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Biomedical subjects

C H Yarbro

Publications and source records attributed to C H Yarbro.

18 recordsLinked to original sources
PubMed1998

Cancer nursing into the millennium: the Robert Tiffany Annual Lecture, Royal Marsden Hospital.

The nursing profession has shown tremendous adaptability throughout the ages. Cancer nurses have encountered many challenges and changes during this past century that have marked our increasingly rapid progress on the long road of development of cancer nursing. The movement from an illness-focused, hospital-based, physician-dominated health care model to preventive, community-defined and collaborative health care is providing exciting new opportunities for nurses. Advances in science and technology and a more informed consumer present unique challenges as well. Based on the trends and the tremendous breakthroughs occurring during this decade, this article explores visions and dreams of the preferred future of cancer nursing as we march into the next millennium.

Delivery of Health Care↗
PubMed1998

Quality of life of patients with prostate cancer treated with surgery or radiation therapy.

PURPOSE/OBJECTIVES: To compare the quality-of-life (QOL) perceptions of men treated for prostate cancer with surgery to those of men treated for prostate cancer with radiation therapy. DESIGN: A two-group descriptive study. SETTING: Midwestern community cancer center and teaching hospital. SAMPLE: The study group consisted of 121 men: 68 treated by radical prostatectomy and 53 treated with radiation therapy. METHODS: Mailed survey using the Quality of Life Index (QLI) Cancer Version and the University of California at Los Angeles Prostate Cancer Index. MAIN RESEARCH VARIABLES: QOL; level of urinary, bowel, and sexual function; impact of dysfunction on patients' lives. FINDINGS: No significant differences were found between the groups in QLI scores, but significant differences were found in urinary, bowel, and sexual function. Urinary function was superior in the radiation therapy group (p = 0.0002). Patients who had undergone surgery were more likely to leak urine every day (p < 0.001). Only 6% of patients who had undergone radiation therapy needed to use pads or diapers as compared to 32% of patients who had undergone surgery. Bowel function was better in the surgery group (p = 0.05). Both groups reported poor sexual function, although it was worse in the surgery group (p = 0.009). CONCLUSIONS: The patients who were treated with surgery had significantly worse urinary and sexual function and better bowel function than those treated with radiation therapy. QOL scores were consistent with these findings, although they did not differ significantly between groups. IMPLICATIONS FOR NURSING PRACTICE: This information on the problems of survivors of prostate cancer after surgery and radiation therapy and the effects of therapy on QOL will assist nurses in providing patient education, emotional support, and rehabilitative interventions.

Aged↗
PubMed1996

Interventions for fatigue.

Fatigue is the most frequently reported symptom of cancer and cancer treatment, which can significantly impair the patient's quality of life. It may also interfere with cancer therapy compliance and even limit the amount of treatment that a patient receives. There is little information on, and research into, the mechanisms of fatigue and the relationships between its multiple causes, patterns and the many factors that may improve or worsen the condition. The management of fatigue, therefore, represents a major nursing challenge. The nurse's role in combating cancer-related fatigue spans the treatment continuum from prevention to research. It includes: patient assessment to identify those at high risk and to evaluate potential causes of fatigue; and the implementation of interventions to manage the fatigue, such as patient and family education, self-care activities and treatment of specific problems. Continued research on the multiple aspects of cancer-related fatigue, together with multifaceted projects such as the fatigue initiative, will lead to improved oncology nursing care of patients with cancer-related fatigue.

Fatigue↗
PubMed1989

Carboplatin: a clinical review.

Carboplatin is a platinum analog that is less nephrotoxic, less neurotoxic, and less emetic than cisplatin, but has a similar spectrum of antitumor activity. Myelotoxicity is dose limiting. Carboplatin offers several advantages over cisplatin, in addition to a better quality of life. It may be useful in ABMT in refractory germ cell cancers in combination with etoposide. It may also prove useful in patients who have impaired renal function but require a drug with the efficacy of cisplatin.

Antineoplastic Agents↗
PubMed1981

President's message.

Explore the source record for details and available documents.

Education, Nursing, Continuing↗