Managing the Oral Effects of Cancer Treatment: Diagnosis To Survivorship

Buy Book

Preface xv
Chapter 1. Oral Health: The Basics 1
Introduction 1
History of Oral Care 1
Epidemiology of Oral Diseases 2
Anatomy of the Oral Cavity 5
Common Oral Conditions 8
Oral Health and Overall General Health 11
Common Oral Manifestations of Systemic Medical Diseases 12
Oral Manifestations During Women’s Reproductive Years 20
Maintenance of Oral Hygiene and Health 21
Conclusion 21
References 22
Chapter 2. Fundamental Skills: Oral Assessment and Dental Hygiene 25
Introduction 25
History Taking 25
Diagnostic and Assessment Tools 32
Dental Care in Patients With Cancer 39
Barriers to Dental Care 43
Conclusion 44
References 44
Chapter 3. Treatment of Side Effects 47
Introduction 47
Oral Mucositis 47
Xerostomia and Hyposalivation 52
Chronic Graft-Versus-Host Disease 55
Dental Caries and Periodontal Disease 56
Taste Changes 57
Persistent Dysphagia 60
Trismus 60
Fungal Infections 62
Osteoradionecrosis 62
Osteonecrosis 63
Conclusion 64
References 64
Chapter 4. Evidence-Based Practice: Tools to Measure Progress 69
Introduction 69
Evidence-Based Practice 70
Types of Tools 71
Description and Critique of Specific Tools 78
Special Populations and Considerations 85
Naturopathic, Complementary, and Alternative Medicine 86
Conclusion 87
References 88
Chapter 5. Nutrition Management Strategies for Oral Effects of Cancer Treatment 93
Introduction 93
Mucositis 94
Xerostomia 97
Dysgeusia and Hypogeusia 98
Dysphagia 99
Other Oral Effects of Treatment 99
Nutrition Support 100
Conclusion 101
References 101
Chapter 6. Xerostomia and Cytoprotection 103
Introduction 103
Sjögren Syndrome of the Oral Cavity 106
Review of Oral Cancers 107
Treatment for Oral Cancers 109
Advances in Radiation Therapy 111
Cytoprotection 114
Quality of Life 118
Conclusion 118
References 119
Chapter 7. Pain Management 125
Introduction 125
Causes of Oral Pain 125
Assessment 127
Interventions for Oral Pain 128
Other Treatments 135
Barriers to Pain Management 140
Conclusion 143
References 143
Chapter 8. Speech, Voice, and Swallowing Problems: The Speech Pathologist’s Role 147
Introduction 147
Common Speech, Voice, and Swallowing Problems Related to Radiation Therapy and Chemotherapy for Oral and Oropharyngeal Cancers 148
Pretreatment Involvement of Speech Pathology 149
Speech Pathology Evaluations 149
Speech Pathology Treatment 151
Conclusion 154
References 155
Chapter 9. Complementary and Alternative Medicine and the Mouth 157
Introduction 157
Definitions 159
Evidence for Use 159
Interventions for Dysgeusia 160
Interventions for Oral Mucositis 160
Interventions for Orofacial Pain (Excluding Oral Mucositis) 168
Interventions for Xerostomia 168
Conclusion and Nursing Implications 170
References 171
Chapter 10. Developing a Nursing-Centered “Spray and Weigh” Program 175
Introduction 176
Oral Cavity Assessment 177
Symptom Assessment 182
Dental Health 183
Oral Hygiene at Home 183
Conclusion 183
References 184
Chapter 11. Sexuality and Quality of Life 185
Introduction 185
Factors in Sexuality 185
Patient Oral Symptoms and Their Effects on Sexuality and Intimacy 186
Assessing Sexual Health 188
Assessments and Interventions 189
Conclusion 191
References 191
Chapter 12. Paradigms of Eating 193
Introduction 193
Diet Following Chemotherapy 193
Bisphosphonate-Associated Osteonecrosis 194
Stem Cell Transplantation and Oral Development 194
Diet Following Radiation Therapy 196
Diet Following Surgery: Dysphagia 199
Conclusion 200
References 200
Chapter 13. Psychosocial Challenges 205
Introduction 205
Oral Complications of Survivorship 207
Financial Challenges 209
Assessment Tools 212
Screening Tools for Patients With Oral Complications 214
Additional Resources 217
Conclusion 218
References 218
Chapter 14. Considerations for Older Cancer Survivors—Aging, Comorbidity, and Cancer Treatment 221
Introduction 221
Oral Health and the Aging Population 222
Oral Health Problems Among Older Adults 223
Considerations in Assessment and Intervention for Oral Effects in Older Survivors 231
Conclusion 232
References 232
Chapter 15. Special Considerations in Pediatric Populations 237
Introduction 237
Oral Complications Associated With Cancer Treatment in Children 238
Pediatric Oral Assessment Tools 242
Infections Associated With Cancer Treatment 242
Salivary Gland Dysfunction 244
Oral and Dental Management 244
Oral Care After Cancer Treatment 245
Conclusion 247
References 247
Chapter 16. Second Primary Cancers and Recurrence 251
Introduction 251
Scope of the Problem 251
Chemoprevention 255
Fear of Recurrence and Psychosocial Effect on Patients With Oral Cancer 256
Nursing Implications 257
Conclusion 258
References 259
Chapter 17. Oral Health Across the Continuum of Care: A Symptom Cluster Model 263
Introduction 263
Major Advances in Treatment of Oral Problems in Cancer Treatments 264
Clinical and Functional Impairments 265
Prevention and Early Detection of Oral Complications 265
Oral Care Protocols 266
Symptom Clusters 271
Case Study in an Allogeneic Hematologic Stem Cell Transplant Recipient 272
Conclusion 276
References 276
Index 281
Advertisement