| Chapter 1. Coping With Cancer: Patient and Family Issues |
1 |
| Introduction |
1 |
| Communication Skills in the Psychosocial Care of Patients With Cancer and Their Families |
3 |
| Patient Issues in Coping: Psychological Distress in Patients With Cancer |
6 |
| Patients Who Are Terminally Ill |
17 |
| Family Issues in Coping |
18 |
| Cultural Diversity |
22 |
| Summary |
25 |
| References |
25 |
| Chapter 2. Communication Issues for Oncology Nurses at Difficult Times |
29 |
| Introduction |
29 |
| The Therapeutic Nursing Role |
30 |
| Communication Skills |
30 |
| Barriers to Communication |
31 |
| Giving Bad News |
32 |
| Family and Social Issues |
35 |
| Oncology Nurses’ Role in Communication |
38 |
| Patients’ Role in Communication |
47 |
| Summary |
52 |
| References |
53 |
| Chapter 3. Caring for the Spirit |
59 |
| Introduction |
59 |
| Significance of Caring for the Spirit |
59 |
| Approaches to Caring for the Spirit |
60 |
| Referring Patients to Spiritual Care Experts |
73 |
| Summary |
74 |
| References |
74 |
| Chapter 4. Body Image |
79 |
| Introduction |
79 |
| Alopecia and Skin and Nail Changes |
81 |
| Ostomies |
87 |
| Lymphedema |
89 |
| Weight Loss and Weight Gain |
91 |
| Surgery |
92 |
| Summary |
96 |
| References |
97 |
| Chapter 5. Sexuality |
101 |
| Introduction |
101 |
| Nursing Practice Standards |
101 |
| Areas of Competency |
103 |
| Overview of Sexual Physiology |
105 |
| Cancer Treatments and Altered Sexual Functioning |
107 |
| Cancer and Fertility |
115 |
| Hormonal Therapy and Alterations in Sexual Functioning |
116 |
| Patient Education About Treatment Effects |
116 |
| Cancer and Sexual Relationships |
117 |
| Talking to Patients About Sexuality |
118 |
| Summary |
121 |
| References |
121 |
| Chapter 6. Cancer Survivorship |
125 |
| Introduction |
125 |
| Historical Perspectives on Cancer Survivorship |
126 |
| Pathways of Survival |
128 |
| Persistent and Late Effects of Diagnosis and Treatment |
130 |
| Overview of Psychosocial Issues in Cancer Survivorship |
130 |
| Key Elements of Care Quality for Cancer Survivors and Their Families |
136 |
| Interventions to Promote Biopsychosocial Well-Being During Cancer Survivorship |
140 |
| Summary |
146 |
| References |
148 |
| Chapter 7. Death, Dying, and Grief in the Face of Cancer |
159 |
| Introduction |
159 |
| The Dying Experience |
160 |
| Grief: A Response to Multiple Losses and Dying |
161 |
| Influencing Factors |
163 |
| Supporting Grief in the Face of Death |
164 |
| Recognizing Complicated Grief |
170 |
| Guiding Patients and Families Through the Dying Process |
172 |
| Nurses’ Grief |
180 |
| Summary |
183 |
| References |
183 |
| Chapter 8. Care for the Caregiver |
187 |
| Introduction |
187 |
| Background |
188 |
| The Roles and Responsibilities of Caregivers |
188 |
| Caregiver Burden |
189 |
| Caregiving Burden Assessments |
193 |
| Psychosocial Considerations With Caregiver Tasks |
195 |
| Summary |
210 |
| References |
210 |
| Chapter 9. Self-Care for Nurses |
217 |
| Introduction |
217 |
| Background |
217 |
| Job Burnout and Compassion Fatigue |
220 |
| Nurse Residency Programs |
224 |
| Finding Balance |
224 |
| Moral Distress |
227 |
| Preventing Burnout With Sustainable Practices |
228 |
| Female Responses to Stress |
237 |
| Hardiness |
240 |
| Grief |
240 |
| Summary |
241 |
| References |
242 |
| Appendix: Resources |
245 |
| Index |
255 |