Oncology Nursing in the Ambulatory Setting / Edition 2

by Patricia Corcoran Buchsel, Connie Henke Yarbro

Overview

This comprehensive work was developed by multidisciplinary oncology experts and is written exclusively for oncology nurses working in ambulatory settings and administrators managing outpatient settings.

Product Details

ISBN-13:	9780763714741
Publisher:	Jones & Bartlett Learning
Publication date:	08/09/2004
Edition description:	2E
Pages:	448
Product dimensions:	7.08(w) x 8.98(h) x 0.90(d)

About the Author

Connie Henke Yarbro, RN, MS, FAAN, is Founding Editor of Seminars in Oncology Nursing, and Adjunct Courtesy Faculty, Sinclair School of Nursing, University of Missouri-Columbia. One of the founders of the Oncology Nursing Society (ONS) in 1975, she served as the first Treasurer (1975-1979) and President of the ONS (1979-1983). In 1981, she founded the ONS Foundation and served as President from 1982-1988. She has served on the Board of Trustees for the Association of Community Cancer Centers, the American Association for Cancer Education, advisory panels for the National Institutes of Health, U.S. Pharmacopeia, and numerous other committees and advisory panels. She is one of three editors of the comprehensive textbook of oncology nursing, Cancer Nursing: Principles and Practice (8th ed), Cancer Symptom Management (4th ed), Oncology Nursing Review (6th ed), Breast Care Certification Review (2nd ed), and co-editor of Oncology Nursing in the Ambulatory Setting and Cancer Pain Management (2nd ed). She has published over 100 articles and book chapters on topics related to cancer nursing and care, and is a national and international lecturer. She is Past President of the International Society for Nurses in Cancer Care (ISNCC), served on the Medical Advisory Board of CancerSource.com, the Board of Directors for the Center for Biomedical Continuing Education, the Alternative and Complementary Methods of Cancer Management Committee of the American Cancer Society and the Leadership and Development Committee of ONS. She has received numerous local, national and international awards and most recently was named a Living Legend by the American Academy of Nursing.

