| Preface |
vii |
| |
|
| Chapter 1. Introduction |
1 |
| Overview |
1 |
| Historical Perspectives |
1 |
| Epidemiologic Perspectives |
3 |
| Clinical Perspectives |
3 |
| Conclusion |
4 |
| References |
5 |
| Chapter 2. Risk Factors for Breast Cancer |
7 |
| Introduction |
7 |
| Types of Risk Used in Breast Cancer Risk Counseling |
7 |
| Challenges in Risk Communication |
9 |
| Risk Factors for Breast Cancer |
11 |
| Selecting a Prediction Model |
21 |
| Nursing Implications |
28 |
| Research |
30 |
| Conclusion |
30 |
| References |
30 |
| Chapter 3. Prevention and Detection |
35 |
| Introduction |
35 |
| Levels of Cancer Prevention and Early Detection |
35 |
| Primary Prevention |
35 |
| Evaluating the Strengths and Limitations of Screening Modalities |
38 |
| Secondary Breast Cancer Prevention |
42 |
| Detection Issues in Special Populations |
52 |
| Tertiary Prevention |
54 |
| Diagnostic Evaluation |
57 |
| Conclusion |
61 |
| References |
61 |
| Chapter 4. Pathophysiology and Staging |
65 |
| Introduction |
65 |
| Anatomy and Physiology of the Breast |
65 |
| Classification |
66 |
| Stromal Breast Tumors |
70 |
| Other Breast Cancers |
70 |
| Staging |
70 |
| Molecular Classification and Profiling |
75 |
| Nursing Implications |
76 |
| Conclusion |
76 |
| References |
76 |
| Chapter 5. Surgical Management and Reconstruction |
79 |
| Introduction |
79 |
| Overview of Breast Surgery for In Situ, Invasive, and Metastatic Disease |
79 |
| Surgical Procedures |
81 |
| Reconstruction |
85 |
| The Nurse’s Role in the Breast Surgery Setting |
90 |
| Conclusion |
90 |
| References |
90 |
| Chapter 6. Breast Restoration Options Utilizing Prostheses |
93 |
| Introduction |
93 |
| Body Image |
93 |
| Prostheses |
94 |
| Conclusion |
102 |
| References |
102 |
| Chapter 7. Radiation Therapy |
105 |
| Introduction |
105 |
| History |
105 |
| Selection of Patients for Breast-Conserving Therapy |
105 |
| Postmastectomy Radiation |
106 |
| Palliative Radiation for Metastatic Disease |
109 |
| Nursing Care of Patients Receiving Radiotherapy |
109 |
| Conclusion |
110 |
| References |
111 |
| Chapter 8. Systemic Therapy |
113 |
| Introduction |
113 |
| Endocrine Therapy |
114 |
| Chemotherapy |
119 |
| Signaling Pathways: Targeted Therapies |
128 |
| Supportive Therapy: Bisphosphonates |
132 |
| Complementary and Integrative Medicine: Potential for Drug Interactions |
133 |
| Conclusion |
133 |
| References |
133 |
| Chapter 9. Symptom Management |
141 |
| Introduction |
141 |
| Surgical Complications |
141 |
| Radiation Skin Changes |
149 |
| Chemotherapy-Induced Nausea and Vomiting |
151 |
| Cancer-Related Fatigue |
154 |
| Cognitive Dysfunction |
157 |
| Menopausal Effects of Breast Cancer Treatment |
160 |
| Conclusion |
167 |
| References |
167 |
| Chapter 10. Psychosocial Issues |
179 |
| Introduction |
179 |
| Psychosocial Distress Associated With Breast Cancer |
179 |
| Psychosocial Service Providers |
180 |
| Psychosocial Functioning in Specific Groups and Phases of the Breast Cancer Trajectory |
181 |
| Information Seeking and Treatment Decision Making |
185 |
| Assessment Strategies |
190 |
| Specific Interventions to Promote Psychosocial Health |
192 |
| Supportive Measures for Specific Problems |
198 |
| Pharmacologic Management |
201 |
| Family and Social Issues |
202 |
| Conclusion |
208 |
| References |
208 |
| Chapter 11. Building Breast Centers of Excellence Through Patient Navigation and Care Coordination |
213 |
| Introduction |
213 |
| Definition and Rationale for Patient Navigation and Care Coordination |
213 |
| Models of Navigation in Multidisciplinary Care |
215 |
| Building Multidisciplinary Disease Management Teams |
216 |
| Breast Centers of Excellence |
219 |
| Breast Program Development |
220 |
| Nurse Navigator Role in Quality Improvement for the Breast Program |
220 |
| Navigation Software |
222 |
| Funding Navigator Positions |
223 |
| Return on Investment and Sustainability of the Navigator Role |
223 |
| Navigator-Patient Ratio |
225 |
| Marketing the Nurse Navigator Position |
225 |
| Training Programs and Resources for Navigation |
227 |
| Conclusion |
228 |
| References |
228 |
| Index |
231 |