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Biomedical subjects

M Rostad

Publications and source records attributed to M Rostad.

8 recordsLinked to original sources

Experiences of completing cancer therapy: children's perspectives.

PURPOSE/OBJECTIVES: To explore the child's perspective of experiencing completion of cancer treatment. DESIGN: Descriptive, phenomenologic. SETTING: A pediatric hematology/oncology clinic in the southwestern United States. SAMPLE: Seven children ages 5 to 18 who have completed cancer therapy within the past year and who were in remission. METHODS: Open-ended, audiotaped interviews were conducted in a quiet setting away from the hospital. Interview data were transcribed and analyzed using Colaizzi's eight-step procedure. MAIN RESEARCH VARIABLES: Child's description of the experience of completing treatment for cancer. FINDINGS: Six theme categories were identified from the data: a gradual realization of normal; hierarchical and cyclical recurrence fears; completion embedded in the cancer experience; seeking a new normal; modifying relationships; and resolution and moving on. The themes were developed into an essential structure that indicated that the experience of completing cancer treatment has two faces--one of celebration and hope and one of uncertainty and fear. CONCLUSIONS: Children completing cancer treatment experience numerous changes. With the assistance of healthcare providers, family, and friends, they can begin to move beyond the immediate cancer experience. Yet, fears and concerns remain for an extended time and must be addressed actively. IMPLICATIONS FOR NURSING PRACTICE: Study findings provide an awareness of current practices administered around the time of completion and are meant to precipitate dialog with children and families to improve follow-up care for childhood survivors.

Adolescent↗

Intravenous access. Part 3. Venous access devices.

The nursing care of the whole patient, not just the venous access device, should be the focus of the nurse. Venous access devices provide the nurse with the rare opportunity to have assured venous access for blood sampling as well as the administration of intravenous therapies. The meticulous care of venous access devices is essential if complications are to be avoided and their primary function maintained.

Catheterization, Central Venous↗

Intravenous access. Part 2. Central venous lines.

The use of CVL are becoming more popular as medical interventions become more intense and the patients' acuity rises. The use of peripherally inserted central catheters is also increasing because of the availability of high tech medical care in the home and the delegation of central catheter insertion to nursing. The nursing care of the patient with a CVL requires the implementation of strict, aseptic site care and dressing changes to avoid the incidence of infection.

Bandages↗

Intravenous access. Part 1. Peripheral i.v.s.

The nursing care of the patient with a peripheral IV requires the implementation of the basic principles of intravenous care. Because the integrity of the skin is broken, measures are implemented to prevent the occurrence of infection. Skin preparation of the venipuncture site is important in preventing the introduction of organisms into the IV insertion site. The regular care of the insertion site and maintenance of an occlusive dressing prevent further IV site contamination. The use of peripheral IVs constructed of certain materials, the use of normal saline over heparin flush solution to maintain IV patency, and an established routine of changing IV sites at regular intervals remain controversial issues. Nurses need to keep abreast of new IV products and new research findings to better care for patients with peripheral IVs.

Catheterization, Peripheral↗

Advances in nursing management of patients with lung cancer.

Cancer of the lung is a medical and nursing challenge. Conventional treatment of lung cancer has resulted in such limited success that other treatment modalities are being investigated. Newer strategies and experimental studies have impacted on the nursing care required of these patients. Advances in oncology nursing are evident in the successful outpatient care of lung cancer patients receiving treatment, the preparation of patients for and the management of problems related to new treatment regimens, and the expansion of acute oncology nursing care for the home-bound patient.

Antineoplastic Combined Chemotherapy Protocols↗