Skip to main content

Nursing Considerations

  • Chapter
  • 1078 Accesses

Part of the book series: Current Clinical Oncology ((CCO))

Abstract

The diagnosis of a malignant brain tumor is a stressful and traumatic event for patients and families. Management of patients with a malignant brain tumor requires a team effort where nursing plays a unique role. Neuro-oncology nurses are nurses who care for patients with primary and metastatic cancers of the central nervous system and patients with neurologic complications from their systemic cancer or treatments. These nurses face unique challenges when caring for patients with highgrade gliomas. Nurses provide care to these patients in many settings, from initial diagnosis to death, and in a wide variety of roles. Nurses are constantly attempting to recognize, prevent, and treat complications whether at the bedside, in the outpatient department, or by telephone triage and support. General nursing concerns for this patient population focus on the following: patient and family education, symptom management, and appropriate referrals. The focus of nursing care is to improve survival and maintain quality of life through recognition of symptoms and knowledgeable symptom control.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Sheidler VR. Introduction. Sem Oncol Nurs 1998;14:1.

    Article  Google Scholar 

  2. Stark-Vance V, Dubay ML. 100 Questions and Answers About Brain Tumors. Boston: Jones and Bartlett Publishers; 2003.

    Google Scholar 

  3. Murphy PW, Chesson AL, Berman SA, Arnold CL, Galloway G. Neurology patient education materials: Do our educational aids fit our patients’e needs? J Neurosci Nurs 2001;33:99–104.

    PubMed  CAS  Google Scholar 

  4. Smith PW, Lemons JG. The psychological care of the brain tumor patient and family. In: Morantz RA, Walsh JW, eds. Brain Tumors: A Comprehensive Text, New York: Marcel Dekker Inc.;1994:809–821.

    Google Scholar 

  5. Glajchen M. The emerging role and needs of family caregivers in cancer care. Support Oncol 2004;2:145–155.

    Google Scholar 

  6. Bohan E. Neurosurgical Management of Patients with Central Nervous System Malignancies. Semin Oncol Nurs 1998;14(1):8–17.

    Article  PubMed  CAS  Google Scholar 

  7. American Society of Anesthesiologists. What You Should Know About Herbal Use and Anesthesia; 1999.

    Google Scholar 

  8. Devroom H, Smith R, Mogensen K, Clancey J. Nervous system tumors. In: Bader MK, Littlejohns L, eds. AANN Core Curriculum for Neuroscience Nursing, 4th ed., St. Louis: Saunders, 2004:516–517; 524-525.

    Google Scholar 

  9. Hickey JV. Management of patients undergoing neurosurgical procedures. In: Hickey JV, ed. The Clinical Practice of Neurological and Neurosurgical Nursing, 4th ed., Philadelphia: Lippincott; 1997:335.

    Google Scholar 

  10. Dempsey P, Calhoun R. Brain cancer and deep vein thrombosis: risks and prevention. The Brain Tumor Society July/Aug;2001:3.

    Google Scholar 

  11. Saris S. Multidisciplinary approach to malignant gliomas. Med Health 1996;79(6):210–213.

    CAS  Google Scholar 

  12. Posner JB. Supportive care agents and their complications. In: Posner JB, ed. Neurologic Complications of Cancer, Philadelphia: F.A. Davis Co.;1995;59-74.

    Google Scholar 

  13. Armstrong TS, Cohen MZ, Eriksen LR, Hickey JV. Symptom clusters in oncology patients and implications for symptom research in people with primary brain tumors. J Nurs Scholarsh 2004;36:3197–206.

    Article  Google Scholar 

  14. Craig C. Current treatment approaches for neoplastic meningitis: Nursing management of patients receiving intrathecal DepoCyt. Oncol Nurs Forum 2000;27:1225–1232.

