Rak prostaty
Charakterystyka, pielęgnacja i opieka
Rak prostaty jest najczęstszym nowotworem złośliwym u mężczyzn, z roczną zachorowalnością około 165 000 przypadków w USA, głównie u pacjentów powyżej 65 roku życia. Pięcioletnie przeżycie wynosi około 90%, co podkreśla znaczenie wczesnej diagnostyki i leczenia. Kompleksowa opieka pielęgniarska obejmuje ocenę stanu fizycznego, psychicznego, społecznego i duchowego pacjenta, uwzględniając objawy urologiczne (np. dysuria, częstomocz, krwiomocz), ból, funkcjonowanie seksualne oraz status psychospołeczny. Kluczowe badania diagnostyczne to poziom PSA (wartość powyżej 4,0 ng/ml może sugerować raka), badanie per rectum (DRE), biopsja prostaty oraz ocena stopnia zaawansowania w skali Gleasona. Pielęgniarki specjalistyczne (PCSN) pełnią rolę edukatorów, koordynatorów opieki i rzeczników pacjenta, zarządzając objawami, skutkami ubocznymi terapii (prostatektomia, radioterapia, terapia hormonalna) oraz wspierając pacjentów w adaptacji psychospołecznej i seksualnej.
- Wprowadzenie do raka prostaty
- Ocena pielęgniarska pacjenta z rakiem prostaty
- Diagnoza pielęgniarska i planowanie opieki
- Interwencje pielęgniarskie w opiece nad pacjentem z rakiem prostaty
- Opieka przed i po zabiegu operacyjnym
- Opieka nad pacjentem poddawanym radioterapii
- Opieka nad pacjentem poddawanym terapii hormonalnej
- Zarządzanie objawami i powikłaniami
- Edukacja i wsparcie psychologiczne
- Opieka pielęgniarska w różnych fazach leczenia raka prostaty
- Opieka w momencie diagnozy
- Opieka w okresie aktywnego nadzoru
- Opieka w trakcie i po radykalnej prostatektomii
- Opieka w trakcie i po radioterapii
- Opieka w trakcie terapii systemowej
- Opieka paliatywna
- Wsparcie psychospołeczne i edukacja pacjenta
- Wsparcie emocjonalne i psychologiczne
- Wsparcie w zakresie zdrowia seksualnego
- Edukacja pacjenta i rodziny
- Wsparcie dla rodziny i opiekunów
- Promowanie zdrowego stylu życia
- Opieka po zakończeniu aktywnego leczenia i survivorship
- Monitorowanie i follow-up
- Zarządzanie długoterminowymi skutkami leczenia
- Wsparcie w powrocie do normalnego życia
- Programy survivorship
- Edukacja i wsparcie dla przeżycia długoterminowego
- Rola pielęgniarki w zespole interdyscyplinarnym
- Współpraca z zespołem interdyscyplinarnym
- Pielęgniarka jako koordynator opieki
- Pielęgniarka jako rzecznik pacjenta
- Rola pielęgniarki specjalisty w opiece nad pacjentem z rakiem prostaty
- Innowacyjne modele opieki pielęgniarskiej
- Wyzwania i perspektywy w opiece pielęgniarskiej nad pacjentem z rakiem prostaty
- Wyzwania w opiece pielęgniarskiej
- Znaczenie badań w opiece pielęgniarskiej
- Rozwój profesjonalny i specjalizacja
- Perspektywy na przyszłość
- Podsumowanie
Wprowadzenie do raka prostaty
Rak prostaty (rak gruczołu krokowego) jest najczęstszym nowotworem złośliwym wśród mężczyzn i stanowi poważny problem zdrowia publicznego na całym świecie. Jest to drugi najczęściej diagnozowany nowotwór u mężczyzn po nowotworach skóry, dotykający rocznie prawie 165 000 Amerykanów, głównie w wieku powyżej 65 lat.1 W większości przypadków rak prostaty rozwija się powoli i może być skutecznie leczony, gdy zostanie wcześnie wykryty.2 Pięcioletnie wskaźniki przeżycia wynoszą około 90%, co czyni go jednym z nowotworów o najlepszej odpowiedzi na leczenie.3
Opieka pielęgniarska odgrywa kluczową rolę w leczeniu raka prostaty, obejmując szerokie spektrum działań – od diagnostyki i edukacji pacjenta po wsparcie w trakcie leczenia oraz opiekę po zakończeniu terapii. Pielęgniarki są często pierwszymi osobami, które pomagają pacjentom zrozumieć ich diagnozę, przedstawiają informacje medyczne w przystępny sposób oraz wspierają pacjentów w podejmowaniu decyzji dotyczących leczenia.45
Rola pielęgniarki onkologicznej
Pielęgniarki onkologiczne zajmują się pacjentami z rakiem prostaty na każdym etapie choroby – od momentu diagnozy, przez leczenie, po opiekę po zakończeniu terapii. Jako kluczowe osoby w zespole terapeutycznym, pielęgniarki pełnią funkcję edukatorów, rzeczników pacjenta oraz koordynatorów opieki.6 Ich rola jest szczególnie istotna, ponieważ rak prostaty i jego leczenie mogą wpływać na funkcje seksualne i urologiczne, postrzeganie własnej osoby oraz ogólną jakość życia.7
Pielęgniarki specjalizujące się w opiece nad pacjentami z rakiem prostaty (Prostate Cancer Specialist Nurses – PCSN) posiadają pogłębioną wiedzę na temat fizycznych, psychologicznych i społecznych skutków choroby oraz odgrywają kluczową rolę w opiece nad pacjentem.8 Pracują w oparciu o ustalone ramy praktyki i standardy kompetencji, które bazują na uznanych krajowych modelach najlepszych praktyk.9
Ocena pielęgniarska pacjenta z rakiem prostaty
Kompleksowa ocena pielęgniarska jest pierwszym krokiem w planowaniu opieki nad pacjentem z rakiem prostaty. Obejmuje ona szczegółową analizę stanu fizycznego, psychicznego, społecznego oraz duchowego pacjenta.10 Ocena ta służy identyfikacji potencjalnych problemów związanych z chorobą nowotworową oraz dostosowaniu planu opieki do indywidualnych potrzeb każdego pacjenta.
Wywiad pielęgniarski
Podczas zbierania wywiadu pielęgniarka powinna uwzględnić następujące elementy:1112
- Objawy urologiczne: dysuria, częstomocz, zatrzymanie moczu, nokturia, krwiomocz
- Ból: lokalizacja, intensywność, charakter (szczególnie ból pleców lub bioder, który może wskazywać na przerzuty do kości)
- Historia chorób współistniejących i przebyte zabiegi operacyjne
- Wywiad rodzinny dotyczący nowotworów (szczególnie raka prostaty)
- Aktualnie przyjmowane leki
- Funkcjonowanie seksualne i problemy z nim związane
- Status psychospołeczny: wsparcie rodzinne, reakcja na diagnozę, mechanizmy radzenia sobie ze stresem
Badanie fizykalne
Ocena fizykalna powinna obejmować:13
- Ocenę stanu ogólnego pacjenta
- Pomiary parametrów życiowych
- Obserwację pod kątem wyczuwalnych węzłów chłonnych (limfadenopatia)
- Ocenę układu moczowego: ilość i jakość oddawanego moczu, obecność cewnika, stan okolicy cewki moczowej
- Ocenę stanu odżywienia
- Ocenę bólu z wykorzystaniem odpowiednich skal
- Ocenę funkcji ruchowych i samodzielności pacjenta
Badania diagnostyczne
Pielęgniarka powinna znać i rozumieć znaczenie następujących badań diagnostycznych:1415
- PSA (Prostate-Specific Antigen): poziom tego białka we krwi może być podwyższony w przypadku problemów z prostatą. Poziom PSA powyżej 4,0 ng/ml może wskazywać na raka prostaty, chociaż sama wartość PSA nie jest wystarczająca do postawienia diagnozy.
- DRE (Digital Rectal Examination): badanie per rectum pozwalające na ocenę wielkości, kształtu i konsystencji prostaty.
- Biopsja prostaty: pobranie wycinka tkanki prostaty do badania histopatologicznego.
- System oceny Gleasona: skala używana do określenia stopnia zaawansowania raka prostaty.
- Badania obrazowe: MRI prostaty, PSMA PET, scyntygrafia kości, tomografia komputerowa.
Kompleksowa ocena pielęgniarska stanowi podstawę do identyfikacji aktualnych i potencjalnych problemów pacjenta oraz opracowania indywidualnego planu opieki, uwzględniającego nie tylko aspekty fizyczne choroby, ale także psychospołeczne potrzeby pacjenta i jego rodziny.16
Diagnoza pielęgniarska i planowanie opieki
Prawidłowo postawiona diagnoza pielęgniarska jest kluczowa dla skutecznego planowania opieki nad pacjentem z rakiem prostaty. Diagnoza ta uwzględnia zarówno aktualne problemy pacjenta, jak i potencjalne ryzyka związane z chorobą i jej leczeniem.17
Najczęstsze diagnozy pielęgniarskie
Wśród najczęstszych diagnoz pielęgniarskich u pacjentów z rakiem prostaty można wymienić:1819
- Zaburzenia w oddawaniu moczu związane z procesem chorobowym i efektami leczenia, objawiające się częstomoczem, parciem na mocz i zatrzymaniem moczu
- Ból ostry związany z procesem chorobowym lub procedurami diagnostyczno-terapeutycznymi
- Ryzyko infekcji związane z procedurami inwazyjnymi i osłabieniem układu odpornościowego
- Dysfunkcja seksualna związana z efektami leczenia i wpływem psychologicznym
- Zaburzenia odżywiania związane z nudnościami i utratą wagi
- Lęk i strach związane z diagnozą i niepewnością co do przyszłości
- Zaburzenia obrazu własnego ciała związane z efektami leczenia i zmianami funkcjonalnymi
- Zmęczenie związane z procesem chorobowym i leczeniem
- Deficyt wiedzy dotyczący choroby, leczenia i samoopieki
Cele opieki pielęgniarskiej
Cele i oczekiwane efekty opieki pielęgniarskiej powinny obejmować:2021
- Skuteczne zarządzanie objawami urologicznymi i utrzymanie funkcji układu moczowego
- Kontrola i ulga w bólu
- Zapobieganie lub zarządzanie powikłaniami, takimi jak nietrzymanie moczu i zaburzenia erekcji
- Utrzymanie odpowiedniego nawodnienia
- Brak aktywnego krwawienia i oznak infekcji
- Terminowe gojenie się ran
- Wsparcie emocjonalne i psychologiczne
- Zrozumienie przez pacjenta i rodzinę procesu chorobowego, opcji leczenia i niezbędnych modyfikacji stylu życia
- Demonstracja umiejętności rozwiązywania problemów i radzenia sobie z trudnościami
Planowanie opieki
Plan opieki pielęgniarskiej powinien być dostosowany do indywidualnych potrzeb pacjenta i obejmować następujące obszary:2223
- Zarządzanie układem moczowym: wdrażanie strategii zarządzania objawami związanymi z układem moczowym, w tym trening pęcherza i ćwiczenia mięśni dna miednicy
- Zarządzanie bólem: podawanie przepisanych leków przeciwbólowych i stosowanie niefarmakologicznych technik zarządzania bólem
- Poradnictwo w zakresie zdrowia seksualnego: dostarczanie informacji i wsparcia dotyczącego funkcji seksualnych i potencjalnych efektów leczenia
- Wsparcie emocjonalne: oferowanie wsparcia psychologicznego i kierowanie do usług doradczych w razie potrzeby
- Edukacja pacjenta: edukowanie pacjenta i rodziny na temat raka prostaty, efektów leczenia i modyfikacji stylu życia
Skuteczne planowanie opieki pielęgniarskiej wymaga systematycznego podejścia, które uwzględnia wszystkie aspekty zdrowia pacjenta i jest regularnie aktualizowane w odpowiedzi na zmieniające się potrzeby i stan zdrowia. Interdyscyplinarny zespół opieki zdrowotnej, w którym pielęgniarka pełni kluczową rolę, zapewnia najlepsze wsparcie dla pacjentów z rakiem prostaty.24
Interwencje pielęgniarskie w opiece nad pacjentem z rakiem prostaty
Interwencje pielęgniarskie odgrywają kluczową rolę w kompleksowej opiece nad pacjentem z rakiem prostaty, obejmując zarówno fizyczne, jak i psychologiczne aspekty choroby. Poniżej przedstawiono najważniejsze obszary interwencji pielęgniarskich.25
Opieka przed i po zabiegu operacyjnym
Prostatektomia (usunięcie gruczołu krokowego) jest jedną z głównych metod leczenia raka prostaty. Opieka pielęgniarska obejmuje:2627
- Opieka przedoperacyjna:
- Zmniejszanie lęku poprzez edukację pacjenta na temat zabiegu i spodziewanych wyników
- Instruowanie pacjenta odnośnie anatomii, procedury chirurgicznej i oczekiwań pooperacyjnych
- Przygotowanie pacjenta do zabiegu (m.in. stosowanie pończoch przeciwzakrzepowych, podawanie leków profilaktycznych)
- Opieka pooperacyjna:
- Skrupulatna pielęgnacja cewnika i drenów
- Regularne sprawdzanie opatrunku, rany i systemów drenażowych pod kątem nadmiernego krwawienia
- Monitorowanie oznak krwawienia (bladość, niepokój, spadające ciśnienie krwi, przyspieszony tętno)
- Obserwacja pod kątem oznak infekcji (gorączka, dreszcze, stan zapalny miejsca nacięcia)
- Zapobieganie zaparciom
- Utrzymanie odpowiedniego stanu odżywienia
- Wczesna mobilizacja pacjenta
Opieka nad pacjentem poddawanym radioterapii
Radioterapia jest często stosowana w leczeniu raka prostaty, zarówno jako metoda samodzielna, jak i w połączeniu z innymi formami terapii. Interwencje pielęgniarskie obejmują:2829
- Edukację pacjenta na temat procedury radioterapii i spodziewanych efektów ubocznych
- Instruowanie w zakresie pielęgnacji skóry w obszarze napromieniania
- Monitorowanie i zarządzanie efektami ubocznymi radioterapii, takimi jak zapalenie odbytnicy, biegunka, skurcze pęcherza i częstomocz
- Zalecanie pacjentowi zgłaszania gorączki powyżej 38°C, pieczenia lub trudności z oddawaniem moczu, nadmiernego krwawienia lub skrzepów w moczu, lub krwawienia z odbytu
- Zachęcanie do odpowiedniego nawodnienia
Opieka nad pacjentem poddawanym terapii hormonalnej
Terapia hormonalna (androgen-deprivation therapy – ADT) jest często stosowana w leczeniu raka prostaty, szczególnie w przypadku choroby zaawansowanej. Interwencje pielęgniarskie obejmują:3031
- Edukację pacjenta na temat działania terapii hormonalnej i jej potencjalnych efektów ubocznych
- Monitorowanie i zarządzanie efektami ubocznymi, takimi jak uderzenia gorąca, zmęczenie, zmiany w poziomie cholesterolu, zmiany nastroju, zmniejszenie libido i zaburzenia erekcji
- Zalecanie modyfikacji stylu życia, takich jak zaprzestanie palenia, zmniejszenie spożycia alkoholu, suplementacja wapnia i witaminy D (w celu zapobiegania osteoporozie)
- Zachęcanie do regularnych ćwiczeń, które mogą pomóc w redukcji utraty masy mięśniowej, przyrostu wagi, zmęczenia i zespołu metabolicznego
Zarządzanie objawami i powikłaniami
Rak prostaty i jego leczenie mogą prowadzić do różnych objawów i powikłań, które wymagają odpowiednich interwencji pielęgniarskich:323334
- Nietrzymanie moczu:
- Zalecanie pacjentowi oddawania moczu co 2-4 godziny i w momencie odczuwania wypełnienia pęcherza
- Zalecanie picia 6-8 szklanek płynów dziennie (jeśli nie ma przeciwwskazań)
- Unikanie napojów zawierających kofeinę
- Instruowanie w zakresie ćwiczeń mięśni Kegla i innych technik treningu pęcherza
- Zaburzenia erekcji:
- Edukacja na temat potencjalnych zaburzeń erekcji po leczeniu raka prostaty
- Informowanie o dostępnych opcjach leczenia zaburzeń erekcji, w tym o inhibitorach fosfodiesterazy typu 5
- Zachęcanie do otwartej komunikacji z partnerem na temat intymności i życia seksualnego
- Ból:
- Ocena charakteru, lokalizacji i intensywności bólu
- Podawanie przepisanych leków przeciwbólowych
- Wdrażanie niefarmakologicznych metod zarządzania bólem
