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Biomedical subjects

L J Hilderley

Publications and source records attributed to L J Hilderley.

5 recordsLinked to original sources

Radiation therapy for lung cancer.

OBJECTIVE: To review current applications of radiation therapy in the treatment of persons with lung cancer, providing the scientific basis for nursing management of disease and treatment effects. DATA SOURCES: Published articles, book chapters, clinical trial data, and professional practice experience from the radiation oncology, radiobiology, and nursing literature. CONCLUSIONS: Radiation therapy has an important role in lung cancer treatment, regardless of histopathologic type. Intent of radiation treatment may be to cure, control, or palliate the disease and its symptoms. Combined therapy (especially chemotherapy and radiation therapy) produces enhanced side effects as well as enhanced tumoricidal effect. IMPLICATIONS FOR NURSING PRACTICE: Disease and treatment effects in the patient with lung cancer are particularly challenging to patients, family members, and care providers. Nurses have a major responsibility in patient/ family education and in providing the supportive care and self-help techniques needed for patients treated with radiation therapy.

Brachytherapy↗

Nurse-physician collaborative practice: the clinical nurse specialist in a radiation oncology private practice.

The role of the clinical nurse specialist (CNS) has been established and described in some detail. The majority of these specialists practice in academic centers or large hospitals, often in concert with a group of their peers and with strong administrative support for the advanced practice role. Changes in the healthcare system, particularly the recent trend toward the establishment of freestanding cancer centers, have opened new practice opportunities for advanced nursing practitioners. This article describes the transition of a radiation oncology CNS from a university hospital to a collaborative practice in a private radiation oncology setting. The CNS describes important steps in this process, including negotiation of role functions and benefits, maintenance of professional commitments, and collaborative practice issues. Comments from the radiation oncologist, along with speculation on the future of the practice, also are included.

Communication↗