Materiały źródłowe

• #1 Nursing Considerations for Head and Neck Cancer Survivorship Care | Oncology Nursing Society

  https://www.ons.org/publications-research/voice/news-views/04-2021/nursing-considerations-head-and-neck-cancer

  Despite accounting for only 3% of all cancer survivors, patients with head and neck cancers often require significant support and survivorship care. […] To address the wide range of late and long-term effects, head and neck cancer survivorship care requires an interprofessional approach, including members from primary care, oncology, otolaryngology, dental health, physical therapy, nutrition, speech and swallowing specialty, psychological specialists, and others on the healthcare team. […] Routinely assess patients nutritional status, including weight loss, nutritional deficiencies, and enteral support as needed, and consult with speech language pathologists for chronic dysphagia, trismus, and swallowing difficulties. […] Head and neck cancer survivors require close surveillance and follow-up in the first two years posttreatment when they are most at risk for disease recurrence and secondary cancers.

• #2 Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9786360/

  Head and neck tumours are the fifth leading cause of cancer deaths worldwide. […] The aim of this study was to map the nursing interventions to be carried out with head and neck cancer patients in preoperative nursing consultations. […] Preoperative nursing consultations allow patients and family members to ask questions and voice concerns. […] The nursing intervention identified by the review included interviews, in which nurses explain the concepts related to the diagnosis, the procedures involved in the surgery, and the inherent consequences. […] Preoperative consultations can be conducted by nurses or interdisciplinary teams and must include individualized interventions. […] This includes assessing preoperative needs and anticipating postoperative demands, such as defining nursing care plans to help individuals reach maximum self-care capacity.

• #3 Head and Neck Cancer Diagnosis, Treatment – Central Georgia Cancer Care in Macon and Warner Robins

  https://centralgacancercare.com/what-we-treat/cancer/head-and-neck-cancer/

  Head and neck cancer are a group of cancers that start in the mouth, nose, throat, larynx, sinuses or salivary glands. As a group, head and neck cancers account for about 4 percent of all cancer in the United Sates. […] Most head and neck cancer patients are over 50. Men are two to three times more likely to develop the disease than women. […] Central Georgia Cancer Care has a proven track record of working closely with our surgical and radiotherapy colleagues to develop personalized care plans for head and neck patients. Our goal is to provide innovative, seamless patient care and optimum health outcomes. […] Cancer can bring up a lot of issues. Its important to find a doctor who goes beyond easy answers to search for the very best care options.

• #4 Head and neck cancer | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/head-and-neck-cancer

  Head and neck cancer is a general term to describe different cancers in this area. These cancers start in the tissues in the head and neck area. For example, in the mouth which includes the tongue, palate, gums and lips […] If you are not sure, ask your cancer doctor or specialist nurse. […] The most common type of head and neck cancer is squamous cell carcinoma. About 9 out of 10 head and neck cancers (90%) start in squamous cells. Squamous cells line the surfaces inside the head and neck, such as the mouth, nose and throat. […] The symptoms depend on where the cancer started in the head or neck. With certain symptoms, you may see a specialist within 2 weeks (called an urgent referral). Some of these symptoms include having an ulcer in the mouth for more than 3 weeks […] Others are symptoms that do not go away, such as: a lump in the neck, on the lip or inside the mouth, a sore tongue, a sore throat, hoarseness, problems swallowing.

• #5

  https://www.accc-cancer.org/home/learn/cancer-types/head-neck-cancer/multidisciplinary-approaches-to-head-neck-cancer-care

  Head and neck cancers account for approximately 4% of all cancers in the United States. Referred to collectively as head and neck cancers, these squamous cell carcinomas can develop in or around the mouth, throat (pharynx), voice box (larynx), nose, sinuses, and salivary glands however mouth, throat, or voice box cancer are the most diagnosed among all head and neck cancers. […] Patients with head and neck cancers may also experience significant challenges and distress associated with disease symptoms, difficulty eating, difficulty communicating, and other psychosocial factors that can reduce their quality of life. […] Advances in treatment and a multimodal approach (that may include surgery, radiation therapy, systemic medical therapy with chemotherapy, targeted therapy, and/or immunotherapy) are improving outcomes, however access to therapies and effective multimodal care coordination remains a challenge.

• #6 Head and neck cancer | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/head-and-neck-cancer

  The main risk factors for head and neck cancer are tobacco and alcohol, especially when combined. Head and neck cancer is also much more common in men than in women. […] Because head and neck cancer is not common, you are usually treated in a specialist head and neck unit. A team of specialists will meet to discuss the best possible treatment for you. This is called a multidisciplinary team (MDT). […] The aim of treatment is to remove or destroy the cancer and reduce the risk of it coming back. Your treatment depends on where the cancer is, the type and stage of the cancer, the best way to maintain appearance, speech and swallowing, your general health, and your preferences. […] Doctors plan your treatment so the effect on your appearance, speech, swallowing and eating is as little as possible. If treatment is likely to affect any of these, your doctor and nurse will talk to you about this.

• #7 Head and Neck Cancer Diagnosis, Treatment – Central Georgia Cancer Care in Macon and Warner Robins

  https://centralgacancercare.com/what-we-treat/cancer/head-and-neck-cancer/

  Head and neck cancer are a group of cancers that start in the mouth, nose, throat, larynx, sinuses or salivary glands. As a group, head and neck cancers account for about 4 percent of all cancer in the United Sates. […] Most head and neck cancer patients are over 50. Men are two to three times more likely to develop the disease than women. […] Central Georgia Cancer Care has a proven track record of working closely with our surgical and radiotherapy colleagues to develop personalized care plans for head and neck patients. Our goal is to provide innovative, seamless patient care and optimum health outcomes. […] Cancer can bring up a lot of issues. Its important to find a doctor who goes beyond easy answers to search for the very best care options.

• #8 Supportive Care for Patients With Head and Neck Cancer

  https://www.oncnursingnews.com/view/supportive-care-for-patients-with-head-and-neck-cancer

  Performing frequent assessments and assisting with hygiene is vital to preserving and improving quality of life. […] Supporting a patient during cancer treatment is a challenge. From symptom management to psychosocial considerations, each patients needs vary and must be reevaluated frequently. This is especially true for patients with head and neck cancer. […] Head and neck cancers often result in serious quality of life issues. Surgical resection of the affected area can cause disfigurement that not only affects function (eating, drinking, speaking, etc) but also leads to self-image concerns and depression. […] National Comprehensive Cancer Network guidelines recommend early involvement of a dentist, a dietitian, and a speech therapist to help address pre- and posttreatment concerns and preserve quality of life for people with head and neck cancer.

• #9 Head and Neck Cancer | Cancer Institute | Memorial Healthcare System

  https://www.mhs.net/services/cancer-care/conditions-treatments-and-services/head-and-neck-cancer

  Our comprehensive treatment for head and neck cancers helps restore your appearance and function. […] Head and neck cancer is a particularly challenging disease that can significantly affect your ability to function. It can alter your appearance, speech and ability to chew and swallow. It also can take a toll on your mental health and quality of life. […] You need a team that diagnoses the condition accurately and develops a comprehensive treatment plan. But you also need support as you recover and navigate life with this complex disease. […] Based on test results, your team develops a detailed, individualized treatment plan. The goal is to remove or destroy as much cancer as possible but preserve and protect surrounding structures. […] Your care plan might involve one or more of the following treatments, all available at Memorial: Chemotherapy medications can be delivered orally or intravenously. The drugs circulate in your bloodstream and destroy cancer cells.

• #10 Supportive Care for Patients With Head and Neck Cancer

  https://www.oncnursingnews.com/view/supportive-care-for-patients-with-head-and-neck-cancer

  Performing frequent assessments and assisting with hygiene is vital to preserving and improving quality of life. […] Supporting a patient during cancer treatment is a challenge. From symptom management to psychosocial considerations, each patients needs vary and must be reevaluated frequently. This is especially true for patients with head and neck cancer. […] Head and neck cancers often result in serious quality of life issues. Surgical resection of the affected area can cause disfigurement that not only affects function (eating, drinking, speaking, etc) but also leads to self-image concerns and depression. […] National Comprehensive Cancer Network guidelines recommend early involvement of a dentist, a dietitian, and a speech therapist to help address pre- and posttreatment concerns and preserve quality of life for people with head and neck cancer.

• #11 Helping Survivors of Head and Neck Cancer Face the Future

  https://www.oncnursingnews.com/view/helping-survivors-of-head-and-neck-cancer-face-the-future

  Colleen OLeary, MSN, RN, AOCNS, teaches nurses how to employ compassion and professionalism to improve quality of life for survivors with complex challenges. […] Nurses need to be prepared to provide survivors with both medical and emotional support in dealing with the aftereffects. […] Nurses are vital members of this multidisciplinary care team. […] Nurses help these survivors learn how to come to terms with their new normal. […] This model is crucial for both patients and those working in the head and neck cancer specialty. Patients need support for a multitude of issues that surround survivorship. […] It is important to treat everyone with compassion and respect, OLeary says. […] Patients overall coping skills can be an important but often overlooked issue in head and neck cancer treatment.

• #12 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  Treatment summaries should become part of practice to provide good communication between primary and secondary care to enable continuity of care for the patient. (G) […] It is the function of the clinical nurse specialist (CNS) to give the patient and carer the wherewithal to cope with the diagnosis, treatment and long-term consequences through the use of empathy and experience. […] The CNS workload can be complex and varied dependent on the patient’s needs, it can be categorised into themes: Specialist technical knowledge of the cancer process and treatment options, Acting as the patients key worker for a specific part of the process and linking in with the MDT, Utilising advanced communication skills to support the patient and carer psychologically through the disease process, Lead on redesigning services to make them responsive to the patient’s needs, Health education and promotion to reduce the risk of recurrence and promote a healthy lifestyle, Assisting in local and national initiatives to promote awareness and prevention.

• #13 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. It discusses the role of the clinical nurse specialist in the head and neck cancer patient journey and provides recommendations on the clinical nurse specialist led assessments and interventions for this group of patients receiving cancer care. […] All cancer patients should meet a clinical nurse specialist at the point of diagnosis. (R) […] Clinical nurse specialists must act as gate keeper to the patients’ cancer pathway to provide a seamless journey. (R) […] Holistic needs assessment should be completed at different stages of the patient’s pathway to reflect the changes of the patients’ needs. (R) […] Clinical nurse specialists should lead in redesigning of services and policies to ensure they are responsive to patient’s needs for the future. (G)

• #14 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. It discusses the role of the clinical nurse specialist in the head and neck cancer patient journey and provides recommendations on the clinical nurse specialist led assessments and interventions for this group of patients receiving cancer care. […] All cancer patients should meet a clinical nurse specialist at the point of diagnosis. (R) […] Clinical nurse specialists must act as gate keeper to the patients’ cancer pathway to provide a seamless journey. (R) […] Holistic needs assessment should be completed at different stages of the patient’s pathway to reflect the changes of the patients’ needs. (R) […] Clinical nurse specialists should lead in redesigning of services and policies to ensure they are responsive to patient’s needs for the future. (G)

• #15 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  The CNS acts as the key accessible professional to the patient within this multiprofessional setting, and allows the CNS to influence the patient’s pathway. […] Clinical nurse specialists increasingly take the lead role in shaping patient care pathways and refining systems to make a difference to the patient experience and their safety. […] A care plan is based on the diagnosis and holistic assessment of the patient. […] A key component to effective patient care is good communication between the primary and secondary care sectors. […] Clinical nurse specialists should: meet every patient at the point of diagnosis to assist in a smooth transition along the cancer pathway, ensure effective communication within the MDT, with patient and carer and within the community setting, be at the centre of the patient’s pathway and make effective use of resources, act as the patient advocate, utilising support groups to act as patient voices in the changing healthcare environment to make them patient-centred, perform holistic needs assessment for all patients at diagnosis and specific points along their journey to ensure patient-focused care is being provided, offer treatment summaries to all people involved in the patient’s recovery to ensure effective communication, offer individualised care plans to help patients take control of the recovery phase.