- W przypadku bólu związanego z przerzutami do kości, podawanie bifosfonianów może pomóc złagodzić ból
- Zmęczenie:
- Edukacja pacjenta na temat zarządzania energią
- Zachęcanie do odpoczynku i umiarkowanej aktywności fizycznej
- Pomoc w planowaniu codziennych aktywności w sposób oszczędzający energię
Edukacja i wsparcie psychologiczne
Edukacja i wsparcie psychologiczne są kluczowymi elementami opieki pielęgniarskiej nad pacjentem z rakiem prostaty:3536
- Edukacja pacjenta:
- Dostarczanie informacji na temat choroby, opcji leczenia i potencjalnych efektów ubocznych
- Uczenie pacjenta samoopieki i strategii radzenia sobie z objawami
- Informowanie o znaczeniu regularnych badań kontrolnych i monitorowania PSA
- Zachęcanie do zdrowego stylu życia, w tym odpowiedniej diety i aktywności fizycznej
- Wsparcie psychologiczne:
- Stwarzanie pacjentowi możliwości wyrażenia obaw i lęków związanych z diagnozą
- Pomoc w radzeniu sobie z emocjonalnym wpływem choroby
- Kierowanie do specjalistów w zakresie zdrowia psychicznego w razie potrzeby
- Zachęcanie do udziału w grupach wsparcia
- Włączanie rodziny i partnerów w proces leczenia i wsparcia
Interwencje pielęgniarskie w opiece nad pacjentem z rakiem prostaty są kompleksowe i wymagają od pielęgniarki nie tylko wiedzy klinicznej, ale także umiejętności komunikacyjnych i empatii. Poprzez odpowiednie interwencje pielęgniarskie, można znacząco poprawić jakość życia pacjentów z rakiem prostaty i pomóc im w skutecznym zarządzaniu chorobą.37
Opieka pielęgniarska w różnych fazach leczenia raka prostaty
Opieka pielęgniarska nad pacjentem z rakiem prostaty różni się w zależności od etapu choroby i metody leczenia. Poniżej przedstawiono specyficzne aspekty opieki pielęgniarskiej w poszczególnych fazach leczenia.38
Opieka w momencie diagnozy
Diagnoza raka prostaty jest często traumatycznym doświadczeniem dla pacjenta. Na tym etapie opieka pielęgniarska koncentruje się na:3940
- Pomocy pacjentowi w zrozumieniu i zaakceptowaniu diagnozy
- Przedstawieniu informacji medycznych w zrozumiały sposób
- Wyjaśnieniu opcji diagnostycznych i leczniczych
- Zachęcaniu pacjenta do aktywnego udziału w podejmowaniu decyzji dotyczących leczenia
- Wsparciu emocjonalnym i redukcji lęku
- Pomocy w zrozumieniu potencjalnych skutków ubocznych różnych metod leczenia
Badania pokazują, że pomoc pacjentom w uzyskaniu odpowiednich informacji pozwala im przyjąć bardziej aktywną rolę w podejmowaniu decyzji dotyczących leczenia i obniża poziom lęku.41
Opieka w okresie aktywnego nadzoru
Aktywny nadzór (active surveillance) jest opcją dla pacjentów z rakiem prostaty niskiego ryzyka. Rola pielęgniarki w tym okresie obejmuje:4243
- Edukację pacjenta na temat celów i procesu aktywnego nadzoru
- Wsparcie w regularnych badaniach kontrolnych, w tym poziom PSA i badania per rectum
- Monitorowanie i ocenę objawów, które mogą wskazywać na progresję choroby
- Pomoc w radzeniu sobie z lękiem i niepewnością związaną z brakiem aktywnego leczenia
- Zachęcanie do zdrowego stylu życia, który może pomóc w kontrolowaniu choroby
Opieka w trakcie i po radykalnej prostatektomii
Radykalna prostatektomia jest zabiegiem chirurgicznym polegającym na usunięciu prostaty. Opieka pielęgniarska obejmuje:444546
- Opieka przedoperacyjna:
- Przygotowanie fizyczne i psychologiczne do zabiegu
- Edukacja pacjenta na temat procedury i oczekiwanych wyników
- Wyjaśnienie potencjalnych powikłań, w tym nietrzymania moczu i zaburzeń erekcji
- Opieka pooperacyjna:
- Monitorowanie parametrów życiowych i stanu ogólnego pacjenta
- Pielęgnacja rany pooperacyjnej i drenów
- Zarządzanie bólem pooperacyjnym
- Obserwacja pod kątem powikłań, takich jak krwawienie, infekcja, zakrzepica żył głębokich
- Pielęgnacja cewnika moczowego
- Wczesna mobilizacja pacjenta
- Edukacja na temat ćwiczeń mięśni dna miednicy, które mogą pomóc w kontroli nietrzymania moczu
- Opieka po usunięciu cewnika:
- Edukacja pacjenta na temat zarządzania nietrzymaniem moczu
- Pomoc w adaptacji do zmian w funkcjonowaniu seksualnym
- Wsparcie psychologiczne w radzeniu sobie ze zmianami obrazu ciała
Opieka w trakcie i po radioterapii
Radioterapia jest często stosowana w leczeniu raka prostaty, zarówno jako metoda samodzielna, jak i w połączeniu z innymi formami terapii. Opieka pielęgniarska obejmuje:474849
- Opieka w trakcie radioterapii:
- Edukacja pacjenta na temat procedury i oczekiwanych efektów ubocznych
- Instrukcje dotyczące pielęgnacji skóry w obszarze napromieniania
- Monitorowanie i zarządzanie skutkami ubocznymi, takimi jak zmiany skórne, zmęczenie, problemy z oddawaniem moczu, biegunka
- Zachęcanie do odpowiedniego nawodnienia i odżywiania
- Opieka po radioterapii:
- Kontynuacja monitorowania i zarządzania skutkami ubocznymi, które mogą utrzymywać się po zakończeniu leczenia
- Wsparcie w powrocie do normalnych aktywności
- Edukacja na temat długoterminowych skutków radioterapii i sposobów radzenia sobie z nimi
Opieka w trakcie terapii systemowej
Terapia systemowa, obejmująca terapię hormonalną, chemioterapię, terapię celowaną i immunoterapię, jest często stosowana w leczeniu zaawansowanego raka prostaty. Opieka pielęgniarska obejmuje:5051
- Terapia hormonalna:
- Edukacja pacjenta na temat działania leków i ich potencjalnych skutków ubocznych
- Monitorowanie i zarządzanie skutkami ubocznymi, takimi jak uderzenia gorąca, zmęczenie, utrata masy mięśniowej, przyrost masy ciała, osteoporoza
- Wsparcie w radzeniu sobie ze zmianami libido i funkcji seksualnych
- Chemioterapia:
- Edukacja pacjenta na temat procedury i potencjalnych skutków ubocznych
- Monitorowanie parametrów krwi i stanu ogólnego pacjenta
- Zarządzanie skutkami ubocznymi, takimi jak nudności, wymioty, utrata apetytu, zmęczenie, neutropenia
- Profilaktyka i monitorowanie infekcji
- Terapia celowana i immunoterapia:
- Edukacja pacjenta na temat specyfiki tych form terapii
- Monitorowanie i zarządzanie potencjalnymi reakcjami niepożądanymi
- Wsparcie w radzeniu sobie z długotrwałym leczeniem
Opieka paliatywna
Opieka paliatywna koncentruje się na poprawie jakości życia pacjentów z zaawansowanym rakiem prostaty. Rola pielęgniarki obejmuje:5253
- Kompleksową ocenę i zarządzanie objawami, w tym bólem, zmęczeniem, dusznością, nudnościami
- Wsparcie emocjonalne i duchowe
- Pomoc w komunikacji pomiędzy pacjentem, rodziną i zespołem opieki zdrowotnej
- Współpracę z interdyscyplinarnym zespołem opieki paliatywnej
- Edukację pacjenta i rodziny na temat procesu choroby i dostępnych opcji leczenia
- Pomoc w podejmowaniu decyzji dotyczących końca życia
Specjaliści w opiece paliatywnej są ekspertami w leczeniu objawów poważnej choroby, takiej jak rak prostaty. Ból kości, który jest powszechny w przypadku raka prostaty, może być skutecznie leczony przez zespół opieki paliatywnej. Pielęgniarki w tym zespole pracują z pacjentem, aby znaleźć najlepsze leki na ból.54
Opieka pielęgniarska w różnych fazach leczenia raka prostaty jest dynamiczna i wymaga ciągłego dostosowywania się do zmieniających się potrzeb pacjenta. Pielęgniarki odgrywają kluczową rolę w zapewnieniu ciągłości opieki i koordynacji różnych aspektów leczenia, co przyczynia się do poprawy jakości życia pacjentów z rakiem prostaty.55
Wsparcie psychospołeczne i edukacja pacjenta
Rak prostaty ma znaczący wpływ nie tylko na fizyczne, ale także na psychologiczne i społeczne aspekty życia pacjenta. Pielęgniarki odgrywają kluczową rolę w zapewnieniu kompleksowego wsparcia psychospołecznego i edukacji pacjenta.56
Wsparcie emocjonalne i psychologiczne
Diagnoza raka prostaty może wywołać szereg trudnych emocji, od zaprzeczenia przez smutek do gniewu. Pielęgniarki mogą pomóc pacjentom radzić sobie z tymi emocjami poprzez:5758
- Stworzenie bezpiecznej przestrzeni do wyrażania obaw i lęków
- Aktywne słuchanie i empatyczne reagowanie na emocje pacjenta
- Pomoc w identyfikacji i wdrażaniu strategii radzenia sobie ze stresem
- Kierowanie do specjalistów w zakresie zdrowia psychicznego, gdy jest to konieczne
- Zachęcanie do udziału w grupach wsparcia dla pacjentów z rakiem prostaty
Badania pokazują, że od 9% do 25% pacjentów z rakiem prostaty doświadcza ciężkiej depresji, a co najmniej 25% ma zwiększony poziom lęku.59 Regularne badania przesiewowe w kierunku zaburzeń psychicznych są zalecane, w tym również rozmowy z rodziną i opiekunami.
Wsparcie w zakresie zdrowia seksualnego
Zaburzenia funkcji seksualnych są częstym skutkiem ubocznym leczenia raka prostaty i mogą mieć znaczący wpływ na jakość życia pacjenta i jego relacje. Pielęgniarki mogą:6061
- Inicjować rozmowy na temat zdrowia seksualnego
- Dostarczać informacji na temat potencjalnych skutków leczenia dla funkcji seksualnych
- Informować o dostępnych strategiach zarządzania zaburzeniami erekcji
- Zachęcać do otwartej komunikacji z partnerem
- Kierować do specjalistów w zakresie zdrowia seksualnego, gdy jest to konieczne
Pielęgniarki muszą posiadać wiedzę i być komfortowe z tematem, uwzględniając implikacje religijne, normy kulturowe, różnice płciowe i preferencje seksualne.62
Edukacja pacjenta i rodziny
Edukacja jest kluczowym elementem opieki pielęgniarskiej nad pacjentem z rakiem prostaty. Pielęgniarki znajdują się w wyjątkowej pozycji, aby edukować mężczyzn z rakiem prostaty i ich rodziny, badać i identyfikować niepożądane skutki leczenia oraz zapewniać wsparcie w całym procesie leczenia.63 Edukacja powinna obejmować:6465
- Informacje o chorobie: wyjaśnienie natury raka prostaty, jego stadiów i prognozy
- Opcje leczenia: omówienie dostępnych metod leczenia, ich skuteczności i potencjalnych skutków ubocznych
- Zarządzanie skutkami ubocznymi: instrukcje dotyczące radzenia sobie z nietrzymaniem moczu, zaburzeniami erekcji, zmęczeniem i innymi skutkami ubocznymi leczenia
- Zdrowy styl życia: zalecenia dotyczące diety, aktywności fizycznej i zaprzestania palenia
- Plany badań kontrolnych: wyjaśnienie znaczenia regularnych badań kontrolnych i monitorowania PSA
Materiały edukacyjne powinny być dostosowane do poziomu wiedzy i preferencji pacjenta oraz dostępne w różnych formatach (ustne, pisemne, online).66
Wsparcie dla rodziny i opiekunów
Rak prostaty wpływa nie tylko na pacjenta, ale także na jego rodzinę i opiekunów. Pielęgniarki mogą wspierać rodzinę i opiekunów poprzez:6768
- Włączanie ich w proces edukacji i podejmowania decyzji
- Dostarczanie informacji na temat roli opiekuna i dostępnych zasobów wsparcia
- Uczenie praktycznych umiejętności opieki, takich jak zarządzanie lekami, pielęgnacja ran i cewników
- Zachęcanie do dbania o własne zdrowie i potrzeby
- Informowanie o dostępnych usługach wsparcia i opieki wytchnieniowej
Rodzaj wsparcia, jakiego udziela opiekun, będzie różny dla każdej osoby. Ogólnie rzecz biorąc, wsparcie opiekuńcze dzieli się na trzy obszary: informacyjne, praktyczne i emocjonalne.69
Promowanie zdrowego stylu życia
Zdrowy styl życia może pomóc pacjentom z rakiem prostaty lepiej radzić sobie z chorobą i jej leczeniem. Zalecenia dotyczące stylu życia obejmują:707172
- Zaprzestanie palenia i ograniczenie spożycia alkoholu: omówienie wpływu palenia i alkoholu na zdrowie oraz dostępnych metod pomocy w rzuceniu palenia
- Zdrowa dieta: zalecanie diety bogatej w owoce, warzywa i pełne ziarna, a ubogiej w tłuszcze, przetworzoną żywność i czerwone mięso
- Suplementacja: informowanie o potrzebie suplementacji witaminą D (co najmniej 600 IU dziennie) i wapniem, szczególnie dla pacjentów na terapii hormonalnej
- Regularna aktywność fizyczna: zachęcanie do aktywności fizycznej, która może pomóc w redukcji utraty masy mięśniowej, przyrostu wagi, zmęczenia i zespołu metabolicznego
- Utrzymanie zdrowej wagi ciała: wyjaśnienie związku między nadwagą a gorszymi wynikami leczenia raka
Wsparcie psychospołeczne i edukacja pacjenta są nieodłączną częścią kompleksowej opieki pielęgniarskiej nad pacjentem z rakiem prostaty. Poprzez zapewnienie odpowiedniego wsparcia i edukacji, pielęgniarki mogą pomóc pacjentom lepiej radzić sobie z chorobą, aktywnie uczestniczyć w leczeniu i utrzymać jak najlepszą jakość życia.73
Opieka po zakończeniu aktywnego leczenia i survivorship
Po zakończeniu aktywnego leczenia raka prostaty, pacjenci wchodzą w fazę przeżycia (survivorship), która niesie ze sobą unikalne wyzwania i potrzeby. Pielęgniarki odgrywają kluczową rolę w zapewnieniu kompleksowej opieki i wsparcia na tym etapie.74
Monitorowanie i follow-up
Regularne monitorowanie jest kluczowe dla wczesnego wykrycia nawrotu choroby i zarządzania długoterminowymi skutkami leczenia. Plan follow-up powinien obejmować:757677
- Regularne badania PSA (co 6-12 miesięcy)
- Coroczne badanie per rectum
- Ocenę objawów, które mogą wskazywać na nawrót choroby lub skutki uboczne leczenia
- Badania przesiewowe w kierunku nietrzymania moczu i zaburzeń erekcji
- Badania przesiewowe w kierunku osteoporozy, szczególnie dla pacjentów na terapii hormonalnej
- Monitorowanie anemii, zespołu metabolicznego i objawów naczynioruchowych u pacjentów leczonych terapią antyandrogenową
Pielęgniarki powinny edukować pacjentów o znaczeniu regularnych badań kontrolnych i zachęcać ich do zgłaszania nowych lub nasilających się objawów.78
Zarządzanie długoterminowymi skutkami leczenia
Leczenie raka prostaty może prowadzić do długoterminowych skutków ubocznych, które wymagają ciągłego zarządzania. Pielęgniarki mogą pomóc pacjentom poprzez:7980
- Nietrzymanie moczu:
- Edukacja na temat ćwiczeń mięśni dna miednicy
- Informowanie o dostępnych produktach do zarządzania nietrzymaniem moczu
- Kierowanie do specjalistów w zakresie rehabilitacji dna miednicy
- Zaburzenia erekcji:
- Omówienie dostępnych opcji leczenia, w tym inhibitorów fosfodiesterazy typu 5
- Kierowanie do specjalistów w zakresie zdrowia seksualnego
- Wsparcie w adaptacji do zmian w życiu seksualnym
- Zmiany w obrazie ciała:
- Wsparcie w adaptacji do zmian fizycznych
- Zachęcanie do wyrażania obaw związanych z obrazem ciała
- Kierowanie do grup wsparcia lub terapii
- Zmęczenie:
- Strategie zarządzania energią
