Supportive therapy in radiation oncology

Rotman, Marvin; Rogow, Louis; Deleon, G; Heskel, Neil S.

doi:10.1002/1097-0142(197702)39:2+<744::aid-cncr2820390709>3.0.co;2-r

Cited by 25 publications

(9 citation statements)

References 14 publications

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“…In consideration of an active role for cancer patients, it should be asked whether full knowledge of medical circumstances will deny the patient's capacity to use the mechanism of denial [2,10,16,20]. Cassileth et al [5] consider that informed participation could be harmful to patients who cope with cancer by denial or by avoiding information.…”

Section: Introductionmentioning

confidence: 99%

Quantity and quality of information desired by Portuguese cancer patients

Pimentel

Ferreira

Real

et al. 1999

Supportive Care in Cancer

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Disclosure of the diagnosis of cancer to the patients affected has always been a controversial issue in the doctor-patient relationship. Undoubtedly this is so not only because of differences between countries and cultures, but also because there have been changes of opinion over the years. The aim of this study was to evaluate the quality and quantity of information desired by Portuguese cancer patients, and how and from whom they want to hear this information. Our sample comprised a total of 193 cancer patients, 87 men and 106 women. We found that 68.9% knew what their diagnosis was. In our sample, 74% wanted "as much information as possible, good or bad"; 85% said they wanted to know if their disease was cancer; 95% wanted to know the best or worst likely outcome of their disease; and 96.4% wanted to know the chances of getting cured. Most patients said they would prefer to be informed by physicians (92.7%) and have access to a telephone help-line, books and television. In conclusion, most patients wanted to know as much as possible about their illness and treatment, and the majority preferred to be involved in treatment decisions.

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Section: Introductionmentioning

confidence: 99%

Quantity and quality of information desired by Portuguese cancer patients

Pimentel

Ferreira

Real

et al. 1999

Supportive Care in Cancer

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“…Current management of radiotherapy is focused on treatment provided on an outpatient basis. Monitoring for side effects is at regular clinic visits, when there may be little opportunity for discussion of the impact of treatment (Rotman et al, 1977;Strohl, 1988). Traditional approaches to the monitoring of radiotherapy treatment focus primarily on physical symptoms and response to treatment (Steinberg and Rose, 1996).…”

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confidence: 99%

Evaluation of nurse-led follow up for patients undergoing pelvic radiotherapy

et al. 2001

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Summary This study reports results from a randomised controlled trial of nurse-led care and was designed to determine whether nurse-led follow up improved patients morbidity and satisfaction with care in men treated with radical radiotherapy for prostate and bladder cancer. The aim was to compare outcomes in terms of toxicity, symptoms experienced, quality of life, satisfaction with care and health care costs, between those receiving nurse-led care and a group receiving standard care. The study population was of men prescribed radical radiotherapy (greater than 60 Gy). Participants completed self-assessment questionnaires for symptoms and quality of life within the first week of radiotherapy treatment, at week 3, 6 and 12 weeks from start of radiotherapy. Satisfaction with clinical care was also assessed at 12 weeks post-treatment. Observer-rated RTOG toxicity scores were recorded pre-treatment, weeks 1, 3, 6 and 12 weeks from start of radiotherapy. The results presented in this paper are on 115 of 132 (87%) of eligible men who agreed to enter the randomised trial. 6 men (4%) refused and 11 (8%) were missed for inclusion in the study. Data were analysed as a comparison at cross-sectional time points and as a general linear model using multiple regression. There was no significant difference in maximum symptom scores over the time of the trial between nurse-led follow-up care and conventional medical care. Differences were seen in scores in the initial self assessment of symptoms (week 1) that may have been as a result of early nursing intervention. Those men who had received nurse-led care were significantly more satisfied (P < 0.002) at 12 weeks and valued the continuity of the service provided. There were also significant (P < 0.001) cost benefits, with a 31% reduction in costs with nurse-led, compared to medically led care. Evidence from this study suggests that a specialist nurse is able to provide safe follow up for men undergoing radiotherapy. The intervention focused on coping with symptoms, and provided continuity of care and telephone support. Further work is required to improve the management of patients during and after radiotherapy.