• #16 Nursing Considerations for Head and Neck Cancer Survivorship Care | Oncology Nursing Society

  https://www.ons.org/publications-research/voice/news-views/04-2021/nursing-considerations-head-and-neck-cancer

  Despite accounting for only 3% of all cancer survivors, patients with head and neck cancers often require significant support and survivorship care. […] To address the wide range of late and long-term effects, head and neck cancer survivorship care requires an interprofessional approach, including members from primary care, oncology, otolaryngology, dental health, physical therapy, nutrition, speech and swallowing specialty, psychological specialists, and others on the healthcare team. […] Routinely assess patients nutritional status, including weight loss, nutritional deficiencies, and enteral support as needed, and consult with speech language pathologists for chronic dysphagia, trismus, and swallowing difficulties. […] Head and neck cancer survivors require close surveillance and follow-up in the first two years posttreatment when they are most at risk for disease recurrence and secondary cancers.

• #17 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  The CNS acts as the key accessible professional to the patient within this multiprofessional setting, and allows the CNS to influence the patient’s pathway. […] Clinical nurse specialists increasingly take the lead role in shaping patient care pathways and refining systems to make a difference to the patient experience and their safety. […] A care plan is based on the diagnosis and holistic assessment of the patient. […] A key component to effective patient care is good communication between the primary and secondary care sectors. […] Clinical nurse specialists should: meet every patient at the point of diagnosis to assist in a smooth transition along the cancer pathway, ensure effective communication within the MDT, with patient and carer and within the community setting, be at the centre of the patient’s pathway and make effective use of resources, act as the patient advocate, utilising support groups to act as patient voices in the changing healthcare environment to make them patient-centred, perform holistic needs assessment for all patients at diagnosis and specific points along their journey to ensure patient-focused care is being provided, offer treatment summaries to all people involved in the patient’s recovery to ensure effective communication, offer individualised care plans to help patients take control of the recovery phase.

• #18 Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9786360/

  Patients need advice (information and support) and guidance in the preoperative phase. […] This places the education of head and neck cancer patients as a central nursing intervention in preoperative consultations, which includes providing guidance, building rapport, and answering questions about ostomy care and respiratory devices. […] Preoperative consultations can help reduce anxiety, fear, stress, and preoperative pain. […] Education about self-care, treatment, and its effects increases adherence to therapeutic regimens. […] The authors recommend that nurses and other health professionals devote their time to educating people about their return home after discharge, and preoperative consultations allow this preparation to begin promptly. […] The study included in the review recommends using tools such as pamphlets and brochures with images to guide patients about postoperative self-care.

• #19 Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9786360/

  Head and neck tumours are the fifth leading cause of cancer deaths worldwide. […] The aim of this study was to map the nursing interventions to be carried out with head and neck cancer patients in preoperative nursing consultations. […] Preoperative nursing consultations allow patients and family members to ask questions and voice concerns. […] The nursing intervention identified by the review included interviews, in which nurses explain the concepts related to the diagnosis, the procedures involved in the surgery, and the inherent consequences. […] Preoperative consultations can be conducted by nurses or interdisciplinary teams and must include individualized interventions. […] This includes assessing preoperative needs and anticipating postoperative demands, such as defining nursing care plans to help individuals reach maximum self-care capacity.

• #20 Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9786360/

  Preoperative nursing consultations for head and neck cancer patients present numerous challenges because of the urgency of having to initiate an entire educational process about the care that will be provided and the settings into which patients will be inserted, including operating rooms and post-anaesthetic recovery care, in addition to psycho-emotional preparation. […] Individuals with head and neck cancer must be informed about managing all the expected changes. […] This implies education and guidance to prepare them to face the new conditions in which they will find themselves after the surgical procedures, providing them with information and knowledge to acquire new skills aimed at self-care. […] The only study that answered the research question emphasized the role of nurses as educators in preoperative consultations, which agrees with the recommendations of other authors.

• #21 Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review

  https://www.mdpi.com/2039-4403/12/4/88

  Individuals with head and neck cancer must be informed about managing all the expected changes. […] The only study that answered the research question emphasized the role of nurses as educators in preoperative consultations, which agrees with the recommendations of other authors. […] Preoperative consultations can help reduce anxiety, fear, stress, and preoperative pain. […] Educating patients and their families/caregivers about the perioperative period includes preparation for surgical procedures and for actions that will occur in the intraoperative period and providing information about the aspects and consequences of the postoperative period. […] Preoperative consultations allow professionals to screen for infections and assess patients’ physical condition before surgery, which increases surgical safety and allows for care plans that are personalized based on the physical condition of patients and the family and community resources available in the postoperative period.

• #22 Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9786360/

  Patients need advice (information and support) and guidance in the preoperative phase. […] This places the education of head and neck cancer patients as a central nursing intervention in preoperative consultations, which includes providing guidance, building rapport, and answering questions about ostomy care and respiratory devices. […] Preoperative consultations can help reduce anxiety, fear, stress, and preoperative pain. […] Education about self-care, treatment, and its effects increases adherence to therapeutic regimens. […] The authors recommend that nurses and other health professionals devote their time to educating people about their return home after discharge, and preoperative consultations allow this preparation to begin promptly. […] The study included in the review recommends using tools such as pamphlets and brochures with images to guide patients about postoperative self-care.

• #23 Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review

  https://www.mdpi.com/2039-4403/12/4/88

  The literature review showed that positive hospitalisation experiences benefit from these consultations, an indicator usually neglected and not measured by the research. […] The authors add that preoperative consultations and organization of care improve hospitalization experiences and allow better handling of surgery, contributing to patient satisfaction. […] Management of patient expectations and quality preoperative preparation are significant factors that help reduce the length of hospital stays. […] The study included in the review recommends using tools such as pamphlets and brochures with images to guide patients about postoperative self-care. […] The results of other studies on the advantages of preoperative consultation justify that structured surgical preparation programs, with preoperative consultation, reduce postoperative complications and the average length of stay and promote better pain management and recovery faster through an interprofessional approach. […] In conclusion, further studies are needed on this phenomenon to create a solid research base that assesses the effectiveness of preoperative education programs.

• #24 HEAD AND NECK CANCER – nursing resposibilities | PPT

  https://www.slideshare.net/slideshow/head-and-neck-cancer-nursing-resposibilities/266949442

  Head and neck cancer is the fifth most common cancer globally. […] Nursing care focuses on pain management, oral care to prevent infections, nutritional support, and health education to stop risk factors. […] Nursing management includes preventive measures such as stopping the use of tobacco products, avoiding alcohol, using sunscreen, and maintaining proper care of dentures. […] Pain management involves determining pain history and providing nonpharmacological comfort measures. […] Good oral hygiene has been shown to reduce the severity of mucositis. […] The patient should be advised on an appropriate diet and should be told to keep away from certain food and drinks to avoid discomfort. […] Patients should be referred to physiotherapy for trismus, and an intensive regimen of jaw exercises may be required. […] Nursing diagnoses include ineffective airway clearance related to obstruction of pressure of the tumor mass, acute pain related to the pressure/swelling by tumor nodule, and impaired verbal communication related to vocal cord injury.

• #25 HEAD AND NECK CANCER – nursing resposibilities | PPT

  https://www.slideshare.net/slideshow/head-and-neck-cancer-nursing-resposibilities/266949442

  Head and neck cancer is the fifth most common cancer globally. […] Nursing care focuses on pain management, oral care to prevent infections, nutritional support, and health education to stop risk factors. […] Nursing management includes preventive measures such as stopping the use of tobacco products, avoiding alcohol, using sunscreen, and maintaining proper care of dentures. […] Pain management involves determining pain history and providing nonpharmacological comfort measures. […] Good oral hygiene has been shown to reduce the severity of mucositis. […] The patient should be advised on an appropriate diet and should be told to keep away from certain food and drinks to avoid discomfort. […] Patients should be referred to physiotherapy for trismus, and an intensive regimen of jaw exercises may be required. […] Nursing diagnoses include ineffective airway clearance related to obstruction of pressure of the tumor mass, acute pain related to the pressure/swelling by tumor nodule, and impaired verbal communication related to vocal cord injury.

• #26 Nursing Considerations for Head and Neck Cancer Survivorship Care | Oncology Nursing Society

  https://www.ons.org/publications-research/voice/news-views/04-2021/nursing-considerations-head-and-neck-cancer

  Despite accounting for only 3% of all cancer survivors, patients with head and neck cancers often require significant support and survivorship care. […] To address the wide range of late and long-term effects, head and neck cancer survivorship care requires an interprofessional approach, including members from primary care, oncology, otolaryngology, dental health, physical therapy, nutrition, speech and swallowing specialty, psychological specialists, and others on the healthcare team. […] Routinely assess patients nutritional status, including weight loss, nutritional deficiencies, and enteral support as needed, and consult with speech language pathologists for chronic dysphagia, trismus, and swallowing difficulties. […] Head and neck cancer survivors require close surveillance and follow-up in the first two years posttreatment when they are most at risk for disease recurrence and secondary cancers.

• #27 Head and Neck Cancer Surgery for Nursing | Iowa Head and Neck Protocols

  https://gme.medicine.uiowa.edu/iowaprotocols/head-and-neck-cancer-surgery-nursing

  Head and Neck Cancer Surgery for Nursing […] Objective: Patient/family will verbalize understanding of nutritional management during postoperative recovery. […] Patient/family will verbalize understanding of wound management. […] Patient/family will verbalize understanding of skin graft donor site care. […] Patient/family will verbalize understanding of IV. […] Patient/family will verbalize understanding of urinary catheter. […] Patient/family will verbalize understanding of postoperative positioning and activity. […] Patient/family will verbalize understanding of pain assessment and medication administration. […] Patient/family will verbalize understanding of purpose of tracheostomy and its associated cares/sensory changes. […] Patient/family will verbalize understanding of assessments and interventions related to postoperative neck dissection care. […] Patient/family will verbalize understanding of care required when a vascularized free flap is used to reconstruct surgical defect. […] Patient/family will verbalize understanding of care required when a radial forearm free flap is the vascularized free flap used to reconstruct the surgical defect. […] Patient/family will verbalize understanding of care required when a fibula free flap is the vascularized free flap used to reconstruct the surgical defect. […] Patient/family will verbalize understanding of wound/hygiene care associated with maxillectomy. […] Patient/family will verbalize understanding of care and body image changes associated with orbital exenteration. […] Patient/family will verbalize understanding of supportive service providers who are available as part of health care team.

• #28 Head and Neck Cancer Surgery for Nursing | Iowa Head and Neck Protocols

  https://medicine.uiowa.edu/iowaprotocols/head-and-neck-cancer-surgery-nursing

  Head and Neck Cancer Surgery for Nursing […] Objective: Patient/family will verbalize understanding of nutritional management during postoperative recovery. […] Patient/family will verbalize understanding of wound management. […] Patient/family will verbalize understanding of skin graft donor site care. […] Patient/family will verbalize understanding of purpose of tracheostomy and its associated cares/sensory changes. […] Patient/family will verbalize understanding of assessments and interventions related to postoperative neck dissection care. […] Patient/family will verbalize understanding of care required when a vascularized free flap is used to reconstruct surgical defect. […] Patient/family will verbalize understanding of care required when a radial forearm free flap is the vascularized free flap used to reconstruct the surgical defect. […] Patient/family will verbalize understanding of care required when a fibula free flap is the vascularized free flap used to reconstruct the surgical defect. […] Patient/family will verbalize understanding of wound/hygiene care associated with maxillectomy. […] Patient/family will verbalize understanding of care and body image changes associated with orbital exenteration. […] Patient/family will verbalize understanding of supportive service providers who are available as part of health care team.

• #29 Head and Neck Cancer Surgery for Nursing | Iowa Head and Neck Protocols

  https://gme.medicine.uiowa.edu/iowaprotocols/head-and-neck-cancer-surgery-nursing

  Head and Neck Cancer Surgery for Nursing […] Objective: Patient/family will verbalize understanding of nutritional management during postoperative recovery. […] Patient/family will verbalize understanding of wound management. […] Patient/family will verbalize understanding of skin graft donor site care. […] Patient/family will verbalize understanding of IV. […] Patient/family will verbalize understanding of urinary catheter. […] Patient/family will verbalize understanding of postoperative positioning and activity. […] Patient/family will verbalize understanding of pain assessment and medication administration. […] Patient/family will verbalize understanding of purpose of tracheostomy and its associated cares/sensory changes. […] Patient/family will verbalize understanding of assessments and interventions related to postoperative neck dissection care. […] Patient/family will verbalize understanding of care required when a vascularized free flap is used to reconstruct surgical defect. […] Patient/family will verbalize understanding of care required when a radial forearm free flap is the vascularized free flap used to reconstruct the surgical defect. […] Patient/family will verbalize understanding of care required when a fibula free flap is the vascularized free flap used to reconstruct the surgical defect. […] Patient/family will verbalize understanding of wound/hygiene care associated with maxillectomy. […] Patient/family will verbalize understanding of care and body image changes associated with orbital exenteration. […] Patient/family will verbalize understanding of supportive service providers who are available as part of health care team.

• #30 Head and Neck Cancer Surgery for Nursing | Iowa Head and Neck Protocols

  https://medicine.uiowa.edu/iowaprotocols/head-and-neck-cancer-surgery-nursing

  Head and Neck Cancer Surgery for Nursing […] Objective: Patient/family will verbalize understanding of nutritional management during postoperative recovery. […] Patient/family will verbalize understanding of wound management. […] Patient/family will verbalize understanding of skin graft donor site care. […] Patient/family will verbalize understanding of purpose of tracheostomy and its associated cares/sensory changes. […] Patient/family will verbalize understanding of assessments and interventions related to postoperative neck dissection care. […] Patient/family will verbalize understanding of care required when a vascularized free flap is used to reconstruct surgical defect. […] Patient/family will verbalize understanding of care required when a radial forearm free flap is the vascularized free flap used to reconstruct the surgical defect. […] Patient/family will verbalize understanding of care required when a fibula free flap is the vascularized free flap used to reconstruct the surgical defect. […] Patient/family will verbalize understanding of wound/hygiene care associated with maxillectomy. […] Patient/family will verbalize understanding of care and body image changes associated with orbital exenteration. […] Patient/family will verbalize understanding of supportive service providers who are available as part of health care team.

• #31 Supportive Care for Patients With Head and Neck Cancer

  https://www.oncnursingnews.com/view/supportive-care-for-patients-with-head-and-neck-cancer

  A lot goes on in the life of a patient with head and neck cancer, which means everyday activities like oral and skin care may fall a little lower on their priority list. […] Several factors contribute to malnutrition associated with head and neck cancers. Pain related to mucositis or radiation burns decreases the likelihood that a patient will maintain adequate oral intake. […] To ensure adequate nutrition, many patients with head and neck cancer receive a percutaneous endogastric (PEG) tube prior to beginning treatment. […] Although nurses cant eliminate the hardship that patients will face during treatment for head and neck cancer, we can support them by providing compassionate and thorough care.

• #32 Supportive Care in Head and Neck Cancers: Multidisciplinary Management in: Journal of the National Comprehensive Cancer Network Volume 19 Issue 5.5 (2021)

  https://jnccn.org/view/journals/jnccn/19/5.5/article-p625.xml

  To ensure adequate nutritional status throughout concurrent therapy, Dr. Weber said its important to maintain active swallowing therapy and to place a percutaneous endoscopic gastrostomy (PEG) tube when 10% of body weight has been lost. […] The trigger to place a PEG tube is when the patient has lost 10% of their ideal body weight, when we really have to prevent further weight loss, optimize nutrition, and maintain hydration. […] This highlights the importance of measuring swallowing function before, during, and after radiation, and continuing swallowing therapy throughout treatment. […] Frequently patients will need a PEG tube, particularly when theyre getting multimodality treatment; the trigger is typically a weight loss of 10% or multiple emergency room visits requiring hydration.

• #33 Supportive Care for Patients With Head and Neck Cancer

  https://www.oncnursingnews.com/view/supportive-care-for-patients-with-head-and-neck-cancer

  A lot goes on in the life of a patient with head and neck cancer, which means everyday activities like oral and skin care may fall a little lower on their priority list. […] Several factors contribute to malnutrition associated with head and neck cancers. Pain related to mucositis or radiation burns decreases the likelihood that a patient will maintain adequate oral intake. […] To ensure adequate nutrition, many patients with head and neck cancer receive a percutaneous endogastric (PEG) tube prior to beginning treatment. […] Although nurses cant eliminate the hardship that patients will face during treatment for head and neck cancer, we can support them by providing compassionate and thorough care.

• #34 Supportive Care in Head and Neck Cancers: Multidisciplinary Management in: Journal of the National Comprehensive Cancer Network Volume 19 Issue 5.5 (2021)

  https://jnccn.org/view/journals/jnccn/19/5.5/article-p625.xml

  To ensure adequate nutritional status throughout concurrent therapy, Dr. Weber said its important to maintain active swallowing therapy and to place a percutaneous endoscopic gastrostomy (PEG) tube when 10% of body weight has been lost. […] The trigger to place a PEG tube is when the patient has lost 10% of their ideal body weight, when we really have to prevent further weight loss, optimize nutrition, and maintain hydration. […] This highlights the importance of measuring swallowing function before, during, and after radiation, and continuing swallowing therapy throughout treatment. […] Frequently patients will need a PEG tube, particularly when theyre getting multimodality treatment; the trigger is typically a weight loss of 10% or multiple emergency room visits requiring hydration.

• #35 Supportive Care in Head and Neck Cancers: Multidisciplinary Management in: Journal of the National Comprehensive Cancer Network Volume 19 Issue 5.5 (2021)

  https://jnccn.org/view/journals/jnccn/19/5.5/article-p625.xml

  But if youre proactive about [dry mouth] and you mitigate it, you can definitely improve the quality of life of these patients. […] According to Dr. Caudell, supportive care for patients with EBV-positive nasopharyngeal cancer should take into account the risk of hospitalization during therapy and the risk of lower cranial neuropathy after radiation therapy, as well as proper management of neck stiffness/neck muscle spasms.

• #36 Cancer: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/cancer-nursing-diagnosis-care-plan/

  As healthcare professionals caring for patients with cancer, nurses are in a position to change peoples perceptions and attitudes about cancer and its treatment. It is vital to help people decrease the risk of developing cancer, encourage cancer screenings, help patients adhere to cancer treatments, and provide support to the patient and family as they cope with their prognosis. […] Nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Nursing Diagnosis: Acute Pain […] Nursing Diagnosis: Anxiety […] Nursing Diagnosis: Risk for Infection […] Cancer pain affects all aspects of the patients well-being. […] Pain management and relief should be a priority in end-stage cancer as this can help improve the dying patients experience at the end of life. […] Patients with cancer have a higher risk of infection due to immune system changes. Cancer itself and its treatments reduce the bodys ability to fight infection.

• #37 Cancer: Nursing Diagnoses & Care Plans | NurseTogether

  https://www.nursetogether.com/cancer-nursing-diagnosis-care-plan/

  As healthcare professionals caring for patients with cancer, nurses are in a position to change peoples perceptions and attitudes about cancer and its treatment. It is vital to help people decrease the risk of developing cancer, encourage cancer screenings, help patients adhere to cancer treatments, and provide support to the patient and family as they cope with their prognosis. […] Nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Nursing Diagnosis: Acute Pain […] Nursing Diagnosis: Anxiety […] Nursing Diagnosis: Risk for Infection […] Cancer pain affects all aspects of the patients well-being. […] Pain management and relief should be a priority in end-stage cancer as this can help improve the dying patients experience at the end of life. […] Patients with cancer have a higher risk of infection due to immune system changes. Cancer itself and its treatments reduce the bodys ability to fight infection.

• #38 Impact of a person-centered intervention for patients with head and neck cancer: a qualitative exploration | | Full Text

  https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-018-0319-6

  The participants felt that the treatment was extremely abstract, with a number of X-rays and chemotherapy sessions which had to be explained by the nurses, who also started to become a sort of therapist. […] The participants felt well cared for by the nurses, who they could call whenever they wanted on a direct telephone number if they had any questions about anything concerning their treatment and wellbeing. […] The findings indicate that the patients were treated as individuals and that they did experience person-centred care. […] The transition process was described from each persons emerging awareness about his/her situation, which occurred in connection with the diagnosis and continued throughout the treatment process. […] Interaction with family and caregivers allowed the patient to manage change and difference, and critical points during the transition period. […] A person-centred approach increases the likelihood of a coherent chain of care where patients themselves do not have to navigate their way through the multi-professional organization of hospitals and other healthcare institutions.

• #39 Nursing Considerations for Head and Neck Cancer Survivorship Care | Oncology Nursing Society

  https://www.ons.org/publications-research/voice/news-views/04-2021/nursing-considerations-head-and-neck-cancer

  Despite accounting for only 3% of all cancer survivors, patients with head and neck cancers often require significant support and survivorship care. […] To address the wide range of late and long-term effects, head and neck cancer survivorship care requires an interprofessional approach, including members from primary care, oncology, otolaryngology, dental health, physical therapy, nutrition, speech and swallowing specialty, psychological specialists, and others on the healthcare team. […] Routinely assess patients nutritional status, including weight loss, nutritional deficiencies, and enteral support as needed, and consult with speech language pathologists for chronic dysphagia, trismus, and swallowing difficulties. […] Head and neck cancer survivors require close surveillance and follow-up in the first two years posttreatment when they are most at risk for disease recurrence and secondary cancers.

• #40 Nursing Considerations for Head and Neck Cancer Survivorship Care | Oncology Nursing Society

  https://www.ons.org/publications-research/voice/news-views/04-2021/nursing-considerations-head-and-neck-cancer

  Despite accounting for only 3% of all cancer survivors, patients with head and neck cancers often require significant support and survivorship care. […] To address the wide range of late and long-term effects, head and neck cancer survivorship care requires an interprofessional approach, including members from primary care, oncology, otolaryngology, dental health, physical therapy, nutrition, speech and swallowing specialty, psychological specialists, and others on the healthcare team. […] Routinely assess patients nutritional status, including weight loss, nutritional deficiencies, and enteral support as needed, and consult with speech language pathologists for chronic dysphagia, trismus, and swallowing difficulties. […] Head and neck cancer survivors require close surveillance and follow-up in the first two years posttreatment when they are most at risk for disease recurrence and secondary cancers.

• #41 Resources for Head and Neck Cancer Survivors | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/resources-head-and-neck

  This information includes resources to help people who have survived head and neck cancer manage the side effects of treatment, improve quality of life, and receive emotional support. […] Always check with your healthcare provider before trying anything in this resource. […] Tell your healthcare provider if you have dry mouth. They can recommend a saliva substitute for you to try. Saliva substitutes can help keep your mouth moist. […] If you cant swallow at all, your doctor may recommend that you have a percutaneous endoscopic gastrostomy (PEG) tube. […] If your treatment has affected your salivary glands, you may have changes with your teeth. […] Its important for you to take good care of your teeth and gums after your treatment. […] Your appearance may have changed after your treatment. This may cause new or upsetting feelings for you.

