Nurse-patient Communication

Poor parent-provider communication seen in advanced pediatric cancer

Poor parent-provider communication seen in advanced pediatric cancer

For pediatric patients with advanced cancer, parent-provider concordance is poor regarding prognosis and goals of care, according to a study.

Answering the unanswerable

Answering the unanswerable

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Sometimes the best answer to a patient's question is quiet support. Can you recognize when no words are needed?

How men used humor to cope with the devastating physical consequences of penile cancer

How men used humor to cope with the devastating physical consequences of penile cancer

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Despite the seriousness of cancer, patients may use humor as part of their coping armamentarium. They may also appreciate when their health care team does, too, as these researchers found.

The waiting game

The waiting game

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Some patients seem to circumnavigate their way to an answer to your questions. Ann Brady explains why you should WAIT it out instead of pushing the patient toward a quick answer.

Skills training doesn't impact communication quality

Skills training doesn't impact communication quality

Trainee intervention doesn't improve communication or end-of-life care, and patient depression actually ranked higher in instances when such an intervention was given.

What I did not say: Patient communication challenges

What I did not say: Patient communication challenges

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How patients' fears manifest in communications can frustrate nurses. The best response may be a simple question that allows the person to voice their concerns.

Easing patients' transition to survivorship

Easing patients' transition to survivorship

Survivorship plans should be based on patients' answers to these basic questions about their goals and wishes after treatment ends.

Working through all the cancer diagnosis 'what if's

Working through all the cancer diagnosis 'what if's

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A positive attitude can help patients cope in difficult situations. But what can nurses do when positivity is used to cloud reality?

Phone calls improve health behaviors in colorectal cancer survivors

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A telephone-delivered program, CanChange, helped survivors of colorectal cancer be more physically active, maintain their body weight, and have a healthier diet, according to a new study.

How to maintain nutritional status during cancer therapy

This primer on diet and nutrition focuses on counseling patients on how, what, and when to eat to maintain their weight and nutritional status.

How to have a comfortable discussion on sexuality

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Do you squirm when patients ask about the affects of cancer on their sexuality? A therapist explains how to talk with cancer patients about sexuality.

Survivorship care planning

Survivorship care planning

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Do nurses participate in survivorship care planning?

Patient binders: Creating a tool that helps patients and nurses

Patient binders: Creating a tool that helps patients and nurses

A survey of information needs helped this oncology unit create a teaching tool that helped to educate the nurses as well as their patients.

How pain management is the neverending clinical challenge

How pain management is the neverending clinical challenge

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Is the pain ineffectively managed baseline pain or is it breakthrough pain? This discussion reviews how to determine the answer and what to do next.

A whisper and a cry: Caregiving and active listening

A whisper and a cry: Caregiving and active listening

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Have you ever recognized your own behavior in a caregiver's actions? What do you do to apply professional lessons from personal experiences?

Skin cancer self-detection aided by visual aids

Skin cancer self-detection aided by visual aids

The most effective images for skin self-examination are mole-mapping diagrams, baseline and lesions changing over time photographs.

Pain management in patients receiving palliative care

Pain management in patients receiving palliative care

Understanding pain mechanisms and the types, triggers, and alleviating factors is needed to provide effective analgesia for patients with cancer.

What happens after: The emotional response of finishing treatment

What happens after: The emotional response of finishing treatment

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The end of cancer treatment is a turning point for patients. Some may embrace the change in their perspective on life, but some feel a sense of loss of their former selves and need help accepting who they are now.

Educating nurses about educating patients: Mind your words

Educating nurses about educating patients: Mind your words

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"That's not what I said." Nurses need to be attentive to the signs of how a patient understands what they are told.

Drug allocation during a shortage

Drug allocation during a shortage

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What criteria are used at facilities to determine which patients receive drugs during an extreme drug shortage when only a limited supply is available within the facility? How is this issue communicated to patients, if at all?

Warrior princess

Warrior princess

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As a nurse, what do you do when you have no things you can do to help your patient? Ann Brady reflects on a patient who just needed her to stand there and do nothing.

ONS addresses cancer genetics in oncology nursing

ONS addresses cancer genetics in oncology nursing

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A new position statement from the Oncology Nursing Society urges oncology nurses to incorporate new genomic information into practice and patient education.

High mortality persists for black women with breast cancer

Black women have the highest death rate from breast cancer of all racial and ethnic groups, and are 40% more likely to die of the disease than are white women, according to a new report from the CDC.

Early discussion of end-of-life care leads to less aggressive treatment and more use of hospice

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Patients with advanced cancer who discussed end-of-life care with their doctors earlier in the course of their illness had care that was less aggressive in their last month of life and were more likely to use hospice services.

ONS Connections: Implementing an end-of-life pathway enhances quality care

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An end-of-life pathway can enhance the ability of oncology nurses to provide high quality care at a crucial time for patients and families.

ONS Connections: Opioid-induced constipation inadequately addressed

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Opioid-induced constipation is not adequately addressed by nurse practitioners and physicians, according to research presented at the Oncology Nursing Society (ONS) Connections: Advancing Care Through Science conference.

Expectations too high for palliative chemotherapy

Many persons who receive chemotherapy for incurable cancers may not understand that the treatment is unlikely to be curative.

Lymphedema best managed through exercise and complete decongestive therapy

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Self-care is an essential part of treating patients with lymphedema, with full-body exercise and complete decongestive therapy being the best ways to minimize symptoms and maintain quality of life.

Getting to 'the heart of the bad'

Getting to 'the heart of the bad'

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I knew Sam's joking was not a sign of joy or happiness but his way of coping, maybe the only way he knew how.

BRCA gene mutation leads young women to complex decisions about life plans

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Young women who have the BRCA1 and BRCA2 gene mutation feel differently about their options for relationships, treatment, childbearing, and careers. In this study, researchers evaluated the psychosocial consequences of carrying the BRCA1 and BRCA2 mutations.

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