Clinical journal of oncology nursing
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With morbidity and mortality related to opioid use continuing to increase, clinicians need to better understand the risk for opioid misuse in patient populations. Screening for opioid misuse risk has not been routinely adopted as a standard practice in clinical settings. ⋯ Twelve patients in this sample scored in the moderate- to high-risk range for aberrant behavior, and 8 patients reported a personal history of substance abuse, indicating a need for opioid misuse risk screening in populations of patients with cancer. Because it is easy and quick to use, the ORT may be a feasible tool to incorporate into standard practice.
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Intraperitoneal (IP) chemotherapy is often a preferred treatment for ovarian cancer because of its clinical benefits, but research on the experiences of patients receiving IP chemotherapy is limited. ⋯ The following themes emerged from the data.
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Chimeric antigen receptor (CAR) T-cell therapy program development has regulatory demands and unique operational processes that vary across settings. The infrastructure in which CAR T-cell therapy is implemented has implications for nursing education and competencies. ⋯ CAR T-cell therapy continues to expand as the number of centers offering approved therapies increases. Standardized workflow components and staff education are essential for best patient outcomes regardless of location and type of program that provides the therapy.
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The rise in noncommunicable diseases and initiation of cancer treatment in Bhutan, combined with a global recognition of the need for palliative care, led the country's Ministry of Health to identify the need for palliative care. A team of nurses at Jigme Dorji Wangchuck National Referral Hospital in Thimphu were recruited to launch the country's first homecare palliative program. The Bhutan Cancer Society contributed financially to this effort, and other nongovernment organizations and faculty at the Khesar Gyalpo University of Medical Sciences of Bhutan School of Nursing contributed on the academia front.
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Thorough, consistent pain assessment and reassessment are critical to guide and evaluate interventions designed to improve pain. ⋯ Seventy-eight percent of nurses surveyed (N = 64) preferred the DVPRS over any other pain assessment tool. Inpatient and ambulatory patients surveyed (N = 144) agreed that a Likert-type scale in the DVPRS was easier to understand, easier to use, and better in describing their pain than the numeric rating scale.