• #42 Resources for Head and Neck Cancer Survivors | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/resources-head-and-neck

  This information includes resources to help people who have survived head and neck cancer manage the side effects of treatment, improve quality of life, and receive emotional support. […] Always check with your healthcare provider before trying anything in this resource. […] Tell your healthcare provider if you have dry mouth. They can recommend a saliva substitute for you to try. Saliva substitutes can help keep your mouth moist. […] If you cant swallow at all, your doctor may recommend that you have a percutaneous endoscopic gastrostomy (PEG) tube. […] If your treatment has affected your salivary glands, you may have changes with your teeth. […] Its important for you to take good care of your teeth and gums after your treatment. […] Your appearance may have changed after your treatment. This may cause new or upsetting feelings for you.

• #43 Resources for Head and Neck Cancer Survivors | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/resources-head-and-neck

  This information includes resources to help people who have survived head and neck cancer manage the side effects of treatment, improve quality of life, and receive emotional support. […] Always check with your healthcare provider before trying anything in this resource. […] Tell your healthcare provider if you have dry mouth. They can recommend a saliva substitute for you to try. Saliva substitutes can help keep your mouth moist. […] If you cant swallow at all, your doctor may recommend that you have a percutaneous endoscopic gastrostomy (PEG) tube. […] If your treatment has affected your salivary glands, you may have changes with your teeth. […] Its important for you to take good care of your teeth and gums after your treatment. […] Your appearance may have changed after your treatment. This may cause new or upsetting feelings for you.

• #44 Resources for Head and Neck Cancer Survivors | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/resources-head-and-neck

  Pain is sometimes a part of healing and recovery. It can come and go, or last for months or years after treatment. […] Many head and neck cancer survivors feel sadness, fear, anger, anxiety, or depression. […] Emotional support is key to your recovery process. Talk to your healthcare provider if you think youre having these feelings. […] Many people find that counseling helps them deal with emotions during cancer treatment. […] The RLAC Program offers support services for cancer survivors and their families. […] The RLAC Program also offers a support group for survivors of head and neck cancer called Head, Neck, and Oral Cancers: Moving Forward.

• #45 Resources for Head and Neck Cancer Survivors | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/resources-head-and-neck

  Pain is sometimes a part of healing and recovery. It can come and go, or last for months or years after treatment. […] Many head and neck cancer survivors feel sadness, fear, anger, anxiety, or depression. […] Emotional support is key to your recovery process. Talk to your healthcare provider if you think youre having these feelings. […] Many people find that counseling helps them deal with emotions during cancer treatment. […] The RLAC Program offers support services for cancer survivors and their families. […] The RLAC Program also offers a support group for survivors of head and neck cancer called Head, Neck, and Oral Cancers: Moving Forward.

• #46 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  The CNS acts as the key accessible professional to the patient within this multiprofessional setting, and allows the CNS to influence the patient’s pathway. […] Clinical nurse specialists increasingly take the lead role in shaping patient care pathways and refining systems to make a difference to the patient experience and their safety. […] A care plan is based on the diagnosis and holistic assessment of the patient. […] A key component to effective patient care is good communication between the primary and secondary care sectors. […] Clinical nurse specialists should: meet every patient at the point of diagnosis to assist in a smooth transition along the cancer pathway, ensure effective communication within the MDT, with patient and carer and within the community setting, be at the centre of the patient’s pathway and make effective use of resources, act as the patient advocate, utilising support groups to act as patient voices in the changing healthcare environment to make them patient-centred, perform holistic needs assessment for all patients at diagnosis and specific points along their journey to ensure patient-focused care is being provided, offer treatment summaries to all people involved in the patient’s recovery to ensure effective communication, offer individualised care plans to help patients take control of the recovery phase.

• #47 Head and Neck Cancers – NCI

  https://www.cancer.gov/types/head-and-neck/head-neck-fact-sheet

  Cancers that are known collectively as head and neck cancers usually begin in the squamous cells that line the mucosal surfaces of the head and neck (for example, those inside the mouth, throat, and voice box). […] Head and neck cancer treatment can include surgery, radiation therapy, chemotherapy, targeted therapy, immunotherapy, or a combination of treatments. The treatment plan for an individual patient depends on a number of factors, including the location of the tumor, the stage of the cancer, and the persons age and general health. […] The goal of treatment for head and neck cancers is to control the disease. But doctors are also concerned about preserving the function of the affected areas as much as they can and helping the patient return to normal activities as soon as possible after treatment. Rehabilitation is a very important part of this process.

• #48 Head and Neck Cancers – NCI

  https://www.cancer.gov/types/head-and-neck/head-neck-fact-sheet

  Patients who have trouble speaking after treatment may need speech therapy. Often, a speech-language pathologist will visit the patient in the hospital to plan therapy and teach speech exercises or alternative methods of speaking. Speech therapy usually continues after the patient returns home. […] Regular follow-up care is very important after treatment for head and neck cancer to make sure that the cancer has not returned and that a second primary (new) cancer has not developed.

• #49 Life After Treatment | Head & Neck Cancer Alliance

  https://www.headandneck.org/life-after-treatment/

  The goal of treatment for head and neck cancers is to control the disease, but doctors are also concerned about preserving the function of the affected areas as much as they can and helping the patient return to normal activities as soon as possible after treatment. Rehabilitation is a very important part of this process. The goals of rehabilitation depend on the extent of the disease and the treatment that a patient has received. […] Depending on the location of the cancer and the type of treatment, rehabilitation may include physical therapy, dietary counseling, speech therapy, and/or learning how to care for a stoma. […] Patients who have trouble speaking after treatment may need speech therapy. Often, a speech-language pathologist will visit the patient in the hospital to plan therapy and teach speech exercises or alternative methods of speaking. Speech therapy usually continues after the patient returns home.

• #50 Life After Treatment | Head & Neck Cancer Alliance

  https://www.headandneck.org/life-after-treatment/

  Eating may be difficult after treatment for head and neck cancer. Some patients receive nutrients directly into a vein after surgery or need a feeding tube until they can eat on their own. A nurse or speech-language pathologist can help patients learn how to swallow again after surgery. […] Regular follow-up care is very important after treatment for head and neck cancer to make sure that the cancer has not returned, or that a second primary (new) cancer has not developed. […] The American Cancer Society has developed a Free Patient Page for head and neck cancer patients, who are finished with treatments, and need guidance on how to best manage issues that can occur after treatment. The guidelines provide recommendations on how to talk with healthcare providers on follow-up care as well as managing treatment effects. […] If reconstructive surgery is not possible, a prosthodontist may be able to make a prosthesis (an artificial dental and/or facial part) to restore satisfactory swallowing, speech, and appearance. Patients will receive special training on how to use the device.

• #51 Life After Treatment | Head & Neck Cancer Alliance

  https://www.headandneck.org/life-after-treatment/

  Eating may be difficult after treatment for head and neck cancer. Some patients receive nutrients directly into a vein after surgery or need a feeding tube until they can eat on their own. A nurse or speech-language pathologist can help patients learn how to swallow again after surgery. […] Regular follow-up care is very important after treatment for head and neck cancer to make sure that the cancer has not returned, or that a second primary (new) cancer has not developed. […] The American Cancer Society has developed a Free Patient Page for head and neck cancer patients, who are finished with treatments, and need guidance on how to best manage issues that can occur after treatment. The guidelines provide recommendations on how to talk with healthcare providers on follow-up care as well as managing treatment effects. […] If reconstructive surgery is not possible, a prosthodontist may be able to make a prosthesis (an artificial dental and/or facial part) to restore satisfactory swallowing, speech, and appearance. Patients will receive special training on how to use the device.

• #52 Followup Care for Head and Neck Cancer – Memorial Radiation Oncology Medical Group

  https://www.memorialradonc.com/after-followup-care-for-head-and-neck-cancer/

  Both can increase the risk of recurrence and impact healing. […] Regular dental check-ups and meticulous oral hygiene are crucial to prevent infections and manage dry mouth. […] Work with specialists to improve any difficulties in speaking or swallowing. […] May help address neck stiffness or shoulder weakness. […] Connecting with others who have undergone similar treatments can provide comfort and understanding. […] Seek help if you’re experiencing anxiety, depression, or emotional distress. […] Continue learning about head and neck cancer survivorship and advances in care. […] Your healthcare team is there to provide information and support. […] Completing radiation therapy for head and neck cancer is a significant milestone, but your journey continues with vigilant follow-up care. Regular appointments with your radiation oncologist, medical oncologist, and ENT surgeon are essential to monitor your recovery, assess treatment response, and maintain your health.

• #53 Followup Care for Head and Neck Cancer – Memorial Radiation Oncology Medical Group

  https://www.memorialradonc.com/after-followup-care-for-head-and-neck-cancer/

  Both can increase the risk of recurrence and impact healing. […] Regular dental check-ups and meticulous oral hygiene are crucial to prevent infections and manage dry mouth. […] Work with specialists to improve any difficulties in speaking or swallowing. […] May help address neck stiffness or shoulder weakness. […] Connecting with others who have undergone similar treatments can provide comfort and understanding. […] Seek help if you’re experiencing anxiety, depression, or emotional distress. […] Continue learning about head and neck cancer survivorship and advances in care. […] Your healthcare team is there to provide information and support. […] Completing radiation therapy for head and neck cancer is a significant milestone, but your journey continues with vigilant follow-up care. Regular appointments with your radiation oncologist, medical oncologist, and ENT surgeon are essential to monitor your recovery, assess treatment response, and maintain your health.

• #54 Head and Neck Cancer | Cancer Institute | Memorial Healthcare System

  https://www.mhs.net/services/cancer-care/conditions-treatments-and-services/head-and-neck-cancer

  Part of your recovery is a personalized survivorship care plan. The document outlines checkups and follow-up tests you need to ensure the cancer doesn’t return. It also lists the potential prolonged effects of your treatments and recommendations for long-term health. […] When you come to Memorial for head and neck cancer care, you’ll find: A team approach to cancer care: You receive care from an entire team of experts, including medical oncologists, radiation oncologists, specialty surgeons, dentists, pathologists, palliative care physicians, reconstructive surgeons and pain management specialists. […] Our oncologists and surgeons are board certified and fellowship trained to diagnose and treat head and neck cancer. And our nurses are certified by the Oncology Nursing Society. This makes them uniquely qualified to offer the most effective care and understand the challenges you face.

• #55 Head, Neck, Cancer, Information, Resources

  https://www.cancercare.org/diagnosis/head_and_neck_cancer

  Coping With Oral and Head and Neck Cancer […] Treatment Update: Oral and Head and Neck Cancer […] Given the complexities of treating head and neck cancer, a team approach which utilizes a variety of different specialists is essential to minimizing the complications and maximizing the chances for recovery. […] Consider joining a peer support group at your local medical center or through organizations such as Support for People with Oral and Head and Neck Cancer (SPOHNC) or CancerCare. […] The warning signs of head and neck cancer include: Painless white patch or red patch in the mouth, Hoarseness or change in voice, Sore throat, Painless lump in the mouth or neck, Difficulty chewing, swallowing or breathing. […] For a number of these cancers, treatments have improved, resulting in better quality of life and survival rates.

• #56 Nursing Considerations for Head and Neck Cancer Survivorship Care | Oncology Nursing Society

  https://www.ons.org/publications-research/voice/news-views/04-2021/nursing-considerations-head-and-neck-cancer

  Despite accounting for only 3% of all cancer survivors, patients with head and neck cancers often require significant support and survivorship care. […] To address the wide range of late and long-term effects, head and neck cancer survivorship care requires an interprofessional approach, including members from primary care, oncology, otolaryngology, dental health, physical therapy, nutrition, speech and swallowing specialty, psychological specialists, and others on the healthcare team. […] Routinely assess patients nutritional status, including weight loss, nutritional deficiencies, and enteral support as needed, and consult with speech language pathologists for chronic dysphagia, trismus, and swallowing difficulties. […] Head and neck cancer survivors require close surveillance and follow-up in the first two years posttreatment when they are most at risk for disease recurrence and secondary cancers.

• #57

  https://www.accc-cancer.org/home/learn/cancer-types/head-neck-cancer/multidisciplinary-approaches-to-head-neck-cancer-care

  To improve care delivery for patients diagnosed with head and neck cancers, the Association of Cancer Care Centers (ACCC), with its program partner Head and Neck Cancer Alliance, has launched an educational initiative to identify and address existing barriers to accessing care and optimal care coordination. […] The program also highlights and addresses the importance of multi-modal care coordination and the role of supportive care via comprehensive cancer services (eg, psychosocial and nutrition services) for this unique patient population. […] While recent advances in treatment are improving outcomes for patients with head and neck cancer, multidisciplinary care models and strategies to address psychosocial support for patients and caregivers can significantly improve care. […] Recent advancements in treatment and a multimodal approach to care are improving outcomes for patients with head and neck cancer, however access to therapies and unique patient challenges due to disease symptoms, difficulty eating, difficulty communicating, and other psychosocial factors can reduce patient quality of life.

• #58 Head and Neck Cancer | Cancer Institute | Memorial Healthcare System

  https://www.mhs.net/services/cancer-care/conditions-treatments-and-services/head-and-neck-cancer

  Part of your recovery is a personalized survivorship care plan. The document outlines checkups and follow-up tests you need to ensure the cancer doesn’t return. It also lists the potential prolonged effects of your treatments and recommendations for long-term health. […] When you come to Memorial for head and neck cancer care, you’ll find: A team approach to cancer care: You receive care from an entire team of experts, including medical oncologists, radiation oncologists, specialty surgeons, dentists, pathologists, palliative care physicians, reconstructive surgeons and pain management specialists. […] Our oncologists and surgeons are board certified and fellowship trained to diagnose and treat head and neck cancer. And our nurses are certified by the Oncology Nursing Society. This makes them uniquely qualified to offer the most effective care and understand the challenges you face.

• #59 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  The CNS acts as the key accessible professional to the patient within this multiprofessional setting, and allows the CNS to influence the patient’s pathway. […] Clinical nurse specialists increasingly take the lead role in shaping patient care pathways and refining systems to make a difference to the patient experience and their safety. […] A care plan is based on the diagnosis and holistic assessment of the patient. […] A key component to effective patient care is good communication between the primary and secondary care sectors. […] Clinical nurse specialists should: meet every patient at the point of diagnosis to assist in a smooth transition along the cancer pathway, ensure effective communication within the MDT, with patient and carer and within the community setting, be at the centre of the patient’s pathway and make effective use of resources, act as the patient advocate, utilising support groups to act as patient voices in the changing healthcare environment to make them patient-centred, perform holistic needs assessment for all patients at diagnosis and specific points along their journey to ensure patient-focused care is being provided, offer treatment summaries to all people involved in the patient’s recovery to ensure effective communication, offer individualised care plans to help patients take control of the recovery phase.

• #60 Impact of a person-centered intervention for patients with head and neck cancer: a qualitative exploration | | Full Text

  https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-018-0319-6

  The participants felt that the treatment was extremely abstract, with a number of X-rays and chemotherapy sessions which had to be explained by the nurses, who also started to become a sort of therapist. […] The participants felt well cared for by the nurses, who they could call whenever they wanted on a direct telephone number if they had any questions about anything concerning their treatment and wellbeing. […] The findings indicate that the patients were treated as individuals and that they did experience person-centred care. […] The transition process was described from each persons emerging awareness about his/her situation, which occurred in connection with the diagnosis and continued throughout the treatment process. […] Interaction with family and caregivers allowed the patient to manage change and difference, and critical points during the transition period. […] A person-centred approach increases the likelihood of a coherent chain of care where patients themselves do not have to navigate their way through the multi-professional organization of hospitals and other healthcare institutions.

• #61 Impact of a person-centered intervention for patients with head and neck cancer: a qualitative exploration | | Full Text

  https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-018-0319-6

  People affected by head and neck cancer (HNC) experience a variety of multifaceted health-related problems during the treatment process, based on both the disease and side effects, several years after the treatment is complete. […] The aim of the present study was to explore patients experience of the transition and person centred care from diagnosis to the end of the treatment period. […] The majority of the participants felt that the diagnosis had put their lives in the balance; they felt both healthy and sick at the same time, and all participants described that their symptoms and side effects were the worst possible and totally unexpected. […] Of great importance was the health-care plan, comprising self-management goals which were formed in partnership between the patient and the nurse.

• #62 Impact of a person-centered intervention for patients with head and neck cancer: a qualitative exploration | | Full Text

  https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-018-0319-6

  The participants felt that the treatment was extremely abstract, with a number of X-rays and chemotherapy sessions which had to be explained by the nurses, who also started to become a sort of therapist. […] The participants felt well cared for by the nurses, who they could call whenever they wanted on a direct telephone number if they had any questions about anything concerning their treatment and wellbeing. […] The findings indicate that the patients were treated as individuals and that they did experience person-centred care. […] The transition process was described from each persons emerging awareness about his/her situation, which occurred in connection with the diagnosis and continued throughout the treatment process. […] Interaction with family and caregivers allowed the patient to manage change and difference, and critical points during the transition period. […] A person-centred approach increases the likelihood of a coherent chain of care where patients themselves do not have to navigate their way through the multi-professional organization of hospitals and other healthcare institutions.

• #63 Resources for Head and Neck Cancer Survivors | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/resources-head-and-neck

  Pain is sometimes a part of healing and recovery. It can come and go, or last for months or years after treatment. […] Many head and neck cancer survivors feel sadness, fear, anger, anxiety, or depression. […] Emotional support is key to your recovery process. Talk to your healthcare provider if you think youre having these feelings. […] Many people find that counseling helps them deal with emotions during cancer treatment. […] The RLAC Program offers support services for cancer survivors and their families. […] The RLAC Program also offers a support group for survivors of head and neck cancer called Head, Neck, and Oral Cancers: Moving Forward.

• #64 Helping Survivors of Head and Neck Cancer Face the Future

  https://www.oncnursingnews.com/view/helping-survivors-of-head-and-neck-cancer-face-the-future

  Colleen OLeary, MSN, RN, AOCNS, teaches nurses how to employ compassion and professionalism to improve quality of life for survivors with complex challenges. […] Nurses need to be prepared to provide survivors with both medical and emotional support in dealing with the aftereffects. […] Nurses are vital members of this multidisciplinary care team. […] Nurses help these survivors learn how to come to terms with their new normal. […] This model is crucial for both patients and those working in the head and neck cancer specialty. Patients need support for a multitude of issues that surround survivorship. […] It is important to treat everyone with compassion and respect, OLeary says. […] Patients overall coping skills can be an important but often overlooked issue in head and neck cancer treatment.

• #65 Resources for Head and Neck Cancer Survivors | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/resources-head-and-neck

  Pain is sometimes a part of healing and recovery. It can come and go, or last for months or years after treatment. […] Many head and neck cancer survivors feel sadness, fear, anger, anxiety, or depression. […] Emotional support is key to your recovery process. Talk to your healthcare provider if you think youre having these feelings. […] Many people find that counseling helps them deal with emotions during cancer treatment. […] The RLAC Program offers support services for cancer survivors and their families. […] The RLAC Program also offers a support group for survivors of head and neck cancer called Head, Neck, and Oral Cancers: Moving Forward.

• #66

  https://link.springer.com/article/10.1007/s00520-012-1553-1

  The aim of this study was to compare conventional medical follow-up with follow-up containing additional nursing consultations regarding the psychosocial adjustment and health-related quality of life (HRQOL) of head and neck cancer patients. […] The intervention group was significantly worse at baseline, based on two of the seven adjustment scales and on the majority of HRQOL scales. However, their outcome at 6 and 12 months was consistent with that of the group which received conventional follow-up. Thus, the intervention group had a larger improvement in scores, and this was significant for one of the seven adjustment scales and 19 of the 33 HRQOL scales at 6 and 12 months, respectively. Most of the differences in HRQOL scales were clinically relevant at 6 months. […] These results suggest that nurse-led consultations for patients with head and neck cancer have a positive effect, primarily with respect to HRQOL. Nurse-led follow-up leads to a similar psychosocial adjustment as conventional follow-up, even among patients who showed worse performance at the start of follow-up. Thus, nurse-led follow-up may be a cost-effective way to improve follow-up care for this patient group.

• #67 Head and neck cancer | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/head-and-neck-cancer

  If treatment has changed your appearance, voice or how you eat and drink it can also affect your body image. Talk to your nurse if this is a concern for you. There are different things that can help to improve body image changes. […] You may still be coping with difficult feelings. Talking to your family and friends or health professionals about how you feel can help them know how to support your well-being.

• #68 Life After Treatment | Head & Neck Cancer Alliance

  https://www.headandneck.org/life-after-treatment/

  Eating may be difficult after treatment for head and neck cancer. Some patients receive nutrients directly into a vein after surgery or need a feeding tube until they can eat on their own. A nurse or speech-language pathologist can help patients learn how to swallow again after surgery. […] Regular follow-up care is very important after treatment for head and neck cancer to make sure that the cancer has not returned, or that a second primary (new) cancer has not developed. […] The American Cancer Society has developed a Free Patient Page for head and neck cancer patients, who are finished with treatments, and need guidance on how to best manage issues that can occur after treatment. The guidelines provide recommendations on how to talk with healthcare providers on follow-up care as well as managing treatment effects. […] If reconstructive surgery is not possible, a prosthodontist may be able to make a prosthesis (an artificial dental and/or facial part) to restore satisfactory swallowing, speech, and appearance. Patients will receive special training on how to use the device.

• #69 Head and neck cancer | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/head-and-neck-cancer

  If treatment has changed your appearance, voice or how you eat and drink it can also affect your body image. Talk to your nurse if this is a concern for you. There are different things that can help to improve body image changes. […] You may still be coping with difficult feelings. Talking to your family and friends or health professionals about how you feel can help them know how to support your well-being.

• #70 Helping Survivors of Head and Neck Cancer Face the Future

  https://www.oncnursingnews.com/view/helping-survivors-of-head-and-neck-cancer-face-the-future

  Colleen OLeary, MSN, RN, AOCNS, teaches nurses how to employ compassion and professionalism to improve quality of life for survivors with complex challenges. […] Nurses need to be prepared to provide survivors with both medical and emotional support in dealing with the aftereffects. […] Nurses are vital members of this multidisciplinary care team. […] Nurses help these survivors learn how to come to terms with their new normal. […] This model is crucial for both patients and those working in the head and neck cancer specialty. Patients need support for a multitude of issues that surround survivorship. […] It is important to treat everyone with compassion and respect, OLeary says. […] Patients overall coping skills can be an important but often overlooked issue in head and neck cancer treatment.

• #71 Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9786360/

  Patients need advice (information and support) and guidance in the preoperative phase. […] This places the education of head and neck cancer patients as a central nursing intervention in preoperative consultations, which includes providing guidance, building rapport, and answering questions about ostomy care and respiratory devices. […] Preoperative consultations can help reduce anxiety, fear, stress, and preoperative pain. […] Education about self-care, treatment, and its effects increases adherence to therapeutic regimens. […] The authors recommend that nurses and other health professionals devote their time to educating people about their return home after discharge, and preoperative consultations allow this preparation to begin promptly. […] The study included in the review recommends using tools such as pamphlets and brochures with images to guide patients about postoperative self-care.

