Addressing Pain Associated with Bone Metastases: Oncology Nursing Roles in a Multidisciplinary Rapid-Access Palliative Radiotherapy Clinic

Pituskin, Edith; Sneath, Sheri; Rabel, Hope; O’Rourke, Tammy; Duggleby, Wendy; Hunter, Kathleen F.; Ghosh, Sunita; Fairchild, Alysa

doi:10.1016/j.soncn.2022.151279

Cited by 4 publications

(2 citation statements)

References 26 publications

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“…Pituskin, et al, revisited the growth of the RAPRPs in 2022 and offered further benefits for patients undergoing single-dose fractionation [63]. The cost of repeat visits falls on the patient with multiple dose fractionation, as well as individual visits to the oncologist, therapist, dietician, pharmacist, and social worker.…”

Section: Future Directions In Cancer Carementioning

confidence: 99%

“…Webb and LeBlanc stated that the appropriate opioid dose is the lowest dose that relieves the patient's pain and maximizes function with the least adverse effects [60]. To minimize pain associated with inflammation from radiotherapy, nurses often administer dexamethasone pretreatment [63]. Corticosteroids address the pain that occurs from initial swelling caused by the tumor itself as it compresses the nerve roots or spinal cord, as well as any swelling that occurs because of cancer treatment [60].…”

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confidence: 99%

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Nursing Care for Metastatic Bone Cancer: Trends for the Future

Penrod,

Hirsch

2023

IJERPH

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To effectively treat patients and minimize viral exposure, oncology nurses and radiology departments during COVID-19 had to re-examine the ability to offer palliative radiation treatments to people with metastatic bone cancer. Decreasing potential exposure to the virus resulted in extra measures to keep patients and personnel safe. Limiting radiotherapy treatments, social distancing, and limiting caregivers were a few of the ways that oncology patients were impacted by the pandemic. Hypofractionated radiation therapy (HFRT), or the delivery of fewer higher-dose treatments, was a method of providing care but also limiting exposure to infection for immunocompromised patients as well as healthcare staff. As oncology radiation centers measure the impact of patient care during the pandemic, a trend toward HFRT may occur in treating the painful symptoms of bone cancer. In anticipation that HFRT may be increasingly used in patient treatment plans, oncology nurses should consider patient perspectives and outcomes from the pandemic to further determine how to manage future trends in giving personalized care, and supportive care.

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Section: Future Directions In Cancer Carementioning

confidence: 99%

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confidence: 99%