How does the nurse determine the priorities of the patient?
The nurse, in collaboration with the patients family, is determining priorities related to the care of the patient. The nurse explains that it is important to consider the urgency of specific problems when setting priorities. What provides the best framework for prioritizing patient problems?
What is the nursing assessment in a chemotherapy clinic?
In the clinic, the nursing assessment establishes the presence of any toxicities and determines the need for intervention. If the patient is fit, chemotherapy can continue.
What is the purpose of a clinical review before chemotherapy?
The purpose of the clinical review before each cycle of chemotherapy is to identify any toxicities experienced previously, assess the individual’s fitness to continue, and implement any planned changes in the treatment pathway.
What is the nurse achieving through the initial nursing assessment?
A nurse is admitting a new patient to the medical unit. During the initial nursing assessment, the nurse has asked many supplementary open-ended questions while gathering information about the new patient. What is the nurse achieving through this approach? Validating what the patient has said
What is the purpose of clinical review before each cycle of chemotherapy?
The purpose of the clinical review before each cycle of chemotherapy is to identify any toxicities experienced previously, assess the individual’s fitness to continue, and implement any planned changes in the treatment pathway.
What is the primary purpose of a nurse-led chemo clinic?
The primary purpose of the clinic is to assess the patient’s ongoing suitability to receive chemotherapy. The focus of the consultation is to determine the presence of any toxicities of treatment.
How does chemotherapy affect hair growth?
Chemotherapy affects the growth of both cancerous and noncancerous cells. 50 The root of a hair has a high blood flow, allowing for uptake of chemotherapy. Hair can be lost from all over the body and not just the head, a fact that is often overlooked. 51 The loss of facial hair for a man can leave them feeling much younger and possibly less virile. 52 Alopecia, although not life-threatening, is the most visible side effect of chemotherapy, having the ability to threaten body image and self-confidence ( Table 4 ). 53, 54 In 2008, Hilton et al concluded that, contrary to common belief, men also have negative feelings about hair loss. It can also leave the patient feeling they have lost control of any choice about telling others about their condition and treatment. 52
Why do urgent situations occur with chemotherapy?
Despite thorough assessments to determine fitness to receive chemotherapy, urgent situations do occur because of the toxic nature of such treatment . Most chemotherapy is given in the ambulatory care setting, so these urgent complications tend to start in the patient’s home.
What are the skills of a chemo nurse?
Chemotherapy nurses have been much respected for their technical, information-giving, and communication skills. Most recently, chemotherapy nurses have been developing assessment and management skills for supporting patients through their chemotherapeutic pathway. This trend will continue as we future-proof chemotherapy services, and using assessment tools and common toxicity criteria is important for consistency. Nurses have a real opportunity to add value to the patient pathway by undertaking this exciting new role, but not before they are deemed competent to do so and never in isolation from the multidisciplinary team.
What is the importance of a nurse in assessment?
To assist the nurse in assessment, it is essential that systems are in place to record any symptoms the patient might develop. General well-being is recorded using performance status and holistic needs assessment tools, and toxicities are recorded using common toxicity criteria, examples of which are cited below.
What is the role of a nurse in a multidisciplinary team?
The nurse, as an important member of the multidisciplinary team, can implement the agreed plan, assessing and adjusting treatment as it progresses. 4 However, it is vital that patients remain in contact with their oncologist at differing points in their treatment journey, and this is usually determined by local policy.
Why is a clinical history and physical exam important?
Therefore, the clinical history and physical exam are critical to the diagnostic process and often provide more information than can be gained by broad testing strategies . An old adage claims that if you listen to patients, they will eventually tell you what is wrong.
Why is it important to use patient history and physical?
This article supports the importance of using the patient history and physical as a basis for selecting relevant diagnostic testing, which leads to a timely and accurate diagnosis. This process protects patients from the risks of unnecessary testing and is cost-effective.
Why are NPs important?
Clearly, NPs will continue to play an important role in refining and promoting the history and physical as a basis for the judicious selection of testing procedures, which will ultimately improve the diagnostic process.
Why is it important for clinicians to establish a working diagnosis in a timely manner?
As patient volume increases and encounter times become shorter, it is critical for clinicians to establish a working diagnosis in a timely manner.
What is the role of nurse practitioners in healthcare?
The role of nurse practitioners. As the healthcare field continues to evolve, it is critical to include patients as active participants in their own healthcare, which begins by listening closely to their concerns through eliciting a comprehensive patient history.
Do NPs take history?
In one landmark study, researchers noted that NPs were more likely than physicians to take a full history and were less likely to empirically prescribe medical therapy unless it was indicated through a relevant history. 21 NPs also perform skilled, focused physical exams.
What test did Colvin use to assess the safety of chemotherapy?
In analysis, Colvin used a Fisher’s exact test to assess differences in the rates of safe chemotherapy handling between nurses who were assessed by observation and the self-assessed questionnaire responses.
Can exposure happen during chemotherapy?
