Doris Howell RN, PhD is RBC Chair, Oncology Nursing Research and Education at Princess Margaret Hospital in toronto, ON and Lead, guidelines and standards, Cancer Journey Portfolio, Canadian Partnership Against Cancer (CPAC); Barry Bultz, PhD, CPsych is Director of the Department of Psychosocial Resources at the tom Baker Cancer Centre, university of Calgary and Lead, screening for Distress, Ca...

The decision to place a feeding tube in a patient with advanced dementia is difficult for both family members and health care professionals. There is increasing evidence that the use of feeding tubes in these patients does not improve survival, prevent aspiration pneumonia, prevent or heal decubitus ulcers, or improve other clinical outcomes. Yet, despite this evidence, more than one third of n...

This paper proposes a theoretical framework and conceptual model for clinicians and investigators working with people who have a chronic physical illness. The framework is based upon nursing theory and classical propositions from psychology and physiology. The major premise of the model is that individuals with limited psychosocial attributes and a preponderance of unmet basic needs are more li...

BACKGROUND/AIMS Psychosocial intervention has shown positive effects on the caregivers' burden and satisfaction. The aims of this study were to describe the cost and cost-effectiveness of such an intervention. METHODS We analyzed resource use and costs of formal care for 308 persons with dementia and their caregivers' health-related quality of life (HRQoL). RESULTS The costs of home help se...

Workplace violence in health care settings is an occupational issue concerning nurses and other health care professionals. Patient aggression against nurses is often the most common form of violence in clinical settings, occurring in emergency departments, inpatient psychiatric settings, and nursing homes. Physical and verbal assaults are the major forms of workplace violence encountered by nur...

OBJECTIVES Access to legal advocacy is an essential tool to help cancer patients and survivors through the continuum of care. This article examines delivery models that can seamlessly integrate into patient navigation programs. DATA SOURCES Technical reports, books, journal articles, and Web sites. CONCLUSION Psychosocial obstacles are common barriers of low-income individuals facing a canc...

OBJECTIVE to describe and understand the conceptions of nursing assistants working in Psychosocial Care Centers for alcohol and drugs (CAPS ad), about the patient with addictions. METHOD sixteen nursing assistants and technicians from nine of the CAPS ad in São Paulo were interviewed, and data were analyzed using the constant comparative method. RESULTS performing the functions in the CAPS ...

PURPOSE/OBJECTIVES To review the current state of knowledge about the impact of cancer on ethnoculturally diverse and medically underserved survivors. DATA SOURCES MEDLINE, CancerLit, and Psychlit searches from 1966-present were conducted to locate articles about survivorship outcomes among minority and underserved populations. DATA SYNTHESIS 65 articles were identified and grouped into one...

The effects of the COVID-19 pandemic on long term care (LTC) have been published in literature and experienced by residents, their support persons nursing staff. morbidity mortality, as well threats isolation psychosocial distress continue. Both LTC residents staff experience physiological psychological impacts. Nurses can use current produced to advocate for alternate models reduced residents....

OBJECTIVES To provide an overview of the pathophysiology, manifestations, diagnosis, and treatment of disseminated intravascular coagulation (DIC) as it occurs in cancer. DATA SOURCES Published articles, research reports, and book chapters. CONCLUSIONS The syndrome of DIC is a serious hypercoagulation state that in its acute form may be life-threatening. The hemorrhage and intravascular coa...