Navigation Links
Specialist nurses can play a key role in supporting patients having radiotherapy
Date:6/9/2008

Cancer patients who attended a specialist nurse clinic rather than a consultant-led clinic for regular radiotherapy reviews benefited from longer, more frequent consultations and good symptom management, according to a paper in the June issue of the Journal of Clinical Nursing.

And because the clinical nurse specialist was able to carry out 83 per cent of the consultations without referring issues to the consultant, patients also avoided the need to see their doctor on a routine basis.

Researchers from the University of Dundee and the City's Ninewells Hospital also found that the patients who were undergoing treatment for head and neck cancer were more likely to be referred to members of the multi-disciplinary team. This resulted in better management of common radiotherapy side effects, like oral and nutritional problems.

When researchers compared the 23 patients attending the nurse specialist-led clinics with the 20 who had attended consultant-led clinics in the previous six months, they found that the patients reported few significant differences in quality of life. Their comments also showed that they particularly valued the relationship they had built up with the clinical nurse specialist.

Feedback from the family doctors who took part in the study was also good. They were positive about the timing and content of the information they received from the clinical nurse specialist about their patients' ongoing treatment.

"Our study showed that clinical nurse specialists can play a key role in the management of head and neck cancer patients having radiotherapy and this may take the pressure off busy consultants, with no reduction in the quality of care provided" says lead author Dr Mary Wells, a Lecturer and Clinical Research Fellow in Cancer Nursing from the University.

"As a result of our research, the majority of radiotherapy review clinics at Ninewells Hospital are now conducted by a clinical nurse specialist. But greater investment is needed to develop specialist nursing roles if initiatives like this are to be replicated elsewhere in the UK."

Key findings of the study included:

  • Nurses were able to spend 16 minutes on each consultation - four times as long as the consultants - and patients had shorter waits to see them (two minutes versus nine).

  • Overall quality of life scores were similar in both groups, but patients in the consultant-led clinic group reported slightly higher emotional functioning.

  • Baseline pain scores were higher in the nurse-led group but rose less sharply than in the medical group.

  • Patients in the nurse-led group had better scores for social eating, social contact, dry mouth, sticky saliva, teeth problems and weight loss.

  • Patients in the medical group were more likely to have lost weight and less likely to have gained weight, despite receiving more nutritional supplements.

"Our study demonstrates that clinical nurse specialists in radiotherapy can effectively lead on-treatment reviews for patients using a protocol-based approach and that patients and family doctors appreciate the support, information and communication provided by nurse-led clinics" says Dr Wells.

"The findings suggest that when nurses work as part of a supportive multi-disciplinary team they can manage the majority of these routine consultations without direct input from the consultant, even in this highly symptomatic and complex group."

The study has led to direct changes in the way neck and head cancer patients are managed at Ninewells Hospital and the majority of the radiotherapy review clinics are now conducted by a clinical nurse specialist with specific training and expertise in radiotherapy care.

"The clinical nurse specialist is now able to prescribe a wider range of medication and is responsible for coordinating complex treatment regimes and supporting patients with complex symptoms" says Dr Wells.

"We also believe there is considerable potential to develop the assessment and care of patients with head and neck cancer before and after treatment as well as during radiotherapy.

"Clinical nurse specialists are ideally placed to provide information and advice on issues like health education, smoking cessation and alcohol consumption, to help reduce the impact of the patient's symptoms and improve their quality of life.

"They could also provide support, community liaison and symptom management immediately after treatment when patients are no longer in day-to-day contact with the hospital but the side effects continue to affect their daily life."

However the researchers point out that the potential to develop nurse-led radiotherapy clinics across the UK is hampered by a lack of investment in radiotherapy nursing.

"Nurses working in radiotherapy are relatively few and far between, postholders often work in isolation and their contribution has not been sufficiently acknowledged" says Dr Wells.

"We hope that our study, and the service developments it has inspired, will stimulate a debate about the valuable role that nurses can play in supporting cancer patients undergoing radiotherapy.