- Zachęcanie do regularnej aktywności fizycznej
- Ocena i leczenie potencjalnych przyczyn medycznych zmęczenia, takich jak anemia
Pielęgniarki prowadzą formalne oceny i leczenie dokuczliwych objawów. Pacjenci powinni być regularnie pytani, czy ich skutki uboczne są kłopotliwe, ponieważ ich poglądy i jakość życia mogą zmieniać się przez lata.81
Wsparcie w powrocie do normalnego życia
Powrót do normalnego życia po leczeniu raka prostaty może być wyzwaniem. Pielęgniarki mogą wspierać pacjentów poprzez:8283
- Pomoc w zarządzaniu zmianami w rolach społecznych i rodzinnych
- Wsparcie w powrocie do pracy lub adaptacji do nowych ograniczeń zawodowych
- Zachęcanie do angażowania się w aktywności społeczne i rekreacyjne
- Informowanie o dostępnych programach rehabilitacyjnych i wsparcia
- Kontynuacja wsparcia, gdy leczenie się kończy
Ważne jest, aby pielęgniarki rozumiały, że zakończenie aktywnego leczenia nie oznacza końca wpływu raka na życie pacjenta. Kontynuacja wsparcia jest kluczowa, ponieważ pacjenci przechodzą z fazy aktywnego leczenia do fazy przeżycia.84
Programy survivorship
Programy survivorship oferują kompleksowe podejście do opieki po zakończeniu aktywnego leczenia. Elementy skutecznego programu survivorship obejmują:8586
- Indywidualny plan opieki survivorship, określający zalecenia dotyczące monitorowania, zarządzania skutkami ubocznymi i promocji zdrowia
- Interdyscyplinarny zespół opieki, obejmujący specjalistów w zakresie podstawowej opieki zdrowotnej, urologii i onkologii
- Regularne oceny zdrowia fizycznego i psychicznego
- Edukację na temat zdrowego stylu życia, w tym diety, aktywności fizycznej i zaprzestania palenia
- Wsparcie psychospołeczne, w tym grupy wsparcia i poradnictwo
Opieka survivorship wymaga interdyscyplinarnego podejścia, które angażuje specjalistów w zakresie podstawowej opieki zdrowotnej, urologii i onkologii, aby uwzględnić szeroki zakres późnych i długoterminowych skutków oraz chorób współistniejących.87
Edukacja i wsparcie dla przeżycia długoterminowego
Edukacja jest kluczowym elementem opieki survivorship. Pielęgniarki powinny dostarczać pacjentom informacji na temat:8889
- Znaczenia regularnych badań kontrolnych i monitorowania PSA
- Objawów, które mogą wskazywać na nawrót choroby
- Strategii zarządzania długoterminowymi skutkami leczenia
- Zaleceń dotyczących zdrowego stylu życia
- Dostępnych zasobów wsparcia i programów rehabilitacyjnych
Edukacja na temat tego, czego można się spodziewać, oraz zarządzanie przewlekłymi i późnymi skutkami są najważniejsze w opiece pielęgniarskiej nad rakiem prostaty.90
Opieka po zakończeniu aktywnego leczenia i survivorship jest istotnym elementem kompleksowej opieki nad pacjentem z rakiem prostaty. Pielęgniarki odgrywają kluczową rolę w zapewnieniu ciągłości opieki, zarządzaniu długoterminowymi skutkami leczenia i wspieraniu pacjentów w adaptacji do życia po raku. Poprzez odpowiednie monitorowanie, edukację i wsparcie, pielęgniarki mogą pomóc pacjentom osiągnąć jak najlepszą jakość życia po zakończeniu leczenia raka prostaty.91
Rola pielęgniarki w zespole interdyscyplinarnym
Opieka nad pacjentem z rakiem prostaty wymaga kompleksowego podejścia interdyscyplinarnego, w którym pielęgniarka odgrywa kluczową rolę jako integrator i koordynator opieki.92
Współpraca z zespołem interdyscyplinarnym
Zespół interdyscyplinarny zajmujący się pacjentem z rakiem prostaty może obejmować:939495
- Urologów – chirurgów zajmujących się leczeniem raka prostaty poprzez aktywny nadzór, chirurgię i terapię hormonalną
- Onkologów klinicznych – lekarzy zajmujących się leczeniem raka przy użyciu chemioterapii, terapii hormonalnej, terapii biologicznej i terapii celowanej
- Onkologów radioterapeutów – lekarzy zajmujących się leczeniem raka prostaty przy pomocy kontrolowanego użycia promieniowania
- Patologów i radiologów
- Zaawansowane praktyki pielęgniarskie
- Pracowników socjalnych
- Specjalistów z zakresu żywienia i rehabilitacji
Pielęgniarki ściśle współpracują z zespołem opieki zdrowotnej, w tym z onkologami, chirurgami i pracownikami socjalnymi, aby zapewnić płynną koordynację opieki. Występują w imieniu pacjentów, pomagają w podejmowaniu decyzji dotyczących leczenia i ułatwiają komunikację między pacjentami a pracownikami służby zdrowia.96
Pielęgniarka jako koordynator opieki
Pielęgniarka często pełni funkcję koordynatora opieki, zapewniając ciągłość i spójność działań całego zespołu terapeutycznego. Jako koordynator opieki, pielęgniarka:9798
- Zapewnia płynną komunikację między różnymi specjalistami zaangażowanymi w opiekę nad pacjentem
- Koordynuje badania diagnostyczne, wizyty kontrolne i procedury lecznicze
- Monitoruje postępy pacjenta i informuje o nich zespół
- Identyfikuje potrzeby pacjenta, które wymagają interwencji innych specjalistów
- Zapewnia, że plan opieki jest spójny i kompleksowy
Ze względu na złożoność zarządzania rakiem prostaty u osób starszych, pielęgniarki często działają jako koordynatorki opieki, zapewniając płynną komunikację między różnymi pracownikami służby zdrowia.99
Pielęgniarka jako rzecznik pacjenta
Pielęgniarka jest często pierwszym punktem kontaktu dla pacjenta i jego rodziny, co stawia ją w wyjątkowej pozycji do bycia rzecznikiem pacjenta. Jako rzecznik, pielęgniarka:100101
- Reprezentuje potrzeby i preferencje pacjenta w zespole terapeutycznym
- Zapewnia, że pacjent rozumie plan leczenia i ma możliwość wyrażenia swoich obaw
- Wspiera pacjenta w podejmowaniu świadomych decyzji dotyczących leczenia
- Identyfikuje bariery w dostępie do opieki i pomaga je przezwyciężyć
- Zapewnia, że opieka jest zgodna z wartościami i celami pacjenta
Pielęgniarki występują w imieniu potrzeb i preferencji starszych pacjentów, zapewniając, że ich głosy są słyszane w decyzjach dotyczących leczenia.102
Rola pielęgniarki specjalisty w opiece nad pacjentem z rakiem prostaty
Pielęgniarki specjalistyczne, takie jak Prostate Cancer Specialist Nurses (PCSN), odgrywają szczególną rolę w opiece nad pacjentem z rakiem prostaty. Ich rola obejmuje:103104105
- Zapewnienie specjalistycznej wiedzy i umiejętności w opiece nad pacjentem z rakiem prostaty
- Prowadzenie kompleksowej oceny stanu pacjenta, w tym oceny kruchości przy użyciu zwalidowanych narzędzi
- Opracowanie i wdrażanie indywidualnego planu opieki
- Koordynację opieki między różnymi specjalistami i placówkami
- Edukację pacjenta i rodziny na temat choroby, leczenia i samoopieki
- Zarządzanie objawami i skutkami ubocznymi leczenia
- Zapewnienie wsparcia emocjonalnego i psychospołecznego
- Prowadzenie badań i wdrażanie innowacyjnych praktyk w opiece nad pacjentem z rakiem prostaty
PCSN pracują w ramach jasno określonych ram, aby zapewnić, że pacjent otrzymuje taki sam poziom opieki od pielęgniarki, niezależnie od miejsca zamieszkania. PCSN współpracują z lekarzami i innymi osobami zaangażowanymi w opiekę nad pacjentem. Zapewniają opiekę i wsparcie mężczyznom i ich rodzinom we wszystkich obszarach opieki nad rakiem prostaty, niezależnie od tego, czy pacjent jest nowo zdiagnozowany, czy już przeszedł jakieś leczenie.106
Innowacyjne modele opieki pielęgniarskiej
Pielęgniarki są często liderami w rozwoju i wdrażaniu innowacyjnych modeli opieki nad pacjentem z rakiem prostaty. Przykłady takich modeli obejmują:107108
- Modele telefoniczne i telemedyczne, które zwiększają dostęp do opieki, szczególnie dla pacjentów z obszarów wiejskich
- Programy edukacyjne i wsparcia prowadzone przez pielęgniarki
- Kliniki pielęgniarskie dla pacjentów z rakiem prostaty, oferujące specjalistyczną opiekę i wsparcie
- Programy opieki domowej, dostosowane do potrzeb pacjentów z rakiem prostaty
- Innowacyjne modele opieki specjalistycznej w zakresie wsparcia psychosocjalnego i edukacji
PCSN mogą znacznie zmniejszyć obciążenie publicznego systemu opieki zdrowotnej i wpłynąć na zmiany. Dla mężczyzn z rakiem prostaty i ich rodzin, PCSN mogą poprawić opiekę poprzez holistyczne modele pielęgniarskie, które koncentrują się na tym, co jest ważne dla jednostek: wsparcie, edukacja, zarządzanie skutkami ubocznymi, rehabilitacja oraz dostarczanie i poprawa dostępu do wysokiej jakości opieki.109
Rola pielęgniarki w zespole interdyscyplinarnym jest wielowymiarowa i kluczowa dla zapewnienia kompleksowej i skoordynowanej opieki nad pacjentem z rakiem prostaty. Jako integrator, koordynator, rzecznik i specjalista, pielęgniarka przyczynia się do poprawy wyników leczenia i jakości życia pacjentów z rakiem prostaty.110
Wyzwania i perspektywy w opiece pielęgniarskiej nad pacjentem z rakiem prostaty
Opieka pielęgniarska nad pacjentem z rakiem prostaty stoi przed różnymi wyzwaniami, ale także oferuje nowe perspektywy i możliwości rozwoju. Poniżej przedstawiono najważniejsze z nich.111112
Wyzwania w opiece pielęgniarskiej
Wyzwania w opiece pielęgniarskiej nad pacjentem z rakiem prostaty obejmują:113114115
- Niezaspokojone potrzeby pacjentów: Badania pokazują, że 81% mężczyzn z rakiem prostaty ma pewne niezaspokojone potrzeby w zakresie opieki wspierającej, w tym potrzeby psychologiczne, seksualne oraz potrzeby związane z systemem opieki zdrowotnej i informacją.
- Dostęp do specjalistycznej opieki pielęgniarskiej: Wielu mężczyzn nie ma dostępu do specjalistycznej opieki pielęgniarskiej po zakończeniu leczenia, co może wpływać na ich wyniki zdrowotne.
- Ograniczenia w edukacji i szkoleniu: Istnieją wyzwania związane z edukacją i szkoleniem pielęgniarek w zakresie kompleksowej opieki nad pacjentem z rakiem prostaty, w tym w zakresie dysfunkcji seksualnej i opieki psychologicznej.
- Definiowanie roli pielęgniarki: Istnieje potrzeba lepszego zdefiniowania roli pielęgniarki w opiece nad pacjentem z rakiem prostaty, szczególnie w różnych systemach opieki zdrowotnej.
- Ograniczenia zasobów: Ograniczenia w zasobach i personelu mogą wpływać na dostępność i jakość opieki pielęgniarskiej.
Badania pokazują, że brak pooperacyjnej opieki pielęgniarskiej znacząco przewiduje niezaspokojone potrzeby. Najczęstszym aspektem była długoterminowa opieka: mężczyźni, którzy nie spotkali się z pielęgniarką w celu omówienia długoterminowych skutków, byli dwukrotnie bardziej narażeni na niezaspokojone potrzeby związane z systemem opieki zdrowotnej i informacją oraz potrzeby związane z opieką nad pacjentem i wsparciem.116
Znaczenie badań w opiece pielęgniarskiej
Badania naukowe odgrywają kluczową rolę w rozwoju i poprawie opieki pielęgniarskiej nad pacjentem z rakiem prostaty:117118119
- Identyfikacja potrzeb pacjentów: Badania pomagają identyfikować niezaspokojone potrzeby pacjentów z rakiem prostaty i ich rodzin.
- Ocena skuteczności interwencji pielęgniarskich: Badania pozwalają ocenić skuteczność różnych interwencji pielęgniarskich i identyfikować najlepsze praktyki.
- Rozwój innowacyjnych modeli opieki: Badania przyczyniają się do rozwoju innowacyjnych modeli opieki, które mogą poprawić wyniki zdrowotne pacjentów.
- Identyfikacja czynników wpływających na jakość życia: Badania pomagają zrozumieć czynniki, które wpływają na jakość życia pacjentów z rakiem prostaty, i opracować strategie jej poprawy.
Badania wykazały, że interwencje pielęgniarskie mogą poprawić długoterminowy stan zdrowia i jakość życia pacjentów, którzy przeszli leczenie raka. Pielęgniarki odgrywają kluczową rolę w zapewnianiu bezpośredniej opieki i edukacji oraz w pomaganiu pacjentom w skuteczniejszym radzeniu sobie z długoterminowymi następstwami, takimi jak stres psychologiczny, długotrwałe skutki chemioterapii, problemy z układem moczowym i dysfunkcja jelit.120
Rozwój profesjonalny i specjalizacja
Rozwój profesjonalny i specjalizacja pielęgniarek w opiece nad pacjentem z rakiem prostaty są kluczowe dla poprawy jakości opieki:121122
- Specjalizacja w opiece nad pacjentem z rakiem prostaty: Rozwój specjalistycznych ról pielęgniarskich, takich jak Prostate Cancer Specialist Nurses, może poprawić dostęp do wysokiej jakości opieki.
- Szkolenia i edukacja: Rozwój programów szkoleniowych i edukacyjnych dla pielęgniarek, skoncentrowanych na opiece nad pacjentem z rakiem prostaty, może poprawić ich wiedzę i umiejętności.
- Standaryzacja roli pielęgniarki: Standaryzacja roli pielęgniarki w opiece nad pacjentem z rakiem prostaty w różnych systemach opieki zdrowotnej może pomóc w zapewnieniu spójnej i wysokiej jakości opieki.
- Współpraca międzynarodowa: Wymiana wiedzy i doświadczeń między pielęgniarkami z różnych krajów może przyczynić się do rozwoju najlepszych praktyk w opiece nad pacjentem z rakiem prostaty.
Role pielęgniarek specjalistycznych rozwinęły się w ramach różnych struktur i w odpowiedzi na bardzo różne czynniki polityczne w Wielkiej Brytanii i Australii. Rozwinęła się baza dowodowa wykazująca, że PCSN oferują pozytywne wyniki dla mężczyzn i ich rodzin. Pomimo pewnych różnic w zakresie ról międzynarodowych, istnieją wspólne aspekty. Oba środowiska opieki zdrowotnej mają wyzwania pod względem edukacji, definicji roli i możliwości. Jednak obie role PCSN dostarczyły innowacyjnych modeli specjalistycznej opieki w zakresie świadczenia usług oraz wsparcia i edukacji pacjentów.123
Perspektywy na przyszłość
Przyszłość opieki pielęgniarskiej nad pacjentem z rakiem prostaty oferuje nowe perspektywy i możliwości:124125
- Integracja technologii: Wykorzystanie telemedycyny, aplikacji mobilnych i innych technologii może poprawić dostęp do opieki pielęgniarskiej i umożliwić lepsze monitorowanie pacjentów.
- Personalizacja opieki: Rozwój spersonalizowanych planów opieki, dostosowanych do indywidualnych potrzeb i preferencji pacjenta.
- Opieka zorientowana na pacjenta: Większe zaangażowanie pacjentów w planowanie i realizację opieki, z uwzględnieniem ich wartości, celów i preferencji.
- Interdyscyplinarna współpraca: Wzmocnienie współpracy między różnymi specjalistami zaangażowanymi w opiekę nad pacjentem z rakiem prostaty.
- Rozwój badań pielęgniarskich: Zwiększenie zaangażowania pielęgniarek w badania naukowe związane z opieką nad pacjentem z rakiem prostaty.
Fundamentalna zmiana jest wymagana w opiece survivorship, aby poprawić wyniki dla mężczyzn z rakiem prostaty, zwłaszcza po zakończeniu leczenia. Ponadto, bardziej konsekwentne zapewnienie pielęgniarek w całym procesie opieki, z szkoleniem w zakresie dysfunkcji seksualnej i opieki psychologicznej, powinno być priorytetem dla poprawy opieki wspierającej.126
Wyzwania i perspektywy w opiece pielęgniarskiej nad pacjentem z rakiem prostaty są złożone i wymagają zaangażowania na wielu poziomach – od indywidualnych pielęgniarek, przez systemy opieki zdrowotnej, po decydentów politycznych. Poprzez identyfikację i adresowanie tych wyzwań, oraz wykorzystanie nowych perspektyw i możliwości, pielęgniarki mogą przyczynić się do poprawy jakości opieki i wyników zdrowotnych pacjentów z rakiem prostaty.127
Podsumowanie
Opieka pielęgniarska nad pacjentem z rakiem prostaty jest kompleksowym i wielowymiarowym zadaniem, które wymaga specjalistycznej wiedzy, umiejętności i podejścia zorientowanego na pacjenta. Pielęgniarki odgrywają kluczową rolę na każdym etapie ścieżki pacjenta – od diagnozy, przez leczenie, po opiekę survivorship i paliatywną.128
Rola pielęgniarki w opiece nad pacjentem z rakiem prostaty obejmuje:129130
- Kompleksową ocenę stanu pacjenta, z uwzględnieniem aspektów fizycznych, psychologicznych, społecznych i duchowych
- Opracowanie i realizację indywidualnego planu opieki
- Zarządzanie objawami i skutkami ubocznymi leczenia
- Edukację pacjenta i rodziny na temat choroby, leczenia i samoopieki
- Wsparcie psychospołeczne i emocjonalne
- Koordynację opieki i współpracę z interdyscyplinarnym zespołem
- Rzecznictwo na rzecz pacjenta
Pielęgniarki posiadają unikalną wiedzę i umiejętności, które pozwalają im na kompleksowe wspieranie pacjentów z rakiem prostaty i ich rodzin, od momentu diagnozy, przez trudne decyzje dotyczące leczenia, aż po zarządzanie długoterminowymi skutkami choroby i jej leczenia.131132
Badania pokazują, że opieka pielęgniarska może znacząco wpłynąć na wyniki leczenia i jakość życia pacjentów z rakiem prostaty. Dostęp do specjalistycznej opieki pielęgniarskiej, szczególnie po zakończeniu leczenia, jest związany z mniejszą liczbą niezaspokojonych potrzeb pacjentów i lepszymi wynikami zdrowotnymi.133
Mimo wyzwań, takich jak ograniczenia zasobów, potrzeba lepszej edukacji i szkolenia oraz niezaspokojone potrzeby pacjentów, przyszłość opieki pielęgniarskiej nad pacjentem z rakiem prostaty oferuje nowe możliwości poprzez integrację technologii, personalizację opieki, współpracę interdyscyplinarną i rozwój badań pielęgniarskich.134135
Pielęgniarstwo w opiece nad pacjentem z rakiem prostaty jest integralną częścią kompleksowej opieki onkologicznej, a pielęgniarki przyczyniają się do poprawy wyników leczenia i jakości życia pacjentów poprzez swoją wiedzę, umiejętności, empatię i zaangażowanie.136
Podsumowując, opieka pielęgniarska nad pacjentem z rakiem prostaty jest kluczowym elementem holistycznej opieki, który wymaga ciągłego rozwoju, badań i współpracy, aby sprostać złożonym potrzebom pacjentów i ich rodzin.137
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Materiały źródłowe
- #1 Prostate Cancer | Caregivinghttps://www.cancercare.org/publications/391-caregiving_for_a_loved_one_with_prostate_cancer
Each year, nearly 165,000 American men are diagnosed with cancer of the prostate gland. Other than skin cancer, it is the most common cancer affecting men, occurring primarily in men aged 65 or older. […] This booklet provides information, guidance and resources for people helping to care for a loved one with prostate cancer. […] The kind of support that a caregiver provides will be different for each person. In general, caregiving support falls into one of three areas: informational, practical and emotional. This booklet provides examples of how caregivers can help in each of these areas. […] A man diagnosed with prostate cancer can feel overwhelmed, and may need informational support directly related to his diagnosis and treatment. Here are specific types of support caregivers can provide:
- #2 Prostate Cancer Nursing Management Is Critical to Quality Care | Oncology Nursing Societyhttps://www.ons.org/09-2013/prostate-cancer-nursing-management-critical-quality-care
Prostate cancer nursing management must be well understood because prostate cancer is the second most common cancer in men after skin cancer; however, prostate cancer can be successfully treated. […] Treatment for prostate cancer depends on many factors, including age at diagnosis, stage and grade of cancer, other comorbidities, and the patient’s thoughts about side effects and quality of life. […] Oncology nurses play an important role in caring for patients undergoing treatment for prostate cancer because sexual and urinary function, perceptions of self, and quality of life can be major stressors for this population. […] Nurses in all fields of practice should also be aware of considerations in prostate cancer nursing management, because the high number of survivors transition care from the oncology team to a primary care provider in the community.
- #3 Nursing Considerations for Prostate Cancer Survivorship Care | Oncology Nursing Societyhttps://www.ons.org/publications-research/voice/news-views/06-2021/nursing-considerations-prostate-cancer-survivorship
Prostate cancer is the most common cancer among those assigned male at birth, with one in eight diagnosed during their lifetime. But with five-year survival rates of 90%, its also one of the most successful cancers to treat, making survivorship care even more important. […] Survivorship care requires an interprofessional approach that involves primary care, urology, and oncology specialists to address the wide range of late and long-term effects and comorbidities. […] Because each prostate cancer therapy is associated with different late or long-term effects, oncology nurses need to understand and consider treatment options when coordinating the survivorship care plan. […] As many as 20% of prostate cancer survivors reported treatment-related regret because of ongoing side effects, which include sexual dysfunction, urinary incontinence, bowel issues, depression, and anxiety and often are exacerbated by comorbidities.
- #4 The role of the clinical nurse specialist in caring for patients with | NRRhttps://www.dovepress.com/the-role-of-the-clinical-nurse-specialist-in-caring-for-patients-with–peer-reviewed-fulltext-article-NRR
Clinical nurse specialists have in-depth knowledge of the physical, psychological, and social effects of PCa and play a key role in patient care. […] Considering all of these aspects related to PCa, we conducted a narrative review to establish the role of the clinical nurse specialist in treating and managing this disease, from the time of diagnosis through the post-discharge period, including experiences from different countries. […] Nursing care at the time of PCa diagnosis […] Clinical nurse specialists are very important in providing this kind of assistance because they help patients understand and come to terms with their diagnosis and treatment by presenting medical information in an understandable manner. […] Nursing care in the pretreatment period […] Nursing care in the posttreatment period
- #5 Nursing Management of Prostate Cancer | Wild Iris Medical Educationhttps://wildirismedicaleducation.com/blog/nursing-management-of-prostate-cancer
Nurses play a pivotal role in helping these patients by listening to and addressing their concerns. […] Nurses are also a valuable resource and support for helping the prostate cancer patient manage the long-term, post-treatment effects and improve their quality of life. […] Nurses must remain knowledgeable about the following treatment options and be prepared to educate and discuss them with their patients, to support them through their decision-making process, and to provide care during and following their treatment. […] Patient education is at the heart of caring for those undergoing treatment for prostate cancer. Nurses are in a unique position to educate men with prostate cancer and their families, screen for and identify adverse effects of treatment, and provide support throughout the treatment process.
- #6 Prostate Cancer Nursing Management Is Critical to Quality Care | Oncology Nursing Societyhttps://www.ons.org/09-2013/prostate-cancer-nursing-management-critical-quality-care
Fertility and sexuality concerns are probably the most critical areas for the nurse to educate and support the patient. […] Nurses can initiate the conversation and let the patient know what management strategies are available out there. […] Prostate-specific antigen levels and digital rectal exams are recommended for those who are using expectant management as well as for those who have been treated. […] Continued surveillance and annual physical exams are important in prostate cancer nursing management and should be reinforced by every nurse. […] Education on what to expect and management of chronic and late effects is paramount in prostate cancer nursing management. […] In providing direct care to these patients, the nurse has a unique opportunity to initiate a conversation with the patient about concerns, fears, and expectations as well as to provide the necessary support to men with the diagnosis of prostate cancer.
- #7 Prostate Cancer Nursing Management Is Critical to Quality Care | Oncology Nursing Societyhttps://www.ons.org/09-2013/prostate-cancer-nursing-management-critical-quality-care
Prostate cancer nursing management must be well understood because prostate cancer is the second most common cancer in men after skin cancer; however, prostate cancer can be successfully treated. […] Treatment for prostate cancer depends on many factors, including age at diagnosis, stage and grade of cancer, other comorbidities, and the patient’s thoughts about side effects and quality of life. […] Oncology nurses play an important role in caring for patients undergoing treatment for prostate cancer because sexual and urinary function, perceptions of self, and quality of life can be major stressors for this population. […] Nurses in all fields of practice should also be aware of considerations in prostate cancer nursing management, because the high number of survivors transition care from the oncology team to a primary care provider in the community.
- #8 The role of the clinical nurse specialist in caring for patients with | NRRhttps://www.dovepress.com/the-role-of-the-clinical-nurse-specialist-in-caring-for-patients-with–peer-reviewed-fulltext-article-NRR
Clinical nurse specialists have in-depth knowledge of the physical, psychological, and social effects of PCa and play a key role in patient care. […] Considering all of these aspects related to PCa, we conducted a narrative review to establish the role of the clinical nurse specialist in treating and managing this disease, from the time of diagnosis through the post-discharge period, including experiences from different countries. […] Nursing care at the time of PCa diagnosis […] Clinical nurse specialists are very important in providing this kind of assistance because they help patients understand and come to terms with their diagnosis and treatment by presenting medical information in an understandable manner. […] Nursing care in the pretreatment period […] Nursing care in the posttreatment period
- #9 About the Prostate Cancer Specialist Nurseshttps://www.pcfa.org.au/support/prostate-cancer-specialist-nurses/about-the-prostate-cancer-specialist-nurses/
The Prostate Cancer Specialist Nursing Service supports the placement of prostate cancer specialist nurses in a variety of Australian health care settings in partnership with health service providers. […] Prostate Cancer Specialist Nurses work within an agreed Practice Framework and Competency Standards which are based on nationally recognised best practice models. PCFA is committed to providing ongoing professional development and support for the duration of the program. […] A Prostate Cancer Specialist Nurse is an experienced registered nurse who has received additional training to make them an expert nurse in prostate cancer care. The Prostate Cancer Specialist Nurse works within a clear framework to ensure you receive the same level of care from your nurse, no matter where you live.
- #10 Nursing Management of Prostate Cancer – Asvins Specialty Hospitalshttps://www.asvinshospitals.com/blog-post/nursing-management-of-prostate-cancer/
Nursing management of prostate cancer: Compassionate and comprehensive care. […] Nursing management is a crucial component of prostate cancer care, emphasizing the vital role nurses play in supporting patients through their journey with this condition. […] Nursing management begins with a thorough assessment of the patients physical and emotional well-being. Nurses evaluate the patients condition, medical history, and treatment plan. They also educate patients and their families about prostate cancer, its treatments, potential side effects, and self-care strategies. […] Managing the symptoms and side effects of prostate cancer and its treatments is a central focus of nursing care. Nurses assist in alleviating pain, urinary difficulties, and emotional distress, ensuring patients comfort and quality of life.
- #11 Prostate Cancer: Nursing Diagnosis & Interventions | Nurse.comhttps://www.nurse.com/clinical-guides/prostate-cancer/?srsltid=AfmBOooSBWzlRLvlj3ZQCsm2eaCVu-c1m8B1jo1ru5pAv0wUCtgZN9se
Prostate cancer may be asymptomatic in many men. Individuals should be reviewed for symptoms, such as: […] The physical exam should include a direct digital exam for palpable lymphadenopathy. Laboratory tests for prostate cancer include: […] Management of prostate cancer considers: […] The Gleason scoring system is used commonly to grade the cancer of the prostate. […] Treatment and therapy options used individually, in combination, or through clinical trials: […] Potential complications of treatments: […] Use the nursing process to develop a plan of care for individuals. The nursing assessment (with common findings listed), diagnoses, interventions, expected outcomes, and education for prostate cancer are listed below. […] Assess health history: […] The physical assessment should include: […] Nursing Diagnosis/Risk For […] Interventions […] Expected Outcomes […] Individual/Caregiver Education
- #12 Nursing Care Plans for Prostate Cancer ~ Lifenurseshttp://www.lifenurses.com/2010/04/nursing-care-plans-for-prostate-cancer.html
Nursing Care Plans for Prostate Cancer. Prostate cancer is the most common neoplasm in males older than age 50; its a leading cause of male cancer death. Adenocarcinoma is the most common form; only seldom does prostate cancer occur as a sarcoma. Most prostate cancers originate in the posterior prostate gland, with the rest growing near the urethra. […] Slow-growing prostate cancer seldom produces signs and symptoms until its well advanced. Typically, when primary prostatic lesions spread beyond the prostate gland, they invade the prostatic capsule and then spread along the ejaculatory ducts in the space between the seminal vesicles or perivesicular fascia. When prostate cancer is fatal, death usually results from widespread bone metastases. […] Nursing Assessment The patients history may reveal urinary problems, such as dysuria, frequency, retention, back or hip pain, and hematuria. The patient with these complaints may have advanced disease, with back or hip pain signaling bone metastasis. The patient usually has no signs or symptoms in early disease.
- #13 Prostate Cancer: Nursing Diagnosis & Interventions | Nurse.comhttps://www.nurse.com/clinical-guides/prostate-cancer/?srsltid=AfmBOooSBWzlRLvlj3ZQCsm2eaCVu-c1m8B1jo1ru5pAv0wUCtgZN9se
Prostate cancer may be asymptomatic in many men. Individuals should be reviewed for symptoms, such as: […] The physical exam should include a direct digital exam for palpable lymphadenopathy. Laboratory tests for prostate cancer include: […] Management of prostate cancer considers: […] The Gleason scoring system is used commonly to grade the cancer of the prostate. […] Treatment and therapy options used individually, in combination, or through clinical trials: […] Potential complications of treatments: […] Use the nursing process to develop a plan of care for individuals. The nursing assessment (with common findings listed), diagnoses, interventions, expected outcomes, and education for prostate cancer are listed below. […] Assess health history: […] The physical assessment should include: […] Nursing Diagnosis/Risk For […] Interventions […] Expected Outcomes […] Individual/Caregiver Education
- #14 Med-Surg Nursing: Prostate, Colorectal, & Lung Cancer – LevelUpRNhttps://leveluprn.com/blogs/medical-surgical-nursing/immune-system-14-prostate-colorectal-lung-cancer?srsltid=AfmBOopjEBCOV7O5Cj6i5tnPBVPP0PRSHZU0znuW1ax6q9DaAJ8Kt7r5
The most important screenings for prostate cancer are measuring the prostate-specific antigen (PSA) level and performing a digital rectal exam (DRE). […] Both the PSA screening and DRE should be done annually starting when the patient turns 50. If a patient is at higher risk of prostate cancer because of a family history or other reasons, then these exams can begin earlier. […] The prostate cancer symptom that’s most important to know about are the urinary symptoms, like urinary retention, hesitancy, and frequency. The patient may have frequent bladder infections, as well as hematuria (blood in the urine) and nocturia (increased peeing at night). […] Prostate-specific antigen is a protein produced by the cells in the prostate, and its levels in the blood can be increased when there is a problem with the prostate. A PSA level over 4.0 ng/mL can be an indicator of prostate cancer.
- #15 Prostate cancer – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/prostate-cancer/diagnosis-treatment/drc-20353093
Prostate cancer diagnosis often starts with an exam and a blood test. A healthcare professional might do these tests as part of prostate cancer screening. Or you might have these tests if you have prostate cancer symptoms. If these first tests detect something concerning, imaging tests can make pictures of the prostate to look for signs of cancer. To be sure whether you have prostate cancer or not, a sample of prostate cells might be removed for testing. […] Prostate cancer treatments include surgery, radiation therapy and medicines. Medicines for prostate cancer include hormone therapy, chemotherapy, targeted therapy and immunotherapy. Sometimes other treatments are used to treat prostate cancer. These might include having ablation therapy with heat or cold to hurt the cancer cells and receiving medicine that gives radiation directly to the cancer cells.
- #16 What Is Stage 4 Cancer and How Is Stage Four Treated?https://www.cancercenter.com/stage-four-cancer
The cancer is found in other parts of the body, even after the prostate has been removed. Metastatic prostate cancer usually travels to the adrenal glands, liver, bones and/or lungs. […] This cancer is typically treated with systemic drug therapy and/or radiation therapy. Treatments may include: Hormone therapy, Hormone therapy combined with chemotherapy, Radiation therapy, possibly followed by hormone therapy. […] Surgery and/or radiation may also be used to treat specific symptoms, such as if the tumor is affecting how the patient urinates or causes bleeding. Prostate cancer that has spread to the bones may need specific treatment such as drugs to strengthen the bones or radiation that targets cancer in the bones. […] Even at stage 4, the most appropriate treatment for some men who are older or have serious health problems may be observation or watchful waiting. The patient’s care team would keep an eye on the cancer and how fast its growing and intervene with treatment if it reaches a certain size or begins to cause symptoms.
- #17 Nursing Diagnosis for Prostate Cancer – Asvins Specialty Hospitalshttps://www.asvinshospitals.com/blog-post/nursing-diagnosis-for-prostate-cancer/
Nursing plays a pivotal role in the care of individuals with prostate cancer. Nursing diagnosis is a crucial step in the healthcare process, enabling nurses to assess, plan, and provide holistic care tailored to the unique needs of each patient. […] Nursing diagnosis begins with a comprehensive assessment of the patients physical, emotional, and psychological well-being. Nurses collect data through patient interviews, physical examinations, and reviewing medical records. This assessment helps in identifying potential issues related to prostate cancer and its treatment. […] Nursing diagnoses lay the foundation for individualized care plans. Once potential problems or risks are identified, nurses collaborate with healthcare teams to develop care plans that address the specific needs of each patient. These plans encompass symptom management, emotional support, and strategies to enhance overall quality of life.
- #18 8 Prostatectomy Nursing Care Plans – Nurseslabshttps://nurseslabs.com/prostatectomy-nursing-care-plans/
Prostatectomy Nursing Care PlansProstatectomy Nursing Care Plans […] Deliver effective care to patients undergoing prostatectomy this nursing care plan and management guide. Gain insights into nursing assessment, interventions, goals, and diagnosis customized for their specific needs. […] Nursing care planning for patients who underwent prostatectomy includes: maintaining homeostasis and hemodynamic stability, promoting comfort, preventing complications, and providing information about the procedure, prognosis, and treatment. […] The following are the nursing priorities for patients who underwent prostatectomy: Pain management, Prevention and management of complications, Promote urinary continence, Monitor and manage potential urinary retention or incontinence, Assist with early ambulation and mobility, Monitor for potential erectile dysfunction, Assist with catheter care and removal.
- #19 Nursing Care Plans for Prostate Cancer ~ Lifenurseshttp://www.lifenurses.com/2010/04/nursing-care-plans-for-prostate-cancer.html
Diagnostic tests for Prostate Cancer The American Cancer Society advises a DRE and a blood test to detect prostate-specific antigen (PSA) yearly for males age 50 and older with a life expectancy of at least 10 years. […] Treatment for Prostate Cancer Therapy varies by cancer stage and may include radiation, prostatectomy, orchiectomy (removal of the testes) to reduce androgen production, and hormonal therapy with synthetic estrogen (diethylstilbestrol). […] Nursing Diagnosis Common nursing diagnosis found in Nursing Care Plans Prostate Cancer: Acute pain, Anxiety, Fear, Impaired urinary elimination, Ineffective coping, Risk for infection Sexual dysfunction. […] Nursing Key Outcomes The patient will voice increased comfort. The patient will report that he feels less anxious. The patient will verbalize concerns and fears related to his diagnosis. The patient will maintain an adequate urine output. The patient will demonstrate positive coping mechanisms. The patient will remain free from signs and symptoms of infection. The patient will acknowledge a problem in sexual function.
- #20 8 Prostatectomy Nursing Care Plans – Nurseslabshttps://nurseslabs.com/prostatectomy-nursing-care-plans/
Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with prostatectomy based on the nurses clinical judgement and understanding of the patients unique health condition. […] Goals and expected outcomes may include: The patient will void normal amounts without retention. The patient will demonstrate behaviors to regain bladder/urinary control. The patient will maintain adequate hydration as evidenced by stable vital signs, palpable peripheral pulses, good capillary refill, moist mucous membranes, and appropriate urinary output. The patient will display no active bleeding. The patient will experience no signs of infection. The patient will achieve timely healing. The patient will report control and relief of pain. The patient will appear relaxed and will have enough sleep and rest. The patient will demonstrate the use of relaxation skills and diversional activities as indicated for individual situations. The patient will report an understanding of the sexual function and alterations that may occur with surgery in individual situations. The patient will discuss concerns about possible changes in body image, and sexual functioning with partner/SO and caregiver. The patient will demonstrate problem-solving skills regarding solutions to problems that occur. The patient will verbalize understanding of the surgical procedure and potential complications. The patient will verbalize understanding of therapeutic needs. The patient will correctly perform necessary procedures and explain reasons for actions.
- #21 Nursing Care Plan (NCP) for Prostate Cancer | Free NURSING.com Courseshttps://nursing.com/lesson/nursing-care-plan-ncp-for-prostate-cancer
To equip nursing professionals with the necessary knowledge and skills for effectively managing patients with prostate cancer. This care plan aims to deepen the understanding of the diseases pathophysiology, highlight key symptoms, and provide comprehensive nursing interventions for symptom management, complication prevention, and psychological support. […] Effective management of urinary symptoms and maintenance of urinary function. […] Prevention or management of complications such as urinary incontinence and erectile dysfunction. […] Adequate support for emotional and psychological impacts of the diagnosis and treatment. […] Patient and family understanding of the disease process, treatment options, and necessary lifestyle modifications. […] Urinary Management: Implement strategies to manage urinary symptoms, including bladder training and pelvic floor exercises.
- #22 Nursing Care Plan (NCP) for Prostate Cancer | Free NURSING.com Courseshttps://nursing.com/lesson/nursing-care-plan-ncp-for-prostate-cancer
Rationale: Improves urinary control and reduces discomfort. […] Pain Management: Administer prescribed pain medications and employ non-pharmacological pain management techniques. […] Rationale: Effective pain control improves the patients quality of life. […] Sexual Health Counseling: Provide information and support regarding sexual function and potential treatment effects. […] Rationale: Addresses concerns about sexual dysfunction and promotes coping strategies. […] Emotional Support: Offer psychological support and refer to counseling services as needed. […] Rationale: Helps patients cope with the stress and anxiety of a cancer diagnosis. […] Patient Education: Educate the patient and family about prostate cancer, treatment effects, and lifestyle modifications. […] Rationale: Enhances understanding and involvement in the care process, leading to better outcomes.
- #23 Prostate Cancer Nursing Diagnosis & Care Plan – NurseStudy.Nethttps://nursestudy.net/prostate-cancer-nursing-diagnosis/
Prostate cancer is a significant malignant condition affecting the male prostate gland, requiring comprehensive nursing care throughout diagnosis, treatment, and recovery. This nursing diagnosis focuses on identifying symptoms, managing treatment side effects, and providing holistic support for patients dealing with prostate cancer. […] Prostate cancer presents with various symptoms that nurses must recognize for proper assessment and care planning. […] The following outcomes indicate successful management of prostate cancer: The patient will maintain the optimal comfort level, The patient will demonstrate effective symptom management, The patient will maintain adequate nutrition and hydration, The patient will show improved coping mechanisms, The patient will participate actively in treatment decisions, The patient will maintain optimal urinary function, The patient will demonstrate an understanding of the disease process and management.
- #24https://winshipcancer.emory.edu/cancer-types-and-treatments/prostate-cancer/
The Winship prostate cancer and genitourinary cancer teams include urologists, medical oncologists, radiation oncologists, pathologists, nuclear medicine specialists, advanced practice nurses and social workers. These top clinicians and specialists work together to provide the most appropriate, individualized approach to treating patients with a prostate tumor. […] A personalized treatment approach is critical in delivering therapies that make a difference in your prostate cancer care. Our comprehensive team of specialists reviews each patients case on a weekly basis. This brings all our experts into one place to discuss personalized treatment plans for each individual patient. […] Clinical trials help advance research and outcomes. Enrolling in a research study could impact a patients outcome. At Winship, prostate cancer patients have access to the latest research studies that are being led at Winship and underway on a national scale.
- #25 8 Prostatectomy Nursing Care Plans – Nurseslabshttps://nurseslabs.com/prostatectomy-nursing-care-plans/
Therapeutic interventions and nursing actions for patients who underwent prostatectomy may include: Improving Renal Function and Urinary Elimination, Promoting Adequate Fluid Balance, Initiating Infection Control and Minimizing Infection Risk, Providing Acute Pain Relief, Improving Sexual Function, Initiating Patient Education and Health Teachings, Administering Medications and Providing Pharmacologic Support, Monitoring Results of Diagnostic and Laboratory Procedures. […] Patients with prostatectomy are at risk for sexual dysfunction due to the removal of the prostate gland, which plays a crucial role in sexual function by producing seminal fluid. This can result in erectile dysfunction, decreased libido, and other sexual issues, which can impact the patients quality of life and emotional well-being.
- #26 Prostate cancer | PPThttps://www.slideshare.net/slideshow/prostate-cancer-63403634/63403634
Prostate cancer is the second most common cancer in men worldwide. Nurses play an important role in educating patients about prostate cancer screening, treatment options including surgery, radiation, hormone therapy, and caring for patients undergoing various treatments. Key responsibilities of nurses include assessing patients for side effects, providing wound and catheter care after surgery, instructing patients on skin care during radiation, and helping patients manage symptoms of treatments like hot flashes and incontinence to maximize quality of life. A multidisciplinary team approach with nursing support is important for optimal prostate cancer care. […] Nurses play a key role throughout the disease continuum, helping maintain the highest quality of life possible for each patient. […] Nursing Care: Surgical Prostatectomy Preoperative Reduce anxiety. Relieve discomfort Provide instruction regarding anatomy, surgical procedure, and postoperative expectations. Prepare the patient for surgery. This may include application of antiembolic stockings, administering an enema, and prophylactic antibiotics.
- #27 Prostate cancer | PPThttps://www.slideshare.net/slideshow/prostate-cancer-63403634/63403634
Nursing Care: Surgical Prostatectomy Postoperatively Provide meticulous catheter and tube care. Avoid constipation Provide reassurance and explanations of care to patient and significant others. Maintain nutritional status by monitoring intake and encouraging protein- and calorie-rich foods. […] Caring for the Patient Receiving Radiation Therapy Advise the pt to report if fever over 100 F, burning or difficulty with urination, excessive bleeding or clots in the urine, or rectal bleeding. […] Caring for the Patient Receiving ADT (Androgen Deprivation Therapy) Lifestyle modifications smoking cessation, decreased alcohol intake, supplementation with calcium and vitamin D (for Osteoporosis) Exercise may also help reduce loss of muscle mass, weight gain, fatigue, and metabolic syndrome. […] Urinary Incontinence Advise the patient to: Urinate every 2 to 4 hours and when feeling full. Drink 6 to 8 glasses of fluid per day (if not contraindicated). Avoid caffeinated beverages such as some sodas, coffee, and tea.
- #28 Prostate cancer | PPThttps://www.slideshare.net/slideshow/prostate-cancer-63403634/63403634
Nursing Care: Surgical Prostatectomy Postoperatively Provide meticulous catheter and tube care. Avoid constipation Provide reassurance and explanations of care to patient and significant others. Maintain nutritional status by monitoring intake and encouraging protein- and calorie-rich foods. […] Caring for the Patient Receiving Radiation Therapy Advise the pt to report if fever over 100 F, burning or difficulty with urination, excessive bleeding or clots in the urine, or rectal bleeding. […] Caring for the Patient Receiving ADT (Androgen Deprivation Therapy) Lifestyle modifications smoking cessation, decreased alcohol intake, supplementation with calcium and vitamin D (for Osteoporosis) Exercise may also help reduce loss of muscle mass, weight gain, fatigue, and metabolic syndrome. […] Urinary Incontinence Advise the patient to: Urinate every 2 to 4 hours and when feeling full. Drink 6 to 8 glasses of fluid per day (if not contraindicated). Avoid caffeinated beverages such as some sodas, coffee, and tea.
- #29 Nursing Care Plans for Prostate Cancer ~ Lifenurseshttp://www.lifenurses.com/2010/04/nursing-care-plans-for-prostate-cancer.html
After radiation therapy Watch for the common adverse effects of radiation to the prostate. These include proctitis, diarrhea, bladder spasms, and urinary frequency. […] Patient teaching and home health guide Before surgery, discuss the expected results. Explain that radical surgery always produces impotence. Up to 7% of patients experience urinary incontinence.
- #30 Nursing Management of Prostate Cancer | Wild Iris Medical Educationhttps://wildirismedicaleducation.com/blog/nursing-management-of-prostate-cancer
Nursing interventions can improve the long-term health status and quality of life of patients who have undergone treatment for cancer. Nurses play a vital role in providing direct care and education and in helping patients cope more effectively with post-treatment sequalae such as psychological distress, chemotherapy long-term effects, urinary problems, and bowel dysfunction. […] The nurse can encourage the person to take steps to prevent incontinence, improve continence, anticipate leakage, and cope with lack of complete control. […] Nursing care for those undergoing androgen deprivation therapy (ADT) involves helping patients address the adverse effects caused by hypogonadism. […] Nurses must be knowledgeable and comfortable with the topic, including religious implications, cultural norms, gender differences, and sexual preferences. […] The nurse also helps strengthen patient and family confidence to explore preferences for issues related to end-of-life care, such as withdrawal of active disease treatment, desire for the use of life-support measures, and symptom management.
- #31 Prostate cancer | PPThttps://www.slideshare.net/slideshow/prostate-cancer-63403634/63403634
Nursing Care: Surgical Prostatectomy Postoperatively Provide meticulous catheter and tube care. Avoid constipation Provide reassurance and explanations of care to patient and significant others. Maintain nutritional status by monitoring intake and encouraging protein- and calorie-rich foods. […] Caring for the Patient Receiving Radiation Therapy Advise the pt to report if fever over 100 F, burning or difficulty with urination, excessive bleeding or clots in the urine, or rectal bleeding. […] Caring for the Patient Receiving ADT (Androgen Deprivation Therapy) Lifestyle modifications smoking cessation, decreased alcohol intake, supplementation with calcium and vitamin D (for Osteoporosis) Exercise may also help reduce loss of muscle mass, weight gain, fatigue, and metabolic syndrome. […] Urinary Incontinence Advise the patient to: Urinate every 2 to 4 hours and when feeling full. Drink 6 to 8 glasses of fluid per day (if not contraindicated). Avoid caffeinated beverages such as some sodas, coffee, and tea.
- #32 Prostate cancer | PPThttps://www.slideshare.net/slideshow/prostate-cancer-63403634/63403634
Nursing Care: Surgical Prostatectomy Postoperatively Provide meticulous catheter and tube care. Avoid constipation Provide reassurance and explanations of care to patient and significant others. Maintain nutritional status by monitoring intake and encouraging protein- and calorie-rich foods. […] Caring for the Patient Receiving Radiation Therapy Advise the pt to report if fever over 100 F, burning or difficulty with urination, excessive bleeding or clots in the urine, or rectal bleeding. […] Caring for the Patient Receiving ADT (Androgen Deprivation Therapy) Lifestyle modifications smoking cessation, decreased alcohol intake, supplementation with calcium and vitamin D (for Osteoporosis) Exercise may also help reduce loss of muscle mass, weight gain, fatigue, and metabolic syndrome. […] Urinary Incontinence Advise the patient to: Urinate every 2 to 4 hours and when feeling full. Drink 6 to 8 glasses of fluid per day (if not contraindicated). Avoid caffeinated beverages such as some sodas, coffee, and tea.
- #33 How Nurses Help Patients With Prostate Cancer During Radiation Treatmenthttps://www.oncnursingnews.com/view/how-nurses-help-patients-with-prostate-cancer-during-radiation-treatment
Nurses play a crucial role for patients with prostate cancer undergoing radiation treatment, according to a radiation oncology nurse. […] She also highlighted the role of nurses in educating patients on these AEs and the fact that they vary in intensity and duration across patients. […] Nurses can explain the spectrum of potential AEs, reassure patients that most AEs are manageable, and provide education on managing AEs, according to Fox. […] For the patient experience, this sit-down is a really important piece of their treatment, because it establishes an early rapport with the nursing staff in the clinic. […] Patients often ask this question, as well. Its really hard to give them an exact answer, because everyone is different. Our bodies all tolerate treatment differently. […] But as a blanket statement, for the most part, patients are pretty surprised that it is very tolerable.
- #34 Primary Care of the Prostate Cancer Survivor | AAFPhttps://www.aafp.org/pubs/afp/issues/2016/0501/p764.html
Prostate cancer survivors should undergo prostate-specific antigen screening every six to 12 months and digital rectal examination annually. […] Prostate cancer survivors should be screened regularly for urinary incontinence and sexual dysfunction. […] Patients with predominant urge incontinence symptoms, which can occur after surgical and radiation treatments, may benefit from an anticholinergic agent. […] A phosphodiesterase type 5 inhibitor can effectively treat sexual dysfunction following treatment for prostate cancer. […] Osteoporosis screening should occur before initiation of androgen deprivation therapy, and patients treated with androgen deprivation therapy should be monitored for anemia, metabolic syndrome, and vasomotor symptoms. […] Primary care physicians should be vigilant for psychosocial distress, including depression, among prostate cancer survivors.
- #35 Nursing Management of Prostate Cancer | Wild Iris Medical Educationhttps://wildirismedicaleducation.com/blog/nursing-management-of-prostate-cancer
Nurses play a pivotal role in helping these patients by listening to and addressing their concerns. […] Nurses are also a valuable resource and support for helping the prostate cancer patient manage the long-term, post-treatment effects and improve their quality of life. […] Nurses must remain knowledgeable about the following treatment options and be prepared to educate and discuss them with their patients, to support them through their decision-making process, and to provide care during and following their treatment. […] Patient education is at the heart of caring for those undergoing treatment for prostate cancer. Nurses are in a unique position to educate men with prostate cancer and their families, screen for and identify adverse effects of treatment, and provide support throughout the treatment process.
- #36 The role of the clinical nurse specialist in caring for patients with | NRRhttps://www.dovepress.com/the-role-of-the-clinical-nurse-specialist-in-caring-for-patients-with–peer-reviewed-fulltext-article-NRR
The studies included in this analysis highlighted the importance of nursing guidelines providing answers to questions from patients and partners/caregivers and information about postoperative care. […] Nursing care for partners and family members of men with PCa […] Nurses must be prepared to support patients with PCa and their families throughout the life experience of this disease, be aware of the impacts of PCa diagnosis and treatment on patients families, include family members in all aspects of health care, and emphasize the importance of support systems in coping with the uncertainties of the disease. […] The role of clinical nurse specialists in caring for men with PCa is broad and essential, but its definition must be standardized among countries and regions.
- #37 Prostate Cancer | Caregivinghttps://www.cancercare.org/publications/391-caregiving_for_a_loved_one_with_prostate_cancer
Understand the potential side effects of the chosen treatment approach. In addition to information on treatment approaches, this booklet lists potential effects of prostate cancer therapy. […] Help your loved one communicate with health care professionals. […] As a caregiver, you may be involved in some health care tasks that are more typically handled by a nurse, such as administering medication and changing bandages. […] If you need help with these health care needs, ask the doctor, nurse or hospital social worker about local home health agencies that can send in-home nurses to provide these (and other) services. […] Its hard to watch someone you care about go through the difficult emotions that may arise with a cancer diagnosis, which can range from denial to sadness to anger. […] Continue your support when your loved ones treatment is over.
- #38 The role of the clinical nurse specialist in caring for patients with | NRRhttps://www.dovepress.com/the-role-of-the-clinical-nurse-specialist-in-caring-for-patients-with–peer-reviewed-fulltext-article-NRR
Clinical nurse specialists have in-depth knowledge of the physical, psychological, and social effects of PCa and play a key role in patient care. […] Considering all of these aspects related to PCa, we conducted a narrative review to establish the role of the clinical nurse specialist in treating and managing this disease, from the time of diagnosis through the post-discharge period, including experiences from different countries. […] Nursing care at the time of PCa diagnosis […] Clinical nurse specialists are very important in providing this kind of assistance because they help patients understand and come to terms with their diagnosis and treatment by presenting medical information in an understandable manner. […] Nursing care in the pretreatment period […] Nursing care in the posttreatment period
- #39 The role of the clinical nurse specialist in caring for patients with | NRRhttps://www.dovepress.com/the-role-of-the-clinical-nurse-specialist-in-caring-for-patients-with–peer-reviewed-fulltext-article-NRR
Clinical nurse specialists have in-depth knowledge of the physical, psychological, and social effects of PCa and play a key role in patient care. […] Considering all of these aspects related to PCa, we conducted a narrative review to establish the role of the clinical nurse specialist in treating and managing this disease, from the time of diagnosis through the post-discharge period, including experiences from different countries. […] Nursing care at the time of PCa diagnosis […] Clinical nurse specialists are very important in providing this kind of assistance because they help patients understand and come to terms with their diagnosis and treatment by presenting medical information in an understandable manner. […] Nursing care in the pretreatment period […] Nursing care in the posttreatment period
- #40https://journals.lww.com/cancernursingonline/fulltext/1997/06000/empowerment_of_men_newly_diagnosed_with_prostate.4.aspx
The purpose of this study was to explore the hypothesis that assisting men with prostate cancer to obtain information would enable them to assume a more active role in treatment decision making and decrease their levels of anxiety and depression. […] Results demonstrated that men in the intervention group assumed a significantly more active role in treatment decision making, and had lower state anxiety levels at 6 weeks. […] This group of older men do want to be informed and participate in medical decisions. Further efforts are required to evaluate the efficacy of such an intervention in other community urology clinics.
- #41https://journals.lww.com/cancernursingonline/fulltext/1997/06000/empowerment_of_men_newly_diagnosed_with_prostate.4.aspx
The purpose of this study was to explore the hypothesis that assisting men with prostate cancer to obtain information would enable them to assume a more active role in treatment decision making and decrease their levels of anxiety and depression. […] Results demonstrated that men in the intervention group assumed a significantly more active role in treatment decision making, and had lower state anxiety levels at 6 weeks. […] This group of older men do want to be informed and participate in medical decisions. Further efforts are required to evaluate the efficacy of such an intervention in other community urology clinics.
- #42https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2062
The prostate is part of the male reproductive system. It is a small organ below the bladder that makes fluid for semen. Prostate cancer is the abnormal growth of cells in the prostate gland. Prostate cancer cells can spread within the prostate, to nearby lymph nodes and other tissues, and to other parts of the body. […] When the cancer hasn’t spread outside the prostate, it is called localized prostate cancer. With localized prostate cancer, your options depend on how likely it is that your cancer will grow. […] If your cancer has already spread outside the prostate or to other parts of the body, then you may have other treatments, like chemotherapy or hormone therapy. […] If you are older or have other serious health problems, like heart disease, you may choose not to have treatments to cure your cancer. Instead, you can just have treatments to manage your symptoms. This is called watchful waiting.
- #43 Prostate cancer – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/prostate-cancer/diagnosis-treatment/drc-20353093
Your healthcare team considers many things when creating your prostate cancer treatment plan. They consider the size of your cancer, whether it has spread and how quickly it’s growing. They also consider your overall health and your preferences. Talk with your healthcare team about your options. […] Prostate cancer treatment isn’t always needed right away. Instead, the healthcare team may watch the cancer closely. Healthcare professionals call this active surveillance. It often involves regular follow-up blood tests, imaging tests and prostate biopsies. If tests show that the cancer is growing, you may choose to start treatment. For some prostate cancers, treatment may never be needed. […] Surgery for prostate cancer most often involves removing the prostate. Surgery to remove the prostate is called prostatectomy. It’s often used when the cancer is only in the prostate. Sometimes it can treat a cancer that grows larger or spreads to the lymph nodes.
- #44 Prostate cancer – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/prostate-cancer/diagnosis-treatment/drc-20353093
Your healthcare team considers many things when creating your prostate cancer treatment plan. They consider the size of your cancer, whether it has spread and how quickly it’s growing. They also consider your overall health and your preferences. Talk with your healthcare team about your options. […] Prostate cancer treatment isn’t always needed right away. Instead, the healthcare team may watch the cancer closely. Healthcare professionals call this active surveillance. It often involves regular follow-up blood tests, imaging tests and prostate biopsies. If tests show that the cancer is growing, you may choose to start treatment. For some prostate cancers, treatment may never be needed. […] Surgery for prostate cancer most often involves removing the prostate. Surgery to remove the prostate is called prostatectomy. It’s often used when the cancer is only in the prostate. Sometimes it can treat a cancer that grows larger or spreads to the lymph nodes.
- #45 Prostate cancer – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/prostate-cancer/diagnosis-treatment/drc-20353093
Prostate cancer surgery carries a risk of bleeding, infection, pain and blood clots. If they happen, these complications tend to occur soon after surgery. Laparoscopic prostatectomy and robotic prostatectomy tend to have a lower risk of these side effects. […] Long term, prostate cancer surgery can cause leaking urine, called urinary incontinence. It also can cause difficulty getting an erection, called erectile dysfunction. These side effects usually get better over time. […] External beam radiation is one type of radiation therapy used for prostate cancer. It involves using a machine to aim beams of radiation at the body. […] Healthcare professionals use external beam radiation to treat cancer that’s only in the prostate. For a small prostate cancer, it might be the only treatment needed.
- #46 Nursing Care Plans for Prostate Cancer ~ Lifenurseshttp://www.lifenurses.com/2010/04/nursing-care-plans-for-prostate-cancer.html
Nursing interventions Provide encourage the patient to express his fears and concerns, including those about changes in his sexual identity, owing to surgery. Offer reassurance when possible. Give analgesics as necessary Administer ordered. Provide comfort measures to reduce pain. […] After prostatectomy Regularly check the dressing, incision, and drainage systems for excessive blood. Also watch for signs of bleeding (pallor, restlessness, decreasing blood pressure, and increasing pulse rate). Be alert for signs of infection (fever, chills, inflamed incisional area). […] After suprapubic prostatectomy Keep the skin around the suprapubic drain dry and free from drainage and urine leakage. Encourage the patient to begin perineal exercises between 24 and 48 hours after surgery. […] After transurethral resection Watch for signs of urethral stricture (dysuria, decreased force and caliber of urine stream, and straining to urinate).
- #47 Prostate cancer – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/prostate-cancer/diagnosis-treatment/drc-20353093
Prostate cancer surgery carries a risk of bleeding, infection, pain and blood clots. If they happen, these complications tend to occur soon after surgery. Laparoscopic prostatectomy and robotic prostatectomy tend to have a lower risk of these side effects. […] Long term, prostate cancer surgery can cause leaking urine, called urinary incontinence. It also can cause difficulty getting an erection, called erectile dysfunction. These side effects usually get better over time. […] External beam radiation is one type of radiation therapy used for prostate cancer. It involves using a machine to aim beams of radiation at the body. […] Healthcare professionals use external beam radiation to treat cancer that’s only in the prostate. For a small prostate cancer, it might be the only treatment needed.
- #48 Prostate cancer – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/prostate-cancer/diagnosis-treatment/drc-20353093
Healthcare professionals use brachytherapy to treat prostate cancer that’s only in the prostate. Brachytherapy doesn’t treat cancer that has spread to other parts of the body. […] Hormone therapy for prostate cancer is a treatment that stops the hormone testosterone either from being made or from reaching prostate cancer cells. Prostate cancer cells rely on testosterone to help them grow. Cutting off the supply of testosterone may cause cancer cells to die or to grow more slowly. […] Chemotherapy treats cancer with strong medicines. Chemotherapy medicines are sometimes used with hormone therapy medicines for prostate cancer. […] Targeted therapy for cancer is a treatment that uses medicines that attack specific chemicals in the cancer cells. By blocking these chemicals, targeted treatments can cause cancer cells to die. […] Immunotherapy for cancer is a treatment with medicine that helps the body’s immune system kill cancer cells. […] Prostate cancer care at Mayo Clinic.
- #49 How Nurses Help Patients With Prostate Cancer During Radiation Treatmenthttps://www.oncnursingnews.com/view/how-nurses-help-patients-with-prostate-cancer-during-radiation-treatment
Nurses play a crucial role for patients with prostate cancer undergoing radiation treatment, according to a radiation oncology nurse. […] She also highlighted the role of nurses in educating patients on these AEs and the fact that they vary in intensity and duration across patients. […] Nurses can explain the spectrum of potential AEs, reassure patients that most AEs are manageable, and provide education on managing AEs, according to Fox. […] For the patient experience, this sit-down is a really important piece of their treatment, because it establishes an early rapport with the nursing staff in the clinic. […] Patients often ask this question, as well. Its really hard to give them an exact answer, because everyone is different. Our bodies all tolerate treatment differently. […] But as a blanket statement, for the most part, patients are pretty surprised that it is very tolerable.
- #50 Prostate Cancer | Caregivinghttps://www.cancercare.org/publications/391-caregiving_for_a_loved_one_with_prostate_cancer
Caregivers provide important support for a person with cancer. […] When prostate cancer is diagnosed, the tumor most often is localized (confined to the prostate gland). […] The most common treatment approaches for men with localized or locally advanced prostate cancer are: […] The side effects of hormonal therapy in the treatment of prostate cancer can include mild anemia, fatigue, changes in cholesterol, mood changes, reduced sexual desire and erectile dysfunction. […] Changes to the skin are the most common side effects of radiation therapy. […] Side effects depend on the type and dose of the chemotherapy and the length of time it is used, and can include: […] Some side effects may occur across treatment approaches, including digestive tract symptoms (nausea, vomiting, diarrhea, loss of appetite) and fatigue.
- #51 Prostate cancer – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/prostate-cancer/diagnosis-treatment/drc-20353093
Healthcare professionals use brachytherapy to treat prostate cancer that’s only in the prostate. Brachytherapy doesn’t treat cancer that has spread to other parts of the body. […] Hormone therapy for prostate cancer is a treatment that stops the hormone testosterone either from being made or from reaching prostate cancer cells. Prostate cancer cells rely on testosterone to help them grow. Cutting off the supply of testosterone may cause cancer cells to die or to grow more slowly. […] Chemotherapy treats cancer with strong medicines. Chemotherapy medicines are sometimes used with hormone therapy medicines for prostate cancer. […] Targeted therapy for cancer is a treatment that uses medicines that attack specific chemicals in the cancer cells. By blocking these chemicals, targeted treatments can cause cancer cells to die. […] Immunotherapy for cancer is a treatment with medicine that helps the body’s immune system kill cancer cells. […] Prostate cancer care at Mayo Clinic.
- #52 Palliative Care and Prostate Cancer | Get Palliative Carehttps://getpalliativecare.org/whatis/disease-types/prostate-cancer-palliative-care/
Palliative care is specialized medical care for people with serious illness. It focuses on providing you with relief from the symptoms, pain and stress of a serious illness like prostate cancer. The goal is to improve quality of life for both you and your family. […] Palliative care specialists are experts in treating the symptoms of a serious illness like prostate cancer. Bone pain, for example, is common with prostate cancer. The specialists in your palliative care team will work with you to find the best medicines for your pain. […] Common prostate cancer side effects, such as incontinence and loss of sex drive, are often hard to deal with. They may affect your self-esteem and create anxiety for both you and your loved ones. Your palliative care team will help you to discuss your situation with your family, to help ease any emotional issues that may be related to side effects.
- #53 Palliative Care and Prostate Cancer | Get Palliative Carehttps://getpalliativecare.org/whatis/disease-types/prostate-cancer-palliative-care/
Your palliative care team can help you with all this and more. The team will be your sounding board and your first line of defense against any symptoms of pain, discomfort, depression or anxiety. […] The team specialists will help you and your loved ones to make both large and small decisions. They will enhance communication between you, your family and your other doctors, and help you to clarify your goals for care.
- #54 Palliative Care and Prostate Cancer | Get Palliative Carehttps://getpalliativecare.org/whatis/disease-types/prostate-cancer-palliative-care/
Palliative care is specialized medical care for people with serious illness. It focuses on providing you with relief from the symptoms, pain and stress of a serious illness like prostate cancer. The goal is to improve quality of life for both you and your family. […] Palliative care specialists are experts in treating the symptoms of a serious illness like prostate cancer. Bone pain, for example, is common with prostate cancer. The specialists in your palliative care team will work with you to find the best medicines for your pain. […] Common prostate cancer side effects, such as incontinence and loss of sex drive, are often hard to deal with. They may affect your self-esteem and create anxiety for both you and your loved ones. Your palliative care team will help you to discuss your situation with your family, to help ease any emotional issues that may be related to side effects.
- #55 The role of the clinical nurse specialist in caring for patients with | NRRhttps://www.dovepress.com/the-role-of-the-clinical-nurse-specialist-in-caring-for-patients-with–peer-reviewed-fulltext-article-NRR
The studies included in this analysis highlighted the importance of nursing guidelines providing answers to questions from patients and partners/caregivers and information about postoperative care. […] Nursing care for partners and family members of men with PCa […] Nurses must be prepared to support patients with PCa and their families throughout the life experience of this disease, be aware of the impacts of PCa diagnosis and treatment on patients families, include family members in all aspects of health care, and emphasize the importance of support systems in coping with the uncertainties of the disease. […] The role of clinical nurse specialists in caring for men with PCa is broad and essential, but its definition must be standardized among countries and regions.
- #56 Nursing Management of Prostate Cancer | Wild Iris Medical Educationhttps://wildirismedicaleducation.com/blog/nursing-management-of-prostate-cancer
Nursing interventions can improve the long-term health status and quality of life of patients who have undergone treatment for cancer. Nurses play a vital role in providing direct care and education and in helping patients cope more effectively with post-treatment sequalae such as psychological distress, chemotherapy long-term effects, urinary problems, and bowel dysfunction. […] The nurse can encourage the person to take steps to prevent incontinence, improve continence, anticipate leakage, and cope with lack of complete control. […] Nursing care for those undergoing androgen deprivation therapy (ADT) involves helping patients address the adverse effects caused by hypogonadism. […] Nurses must be knowledgeable and comfortable with the topic, including religious implications, cultural norms, gender differences, and sexual preferences. […] The nurse also helps strengthen patient and family confidence to explore preferences for issues related to end-of-life care, such as withdrawal of active disease treatment, desire for the use of life-support measures, and symptom management.
- #57 Nursing Management of Prostate Cancer | Wild Iris Medical Educationhttps://wildirismedicaleducation.com/blog/nursing-management-of-prostate-cancer
Nursing interventions can improve the long-term health status and quality of life of patients who have undergone treatment for cancer. Nurses play a vital role in providing direct care and education and in helping patients cope more effectively with post-treatment sequalae such as psychological distress, chemotherapy long-term effects, urinary problems, and bowel dysfunction. […] The nurse can encourage the person to take steps to prevent incontinence, improve continence, anticipate leakage, and cope with lack of complete control. […] Nursing care for those undergoing androgen deprivation therapy (ADT) involves helping patients address the adverse effects caused by hypogonadism. […] Nurses must be knowledgeable and comfortable with the topic, including religious implications, cultural norms, gender differences, and sexual preferences. […] The nurse also helps strengthen patient and family confidence to explore preferences for issues related to end-of-life care, such as withdrawal of active disease treatment, desire for the use of life-support measures, and symptom management.
- #58 Nursing Care Plan (NCP) for Prostate Cancer | Free NURSING.com Courseshttps://nursing.com/lesson/nursing-care-plan-ncp-for-prostate-cancer
Rationale: Improves urinary control and reduces discomfort. […] Pain Management: Administer prescribed pain medications and employ non-pharmacological pain management techniques. […] Rationale: Effective pain control improves the patients quality of life. […] Sexual Health Counseling: Provide information and support regarding sexual function and potential treatment effects. […] Rationale: Addresses concerns about sexual dysfunction and promotes coping strategies. […] Emotional Support: Offer psychological support and refer to counseling services as needed. […] Rationale: Helps patients cope with the stress and anxiety of a cancer diagnosis. […] Patient Education: Educate the patient and family about prostate cancer, treatment effects, and lifestyle modifications. […] Rationale: Enhances understanding and involvement in the care process, leading to better outcomes.
- #59 Primary Care of the Prostate Cancer Survivor | AAFPhttps://www.aafp.org/pubs/afp/issues/2016/0501/p764.html
Prostate cancer survivors should be assessed for physical and psychosocial issues related to cancer and cancer treatments. […] Health-related quality of life should be tracked annually to measure the survivor’s perceived physical and psychosocial health. […] Between 9% and 25% of prostate cancer survivors experience major depressive disorder, and at least 25% have increased anxiety. […] Many experience psychological distress, including worsening social and emotional functioning. […] Routine screening for psychological distress is advised, including discussions with family and caregivers. […] Partners of prostate cancer survivors should be considered in survivorship care. […] The ACS recommends that all patients with cancer who are overweight or obese limit their intake of calorically dense foods and beverages, as well as increase their activity to lose weight.
- #60 Prostate Cancer Nursing Management Is Critical to Quality Care | Oncology Nursing Societyhttps://www.ons.org/09-2013/prostate-cancer-nursing-management-critical-quality-care
Fertility and sexuality concerns are probably the most critical areas for the nurse to educate and support the patient. […] Nurses can initiate the conversation and let the patient know what management strategies are available out there. […] Prostate-specific antigen levels and digital rectal exams are recommended for those who are using expectant management as well as for those who have been treated. […] Continued surveillance and annual physical exams are important in prostate cancer nursing management and should be reinforced by every nurse. […] Education on what to expect and management of chronic and late effects is paramount in prostate cancer nursing management. […] In providing direct care to these patients, the nurse has a unique opportunity to initiate a conversation with the patient about concerns, fears, and expectations as well as to provide the necessary support to men with the diagnosis of prostate cancer.
- #61 How Nurses Help Patients With Prostate Cancer During Radiation Treatmenthttps://www.oncnursingnews.com/view/how-nurses-help-patients-with-prostate-cancer-during-radiation-treatment
[For] patients undergoing prostate therapy of any kind, one of their big concerns is erectile dysfunction. […] Lastly, the big takeaway with radiationno matter what typeis fatigue. […] The expertise is really helpful to ease their mind. […] If we dont know whats going on and we dont work together, we cant help them. […] I like to make sure patients know the benefit of having that open communication and really telling us whats going on, and that doesnt have to be [AE]-related.
- #62 Nursing Management of Prostate Cancer | Wild Iris Medical Educationhttps://wildirismedicaleducation.com/blog/nursing-management-of-prostate-cancer
Nursing interventions can improve the long-term health status and quality of life of patients who have undergone treatment for cancer. Nurses play a vital role in providing direct care and education and in helping patients cope more effectively with post-treatment sequalae such as psychological distress, chemotherapy long-term effects, urinary problems, and bowel dysfunction. […] The nurse can encourage the person to take steps to prevent incontinence, improve continence, anticipate leakage, and cope with lack of complete control. […] Nursing care for those undergoing androgen deprivation therapy (ADT) involves helping patients address the adverse effects caused by hypogonadism. […] Nurses must be knowledgeable and comfortable with the topic, including religious implications, cultural norms, gender differences, and sexual preferences. […] The nurse also helps strengthen patient and family confidence to explore preferences for issues related to end-of-life care, such as withdrawal of active disease treatment, desire for the use of life-support measures, and symptom management.
- #63 Nursing Management of Prostate Cancer | Wild Iris Medical Educationhttps://wildirismedicaleducation.com/blog/nursing-management-of-prostate-cancer
Nurses play a pivotal role in helping these patients by listening to and addressing their concerns. […] Nurses are also a valuable resource and support for helping the prostate cancer patient manage the long-term, post-treatment effects and improve their quality of life. […] Nurses must remain knowledgeable about the following treatment options and be prepared to educate and discuss them with their patients, to support them through their decision-making process, and to provide care during and following their treatment. […] Patient education is at the heart of caring for those undergoing treatment for prostate cancer. Nurses are in a unique position to educate men with prostate cancer and their families, screen for and identify adverse effects of treatment, and provide support throughout the treatment process.
- #64 Prostate Cancer, Support, Information, Resourceshttps://www.cancercare.org/diagnosis/prostate_cancer
Cancer Care provides free, professional support services for people affected by prostate cancer, as well as prostate cancer treatment information and additional resources. […] Oncology social workers help you cope with the emotional and practical challenges of prostate cancer. […] We currently do not offer a prostate cancer specific group. You may consider joining our general online support groups for people with cancer. […] Cancer Care offers specialized programs to address specific populations and concerns. […] Read or order our free Connect booklets and fact sheets offering easy-to-read information about the latest cancer treatments, managing side effects and coping with cancer. […] Treatment Update: Prostate Cancer. […] After a Prostate Cancer Diagnosis: Questions to Ask Your Doctor.
- #65 Prostate Cancer, Support, Information, Resourceshttps://www.cancercare.org/diagnosis/prostate_cancer
Caregiving for a Loved One With Prostate Cancer. […] Coping With Prostate Cancer. […] Prostate Cancer: What You Should Know About Screening and Diagnosis. […] The most common problem following surgery for prostate cancer is erectile dysfunction (ED), or the inability to achieve an erection. […] You should begin to be intimate with your partner when your urologist feels you are appropriately healed. […] Many partners need reassurance that the person with cancer still has an interest in being intimate, and vice versa. […] With continued research and increasing treatment options, oncologists have many treatment choices and make suggestions based on a number of factors. […] Some of the most important factors are: Type of prostate cancer, Stage of prostate cancer, Grade of prostate cancer.
- #66 Prostate Cancer, Support, Information, Resourceshttps://www.cancercare.org/diagnosis/prostate_cancer
Cancer Care provides free, professional support services for people affected by prostate cancer, as well as prostate cancer treatment information and additional resources. […] Oncology social workers help you cope with the emotional and practical challenges of prostate cancer. […] We currently do not offer a prostate cancer specific group. You may consider joining our general online support groups for people with cancer. […] Cancer Care offers specialized programs to address specific populations and concerns. […] Read or order our free Connect booklets and fact sheets offering easy-to-read information about the latest cancer treatments, managing side effects and coping with cancer. […] Treatment Update: Prostate Cancer. […] After a Prostate Cancer Diagnosis: Questions to Ask Your Doctor.
- #67 Prostate Cancer | Caregivinghttps://www.cancercare.org/publications/391-caregiving_for_a_loved_one_with_prostate_cancer
Each year, nearly 165,000 American men are diagnosed with cancer of the prostate gland. Other than skin cancer, it is the most common cancer affecting men, occurring primarily in men aged 65 or older. […] This booklet provides information, guidance and resources for people helping to care for a loved one with prostate cancer. […] The kind of support that a caregiver provides will be different for each person. In general, caregiving support falls into one of three areas: informational, practical and emotional. This booklet provides examples of how caregivers can help in each of these areas. […] A man diagnosed with prostate cancer can feel overwhelmed, and may need informational support directly related to his diagnosis and treatment. Here are specific types of support caregivers can provide:
- #68 Prostate Cancer | Caregivinghttps://www.cancercare.org/publications/391-caregiving_for_a_loved_one_with_prostate_cancer
Understand the potential side effects of the chosen treatment approach. In addition to information on treatment approaches, this booklet lists potential effects of prostate cancer therapy. […] Help your loved one communicate with health care professionals. […] As a caregiver, you may be involved in some health care tasks that are more typically handled by a nurse, such as administering medication and changing bandages. […] If you need help with these health care needs, ask the doctor, nurse or hospital social worker about local home health agencies that can send in-home nurses to provide these (and other) services. […] Its hard to watch someone you care about go through the difficult emotions that may arise with a cancer diagnosis, which can range from denial to sadness to anger. […] Continue your support when your loved ones treatment is over.
- #69 Prostate Cancer | Caregivinghttps://www.cancercare.org/publications/391-caregiving_for_a_loved_one_with_prostate_cancer
Each year, nearly 165,000 American men are diagnosed with cancer of the prostate gland. Other than skin cancer, it is the most common cancer affecting men, occurring primarily in men aged 65 or older. […] This booklet provides information, guidance and resources for people helping to care for a loved one with prostate cancer. […] The kind of support that a caregiver provides will be different for each person. In general, caregiving support falls into one of three areas: informational, practical and emotional. This booklet provides examples of how caregivers can help in each of these areas. […] A man diagnosed with prostate cancer can feel overwhelmed, and may need informational support directly related to his diagnosis and treatment. Here are specific types of support caregivers can provide:
- #70 Nursing Considerations for Prostate Cancer Survivorship Care | Oncology Nursing Societyhttps://www.ons.org/publications-research/voice/news-views/06-2021/nursing-considerations-prostate-cancer-survivorship
Prostate cancer survivors are at greatest risk for disease recurrence in the first five years after treatment, in addition to secondary cancers. […] Lifestyle recommendations include lifelong smoking and alcohol cessation. Advise patients to maintain a diet high in fruits, vegetables, and whole grains and low in fat, processed foods, and red meat and include an intake of at least 600 IU of vitamin D per day. Patients should engage in regular exercise and maintain a healthy body weight. […] Cancer survivors should follow recommended cancer screening guidelines and other screening recommendations.
- #71 Primary Care of the Prostate Cancer Survivor | AAFPhttps://www.aafp.org/pubs/afp/issues/2016/0501/p764.html
Prostate cancer survivors should be assessed for physical and psychosocial issues related to cancer and cancer treatments. […] Health-related quality of life should be tracked annually to measure the survivor’s perceived physical and psychosocial health. […] Between 9% and 25% of prostate cancer survivors experience major depressive disorder, and at least 25% have increased anxiety. […] Many experience psychological distress, including worsening social and emotional functioning. […] Routine screening for psychological distress is advised, including discussions with family and caregivers. […] Partners of prostate cancer survivors should be considered in survivorship care. […] The ACS recommends that all patients with cancer who are overweight or obese limit their intake of calorically dense foods and beverages, as well as increase their activity to lose weight.
- #72 Primary Care of the Prostate Cancer Survivor | AAFPhttps://www.aafp.org/pubs/afp/issues/2016/0501/p764.html
Although physical activity is important for the general population, prostate cancer survivors should pay special attention to their activity level. […] The ACS recommends a diet plentiful in micronutrient- and phytochemical-rich fruits and vegetables for prostate cancer survivors. […] Smoking cessation should be discussed with all prostate cancer survivors, similar to the general population.
- #73 Nursing Care Plan (NCP) for Prostate Cancer | Free NURSING.com Courseshttps://nursing.com/lesson/nursing-care-plan-ncp-for-prostate-cancer
This care plan aims to provide a comprehensive approach to managing prostate cancer, focusing on maintaining urinary function, managing pain, addressing sexual health concerns, and providing emotional and educational support. Tailoring interventions to individual patient needs is essential for effective management and improved quality of life.
- #74 Nursing Considerations for Prostate Cancer Survivorship Care | Oncology Nursing Societyhttps://www.ons.org/publications-research/voice/news-views/06-2021/nursing-considerations-prostate-cancer-survivorship
Prostate cancer is the most common cancer among those assigned male at birth, with one in eight diagnosed during their lifetime. But with five-year survival rates of 90%, its also one of the most successful cancers to treat, making survivorship care even more important. […] Survivorship care requires an interprofessional approach that involves primary care, urology, and oncology specialists to address the wide range of late and long-term effects and comorbidities. […] Because each prostate cancer therapy is associated with different late or long-term effects, oncology nurses need to understand and consider treatment options when coordinating the survivorship care plan. […] As many as 20% of prostate cancer survivors reported treatment-related regret because of ongoing side effects, which include sexual dysfunction, urinary incontinence, bowel issues, depression, and anxiety and often are exacerbated by comorbidities.
- #75https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2062
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] Follow your doctor’s instructions to relieve pain. Pain from cancer and surgery can almost always be controlled. […] If you have not already done so, prepare an advance care plan. An advance care plan provides instructions to your doctor and family members about what kind of care you want if you become unable to speak or express yourself. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have new or worse pain. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You have trouble controlling your urine.
- #76 Prostate Cancer Nursing Management Is Critical to Quality Care | Oncology Nursing Societyhttps://www.ons.org/09-2013/prostate-cancer-nursing-management-critical-quality-care
Fertility and sexuality concerns are probably the most critical areas for the nurse to educate and support the patient. […] Nurses can initiate the conversation and let the patient know what management strategies are available out there. […] Prostate-specific antigen levels and digital rectal exams are recommended for those who are using expectant management as well as for those who have been treated. […] Continued surveillance and annual physical exams are important in prostate cancer nursing management and should be reinforced by every nurse. […] Education on what to expect and management of chronic and late effects is paramount in prostate cancer nursing management. […] In providing direct care to these patients, the nurse has a unique opportunity to initiate a conversation with the patient about concerns, fears, and expectations as well as to provide the necessary support to men with the diagnosis of prostate cancer.
- #77 Primary Care of the Prostate Cancer Survivor | AAFPhttps://www.aafp.org/pubs/afp/issues/2016/0501/p764.html
Prostate cancer survivors should undergo prostate-specific antigen screening every six to 12 months and digital rectal examination annually. […] Prostate cancer survivors should be screened regularly for urinary incontinence and sexual dysfunction. […] Patients with predominant urge incontinence symptoms, which can occur after surgical and radiation treatments, may benefit from an anticholinergic agent. […] A phosphodiesterase type 5 inhibitor can effectively treat sexual dysfunction following treatment for prostate cancer. […] Osteoporosis screening should occur before initiation of androgen deprivation therapy, and patients treated with androgen deprivation therapy should be monitored for anemia, metabolic syndrome, and vasomotor symptoms. […] Primary care physicians should be vigilant for psychosocial distress, including depression, among prostate cancer survivors.
- #78https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2062
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] Follow your doctor’s instructions to relieve pain. Pain from cancer and surgery can almost always be controlled. […] If you have not already done so, prepare an advance care plan. An advance care plan provides instructions to your doctor and family members about what kind of care you want if you become unable to speak or express yourself. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have new or worse pain. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You have trouble controlling your urine.
- #79 Nursing Management of Prostate Cancer | Wild Iris Medical Educationhttps://wildirismedicaleducation.com/blog/nursing-management-of-prostate-cancer
Nursing interventions can improve the long-term health status and quality of life of patients who have undergone treatment for cancer. Nurses play a vital role in providing direct care and education and in helping patients cope more effectively with post-treatment sequalae such as psychological distress, chemotherapy long-term effects, urinary problems, and bowel dysfunction. […] The nurse can encourage the person to take steps to prevent incontinence, improve continence, anticipate leakage, and cope with lack of complete control. […] Nursing care for those undergoing androgen deprivation therapy (ADT) involves helping patients address the adverse effects caused by hypogonadism. […] Nurses must be knowledgeable and comfortable with the topic, including religious implications, cultural norms, gender differences, and sexual preferences. […] The nurse also helps strengthen patient and family confidence to explore preferences for issues related to end-of-life care, such as withdrawal of active disease treatment, desire for the use of life-support measures, and symptom management.
- #80 Diagnosis and treatment of prostate cancer | Nursing Timeshttps://www.nursingtimes.net/cancer/diagnosis-and-treatment-of-prostate-cancer-21-02-2014/
Nurses are often key workers for patients with prostate cancer and are responsible for ensuring men have the support they need throughout their cancer journey. This article provides an overview of the patient pathway. […] Nurses are often the key workers for patients with prostate cancer, and are responsible for maintaining continuity of care. Key nursing roles are providing information and supporting men in making treatment decision. […] After treatment, nurses need to assess patients for side-effects and offer formal assessment and treatment for troubling symptoms. Patients should be asked regularly whether their side-effects are troubling, as their views and quality of life may change over the years. […] Treatments for prostate cancer affect masculinity, as side-effects include erectile dysfunction, testicular shrinkage, breast development and loss of strength. While some men joke about their feminisation, this may mask psychological distress. Nurses should be alert to cues and offer patients referral to professionals for help with psychosexual issues. […] Advances in knowledge about prostate cancer and improvements in imaging techniques mean the patient diagnostic and treatment pathway changed recently. Nurses have an important role in this pathway to ensure patients make the right choices to maintain their quality of life.
- #81 Diagnosis and treatment of prostate cancer | Nursing Timeshttps://www.nursingtimes.net/cancer/diagnosis-and-treatment-of-prostate-cancer-21-02-2014/
Nurses are often key workers for patients with prostate cancer and are responsible for ensuring men have the support they need throughout their cancer journey. This article provides an overview of the patient pathway. […] Nurses are often the key workers for patients with prostate cancer, and are responsible for maintaining continuity of care. Key nursing roles are providing information and supporting men in making treatment decision. […] After treatment, nurses need to assess patients for side-effects and offer formal assessment and treatment for troubling symptoms. Patients should be asked regularly whether their side-effects are troubling, as their views and quality of life may change over the years. […] Treatments for prostate cancer affect masculinity, as side-effects include erectile dysfunction, testicular shrinkage, breast development and loss of strength. While some men joke about their feminisation, this may mask psychological distress. Nurses should be alert to cues and offer patients referral to professionals for help with psychosexual issues. […] Advances in knowledge about prostate cancer and improvements in imaging techniques mean the patient diagnostic and treatment pathway changed recently. Nurses have an important role in this pathway to ensure patients make the right choices to maintain their quality of life.