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“…E neste momento que um planejamento individualizado facilitaria a atenção às necessidades da mulher em cesiomoldagem. (ROTMAN, 1977;SMITH, 1975). Além de que, houve casos em que após a retirada do sistema algumas mulheres evacuaram em grande quantidade, fezes líquida, mesmo fazendo uso de fórmula e dieta constipante.…”

Section: Problemas E Dificuldades Relacionados àS Situações Impostas unclassified

Vivência de mulheres submetidas à cesiomoldagem

1996

Rev. Latino-Am. Enfermagem

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Naquele momento sentimos necessidade de aprofundarmos os conhecimentos sobre radioterapia interna e suas implicações na assistência de enfermagem, pois percebíamos que esta assistência estava baseada apenas nas medidas de proteção radiológica, em detrimento das necessidades imediatas das mulheres submetidas a este tratamento.Além disso, apesar do câncer de colo uterino ter grandes chances de detecção e diagnóstico precoce, sua incidência em estágios mais avançados na população feminina brasileira ainda é motivo de preocupação e estudos. Em vista disso, um grande número de mulheres que procuram os serviços médicos, têm recebido diagnóstico em fases mais avançadas, necessitando de tratamentos especiais.Para o tratamento do câncer de colo uterino, dois métodos foram amplamente difundidos: a cirurgia e a radioterapia, que pode ser externa e ou interna. Mais recentemente, a quimioterapia neodjuvante tem sido indicada com a finalidade de aumentar a eficácia da radioterapia por diminuição do volume e extensão tumorais, e melhora do nível de oxigenação; tornar possível a cirurgia com finalidade curativa e também tratar a patologia extrapélvica fora dos campos de irradiação, com menor taxa de complicações (ANDRADE, 1994).A radioterapia externa, também chamada de Teleterapia é a forma mais comum de tratamento radioterápico e utiliza-se de Raios X ou Raios Gama provenientes de aparelhos de super voltagem (MAMEDE, 1983).A radioterapia interna (Braquiterapia) utiliza-se de pequenas fontes radioativas aplicadas superficialmente ou implantadas em um tumor. Para isso utiliza-se de um sistema intra-cavitário, que é o lugar onde a fonte radioativa permanece dentro de uma cavidade corporal. No caso do tratamento do câncer de colo uterino esta cavidade corporal é o canal vaginal e recebe a denominação de Cesiomoldagem ou Radiomoldagem de acordo com o tipo de elemento radioativo utilizado (Césio 137 ou Rádio 226).Para a realização deste tratamento preconiza-se cuidados especiais para proteção radiológica permanecer em quarto isolado que deverá ter suas paredes blindadas e/ou haver placas móveis de chumbo, proibição de visitas, além dos cuidados com a própria paciente. Assim as pacientes deverão ser orientadas de que não devem movimentar a pelve e nem mudar de decúbito, pois pode haver deslocamento do sistema o que é prejudicial, ou seja, pode irradiar uma área que não aquela planejada, causando problemas como aderência vaginal e/ou fístulas.Deverá ainda permanecer com cateter intra-vesical durante todo o período do tratamento, receberá dieta sem fibras e fórmula constipante para evitar evacuações enquanto estiver com o sistema intravaginal, pois é contraindicada a utilização de comadres, para que não haja deslocamento dos aplicadores.Rev. Latino Am. Enf. -Ribeirão Preto -v. 4 -n. 2 -p. 131-146 -julho 1996 132Os elementos da equipe de enfermagem que cuidam da paciente devem evitar exposições excessivas, portanto, devem planejar cuidadosamente a assistência, de modo a agir com eficiência, pois os cuidados prestados de modo apressado s...

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Supportive therapy in radiation oncology

Cited by 25 publications

References 14 publications

Quantity and quality of information desired by Portuguese cancer patients

Quantity and quality of information desired by Portuguese cancer patients

Evaluation of nurse-led follow up for patients undergoing pelvic radiotherapy

Vivência de mulheres submetidas à cesiomoldagem

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