Clinical Journal of Oncology Nursing back issues from August 2008:
Evidence-based guidelines for adjuvant therapy for resected adenocarcinoma of the pancreas.(Clinical report)
Aug 01, 2008; ... Pancreatic cancer, the fourth most common cause of cancer deaths, has a five-year survival rate of 5% or less. Surgical removal of the tumor may improve survival, but survival remains poor even in optimally resected patients. The best adjuvant therapy for patients with resected pancreatic ...
Temsirolimus, an mTOR inhibitor for treatment of patients with advanced renal cell carcinoma.(mammalian target of rapamycin )(Clinical report)
Aug 01, 2008; ... Temsirolimus is a targeted therapy that inhibits mammalian target of rapamycin (mTOR), a central regulator of tumor cell responses to growth stimuli. Temsirolimus has a broad anticancer activity profile that impacts tumor cell growth, proliferation, and survival through its specific ...
Managing chronic pain in patients with cancer who have a history of substance abuse.
Aug 01, 2008; ... Oncology nurses may encounter patients recovering from substance abuse who will need acute or chronic pain management. Knowing how to assess, treat, and manage that pain is a benefit to the nurse and patient. In addition, understanding and overcoming bias toward patients with a history of ...
Three little words no one wants to hear.(Professional Issues)
Aug 01, 2008; ... Romantics would agree that the three little words everyone wants to hear are, "I love you." I heard the opposite of those words in June of 1999 when my doctor told me, "You have cancer." A cancer diagnosis is a terrifying experience for anyone. Questions such as, "Why me?" "Why now?" "What ...
Chest mass mimicking an implanted port.(Safety)(Case study)
Aug 01, 2008; ... K.N. is a 66-year-old man with stage IV non-small cell lung cancer. He was admitted with a fractured right hip that was caused by a fall. His appearance was older than his stated age, he was cachectic and debilitated, and his gait was unsteady. He smelled strongly of tobacco and reported ...
Managing pain from advanced cancer in the palliative care setting.(Case study)
Aug 01, 2008; ... Managing complex pain at the end of life is an essential aspect of palliative care. Such care is best guided by a comprehensive evaluation of the physiologic sources of pain to determine appropriate analgesia. Using the case of Mrs. J, a woman with advanced ovarian cancer, key principles ...
Updates in non-small cell lung cancer.(Clinical report)
Aug 01, 2008; ... Lung cancer is the leading cause of cancer death in both men and women. Non- small cell lung cancer (NSCLC) is the most common type of lung cancer, representing more than 80% of lung cancer diagnoses. Five-year survival remains at 15%, but new strategies for prevention, early detection, ...
Relieving the pain of sentinel lymph node biopsy tracer injection.(Clinical report)
Aug 01, 2008; ... Sentinel lymph node biopsy (SLNB) has been reliably accurate as a minimally invasive surgical alternative for identifying lymphatic breast metastasis. During mapping, the injection of a radioactive tracer or isosulfan blue dye to differentiate the SLN is acutely painful. The use of the ...
At an increased risk: tumor lysis syndrome.(Oncology Nursing 101)(Clinical report)
Aug 01, 2008; ... Patients at highest risk for tumor lysis syndrome (TLS) often are diagnosed with bulky, rapidly proliferating hematologic tumors, such as acute leukemia and non-Hodgkin lymphoma (Kaplow & Hardin, 2007). Patients with solid tumors, such as mediastinal masses which are highly sensitive to ...
Assessing pain in today's global society.(Evidence-Based Practice)
Aug 01, 2008; ... According to the U.S. Census Bureau (2006), 54,965,503 people--19.7% of the U.S. population--speak a language other than English in their homes. Of that population, 44.1% speak English "less than well" (U.S. Census Bureau). Because of this, a large number of patients are not receiving ...
Respectful death: a model for end-of-life care.
Aug 01, 2008; ... The Respectful Death Model (RDM) is a research-based, holistic, and practical model developed to improve end-of-life care. A respectful death is one which supports dying patients, their families, and professionals in the completion of life cycles and can be used by all members of the ...
Cardiovascular toxicity associated with cancer treatment.(Clinical report)
Aug 01, 2008; ... Cardiotoxicity is a well-described and potentially lethal side effect of certain chemotherapeutic agents. Cardiotoxicity is a broad term used to depict conditions ranging from benign forms of arrhythmias to potentially fatal conditions, such as myocardial ischemia or infarction and heart ...
Becoming an oncology nurse through osmosis.(Heart of Oncology Nursing: Lessons Along the Way)(Column)
Aug 01, 2008; ... I did not choose oncology nursing, it just happened. I worked as a nursing assistant in my small town hospital during nursing school, working in different departments, assisting with procedures, and learning new skills every shift. I moved to a slightly larger town when I graduated and ...
Tribute to a patient.(Lessons Along the Way)(Brief article)(Column)
Aug 01, 2008; ... I have been in oncology nursing for 30-plus years now. Can you believe it? I thought we would have licked this disease by now, but know that I am still here, as promised, until we do. All of us are ... because of you. I guess we have come a long way--more treatment options and ...
Severe fatigue: could it be aplastic anemia?(Diagnostic Reasoning)(Case study)
Aug 01, 2008; ... Case Study Mr. X, a single, 55-year-old administrative assistant, presented to his family practice clinic with a complaint of fatigue. He was previously healthy and enjoyed walking his dog in his free time. Mr. X reported that he was easily fatigued and often short of ...
Cognitive impairment after breast cancer treatment.(Supportive Care)(Clinical report)
Aug 01, 2008; ... Cognitive impairment after chemotherapy is a reported concern of some breast cancer survivors (Ahles & Saykin, 2001). Despite a growing body of research, cognitive impairment remains a poorly understood issue that tends to manifest as a change in memory, learning, language, multitasking, ...
Understanding urinary incontinence after radical prostatectomy: a nursing framework.(Clinical report)
Aug 01, 2008; ... Prostate cancer is one of the most prevalent malignancies diagnosed in North American men. Typically, men diagnosed with localized prostate cancer have two options for curative treatment: radiation therapy or radical prostatectomy (RP). Many men choose RP to remove the cancer; however, the ...
Vitamin D in older patients with cancer.(Clinical report)
Aug 01, 2008; ... Vitamin D insufficiency has been found to be as high as 75% among community-dwelling adults aged 65 and older. The purpose of this article is to provide a review of published literature focused on the benefits of vitamin D and calcium supplementation in older patients with cancer. ...
Wounded healers.(nurses with cancer)(Editorial)
Aug 01, 2008; ... I remember being shocked when my grandmother was told she had breast cancer in 1984. I had been an oncology nurse for a number of years. It must have been magical thinking, but I thought my work helping patients with cancer would somehow protect my loved ones and me from this disease. I ...
Does the use of cell phones cause brain tumors?(Oncology Myths and Legends)(Clinical report)
Aug 01, 2008; ... Myth: Cell phones and other similar technology increase the risk of brain tumors. Answer: Lawsuits and news headlines have fueled the myth that cell phones cause cancer, particularly brain cancer. According to a survey by Gansler (2008), about 30% of Americans believe the myth. ...