• #72 Head and Neck Cancer Surgery for Nursing | Iowa Head and Neck Protocols

  https://gme.medicine.uiowa.edu/iowaprotocols/head-and-neck-cancer-surgery-nursing

  Head and Neck Cancer Surgery for Nursing […] Objective: Patient/family will verbalize understanding of nutritional management during postoperative recovery. […] Patient/family will verbalize understanding of wound management. […] Patient/family will verbalize understanding of skin graft donor site care. […] Patient/family will verbalize understanding of IV. […] Patient/family will verbalize understanding of urinary catheter. […] Patient/family will verbalize understanding of postoperative positioning and activity. […] Patient/family will verbalize understanding of pain assessment and medication administration. […] Patient/family will verbalize understanding of purpose of tracheostomy and its associated cares/sensory changes. […] Patient/family will verbalize understanding of assessments and interventions related to postoperative neck dissection care. […] Patient/family will verbalize understanding of care required when a vascularized free flap is used to reconstruct surgical defect. […] Patient/family will verbalize understanding of care required when a radial forearm free flap is the vascularized free flap used to reconstruct the surgical defect. […] Patient/family will verbalize understanding of care required when a fibula free flap is the vascularized free flap used to reconstruct the surgical defect. […] Patient/family will verbalize understanding of wound/hygiene care associated with maxillectomy. […] Patient/family will verbalize understanding of care and body image changes associated with orbital exenteration. […] Patient/family will verbalize understanding of supportive service providers who are available as part of health care team.

• #73 Head, Neck, Cancer, Information, Resources

  https://www.cancercare.org/diagnosis/head_and_neck_cancer

  Coping With Oral and Head and Neck Cancer […] Treatment Update: Oral and Head and Neck Cancer […] Given the complexities of treating head and neck cancer, a team approach which utilizes a variety of different specialists is essential to minimizing the complications and maximizing the chances for recovery. […] Consider joining a peer support group at your local medical center or through organizations such as Support for People with Oral and Head and Neck Cancer (SPOHNC) or CancerCare. […] The warning signs of head and neck cancer include: Painless white patch or red patch in the mouth, Hoarseness or change in voice, Sore throat, Painless lump in the mouth or neck, Difficulty chewing, swallowing or breathing. […] For a number of these cancers, treatments have improved, resulting in better quality of life and survival rates.

• #74 Head and Neck Cancer Surgery for Nursing | Iowa Head and Neck Protocols

  https://medicine.uiowa.edu/iowaprotocols/head-and-neck-cancer-surgery-nursing

  Head and Neck Cancer Surgery for Nursing […] Objective: Patient/family will verbalize understanding of nutritional management during postoperative recovery. […] Patient/family will verbalize understanding of wound management. […] Patient/family will verbalize understanding of skin graft donor site care. […] Patient/family will verbalize understanding of purpose of tracheostomy and its associated cares/sensory changes. […] Patient/family will verbalize understanding of assessments and interventions related to postoperative neck dissection care. […] Patient/family will verbalize understanding of care required when a vascularized free flap is used to reconstruct surgical defect. […] Patient/family will verbalize understanding of care required when a radial forearm free flap is the vascularized free flap used to reconstruct the surgical defect. […] Patient/family will verbalize understanding of care required when a fibula free flap is the vascularized free flap used to reconstruct the surgical defect. […] Patient/family will verbalize understanding of wound/hygiene care associated with maxillectomy. […] Patient/family will verbalize understanding of care and body image changes associated with orbital exenteration. […] Patient/family will verbalize understanding of supportive service providers who are available as part of health care team.

• #75 HEAD AND NECK CANCER – nursing resposibilities | PPT

  https://www.slideshare.net/slideshow/head-and-neck-cancer-nursing-resposibilities/266949442

  Head and neck cancer is the fifth most common cancer globally. […] Nursing care focuses on pain management, oral care to prevent infections, nutritional support, and health education to stop risk factors. […] Nursing management includes preventive measures such as stopping the use of tobacco products, avoiding alcohol, using sunscreen, and maintaining proper care of dentures. […] Pain management involves determining pain history and providing nonpharmacological comfort measures. […] Good oral hygiene has been shown to reduce the severity of mucositis. […] The patient should be advised on an appropriate diet and should be told to keep away from certain food and drinks to avoid discomfort. […] Patients should be referred to physiotherapy for trismus, and an intensive regimen of jaw exercises may be required. […] Nursing diagnoses include ineffective airway clearance related to obstruction of pressure of the tumor mass, acute pain related to the pressure/swelling by tumor nodule, and impaired verbal communication related to vocal cord injury.

• #76 Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9786360/

  Patients need advice (information and support) and guidance in the preoperative phase. […] This places the education of head and neck cancer patients as a central nursing intervention in preoperative consultations, which includes providing guidance, building rapport, and answering questions about ostomy care and respiratory devices. […] Preoperative consultations can help reduce anxiety, fear, stress, and preoperative pain. […] Education about self-care, treatment, and its effects increases adherence to therapeutic regimens. […] The authors recommend that nurses and other health professionals devote their time to educating people about their return home after discharge, and preoperative consultations allow this preparation to begin promptly. […] The study included in the review recommends using tools such as pamphlets and brochures with images to guide patients about postoperative self-care.

• #77 Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review

  https://www.mdpi.com/2039-4403/12/4/88

  The literature review showed that positive hospitalisation experiences benefit from these consultations, an indicator usually neglected and not measured by the research. […] The authors add that preoperative consultations and organization of care improve hospitalization experiences and allow better handling of surgery, contributing to patient satisfaction. […] Management of patient expectations and quality preoperative preparation are significant factors that help reduce the length of hospital stays. […] The study included in the review recommends using tools such as pamphlets and brochures with images to guide patients about postoperative self-care. […] The results of other studies on the advantages of preoperative consultation justify that structured surgical preparation programs, with preoperative consultation, reduce postoperative complications and the average length of stay and promote better pain management and recovery faster through an interprofessional approach. […] In conclusion, further studies are needed on this phenomenon to create a solid research base that assesses the effectiveness of preoperative education programs.

• #78 Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9786360/

  Patients need advice (information and support) and guidance in the preoperative phase. […] This places the education of head and neck cancer patients as a central nursing intervention in preoperative consultations, which includes providing guidance, building rapport, and answering questions about ostomy care and respiratory devices. […] Preoperative consultations can help reduce anxiety, fear, stress, and preoperative pain. […] Education about self-care, treatment, and its effects increases adherence to therapeutic regimens. […] The authors recommend that nurses and other health professionals devote their time to educating people about their return home after discharge, and preoperative consultations allow this preparation to begin promptly. […] The study included in the review recommends using tools such as pamphlets and brochures with images to guide patients about postoperative self-care.

• #79 Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9786360/

  Patients need advice (information and support) and guidance in the preoperative phase. […] This places the education of head and neck cancer patients as a central nursing intervention in preoperative consultations, which includes providing guidance, building rapport, and answering questions about ostomy care and respiratory devices. […] Preoperative consultations can help reduce anxiety, fear, stress, and preoperative pain. […] Education about self-care, treatment, and its effects increases adherence to therapeutic regimens. […] The authors recommend that nurses and other health professionals devote their time to educating people about their return home after discharge, and preoperative consultations allow this preparation to begin promptly. […] The study included in the review recommends using tools such as pamphlets and brochures with images to guide patients about postoperative self-care.

• #80 Helping Survivors of Head and Neck Cancer Face the Future

  https://www.oncnursingnews.com/view/helping-survivors-of-head-and-neck-cancer-face-the-future

  They should be able to rely on nurses as a good source of knowledge, so OLeary provides relevant clinical education to her staff to ensure that survivors are receiving competent care. […] Teaching them what to expect and trying to head off severe pain is imperative, OLeary says, adding that nurses and patients need to be aware of other prominent adverse effects (AEs), including nutritional issues related to mucositis, psychosocial issues, and chronic xerostomia. […] Caring for patients with head and neck cancer can bring a variety of challenges for both patients and providers. Improving quality of life in survivorship focuses on several aspects of patient care, including providing support for development of appropriate coping mechanisms and skills, education regarding lifestyle risk factors, collaboration of ongoing care, and management of individual long-term goals. […] Healthcare professionals are advised to practice self-care when providing assistance to this complex population, as it is critical to ensure these patients continue receiving dignified and compassionate care throughout their arduous healthcare journey.

• #81 Helping Survivors of Head and Neck Cancer Face the Future

  https://www.oncnursingnews.com/view/helping-survivors-of-head-and-neck-cancer-face-the-future

  They should be able to rely on nurses as a good source of knowledge, so OLeary provides relevant clinical education to her staff to ensure that survivors are receiving competent care. […] Teaching them what to expect and trying to head off severe pain is imperative, OLeary says, adding that nurses and patients need to be aware of other prominent adverse effects (AEs), including nutritional issues related to mucositis, psychosocial issues, and chronic xerostomia. […] Caring for patients with head and neck cancer can bring a variety of challenges for both patients and providers. Improving quality of life in survivorship focuses on several aspects of patient care, including providing support for development of appropriate coping mechanisms and skills, education regarding lifestyle risk factors, collaboration of ongoing care, and management of individual long-term goals. […] Healthcare professionals are advised to practice self-care when providing assistance to this complex population, as it is critical to ensure these patients continue receiving dignified and compassionate care throughout their arduous healthcare journey.

• #82 Head and neck cancer | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/head-and-neck-cancer

  Treatment for head and neck cancers may include: Surgery, Chemoradiation, Radiotherapy, Chemotherapy, Targeted therapies and immunotherapies. […] After your treatment, you will have regular follow-up appointments for several years. Your specialist will regularly examine your head and neck. This is the most important part of your follow-up. You may sometimes have scans. […] Treatment side effects may affect how you eat and drink, or your speech. These changes may return to normal, or near normal, as the area recovers from surgery or radiotherapy. Your speech and language therapist (SLT) and dietitian will assess you. They help you learn to cope with any changes. […] Head and neck cancer and its treatment can sometimes have an effect on your sex life. If you are worried about this, talk to your doctor or nurse.

• #83 Supportive Care in Head and Neck Cancers: Multidisciplinary Management in: Journal of the National Comprehensive Cancer Network Volume 19 Issue 5.5 (2021)

  https://jnccn.org/view/journals/jnccn/19/5.5/article-p625.xml

  But if youre proactive about [dry mouth] and you mitigate it, you can definitely improve the quality of life of these patients. […] According to Dr. Caudell, supportive care for patients with EBV-positive nasopharyngeal cancer should take into account the risk of hospitalization during therapy and the risk of lower cranial neuropathy after radiation therapy, as well as proper management of neck stiffness/neck muscle spasms.

• #84 Head and neck cancer | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/head-and-neck-cancer

  Treatment for head and neck cancers may include: Surgery, Chemoradiation, Radiotherapy, Chemotherapy, Targeted therapies and immunotherapies. […] After your treatment, you will have regular follow-up appointments for several years. Your specialist will regularly examine your head and neck. This is the most important part of your follow-up. You may sometimes have scans. […] Treatment side effects may affect how you eat and drink, or your speech. These changes may return to normal, or near normal, as the area recovers from surgery or radiotherapy. Your speech and language therapist (SLT) and dietitian will assess you. They help you learn to cope with any changes. […] Head and neck cancer and its treatment can sometimes have an effect on your sex life. If you are worried about this, talk to your doctor or nurse.

• #85 Helping Survivors of Head and Neck Cancer Face the Future

  https://www.oncnursingnews.com/view/helping-survivors-of-head-and-neck-cancer-face-the-future

  They should be able to rely on nurses as a good source of knowledge, so OLeary provides relevant clinical education to her staff to ensure that survivors are receiving competent care. […] Teaching them what to expect and trying to head off severe pain is imperative, OLeary says, adding that nurses and patients need to be aware of other prominent adverse effects (AEs), including nutritional issues related to mucositis, psychosocial issues, and chronic xerostomia. […] Caring for patients with head and neck cancer can bring a variety of challenges for both patients and providers. Improving quality of life in survivorship focuses on several aspects of patient care, including providing support for development of appropriate coping mechanisms and skills, education regarding lifestyle risk factors, collaboration of ongoing care, and management of individual long-term goals. […] Healthcare professionals are advised to practice self-care when providing assistance to this complex population, as it is critical to ensure these patients continue receiving dignified and compassionate care throughout their arduous healthcare journey.