    PubMed  CAS  Google Scholar 

  15. Lovely MP. Quality of life of brain tumor patients. Semin Oncol Nurs. 1998;14:73–80.

    Article  PubMed  CAS  Google Scholar 

  16. Fox S: Use of a quality of life instrument to improve assessment of brain tumor patients in an outpatient setting. J Neurosci Nurs 1998;30:322–325.

    PubMed  CAS  Google Scholar 

  17. Jalowiec A. Issues in using multiple measures of quality of life. Semin Oncol Nurs 1990;6:271–277.

    Article  PubMed  CAS  Google Scholar 

  18. Grant M, Padilla GV, Ferrell BR, Rhiner M. Assessment of quality of life with a single instrument. Semin Oncol Nurs 1990;6:260–270.

    Article  PubMed  CAS  Google Scholar 

  19. Kajs-Wyllie M. Ritalin revisited: Does it really help in neurological injury? J Neurosci Nurs 2002;34:303–313.

    PubMed  Google Scholar 

  20. Sherwood PR, Given BA, Doorehbas AZ, Given CW. Forgotten Voices: Lessons from bereaved caregivers of persons with a brain tumor. Int J Palliat Nurs. 2004;10(2):67–75.

    PubMed  Google Scholar 

  21. Lepola I, Toljamo M, Aho R, Lovet T. Being a brain tumor patient: A descriptive study of patients’ experience. JNN 2001;33(3):143–147.

    CAS  Google Scholar 

  22. Passik SD, Malkin MG, Breitbart WS, Horowitz S. Psychiatric and psychosocial aspects of neuro-oncology. J Psychosoc Oncol 1994;12:101–122.

    Article  Google Scholar 

  23. Ferrell BR, Dow KH. Quality of life among long-term cancer survivors. Oncology 1997;4:565–576.

    Google Scholar 

  24. Lovely MP, Miakowski C, Dodd M: Relationship between fatigue and quality of life in patients with glioblastoma multiformae. Oncol Nurs Forum 1999;26:921–925.

    PubMed  CAS  Google Scholar 

  25. Rabbitt JE, Page MS. Selected complications in neuro-oncology patients. Semin Oncol Nurs 1998;14:53–60.

    Article  PubMed  CAS  Google Scholar 

  26. Bohan EM. Brain Tumors. In: Barker E, ed. Neuroscience Nursing: A Spectrum of Care, 2nd Ed. St. Louis: Mosby, 2002:269–301.

    Google Scholar 

  27. Goldenberg LB. Beyond a single seizure. Adv Nurse Pract 2004;6:61–65.

    Google Scholar 

  28. Warbel A, Lewicki L, Lupica KL. Venous thromboembolism: Risk factors in the craniotomy patient population. J Neurosci nurs 1999;31:180–186.

    PubMed  CAS  Google Scholar 

  29. Lupica K. Corticosteroids-Friend or Foe? Managing side effects in the neuro-oncology patient. J Neurosci Nurs 1998;30:367–368.

    Google Scholar 

  30. Armstrong T, Hancock C, Gilbert M. Symptom management of the patient with a brain tumor at the end of life. Oncol Nurs Forum 2000;27(4):616.

    PubMed  CAS  Google Scholar 

  31. Strohl RA. Radiation therapy in tumors of the central nervous system. Semin Oncol Nurs 1998;14:26–33.

    Article  PubMed  CAS  Google Scholar 

  32. Armstrong TS, Gilbert MR. Chemotherapy of astrocytomas: An overview. Semin Oncol Nurs 1998;14:18–25.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Humana Press Inc., Totowa, NJ

About this chapter

Cite this chapter

Lupica, K., Ditz, G. (2007). Nursing Considerations. In: Barnett, G.H. (eds) High-Grade Gliomas. Current Clinical Oncology. Humana Press. https://doi.org/10.1007/978-1-59745-185-7_17

Download citation

  • DOI: https://doi.org/10.1007/978-1-59745-185-7_17

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-511-8

  • Online ISBN: 978-1-59745-185-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics