Oncology nursing forum
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Oncology nursing forum · Sep 2006
Subgroups of patients with cancer with different symptom experiences and quality-of-life outcomes: a cluster analysis.
To identify subgroups of outpatients with cancer based on their experiences with the symptoms of fatigue, sleep disturbance, depression, and pain; to explore whether patients in the subgroups differed on selected demographic, disease, and treatment characteristics; and to determine whether patients in the subgroups differed on two important patient outcomes: functional status and quality of life (QOL). ⋯ The findings from this study need to be replicated before definitive clinical practice recommendations can be made. Until that time, clinicians need to assess patients for the occurrence of multiple symptoms that may place them at increased risk for poorer outcomes.
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Oncology nursing forum · Sep 2006
ReviewUnderstanding the moral distress of nurses witnessing medically futile care.
To explore the topic of moral distress in nurses related to witnessing futile care. ⋯ The ethical dilemma of futile care is complex. Additional research and support are needed for patients, families, and nurses.
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To explore the prevalence and intensity of depression, fatigue, and pain in survivors of lung cancer; to examine the relationship of symptoms in a cluster; and to examine the relationship of the symptom cluster to quality of life (QOL). ⋯ Healthcare providers must assess the potential for symptoms to cluster, adversely affecting key patient outcomes such as QOL. Through increased knowledge of symptom clusters, clinicians will be able to more effectively target the most distressing set of symptoms for intervention.