Clinical journal of oncology nursing最新文献

Background: More than half of patients with colorectal cancer will present with or develop colorectal liver metastases during the course of the disease. A hepatic artery infusion pump (HAIP) has been shown to improve patient outcomes and overall survival, even in previously unresectable tumors.

Objectives: Although much of the literature focuses on the pump itself, this article provides a guide to nursing considerations for patients with an HAIP, covering the trajectory of care from preoperative through postoperative settings and beyond.

Methods: A review of the existing literature and knowledge gained from experience resulted in recommendations for nursing management throughout patients' care.

Findings: Recognizing both the common and unique elements of HAIP management can improve patient and nursing competence, normalizing care for these patients. Nurses familiar with HAIP management ensure continuity of care, can anticipate potential complications, and adapt care to meet each patient's evolving needs across healthcare settings from presurgery to postchemotherapy, including educating the patient and family.

The management of cancer-related pain can often be challenging because clinicians must balance comfort with the potential side effects of prescribed treatments. Buprenorphine, a partial mu-opioid receptor agonist, offers a lo.

A surgical oncology unit administered a structured educational program for nurses that included recorded prework and a live session featuring simulations, case studies, gallery walks, and lectures focused on postoperative car.

Background: Only 12% of Americans have adequate health literacy (HL) skills; 36% have literacy skills at a basic or below-basic level. Increased HL can assist patients with cancer to make intentional and informed healthcare decisions.

Objectives: This article provides an overview of HL in patients with cancer. Risk factors, assessment, and strategies to communicate with patients and families who have limited HL skills are essential in providing holistic care. Considerations in addressing HL are also given for telehealth nurses.

Methods: The authors searched PubMed®, CINAHL®, Google Scholar™, and reputable websites for literature published from 2006 to 2024 about HL in patients with cancer. Some of the search terms were related to risk factors, HL assessment, and interventions to address low HL.

Findings: Risks for low HL included lower education level and socioeconomic status, as well as non-White race, but an individualized assessment is important in identifying patients with low HL. Educating and communicating with patients and families with low HL in all settings, such as inpatient, ambulatory, and telehealth, include using a teach-back method to ensure understanding and application of information, using written materials at an appropriate reading level (fifth grade or less), and reinforcing teaching at consecutive visits.

Occupational exposure to antineoplastic drugs (ADs) via dermal absorption from contaminated work surfaces is a serious concern in healthcare environments where people handle ADs. Exposure to ADs increases healthcare workers.

Infusion-related reactions (IRRs) are unpredictable oncologic emergencies that occur during or after administration of antineoplastic therapies or other infusion medications (e.g., iron). IRRs are complex, ranging from mild t.

Purpose: Extravasation is an uncommon but high-risk adverse event that occurs when an agent with the potential to cause tissue damage leaks out of the intended administration space into the surrounding area. This guideline presents evidence-based side effect management recommendations to support interprofessional teams in decision-making to minimize severity or progression of extravasation injury from antineoplastic treatment in individuals with cancer.

Methodologic approach: The Oncology Nursing Society and the American Society of Clinical Oncology appointed healthcare professional and patient representative members to a panel for guideline development focused on antineoplastic vesicants and irritants with vesicant properties. The panel applied GRADE (Grading of Recommendations Assessment, Development, and Evaluation) methodology and followed the National Academies of Sciences, Engineering, and Medicine criteria for trustworthy guidelines. A systematic review of studies examining outcomes of antineoplastic agent extravasation in adults informed the guideline. The panel assessed the certainty of the evidence using the GRADE approach.

Findings: The panel agreed on recommendations related to the use of antidotes for antineoplastic vesicants and irritants with vesicant properties, thermal compress application and duration, and early surgical referral or escalation to specialty care for central venous access device extravasation.

Implications for nursing: This guideline summarizes evidence-based interventions for the management of extravasation of antineoplastic vesicants or irritants with vesicant properties to guide clinical care.

To commemorate ONS's 50th anniversary in 2025, throughout the year, we will be reprinting seminal editorials written by former editors of the Oncology Nursing Forum and CJON that have had a lasting impact on the oncology.

Prolonged hospitalization and treatment-related toxicities increase the risks of immobility and decreased functional status in patients undergoing allogeneic hematopoietic stem cell transplantation (allo HSCT). This quality i.

Adolescent and young adult (AYA) cancer survivors represent a growing, underserved population in cancer care. Their physical, psychological, and social concerns are distinct when compared to children and older adults with can.