| |
Records |
Links |
|
Author  |
Framp, A. |
|
| |
Title |
Diffuse gastric cancer |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Gastroenterology Nursing |
Abbreviated Journal |
|
|
| |
Volume |
29 |
Issue |
3 |
Pages |
232-238 |
|
| |
Keywords |
Maori; Nursing; Diseases; Case studies; Cancer; Oncology |
|
| |
Abstract |
This article provides an overview of gastric cancer using a unique case study involving a Maori family genetically predisposed to diffuse gastric cancer. The pathophysiology of diffuse gastric cancer, including prognosis, diagnosis, and treatment, along with important patient considerations is highlighted. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
691 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Fairhall, M. |
|
| |
Title |
An observational study of Peripherally Inserted Central Cather(PICC)-related complications amongst oncology patients |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Patient safety; Equipment and Supplies; Nursing specialties; Cancer; Oncology |
|
| |
Abstract |
This thesis reports on a retrospective observational study that examined the complication rate of peripherally inserted central catheters (PICCs) within a regional cancer centre. PICCs are increasingly used for delivery of chemotherapy and other intravenous therapies in oncology patients. A literature review revealed that almost all published research on PICC complications reported on silicone (Groshong(TM)) catheter use, rather than the polyurethane (Arrow(TM)) PICCs used at Christchurch Hospital. Also, much literature referred to PICCs being inserted by non-nurses, whereas the Christchurch service uses specially-trained nurses to insert them. The purpose of the study was to identify the nature, incidence and rates of polyurethane (Arrow(TM)) PICC complications in an adult oncology cohort. Ethics Committee approval was gained to retrospectively follow all PICCs inserted in adult oncology patients at Christchurch Hospital over a 13-month period from 1st March 2006 until 31st March 2007. Data collected were analysed utilising the statistical computer package SPSS. One hundred and sixty-four PICCs were inserted into 156 individual oncology patients over this period. The median dwell time was 68 days for a total of 14,276 catheter-days. Complications occurred in 25 (15%) out of 164 PICC lines, in 22 (15%) of the 156 patients for an overall complication rate of 1.75 per 1000 catheter-days. However, only 16 of the 25 PICCs with complications required early removal (9.75% of the cohort) for a favourably low serious complication rate of 1.12 per 1000 catheter-days. The three commonest complications were infection at 4.3% (7/164) or 0.49 infection complications/1000 PICC-days, PICC migration at 3% (5/164) or 0.35/1000 catheter days, and thrombosis at 2.4% (4/164) or 0.28/1000 catheter days. The median time to complication was 41 days. Those with complications were more likely to have a gastro-intestinal or an ovarian cancer diagnosis, and less likely to have colorectal cancer. These findings provide support for the safe and effective use of polyurethane (Arrow(TM)) PICCs for venous access within the adult oncology context. Furthermore, it suggests that cost effective nurse-led (Arrow(TM)) PICC insertions can contribute to a low complication rate. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1222 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Ellis, T. |
|
| |
Title |
A multidimensional approach to caring for a patient with breast cancer: A case study |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from Eastern Institute of Technology |
|
| |
Volume |
11 |
Issue |
17 |
Pages |
15-19 |
|
| |
Keywords |
Case studies; Breast cancer; Nursing; Cancer; Oncology |
|
| |
Abstract |
This story follows the nursing care of a woman in her mid forties, diagnosed with breast cancer. The case study follows her from the diagnosis and decision to undergo a mastectomy, and the requirements of nursing care through that process. It discusses the emotional and physical preparation necessary for surgery, perioperative care, multidisciplinary care, and issues around body image post-mastectomy. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1301 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Corlett, E. |
|
| |
Title |
Finding out what works and what doesn't work: Caring for women with a fungating tumour of the breast |
Type |
|
| |
Year |
2002 |
Publication |
|
Abbreviated Journal |
Massey University, Albany, Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Breast cancer; Nursing; Cancer |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1250 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Clark, P.N. |
|
| |
Title |
The potential for nurse-led clinics on oncology at Southland District Health Board |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Older people; Scope of practice; Nursing; Oncology; Cancer |
|
| |
Abstract |
The author points to a “waiting list crisis” occurring in ambulatory oncology services at Southland District Health Board (SDHB), and notes that the literature suggests this is occurring both nationally and globally. This is due to factors such as an increase in the number of people aged 65 years and over, many of whom will develop cancer. Furthermore new drug therapies and indications for treatment have led to increased numbers of patients referred for oncological assessment in the out-patient clinics. The author notes that, at SDHB, this delay for patients to be seen at a first specialist assessment appointment is causing concern for patients, managers and the medical and nursing staff involved. This dissertation analyses relevant literature in order to explore the nature and outcomes of nurse-led clinics. A range of studies indicate that effective care can be provided by nurses working in a variety of nurse-led clinics settings. These studies reveal ways in which a nurse-led clinic might be established and delivered in oncology services and, the author suggests, this will go some way to provide a solution for SDHB. These clinics would assess and monitor the follow-up of selected patients with stable disease and established care plans such as patients receiving adjuvant chemotherapy for bowel and breast cancer. This would allow medical oncologists to see more new patients at first assessment and the follow-up of complex cases, and could go some way in relieving the current waiting lists. The educational preparation and competency of nurses leading such a clinic are considered. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
677 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Carter, H.; McKinlay, E.M.; Scott, I.; Wise, D.; MacLeod, R. |
|
| |
Title |
Impact of a hospital palliative care service: Perspective of the hospital staff |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
JBI Reports |
Abbreviated Journal |
|
|
| |
Volume |
18 |
Issue |
3 |
Pages |
160-167 |
|
| |
Keywords |
Palliative care; Hospitals; Attitude of health personnel; Cancer |
|
| |
Abstract |
The first New Zealand hospital palliative care support service was established in 1985. Different service models have now been adopted by various major hospitals. In 1998, a palliative care service, funded by Mary Potter Hospice, was piloted at Wellington Public Hospital. Twelve months post-implementation, the hospital staff's views of the service were evaluated. It was found that referrals to palliative care from hospital specialities outside the Cancer Centre increased. While most doctors, nurses and social workers strongly agreed or agreed that the service positively influenced patients' care and effectively addressed their symptom management needs, spiritual needs were less often met. Over 90 percent of each discipline strongly agreed or agreed that the service had assisted them in caring for patients, but, only about a half agreed that useful discharge planning advice and staff support was provided. Significant differences in responses were found between different disciplines and specialities. One fifth of the staff identified palliative care education needs. Recommendations are made concerning the development of a future hospital palliative care service. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1075 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Carter, H.; MacLeod, R.; Brander, P.; McPherson, K. |
|
| |
Title |
Living with a terminal illness: Patients' priorities |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
45 |
Issue |
6 |
Pages |
611-620 |
|
| |
Keywords |
Terminal care; Quality of life; Nursing models; Cancer |
|
| |
Abstract |
The aim of this paper is to report on an exploratory, qualitative study exploring what people living with terminal illness considered were the areas of priority in their lives. Ten people living with terminal cancer were interviewed. Analysis of the interviews incorporated principles of narrative analysis and grounded theory. Over 30 categories were identified and collated into five inter-related themes (personal/intrinsic factors, external/extrinsic factors, future issues, perceptions of normality and taking charge) encompassing the issues of importance to all participants. Each theme focused on 'life and living' in relation to life as it was or would be without illness. Practical issues of daily living and the opportunity to address philosophical issues around the meaning of life emerged as important areas. The central theme, 'taking charge', concerned with people's levels of life engagement, was integrally connected to all other themes. The findings suggest that the way in which health professionals manage patients' involvement in matters such as symptom relief can impact on existential areas of concern. The findings challenge some aspects of traditional 'expert-defined' outcome measures. As this was an exploratory study, further work is needed to test and develop the model presented. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1061 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Booher, J. |
|
| |
Title |
Care of the patient following coronary artery grafts |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from the Eastern Institute of Technology website |
|
| |
Volume |
10 |
Issue |
16 |
Pages |
15-18 |
|
| |
Keywords |
Surgery; Nursing; Case studies; Oncology; Cancer |
|
| |
Abstract |
This case study outlines the care of Mr. M, a sixty-six year old ventilated patient admitted to an Intensive Care Unit for management following coronary artery grafts. Mr. M's health history and risk factors are explored, in particular how they contributed to his presentation. Mr. M's post operative problems are identified and the rationale for his management is discussed with emphasis on the nursing care provided. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1298 |
|
| Permanent link to this record |