Table of Contents

	Preface	xv
Chapter 1	Ambulatory Care Administrative Concepts: An Overview	1
	Introduction	1
	History of Ambulatory Care Nursing	1
	Trends Supporting the Shift to Ambulatory Care	2
	Ambulatory Care Defined	6
	New Issues in Ambulatory Care	7
	Facility Planning and Space Use: Function and Form	23
	Future Trends	26
	Appendix A	27
Chapter 2	Economic Issues in Ambulatory Care	33
	Introduction	33
	Inflow	35
	Outflow	43
	Patient Costs	45
	Conclusion	46
Chapter 3	The Internet and Ambulatory Oncology Nursing Care	49
	Introduction	49
	The Start of Something Big	49
	In the Clinic	51
	A Familiar Role: The Trusted Patient Guide	51
	At Your Service: The Personal Digital Assistant	54
	Shall We Talk? Or Type? Patient Communication	57
	E-Consults for the "E-Patient"	58
	In The Waiting Room	58
	Can't Get Out? We'll Come to You. Web-Based Learning Opportunities for the Ambulatory Oncology Nurse	59
	Distance Education	60
	A Matter of Trust	61
	Conclusion	62
Chapter 4	Role of the Advance Oncology Nurse Practitioner	65
	Introduction	65
	History of the Oncology NP	65
	Job Settings for the Oncology NPs	66
	Reimbursement Issues	69
	Prescriptive Authority	72
	License and Certification to Practice	74
	Future Issues	78
Chapter 5	Current Models of Physician Office Practices	81
	Introduction	81
	History of Ambulatory Clinics in Oncology	81
	Ambulatory Practice Settings	82
	Evolving Role of the Oncology Office Nurse	83
	Patient Classification Systems	89
	Practice Economics and Reimbursement	90
	Practice Setting Trends and the Nursing Shortage	92
	Conclusion	95
Chapter 6	Oncology Infusion Centers	99
	Introduction	99
	Overview of Outpatient Cancer Care	99
	ICs	100
	Planning an IC	100
	Services Provided	104
	Practice Models	106
	Workload Analysis	107
	Nursing Roles	108
	Managers and Administrators	108
	Clinical Nurse	109
	Unlicensed Assistive Personnel	110
	Recruitment and Retention	111
	Current Issues	112
Chapter 7	Outpatient Surgery in the Oncology Setting	115
	Introduction	115
	Historical Perspectives	115
	Trends in Ambulatory Surgery	116
	Advantages of Ambulatory Surgery	117
	Types of Ambulatory Surgery Facilities	118
	Patient Care Issues	121
	Planning and Developing an Ambulatory Surgery Center	129
	Example of an Oncology Ambulatory Surgery Center	133
	Future Trends	135
Chapter 8	Radiotherapy Treatment Centers/Ambulatory Dimensions	139
	Introduction	139
	Radiation Treatment Centers: Ambulatory Oncology Models	141
	Past Present Future Settings	142
	Operational Structures of Radiation Oncology Centers	144
	The Multidisciplinary Team	150
	Ambulatory Radiation Oncology/Trajectory of Patient Care	179
	Patient Education	187
	Active Clinical Treatment/Special Considerations in Radiation Oncology	188
	Conclusion	198
	Appendix A	204
Chapter 9	Hematopoietic Stem Cell Transplant Outpatient Models	211
	Introduction	211
	Models of Outpatient Transplantation	212
	Advantages and Disadvantages of Outpatient Transplantation	216
	Patient Eligibility	217
	Care Partner Selection	217
	Patient and Care Partner Education	217
	The Outpatient Program	218
	Outpatient Transplant Process	220
	Outcomes	224
	Alternatives to Outpatient Transplantation: Cooperative Care	226
	Conclusion	227
Chapter 10	The Breast Cancer Clinic: Yesterday, Today, and Tomorrow	231
	Introduction	231
	Overview	231
	Yesterday: The Courage to Change	232
	Today: Getting Started, Staying Focused, and Achieving Growth	234
	Tomorrow: The Courage to Lead	243
Chapter 11	Managing Pain in Ambulatory and Home Care	247
	Introduction	247
	Managing Pain in Ambulatory Care	248
	Integrating Pain Management into Clinical Care	249
	Pain Clinics, Centers, and Services	254
	Conclusion	258
Chapter 12	Palliative and Hospice Care Issues and Concepts in the Ambulatory Care Setting	263
	Introduction	263
	How Americans Are Dying	263
	The Evolution of Palliative Care	265
	Integrating Palliative Care	266
	Palliative Care Assessment Tools	269
	Hospice Care	271
	Continuity and Coordination of Care	273
	Conclusion	275
Chapter 13	Oral and Dental Management for Cancer Patients	279
	Introduction	279
	The Treatment Team	279
	Patient Care	280
	Patient Evaluation and Assessment	281
	Patient Education	287
	Mucositis	291
	Salivary Gland Dysfunction	298
	Infection	299
	GVHD	301
Chapter 14	Pharmacy Issues in Ambulatory Oncology	309
	Introduction	309
	The Role of the Pharmacist	309
	Drug Distribution	313
	Clinical Services	316
	Evaluation of Pharmacy Services and Pharmaceutical Care	319
	Conclusion	320
	Appendix A	321
	Appendix B	322
	Appendix C	323
Chapter 15	Research and Clinical Trials in Ambulatory Oncology Care	327
	Introduction	327
	Historical Issues and Milestones	328
	Overview of Clinical Research	328
	Issues in Clinical Trial Participation	334
	Nursing Roles and Responsibilities	342
	Conclusion	346
Chapter 16	Symptom Management Programs: The Role of the Nurse in Ambulatory Care	351
	Introduction	351
	History	352
	Issues in Developing Nurse-Run Symptom-Focused Clinics	352
	The Future of Ambulatory Cancer Care	353
Chapter 17	Integrating Complementary and Alternative Medicine Therapies into an Oncology Practice: A Short History of Medicine	355
	Introduction	355
	Strategies for CAM Program Development	361
	Presenting Your CAM Proposal	373
Chapter 18	Community-Based Survivorship Programs	377
	Impact of Cancer Diagnosis	378
	History of Cancer Survivor Support Groups	379
	Effectiveness of Support Groups	380
	Emergence of Support/Survivor Groups	381
	What Is a Support Group?	382
	What Is a Survivor Group?	383
	Types of Groups	383
	Special Populations	387
	Psychological Effects of Survivorship	390
	Economic Issues	391
	Insurance Coverage	392
	Spirituality	392
	Quality of Life	393
	How to Establish a Survivor Group	393
	The Internet as a Resource	397
	Survivorship Issues	399
	Late Effects of Cancer Treatment	399
	Cardiac Effects	401
	Reproductive Effects	402
	Fatigue	404
	Thyroid Dysfunction	404
	Secondary Malignancies	405
Chapter 19	The Building of a Cancer-Related Fatigue Clinic	413
	Introduction	413
	CRF Clinic Objectives	414
	CRF Clinic Profile	414
	CRF Clinic Framework	414
	CRF Clinic Patient Selection	416
	CRF Clinic Assessment Packet	416
	CRF Clinic Operations	417
	CRF Clinic Wisdom	419
Chapter 20	The Future of Ambulatory Nursing in the Oncology Setting	423
	Introduction	423
	Aging	424
	Generation Mix	424
	Diversity	424
	Terrorism	425
	Impact on Oncology Nursing	425
	Future	426
	Nursing Shortage	426
	Conclusion	429
	Index	430

Editorial Reviews

Reviewer: Polly Sue Fullom, RN, BSN (Union Hospital)
Description: This is a comprehensive reference/guide to providing oncology care in ambulatory settings. The book discusses pharmacological and other issues related to providing care in infusion centers, outpatient surgery, and palliative/hospice care.
Purpose: The purpose is to guide the practice of oncology nurses and other healthcare professionals in the ever-changing ambulatory setting. It is important for oncology professionals to keep up-to-date with issues such as reimbursement guidelines and new pharmaceutical advancements. The author's objectives are met.
Audience: The book was written for oncology nurses and other healthcare professionals. The credibility of the author is evident throughout the book.
Features: It provides comprehensive coverage of issues regarding ambulatory oncology care such as setting up a new practice, different office practice models, infusion centers, and radiation centers — to name a few. The chapter on patient education is especially informative.
Assessment: This book is very informative concerning the continual changes occurring in ambulatory oncology settings. The oncology nurse in particular could use this book as a helpful guide, especially with the growing trend of caring for patients in ambulatory settings.

Doody's Review Service