving-specific and generic outcomes with different patterns of association across outcomes. ⋯ Clinical assessment should include caregiving demand, the quality of the relationship between caregiver and patient, and preparedness for caregiving. Interventions could be tailored to meet caregiver needs in each area.
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Oncology nursing forum · Nov 2007
Nursing interventions to promote dignified dying in four countries.
To describe nursing interventions to promote dignified dying as identified by nurses in four countries. ⋯ This study begins to identify specific interventions for future research and applies the Dignity-Conserving Care Model to further understand dignified dying from an international nursing perspective.
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Oncology nursing forum · Nov 2007
The meanings of and attitudes about cancer pain among African Americans.
To describe the meaning of cancer pain and attitudes in dealing with cancer pain among a group of African Americans with cancer. ⋯ Providers must assume a more proactive role in assessing physical, emotional, and existential dimensions of cancer pain, improving trust and communication, and identifying educational and behavioral interventions for African American patients and families to optimize pain treatment outcomes.