Study implications. “Exposure can happen at any point, not just during administration of chemotherapy,” says Colvin. “If a current healthcare provider follows a healthcare provider who did not adhere to all recommended safe-handling practices, the current provider might be walking into an area of chemotherapy exposure.”.
Is chemo safe for nurses?
Chemotherapy medications put nurses at risk for occupational exposure, a key nursing safety concern. Hospitals such as those in the Cleveland Clinic healthcare system have procedures to mitigate those risks. “Cleveland Clinic has policies, procedures, education and equipment to enhance the safety of nurses who administer chemotherapy drugs. We have gloves, gowns, spill kits and closed system devices. We really are top-notch,” says Colvin. Yet she wondered how closely nurses were adhering to safe practices. “I knew what was being taught to our nurses, but I couldn’t honestly say what was being done day-to-day,” she says.
What is the primary approach to treating cancer?
When surgery is the primary approach in treating cancer, the goal is to remove the entire tumor or as much as is feasible and any involved surrounding tissue, including regional lymph nodes.
What is the role of nurses in cancer care?
Nurses and physicians have traditionally been involved with tertia ry prevention, the care, and rehabilitation of patients after cancer diagnosis and treatment , but the American Cancer Society, the National Cancer Institute, clinicians, and researchers also place emphasis on primary and secondary prevention of cancer.
What is biologic response modifier therapy?
Biologic response modifier therapy involves the use of naturally occurring or recombinant agents or treatment methods that can alter the immunologic relationship between the tumor and the host to provide a therapeutic benefit.
What are targeted therapies?
Targeted therapies seek to minimize the negative effects on healthy tissues by disrupting specific cancer cell functions such as malignant transformation, cell communication pathways, processes for growth and metastasis, and genetic coding.
How many Americans died from cancer in 2008?
Although the number of cancer deaths has decreased slightly, more than 560, 000 Americans were expected to die from a malignant process in 2008.
How long does it take for a laser to vaporize cancer cells?
Photodynamic therapy. Intravenous administration of a light-sensitizing agent that is taken up by cancer cells, followed by exposure to laser within 24-48 hours. Radiofrequency ablation.
What does a triage nurse do?
A. The telephone triage nurse receives a call from a client asking for a prescription for an opioid (narcotic) to manage the client's surgical pain. The nurse explains that opioid prescriptions must be written and cannot be called in to the pharmacy.
What does a student nurse ask the nurse to explain?
A student nurse asks the nurse to explain the change in the drug dosage. The nurse explains that with chronic administration, some drugs stimulate liver cells to produce: . A. therapeutic amounts of drug-metabolizing enzymes. B. larger amounts of drug-metabolizing enzymes. C. toxic amounts of drug-metabolizing enzymes.
What is the role of a nurse in determining priorities related to the care of the patient?
The nurse explains that it is important to consider the urgency of specific problems when setting priorities.
What is the nurse admitting a patient to an oncology unit?
The nurse admits a patient to an oncology unit that is a site for a study on the efficacy of a new chemotherapeutic drug. The patient knows that placebos are going to be used for some participants in the study but does not know that he is receiving a placebo.
What is the meaning of the evauation report?
Evauation. During report, a nurse finds that she has been assigned to care for a patient admitted with an opportunistic infection secondary to AIDS. The nurse informs the clinical nurse leader that she is refusing to care for him because he has AIDS.
What is continuity of care in nursing?
The nurse is caring for a patient who is withdrawing from heavy alcohol use and who is consequently combative and confused, despite the administration of benzodiazepines. The patient has a fractured hip that he suffered in a traumatic accident and is trying to get out of bed.
What is a patient with urosepsis who is ringing the call bell incessantly
A patient with urosepsis who is ringing the call bell incessantly to use the bedside commode. A patient has been diagnosed with small-cell lung cancer. He has met with the oncologist and is now weighing the relative risks and benefits of chemotherapy and radiotherapy as his treatment.
Why is a liver biopsy considered a moral study?
The formal, systematic study of moral beliefs. Your patient has been admitted for a liver biopsy because the physician believes the patient may have liver cancer. The family has told both you and the physician that if the patient is terminal, the family does not want the patient to know. The biopsy results are positive for an aggressive form ...
How often should I ambulate a patient?
Ambulate the patient twice per day with partial assistance. The physician has recommended an amniocentesis for an 18-year-old primiparous woman. The patient is 34 weeks gestation and does not want this procedure. The physician is insistent the patient have the procedure.
Safe Handling – Theory vs. Practice
Research Methods and Findings
- Colvin’s research entailed two parts: microethnography, or observation, of nurses working with chemotherapy in the ambulatory infusion area, followed by a nurse self-assessment questionnaire of safe handling of chemotherapy practices. For the first part, Colvin trained three observers to collect data in the Cleveland Clinic Cancer Center, from Janu...
Study Implications
- “Exposure can happen at any point, not just during administration of chemotherapy,” says Colvin. “If a current healthcare provider follows a healthcare provider who did not adhere to all recommended safe-handling practices, the current provider might be walking into an area of chemotherapy exposure.” Therefore, Colvin believes it’s critical to make sure all necessary perso…