• #86 Supportive Care in Head and Neck Cancers: Multidisciplinary Management in: Journal of the National Comprehensive Cancer Network Volume 19 Issue 5.5 (2021)

  https://jnccn.org/view/journals/jnccn/19/5.5/article-p625.xml

  Patients with head and neck cancer experience a broad array of negative quality-of-life issues, but particularly common are dental complications following radiation therapy, and compromised nutrition with significant weight loss. […] Although a broad spectrum of quality-of-life issues impact patients with head and neck cancers (HNC), a few are paramount: receiving inadequate nutrition and having dental complications after radiation therapy. […] Managing these AEs requires a team approach, and supportive care responsibilities apply to many members of the multidisciplinary team, outlined in the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for Head and Neck Cancers. […] I think we really need to embrace the team approach with HNC in general, but particularly in the supportive care setting.

• #87 Helping Survivors of Head and Neck Cancer Face the Future

  https://www.oncnursingnews.com/view/helping-survivors-of-head-and-neck-cancer-face-the-future

  They should be able to rely on nurses as a good source of knowledge, so OLeary provides relevant clinical education to her staff to ensure that survivors are receiving competent care. […] Teaching them what to expect and trying to head off severe pain is imperative, OLeary says, adding that nurses and patients need to be aware of other prominent adverse effects (AEs), including nutritional issues related to mucositis, psychosocial issues, and chronic xerostomia. […] Caring for patients with head and neck cancer can bring a variety of challenges for both patients and providers. Improving quality of life in survivorship focuses on several aspects of patient care, including providing support for development of appropriate coping mechanisms and skills, education regarding lifestyle risk factors, collaboration of ongoing care, and management of individual long-term goals. […] Healthcare professionals are advised to practice self-care when providing assistance to this complex population, as it is critical to ensure these patients continue receiving dignified and compassionate care throughout their arduous healthcare journey.

• #88 Helping Survivors of Head and Neck Cancer Face the Future

  https://www.oncnursingnews.com/view/helping-survivors-of-head-and-neck-cancer-face-the-future

  They should be able to rely on nurses as a good source of knowledge, so OLeary provides relevant clinical education to her staff to ensure that survivors are receiving competent care. […] Teaching them what to expect and trying to head off severe pain is imperative, OLeary says, adding that nurses and patients need to be aware of other prominent adverse effects (AEs), including nutritional issues related to mucositis, psychosocial issues, and chronic xerostomia. […] Caring for patients with head and neck cancer can bring a variety of challenges for both patients and providers. Improving quality of life in survivorship focuses on several aspects of patient care, including providing support for development of appropriate coping mechanisms and skills, education regarding lifestyle risk factors, collaboration of ongoing care, and management of individual long-term goals. […] Healthcare professionals are advised to practice self-care when providing assistance to this complex population, as it is critical to ensure these patients continue receiving dignified and compassionate care throughout their arduous healthcare journey.

• #89 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  The CNS acts as the key accessible professional to the patient within this multiprofessional setting, and allows the CNS to influence the patient’s pathway. […] Clinical nurse specialists increasingly take the lead role in shaping patient care pathways and refining systems to make a difference to the patient experience and their safety. […] A care plan is based on the diagnosis and holistic assessment of the patient. […] A key component to effective patient care is good communication between the primary and secondary care sectors. […] Clinical nurse specialists should: meet every patient at the point of diagnosis to assist in a smooth transition along the cancer pathway, ensure effective communication within the MDT, with patient and carer and within the community setting, be at the centre of the patient’s pathway and make effective use of resources, act as the patient advocate, utilising support groups to act as patient voices in the changing healthcare environment to make them patient-centred, perform holistic needs assessment for all patients at diagnosis and specific points along their journey to ensure patient-focused care is being provided, offer treatment summaries to all people involved in the patient’s recovery to ensure effective communication, offer individualised care plans to help patients take control of the recovery phase.

• #90 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  The CNS acts as the key accessible professional to the patient within this multiprofessional setting, and allows the CNS to influence the patient’s pathway. […] Clinical nurse specialists increasingly take the lead role in shaping patient care pathways and refining systems to make a difference to the patient experience and their safety. […] A care plan is based on the diagnosis and holistic assessment of the patient. […] A key component to effective patient care is good communication between the primary and secondary care sectors. […] Clinical nurse specialists should: meet every patient at the point of diagnosis to assist in a smooth transition along the cancer pathway, ensure effective communication within the MDT, with patient and carer and within the community setting, be at the centre of the patient’s pathway and make effective use of resources, act as the patient advocate, utilising support groups to act as patient voices in the changing healthcare environment to make them patient-centred, perform holistic needs assessment for all patients at diagnosis and specific points along their journey to ensure patient-focused care is being provided, offer treatment summaries to all people involved in the patient’s recovery to ensure effective communication, offer individualised care plans to help patients take control of the recovery phase.

• #91 Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9786360/

  Preoperative nursing consultations for head and neck cancer patients present numerous challenges because of the urgency of having to initiate an entire educational process about the care that will be provided and the settings into which patients will be inserted, including operating rooms and post-anaesthetic recovery care, in addition to psycho-emotional preparation. […] Individuals with head and neck cancer must be informed about managing all the expected changes. […] This implies education and guidance to prepare them to face the new conditions in which they will find themselves after the surgical procedures, providing them with information and knowledge to acquire new skills aimed at self-care. […] The only study that answered the research question emphasized the role of nurses as educators in preoperative consultations, which agrees with the recommendations of other authors.

• #92 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  The CNS acts as the key accessible professional to the patient within this multiprofessional setting, and allows the CNS to influence the patient’s pathway. […] Clinical nurse specialists increasingly take the lead role in shaping patient care pathways and refining systems to make a difference to the patient experience and their safety. […] A care plan is based on the diagnosis and holistic assessment of the patient. […] A key component to effective patient care is good communication between the primary and secondary care sectors. […] Clinical nurse specialists should: meet every patient at the point of diagnosis to assist in a smooth transition along the cancer pathway, ensure effective communication within the MDT, with patient and carer and within the community setting, be at the centre of the patient’s pathway and make effective use of resources, act as the patient advocate, utilising support groups to act as patient voices in the changing healthcare environment to make them patient-centred, perform holistic needs assessment for all patients at diagnosis and specific points along their journey to ensure patient-focused care is being provided, offer treatment summaries to all people involved in the patient’s recovery to ensure effective communication, offer individualised care plans to help patients take control of the recovery phase.

• #93 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  Treatment summaries should become part of practice to provide good communication between primary and secondary care to enable continuity of care for the patient. (G) […] It is the function of the clinical nurse specialist (CNS) to give the patient and carer the wherewithal to cope with the diagnosis, treatment and long-term consequences through the use of empathy and experience. […] The CNS workload can be complex and varied dependent on the patient’s needs, it can be categorised into themes: Specialist technical knowledge of the cancer process and treatment options, Acting as the patients key worker for a specific part of the process and linking in with the MDT, Utilising advanced communication skills to support the patient and carer psychologically through the disease process, Lead on redesigning services to make them responsive to the patient’s needs, Health education and promotion to reduce the risk of recurrence and promote a healthy lifestyle, Assisting in local and national initiatives to promote awareness and prevention.

• #94 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  Treatment summaries should become part of practice to provide good communication between primary and secondary care to enable continuity of care for the patient. (G) […] It is the function of the clinical nurse specialist (CNS) to give the patient and carer the wherewithal to cope with the diagnosis, treatment and long-term consequences through the use of empathy and experience. […] The CNS workload can be complex and varied dependent on the patient’s needs, it can be categorised into themes: Specialist technical knowledge of the cancer process and treatment options, Acting as the patients key worker for a specific part of the process and linking in with the MDT, Utilising advanced communication skills to support the patient and carer psychologically through the disease process, Lead on redesigning services to make them responsive to the patient’s needs, Health education and promotion to reduce the risk of recurrence and promote a healthy lifestyle, Assisting in local and national initiatives to promote awareness and prevention.

• #95 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  The CNS acts as the key accessible professional to the patient within this multiprofessional setting, and allows the CNS to influence the patient’s pathway. […] Clinical nurse specialists increasingly take the lead role in shaping patient care pathways and refining systems to make a difference to the patient experience and their safety. […] A care plan is based on the diagnosis and holistic assessment of the patient. […] A key component to effective patient care is good communication between the primary and secondary care sectors. […] Clinical nurse specialists should: meet every patient at the point of diagnosis to assist in a smooth transition along the cancer pathway, ensure effective communication within the MDT, with patient and carer and within the community setting, be at the centre of the patient’s pathway and make effective use of resources, act as the patient advocate, utilising support groups to act as patient voices in the changing healthcare environment to make them patient-centred, perform holistic needs assessment for all patients at diagnosis and specific points along their journey to ensure patient-focused care is being provided, offer treatment summaries to all people involved in the patient’s recovery to ensure effective communication, offer individualised care plans to help patients take control of the recovery phase.

• #96 Nursing Considerations for Head and Neck Cancer Survivorship Care | Oncology Nursing Society

  https://www.ons.org/publications-research/voice/news-views/04-2021/nursing-considerations-head-and-neck-cancer

  Despite accounting for only 3% of all cancer survivors, patients with head and neck cancers often require significant support and survivorship care. […] To address the wide range of late and long-term effects, head and neck cancer survivorship care requires an interprofessional approach, including members from primary care, oncology, otolaryngology, dental health, physical therapy, nutrition, speech and swallowing specialty, psychological specialists, and others on the healthcare team. […] Routinely assess patients nutritional status, including weight loss, nutritional deficiencies, and enteral support as needed, and consult with speech language pathologists for chronic dysphagia, trismus, and swallowing difficulties. […] Head and neck cancer survivors require close surveillance and follow-up in the first two years posttreatment when they are most at risk for disease recurrence and secondary cancers.

• #97

  https://www.accc-cancer.org/home/learn/cancer-types/head-neck-cancer/multidisciplinary-approaches-to-head-neck-cancer-care

  To improve care delivery for patients diagnosed with head and neck cancers, the Association of Cancer Care Centers (ACCC), with its program partner Head and Neck Cancer Alliance, has launched an educational initiative to identify and address existing barriers to accessing care and optimal care coordination. […] The program also highlights and addresses the importance of multi-modal care coordination and the role of supportive care via comprehensive cancer services (eg, psychosocial and nutrition services) for this unique patient population. […] While recent advances in treatment are improving outcomes for patients with head and neck cancer, multidisciplinary care models and strategies to address psychosocial support for patients and caregivers can significantly improve care. […] Recent advancements in treatment and a multimodal approach to care are improving outcomes for patients with head and neck cancer, however access to therapies and unique patient challenges due to disease symptoms, difficulty eating, difficulty communicating, and other psychosocial factors can reduce patient quality of life.

• #98 The role of the clinical nurse specialist in head and neck cancer care | British Dental Journal

  https://www.nature.com/articles/s41415-022-5143-4

  A head and neck cancer diagnosis affects a patient’s wellbeing and impacts on many emotional, psychological, social, physical, financial and sexual aspects of life for both the patient and carer. This requires input from all members of the multidisciplinary team, from the point of diagnosis, through to the treatment trajectory and beyond. […] Head and neck clinical nurse specialists are core members of the multidisciplinary team (MDT), acting as key workers for patients with a pivotal role in safeguarding a smooth pathway for the patient from diagnosis through the treatment pathway into survivorship and beyond. […] Head and neck cancer impacts emotional, psychological, social, physical, financial and sexual wellbeing, indicating patients need support from all members of the MDT to receive integrated care. […] Head and neck cancer treatment is arduous and complex and causes both acute and long-term side effects affecting patients’ quality of life.