"We also hope that it will highlight the need for greater investment in this valuable speciality."


'/>"/>

Contact: Annette Whibley
wizard.media@virgin.net
Wiley-Blackwell
Source:Eurekalert

Related medicine news :

1. Jefferson specialists studying innovative surgery for effectively treating sleep apnea
2. Physician Skin Care Specialist Says Proposed New Rules for Sunscreen Products Will Better Protect the Public
3. Medco Unveils Three New Medicare Prescription Drug Plan Options for 2008 to Provide Seniors More Choice, Better Value and Specialist Pharmacists
4. RESolutions Rapid Enrollment Solutions, LLC Mobilizes Team of Regional Recruitment Specialists(TM)
5. The Cardiovascular Multimedia Network (CVMD) and the International Society of Endovascular Specialists (ISES) Join Forces to Educate Practitioners Worldwide Through Electronic Media
6. L.A. Author, TV Personality and Substance Abuse Specialist Discusses Struggle to Break Bad-girl Syndrome Oct. 26-28 in Baltimore
7. IPS Secures National Contract to Deliver FOCUS Healthcare Provider Network Access to Pain Management Specialists
8. Training Medical Warriors: Tropical Medicine Specialists Who Ward Off Bioterrorist and Global Health Threats Pass the Torch to the Next Generation
9. Northern Fertility & Reproductive Associates Adds Two Local Infertility Specialists to Staff, Opens New Offices In Center City And Blue Bell
10. Georgia Cancer Specialists to Sponsor Sixth Annual Totes 2 Tots Suitcase Drive for Foster Children
11. Cleveland Clinic Recruits World Renowned Heart Rhythm Specialist to Direct Electrophysiology
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/24/2017)... (PRWEB) , ... July 24, 2017 , ... ... autologous fat (adipose) transfer systems announces the issuance of United States Patent Number ... for its adipose filtration technology. The '398 and '324 patents cover methods ...
(Date:7/24/2017)... Georgia (PRWEB) , ... July 24, 2017 , ... ... comprehensive sleep management solution focused on delivering end-to-end sleep health care ... program. , Recent literature shows that adherence rates for positive airway pressure (PAP) ...
(Date:7/24/2017)... ... July 24, 2017 , ... Committed to ... have enrolled over 100,000 children in their treatment program. Clubfoot is a pervasive ... areas where treatment is limited or non-existent. Without intervention, these children are destined ...
(Date:7/24/2017)... Shandong Province (PRWEB) , ... July 24, 2017 ... ... Chinese Medicine's "Chinese Medicine Clinical Vitiligo Hospital" was set up, and the awarding ... Administration of traditional Chinese medicine, the head of the army's health system, and ...
(Date:7/24/2017)... ... 24, 2017 , ... “A Short Walk to the Mailbox”: a remarkable memoir ... of published author, Ed Clark. Ed Clark is a church music director and ... a minister of music and worship leader for over fifty years. He has ...
Breaking Medicine News(10 mins):
(Date:7/10/2017)...  The tenth annual BioPharm America™ will ... at the Sheraton Boston Hotel, September 26–27. The event ... decision makers and innovative biotech startup companies. The event ... two impactful days. BioPharm America is now part of ... opportunities with 4,500+ life science industry influencers participating in ...
(Date:7/5/2017)... Oramed Pharmaceuticals Inc. (NASDAQ: ORMP ) ... company focused on the development of oral drug delivery systems, ... Securities Authority to dual-list its common stock on the Tel ... on the TASE on July 12, 2017 under the ticker ... it is expected that Oramed will be included in the ...
(Date:6/30/2017)... ROCKVILLE, Md. , June 30, 2017 ... that since the start of May, at least ten ... financings include private investments, public offerings and a loan ... $3.3 million to almost $80 million.  Kalorama Information provides ... customers of its Diagnostics Knowledge Center. ...
Breaking Medicine Technology: