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The Royal Marsden is the world's first hospital dedicated to cancer diagnosis, treatment, research and education - a centre of excellence with an international reputation for ground-breaking research and pioneering the very latest in cancer treatments and technologies, as well as specialising in cancer diagnosis and education.
This companion volume to the internationally successful The Royal Marsden Manual of Clinical Nursing Procedures is designed to support practitioners who work specifically with oncology patients by providing detailed evidence-based procedures and rationale, and problem-solving guidance on all aspects of oncology nursing.
The Royal Marsden Manual of Cancer Nursing Procedures:
Is organized and structured to represent the needs of the patient along their care pathway
Provides the latest evidence underpinning all procedures
Includes information on haematological procedures; pain assessment and management; wound care; oncological emergencies; and end-of-life care
Gives detailed guidelines on supporting patients living with cancer with practical information on such things as benefits, exercise and nutrition.
The Royal Marsden Manual of Cancer Nursing Procedures is an invaluable, definitive resource for all those involved in the provision of cancer care and support to patients and their families.
Autorentext
Sara Lister RN, PGDAE, BSc(Hons), MSC, MBACP, The Pastoral Care Centre, The Royal Marsden NHS Foundation Trust, UK.
Lisa Dougherty OBE, RN, MSc, DClinP, Nurse Consultant Intravenous Therapy, The Royal Marsden NHS Foundation Trust, UK.
Assistant Editor: Louise McNamara, B.Nursing; MSc in Advancing Professional Healthcare Practice, UK.
Inhalt
Foreword xi
Acknowledgements xii
List of contributors xiii
List of abbreviations xv
Quick reference to the procedure guidelines xvii
How to use your manual xix
Introduction xxi
1 Diagnostic investigations 1
Overview 2
Diagnostic tests and investigations 2
Tumour markers 4
Cervical uterine smear 8
Diagnostic radioisotope procedures (nuclear medicine) 12
Transrectal ultrasound (TRUS) prostate biopsy 18
Flexible cystoscopy 24
Breast diagnostics 36
Clinical breast examination 38
Core biopsy 40
Breast fine-needle aspiration (FNA) 43
Breast punch biopsy 45
Nipple discharge smear 47
Genetic testing 48
Websites 52
References 52
Procedure guidelines for Chapter 1
1.1 Cervical uterine smear using liquid-based cytology 9
1.2 Unsealed radioactive sources for diagnostic investigations 16
1.3 Transrectal ultrasound (TRUS) prostate biopsy 21
1.4 Flexible cystoscopy 27
1.5 Flexible cystoscopy with stent removal 30
1.6 Flexible cystoscopy with bladder biopsy 32
1.7 Flexible cystoscopy with argon plasma coagulation (APC)/cystodiathermy 35
1.8 Clinical breast examination 38
1.9 Core breast biopsy 41
1.10 Breast fine-needle aspiration (FNA) 43
1.11 Breast punch biopsy 45
1.12 Nipple discharge smear 47
2 Haematological procedures 57
Overview 58
Bone marrow procedures 58
Aspiration and trephine biopsy 58
Bone marrow harvest 67
Apheresis 72
Ribavirin administration 80
Pentamidine isetionate administration 84
Websites 87
References 87
Procedure guidelines for Chapter 2
2.1 Bone marrow aspiration and trephine biopsy 64
2.2 Bone marrow harvest 68
2.3 Apheresis 76
2.4 Ribavirin administration 82
2.5 Pentamidine isetionate administration 85
3 Cancer pain assessment and management 91
Overview 92
Cancer pain assessment and management 95
Pain management 97
Acupuncture 104
Interventional techniques for managing complex cancer-related pain 107
Single nerve blocks and injections 108
Regional peripheral and plexus nerve blocks and infusions 108
Neuraxial (spinal) blocks: epidural and intrathecal analgesia 109
Entonox (nitrous oxide) administration 120
References 125
Procedure guidelines for Chapter 3
3.1 Acupuncture: preparation and administration 106
3.2 Epidural/intrathecal sensory blockade: assessment 114
3.3 Epidural/intrathecal exit site dressing change 115
3.4 Epidural/intrathecal catheter removal 115
3.5 Entonox administration 123
4 Administration of systemic anticancer therapies 131
Overview 132
Systemic anticancer treatment 132
Safe handling of hazardous drugs 133
Administration of cytotoxic medications by nurses 137
Intravenous administration of systemic anticancer therapy 138
Extravasation 142
Oral administration of systemic anticancer therapy 156
Intramuscular and subcutaneous administration of cytotoxic drugs 162
Topical application of cytotoxic drugs 164
Intrathecal administration of cytotoxic drugs 165
Intrapleural instillation of cytotoxic drugs 168
Intravesical instillation of cytotoxic drugs 169
Intraperitoneal instillation of cytotoxic drugs 172
Intra-arterial administration of cytotoxic drugs 173
Side-effects of chemotherapy 175
Haematological side-effects 176
Fatigue 176
Gastrointestinal side-effects 176
Adverse drug reactions 177
Neurotoxicity 177 ...