• #99

  https://www.accc-cancer.org/home/learn/cancer-types/head-neck-cancer/multidisciplinary-approaches-to-head-neck-cancer-care

  To improve care delivery for patients diagnosed with head and neck cancers, the Association of Cancer Care Centers (ACCC), with its program partner Head and Neck Cancer Alliance, has launched an educational initiative to identify and address existing barriers to accessing care and optimal care coordination. […] The program also highlights and addresses the importance of multi-modal care coordination and the role of supportive care via comprehensive cancer services (eg, psychosocial and nutrition services) for this unique patient population. […] While recent advances in treatment are improving outcomes for patients with head and neck cancer, multidisciplinary care models and strategies to address psychosocial support for patients and caregivers can significantly improve care. […] Recent advancements in treatment and a multimodal approach to care are improving outcomes for patients with head and neck cancer, however access to therapies and unique patient challenges due to disease symptoms, difficulty eating, difficulty communicating, and other psychosocial factors can reduce patient quality of life.

• #100 Helping Survivors of Head and Neck Cancer Face the Future

  https://www.oncnursingnews.com/view/helping-survivors-of-head-and-neck-cancer-face-the-future

  They should be able to rely on nurses as a good source of knowledge, so OLeary provides relevant clinical education to her staff to ensure that survivors are receiving competent care. […] Teaching them what to expect and trying to head off severe pain is imperative, OLeary says, adding that nurses and patients need to be aware of other prominent adverse effects (AEs), including nutritional issues related to mucositis, psychosocial issues, and chronic xerostomia. […] Caring for patients with head and neck cancer can bring a variety of challenges for both patients and providers. Improving quality of life in survivorship focuses on several aspects of patient care, including providing support for development of appropriate coping mechanisms and skills, education regarding lifestyle risk factors, collaboration of ongoing care, and management of individual long-term goals. […] Healthcare professionals are advised to practice self-care when providing assistance to this complex population, as it is critical to ensure these patients continue receiving dignified and compassionate care throughout their arduous healthcare journey.

• #101 Helping Survivors of Head and Neck Cancer Face the Future

  https://www.oncnursingnews.com/view/helping-survivors-of-head-and-neck-cancer-face-the-future

  They should be able to rely on nurses as a good source of knowledge, so OLeary provides relevant clinical education to her staff to ensure that survivors are receiving competent care. […] Teaching them what to expect and trying to head off severe pain is imperative, OLeary says, adding that nurses and patients need to be aware of other prominent adverse effects (AEs), including nutritional issues related to mucositis, psychosocial issues, and chronic xerostomia. […] Caring for patients with head and neck cancer can bring a variety of challenges for both patients and providers. Improving quality of life in survivorship focuses on several aspects of patient care, including providing support for development of appropriate coping mechanisms and skills, education regarding lifestyle risk factors, collaboration of ongoing care, and management of individual long-term goals. […] Healthcare professionals are advised to practice self-care when providing assistance to this complex population, as it is critical to ensure these patients continue receiving dignified and compassionate care throughout their arduous healthcare journey.

• #102 Supportive Care for Patients With Head and Neck Cancer

  https://www.oncnursingnews.com/view/supportive-care-for-patients-with-head-and-neck-cancer

  Performing frequent assessments and assisting with hygiene is vital to preserving and improving quality of life. […] Supporting a patient during cancer treatment is a challenge. From symptom management to psychosocial considerations, each patients needs vary and must be reevaluated frequently. This is especially true for patients with head and neck cancer. […] Head and neck cancers often result in serious quality of life issues. Surgical resection of the affected area can cause disfigurement that not only affects function (eating, drinking, speaking, etc) but also leads to self-image concerns and depression. […] National Comprehensive Cancer Network guidelines recommend early involvement of a dentist, a dietitian, and a speech therapist to help address pre- and posttreatment concerns and preserve quality of life for people with head and neck cancer.

• #103 Resources for Head and Neck Cancer Survivors | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/resources-head-and-neck

  Pain is sometimes a part of healing and recovery. It can come and go, or last for months or years after treatment. […] Many head and neck cancer survivors feel sadness, fear, anger, anxiety, or depression. […] Emotional support is key to your recovery process. Talk to your healthcare provider if you think youre having these feelings. […] Many people find that counseling helps them deal with emotions during cancer treatment. […] The RLAC Program offers support services for cancer survivors and their families. […] The RLAC Program also offers a support group for survivors of head and neck cancer called Head, Neck, and Oral Cancers: Moving Forward.

• #104 Helping Survivors of Head and Neck Cancer Face the Future

  https://www.oncnursingnews.com/view/helping-survivors-of-head-and-neck-cancer-face-the-future

  They should be able to rely on nurses as a good source of knowledge, so OLeary provides relevant clinical education to her staff to ensure that survivors are receiving competent care. […] Teaching them what to expect and trying to head off severe pain is imperative, OLeary says, adding that nurses and patients need to be aware of other prominent adverse effects (AEs), including nutritional issues related to mucositis, psychosocial issues, and chronic xerostomia. […] Caring for patients with head and neck cancer can bring a variety of challenges for both patients and providers. Improving quality of life in survivorship focuses on several aspects of patient care, including providing support for development of appropriate coping mechanisms and skills, education regarding lifestyle risk factors, collaboration of ongoing care, and management of individual long-term goals. […] Healthcare professionals are advised to practice self-care when providing assistance to this complex population, as it is critical to ensure these patients continue receiving dignified and compassionate care throughout their arduous healthcare journey.

• #105 Helping Survivors of Head and Neck Cancer Face the Future

  https://www.oncnursingnews.com/view/helping-survivors-of-head-and-neck-cancer-face-the-future

  They should be able to rely on nurses as a good source of knowledge, so OLeary provides relevant clinical education to her staff to ensure that survivors are receiving competent care. […] Teaching them what to expect and trying to head off severe pain is imperative, OLeary says, adding that nurses and patients need to be aware of other prominent adverse effects (AEs), including nutritional issues related to mucositis, psychosocial issues, and chronic xerostomia. […] Caring for patients with head and neck cancer can bring a variety of challenges for both patients and providers. Improving quality of life in survivorship focuses on several aspects of patient care, including providing support for development of appropriate coping mechanisms and skills, education regarding lifestyle risk factors, collaboration of ongoing care, and management of individual long-term goals. […] Healthcare professionals are advised to practice self-care when providing assistance to this complex population, as it is critical to ensure these patients continue receiving dignified and compassionate care throughout their arduous healthcare journey.

• #106 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. It discusses the role of the clinical nurse specialist in the head and neck cancer patient journey and provides recommendations on the clinical nurse specialist led assessments and interventions for this group of patients receiving cancer care. […] All cancer patients should meet a clinical nurse specialist at the point of diagnosis. (R) […] Clinical nurse specialists must act as gate keeper to the patients’ cancer pathway to provide a seamless journey. (R) […] Holistic needs assessment should be completed at different stages of the patient’s pathway to reflect the changes of the patients’ needs. (R) […] Clinical nurse specialists should lead in redesigning of services and policies to ensure they are responsive to patient’s needs for the future. (G)

• #107 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. It discusses the role of the clinical nurse specialist in the head and neck cancer patient journey and provides recommendations on the clinical nurse specialist led assessments and interventions for this group of patients receiving cancer care. […] All cancer patients should meet a clinical nurse specialist at the point of diagnosis. (R) […] Clinical nurse specialists must act as gate keeper to the patients’ cancer pathway to provide a seamless journey. (R) […] Holistic needs assessment should be completed at different stages of the patient’s pathway to reflect the changes of the patients’ needs. (R) […] Clinical nurse specialists should lead in redesigning of services and policies to ensure they are responsive to patient’s needs for the future. (G)

• #108 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  The CNS acts as the key accessible professional to the patient within this multiprofessional setting, and allows the CNS to influence the patient’s pathway. […] Clinical nurse specialists increasingly take the lead role in shaping patient care pathways and refining systems to make a difference to the patient experience and their safety. […] A care plan is based on the diagnosis and holistic assessment of the patient. […] A key component to effective patient care is good communication between the primary and secondary care sectors. […] Clinical nurse specialists should: meet every patient at the point of diagnosis to assist in a smooth transition along the cancer pathway, ensure effective communication within the MDT, with patient and carer and within the community setting, be at the centre of the patient’s pathway and make effective use of resources, act as the patient advocate, utilising support groups to act as patient voices in the changing healthcare environment to make them patient-centred, perform holistic needs assessment for all patients at diagnosis and specific points along their journey to ensure patient-focused care is being provided, offer treatment summaries to all people involved in the patient’s recovery to ensure effective communication, offer individualised care plans to help patients take control of the recovery phase.

• #109 Nursing Considerations for Head and Neck Cancer Survivorship Care | Oncology Nursing Society

  https://www.ons.org/publications-research/voice/news-views/04-2021/nursing-considerations-head-and-neck-cancer

  Despite accounting for only 3% of all cancer survivors, patients with head and neck cancers often require significant support and survivorship care. […] To address the wide range of late and long-term effects, head and neck cancer survivorship care requires an interprofessional approach, including members from primary care, oncology, otolaryngology, dental health, physical therapy, nutrition, speech and swallowing specialty, psychological specialists, and others on the healthcare team. […] Routinely assess patients nutritional status, including weight loss, nutritional deficiencies, and enteral support as needed, and consult with speech language pathologists for chronic dysphagia, trismus, and swallowing difficulties. […] Head and neck cancer survivors require close surveillance and follow-up in the first two years posttreatment when they are most at risk for disease recurrence and secondary cancers.

• #110 Helping Survivors of Head and Neck Cancer Face the Future

  https://www.oncnursingnews.com/view/helping-survivors-of-head-and-neck-cancer-face-the-future

  They should be able to rely on nurses as a good source of knowledge, so OLeary provides relevant clinical education to her staff to ensure that survivors are receiving competent care. […] Teaching them what to expect and trying to head off severe pain is imperative, OLeary says, adding that nurses and patients need to be aware of other prominent adverse effects (AEs), including nutritional issues related to mucositis, psychosocial issues, and chronic xerostomia. […] Caring for patients with head and neck cancer can bring a variety of challenges for both patients and providers. Improving quality of life in survivorship focuses on several aspects of patient care, including providing support for development of appropriate coping mechanisms and skills, education regarding lifestyle risk factors, collaboration of ongoing care, and management of individual long-term goals. […] Healthcare professionals are advised to practice self-care when providing assistance to this complex population, as it is critical to ensure these patients continue receiving dignified and compassionate care throughout their arduous healthcare journey.

• #111 Helping Survivors of Head and Neck Cancer Face the Future

  https://www.oncnursingnews.com/view/helping-survivors-of-head-and-neck-cancer-face-the-future

  They should be able to rely on nurses as a good source of knowledge, so OLeary provides relevant clinical education to her staff to ensure that survivors are receiving competent care. […] Teaching them what to expect and trying to head off severe pain is imperative, OLeary says, adding that nurses and patients need to be aware of other prominent adverse effects (AEs), including nutritional issues related to mucositis, psychosocial issues, and chronic xerostomia. […] Caring for patients with head and neck cancer can bring a variety of challenges for both patients and providers. Improving quality of life in survivorship focuses on several aspects of patient care, including providing support for development of appropriate coping mechanisms and skills, education regarding lifestyle risk factors, collaboration of ongoing care, and management of individual long-term goals. […] Healthcare professionals are advised to practice self-care when providing assistance to this complex population, as it is critical to ensure these patients continue receiving dignified and compassionate care throughout their arduous healthcare journey.

• #112 The clinical nurse specialist’s role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4873903/

  This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. It discusses the role of the clinical nurse specialist in the head and neck cancer patient journey and provides recommendations on the clinical nurse specialist led assessments and interventions for this group of patients receiving cancer care. […] All cancer patients should meet a clinical nurse specialist at the point of diagnosis. (R) […] Clinical nurse specialists must act as gate keeper to the patients’ cancer pathway to provide a seamless journey. (R) […] Holistic needs assessment should be completed at different stages of the patient’s pathway to reflect the changes of the patients’ needs. (R) […] Clinical nurse specialists should lead in redesigning of services and policies to ensure they are responsive to patient’s needs for the future. (G)

Zobacz więcej