- #82 Prostate Cancer | Caregivinghttps://www.cancercare.org/publications/391-caregiving_for_a_loved_one_with_prostate_cancer
Understand the potential side effects of the chosen treatment approach. In addition to information on treatment approaches, this booklet lists potential effects of prostate cancer therapy. […] Help your loved one communicate with health care professionals. […] As a caregiver, you may be involved in some health care tasks that are more typically handled by a nurse, such as administering medication and changing bandages. […] If you need help with these health care needs, ask the doctor, nurse or hospital social worker about local home health agencies that can send in-home nurses to provide these (and other) services. […] Its hard to watch someone you care about go through the difficult emotions that may arise with a cancer diagnosis, which can range from denial to sadness to anger. […] Continue your support when your loved ones treatment is over.
- #83 Nursing Considerations for Prostate Cancer Survivorship Care | Oncology Nursing Societyhttps://www.ons.org/publications-research/voice/news-views/06-2021/nursing-considerations-prostate-cancer-survivorship
Prostate cancer is the most common cancer among those assigned male at birth, with one in eight diagnosed during their lifetime. But with five-year survival rates of 90%, its also one of the most successful cancers to treat, making survivorship care even more important. […] Survivorship care requires an interprofessional approach that involves primary care, urology, and oncology specialists to address the wide range of late and long-term effects and comorbidities. […] Because each prostate cancer therapy is associated with different late or long-term effects, oncology nurses need to understand and consider treatment options when coordinating the survivorship care plan. […] As many as 20% of prostate cancer survivors reported treatment-related regret because of ongoing side effects, which include sexual dysfunction, urinary incontinence, bowel issues, depression, and anxiety and often are exacerbated by comorbidities.
- #84 Prostate Cancer | Caregivinghttps://www.cancercare.org/publications/391-caregiving_for_a_loved_one_with_prostate_cancer
Understand the potential side effects of the chosen treatment approach. In addition to information on treatment approaches, this booklet lists potential effects of prostate cancer therapy. […] Help your loved one communicate with health care professionals. […] As a caregiver, you may be involved in some health care tasks that are more typically handled by a nurse, such as administering medication and changing bandages. […] If you need help with these health care needs, ask the doctor, nurse or hospital social worker about local home health agencies that can send in-home nurses to provide these (and other) services. […] Its hard to watch someone you care about go through the difficult emotions that may arise with a cancer diagnosis, which can range from denial to sadness to anger. […] Continue your support when your loved ones treatment is over.
- #85 Nursing Considerations for Prostate Cancer Survivorship Care | Oncology Nursing Societyhttps://www.ons.org/publications-research/voice/news-views/06-2021/nursing-considerations-prostate-cancer-survivorship
Prostate cancer is the most common cancer among those assigned male at birth, with one in eight diagnosed during their lifetime. But with five-year survival rates of 90%, its also one of the most successful cancers to treat, making survivorship care even more important. […] Survivorship care requires an interprofessional approach that involves primary care, urology, and oncology specialists to address the wide range of late and long-term effects and comorbidities. […] Because each prostate cancer therapy is associated with different late or long-term effects, oncology nurses need to understand and consider treatment options when coordinating the survivorship care plan. […] As many as 20% of prostate cancer survivors reported treatment-related regret because of ongoing side effects, which include sexual dysfunction, urinary incontinence, bowel issues, depression, and anxiety and often are exacerbated by comorbidities.
- #86 Nursing Considerations for Prostate Cancer Survivorship Care | Oncology Nursing Societyhttps://www.ons.org/publications-research/voice/news-views/06-2021/nursing-considerations-prostate-cancer-survivorship
Prostate cancer survivors are at greatest risk for disease recurrence in the first five years after treatment, in addition to secondary cancers. […] Lifestyle recommendations include lifelong smoking and alcohol cessation. Advise patients to maintain a diet high in fruits, vegetables, and whole grains and low in fat, processed foods, and red meat and include an intake of at least 600 IU of vitamin D per day. Patients should engage in regular exercise and maintain a healthy body weight. […] Cancer survivors should follow recommended cancer screening guidelines and other screening recommendations.
- #87 Nursing Considerations for Prostate Cancer Survivorship Care | Oncology Nursing Societyhttps://www.ons.org/publications-research/voice/news-views/06-2021/nursing-considerations-prostate-cancer-survivorship
Prostate cancer is the most common cancer among those assigned male at birth, with one in eight diagnosed during their lifetime. But with five-year survival rates of 90%, its also one of the most successful cancers to treat, making survivorship care even more important. […] Survivorship care requires an interprofessional approach that involves primary care, urology, and oncology specialists to address the wide range of late and long-term effects and comorbidities. […] Because each prostate cancer therapy is associated with different late or long-term effects, oncology nurses need to understand and consider treatment options when coordinating the survivorship care plan. […] As many as 20% of prostate cancer survivors reported treatment-related regret because of ongoing side effects, which include sexual dysfunction, urinary incontinence, bowel issues, depression, and anxiety and often are exacerbated by comorbidities.
- #88 Prostate Cancer Nursing Management Is Critical to Quality Care | Oncology Nursing Societyhttps://www.ons.org/09-2013/prostate-cancer-nursing-management-critical-quality-care
Fertility and sexuality concerns are probably the most critical areas for the nurse to educate and support the patient. […] Nurses can initiate the conversation and let the patient know what management strategies are available out there. […] Prostate-specific antigen levels and digital rectal exams are recommended for those who are using expectant management as well as for those who have been treated. […] Continued surveillance and annual physical exams are important in prostate cancer nursing management and should be reinforced by every nurse. […] Education on what to expect and management of chronic and late effects is paramount in prostate cancer nursing management. […] In providing direct care to these patients, the nurse has a unique opportunity to initiate a conversation with the patient about concerns, fears, and expectations as well as to provide the necessary support to men with the diagnosis of prostate cancer.
- #89 Nursing Considerations for Prostate Cancer Survivorship Care | Oncology Nursing Societyhttps://www.ons.org/publications-research/voice/news-views/06-2021/nursing-considerations-prostate-cancer-survivorship
Prostate cancer survivors are at greatest risk for disease recurrence in the first five years after treatment, in addition to secondary cancers. […] Lifestyle recommendations include lifelong smoking and alcohol cessation. Advise patients to maintain a diet high in fruits, vegetables, and whole grains and low in fat, processed foods, and red meat and include an intake of at least 600 IU of vitamin D per day. Patients should engage in regular exercise and maintain a healthy body weight. […] Cancer survivors should follow recommended cancer screening guidelines and other screening recommendations.
- #90 Prostate Cancer Nursing Management Is Critical to Quality Care | Oncology Nursing Societyhttps://www.ons.org/09-2013/prostate-cancer-nursing-management-critical-quality-care
Fertility and sexuality concerns are probably the most critical areas for the nurse to educate and support the patient. […] Nurses can initiate the conversation and let the patient know what management strategies are available out there. […] Prostate-specific antigen levels and digital rectal exams are recommended for those who are using expectant management as well as for those who have been treated. […] Continued surveillance and annual physical exams are important in prostate cancer nursing management and should be reinforced by every nurse. […] Education on what to expect and management of chronic and late effects is paramount in prostate cancer nursing management. […] In providing direct care to these patients, the nurse has a unique opportunity to initiate a conversation with the patient about concerns, fears, and expectations as well as to provide the necessary support to men with the diagnosis of prostate cancer.
- #91 Diagnosis and treatment of prostate cancer | Nursing Timeshttps://www.nursingtimes.net/cancer/diagnosis-and-treatment-of-prostate-cancer-21-02-2014/
Nurses are often key workers for patients with prostate cancer and are responsible for ensuring men have the support they need throughout their cancer journey. This article provides an overview of the patient pathway. […] Nurses are often the key workers for patients with prostate cancer, and are responsible for maintaining continuity of care. Key nursing roles are providing information and supporting men in making treatment decision. […] After treatment, nurses need to assess patients for side-effects and offer formal assessment and treatment for troubling symptoms. Patients should be asked regularly whether their side-effects are troubling, as their views and quality of life may change over the years. […] Treatments for prostate cancer affect masculinity, as side-effects include erectile dysfunction, testicular shrinkage, breast development and loss of strength. While some men joke about their feminisation, this may mask psychological distress. Nurses should be alert to cues and offer patients referral to professionals for help with psychosexual issues. […] Advances in knowledge about prostate cancer and improvements in imaging techniques mean the patient diagnostic and treatment pathway changed recently. Nurses have an important role in this pathway to ensure patients make the right choices to maintain their quality of life.
- #92https://winshipcancer.emory.edu/cancer-types-and-treatments/prostate-cancer/
At Winship Cancer Institute of Emory University, our prostate cancer experts are dedicated to providing you with exceptional treatment in a comprehensive care setting. […] Winship Cancer Institute of Emory University is well-equipped to treat various types of prostate cancer. The choice of treatment is tailored to each patient’s unique situation. Our prostate cancer program provides innovative treatment options for patients in Georgia and throughout the Southeast. […] Winships genitourinary cancer care team is dedicated to providing an accurate diagnosis, delivering the best possible care and closely monitoring a patients condition following prostate surgery and treatment. […] You’ll receive coordinated scheduling for appointments among various specialties, access to a nurse navigator to assist you through the treatment process and the opportunity to take part in support groups and education classes for you and your caregivers. Winship excels in providing a comprehensive, coordinated approach to prostate cancer treatment.
- #93https://winshipcancer.emory.edu/cancer-types-and-treatments/prostate-cancer/
The Winship prostate cancer and genitourinary cancer teams include urologists, medical oncologists, radiation oncologists, pathologists, nuclear medicine specialists, advanced practice nurses and social workers. These top clinicians and specialists work together to provide the most appropriate, individualized approach to treating patients with a prostate tumor. […] A personalized treatment approach is critical in delivering therapies that make a difference in your prostate cancer care. Our comprehensive team of specialists reviews each patients case on a weekly basis. This brings all our experts into one place to discuss personalized treatment plans for each individual patient. […] Clinical trials help advance research and outcomes. Enrolling in a research study could impact a patients outcome. At Winship, prostate cancer patients have access to the latest research studies that are being led at Winship and underway on a national scale.
- #94 Prostate Cancer Center | Cooper University Health Carehttps://www.cooperhealth.org/services/prostate-cancer-center
Thousands of men in our region have turned to the Prostate Cancer Center to provide expert detection, diagnosis, and treatment of prostate cancer. […] MD Anderson at Cooper is the regions leading center for the detection, evaluation, and treatment of prostate cancer. […] Our Prostate Cancer Center takes a multidisciplinary approach to cancer treatment. Every patient is under the care of a team of specialists that meets regularly to determine and implement the optimal treatment plan for each patient. […] An important member of our team is our genitourinary cancer nurse navigator. Our disease-site nurse navigator serves as an educator, advocate, and guide for patients throughout their cancer journey. […] Most men diagnosed with prostate cancer will have a choice in treatment options, which may include radiation therapy, urologic surgery, hormone therapy, and chemotherapy and targeted therapy – as well as watchful waiting and active surveillance.
- #95 High-Quality Prostate Cancer Care Close to Home | Providencehttps://www.providence.org/services/cancer/prostate-cancer
When you’re a patient at Providence, we don’t just treat your prostate cancer we treat you. We use the most advanced treatments to create a highly personalized care plan. […] This is why, at Providence, we take a highly personalized approach to your prostate cancer care. You’ll experience this through our multidisciplinary tumor boards, where your oncology team collaborates with other cancer care experts about your specific diagnosis. […] As a patient, you’ll be supported through your entire cancer journey by a multidisciplinary cancer care team. […] We also provide you and your family with a full range of support services well beyond conventional treatment, from genetic counseling and education to nutrition and pain management. […] At Providence, we are deeply committed to making sure every patient we treat has access to the best cancer care.
- #96 Nursing Management of Prostate Cancer – Asvins Specialty Hospitalshttps://www.asvinshospitals.com/blog-post/nursing-management-of-prostate-cancer/
Nurses work closely with the healthcare team, including oncologists, surgeons, and social workers, to ensure seamless coordination of care. They advocate for patients needs, help in treatment decisions, and facilitate communication between patients and healthcare providers. […] A cancer diagnosis can be emotionally challenging. Nurses provide emotional support, lending a compassionate ear and helping patients cope with anxiety, depression, and the psychological impact of the disease. […] Nursing management extends beyond initial treatment. Nurses provide ongoing monitoring, conduct regular check-ups, and ensure that patients are following their care plans. They assist in identifying any complications or treatment-related issues that may arise. […] In conclusion, nursing management is integral to the holistic care of individuals with prostate cancer. Nurses bring compassion, expertise, and a patient-centered approach to the forefront, ensuring that patients receive the support and care they need at every stage of their journey. Their dedication and commitment significantly contribute to better outcomes and improved quality of life for those facing prostate cancer.
- #97 The role of the nurse: prostate cancer in the elderly | European Association of Urology Nurses – EAUNhttps://nurses.uroweb.org/the-role-of-the-nurse-prostate-cancer-in-the-elderly/
Given the complexity of managing PCa in the elderly, nurses often act as care coordinators, ensuring seamless communication between different healthcare providers. […] Effective symptom management is essential for maintaining the quality of life in elderly PCa patients. Nurses play a crucial role in monitoring symptoms, administering medications, and providing interventions to alleviate pain, fatigue, and other treatment-related side effects. […] Nurses advocate for the needs and preferences of elderly patients, ensuring that their voices are heard in treatment decisions. […] By conducting frailty assessments, providing education and support, coordinating care, managing symptoms and advocating for patients, nurses significantly contribute to improving the outcomes and quality of life for elderly PCa patients.
- #98 Prostate Cancer Care | MaineHealthhttps://www.mainehealth.org/mainehealth-cancer-care/cancer-conditions-services/prostate-cancer-care
MaineHealth Cancer Care provides our patients with the most up-to-date prostate cancer care. Our providers help patients make informed choices about a prostate cancer diagnosis and treatment. Urologists with MaineHealth can diagnose prostate cancer through physical exams, blood tests, prostate MRI and prostate biopsy. […] MaineHealth Cancer Care specialists offer the most advanced and comprehensive services for prostate cancer. […] Urologists – surgeons who treat prostate cancer with active surveillance, surgery and hormonal therapy. […] Radiation Oncologists physicians who treat prostate cancer with the controlled use of radiation. […] Medical Oncologists physicians who treat cancer using chemotherapy, hormonal therapy, biological therapy and targeted therapy. […] Cancer Patient Navigator an experienced cancer nurse who serves as a patient advocate and helps guide patients and families to make informed decisions in their cancer care.
- #99 The role of the nurse: prostate cancer in the elderly | European Association of Urology Nurses – EAUNhttps://nurses.uroweb.org/the-role-of-the-nurse-prostate-cancer-in-the-elderly/
Given the complexity of managing PCa in the elderly, nurses often act as care coordinators, ensuring seamless communication between different healthcare providers. […] Effective symptom management is essential for maintaining the quality of life in elderly PCa patients. Nurses play a crucial role in monitoring symptoms, administering medications, and providing interventions to alleviate pain, fatigue, and other treatment-related side effects. […] Nurses advocate for the needs and preferences of elderly patients, ensuring that their voices are heard in treatment decisions. […] By conducting frailty assessments, providing education and support, coordinating care, managing symptoms and advocating for patients, nurses significantly contribute to improving the outcomes and quality of life for elderly PCa patients.
- #100 The role of the nurse: prostate cancer in the elderly | European Association of Urology Nurses – EAUNhttps://nurses.uroweb.org/the-role-of-the-nurse-prostate-cancer-in-the-elderly/
Given the complexity of managing PCa in the elderly, nurses often act as care coordinators, ensuring seamless communication between different healthcare providers. […] Effective symptom management is essential for maintaining the quality of life in elderly PCa patients. Nurses play a crucial role in monitoring symptoms, administering medications, and providing interventions to alleviate pain, fatigue, and other treatment-related side effects. […] Nurses advocate for the needs and preferences of elderly patients, ensuring that their voices are heard in treatment decisions. […] By conducting frailty assessments, providing education and support, coordinating care, managing symptoms and advocating for patients, nurses significantly contribute to improving the outcomes and quality of life for elderly PCa patients.
- #101 The role of the clinical nurse specialist in caring for patients with | NRRhttps://www.dovepress.com/the-role-of-the-clinical-nurse-specialist-in-caring-for-patients-with–peer-reviewed-fulltext-article-NRR
The studies included in this analysis highlighted the importance of nursing guidelines providing answers to questions from patients and partners/caregivers and information about postoperative care. […] Nursing care for partners and family members of men with PCa […] Nurses must be prepared to support patients with PCa and their families throughout the life experience of this disease, be aware of the impacts of PCa diagnosis and treatment on patients families, include family members in all aspects of health care, and emphasize the importance of support systems in coping with the uncertainties of the disease. […] The role of clinical nurse specialists in caring for men with PCa is broad and essential, but its definition must be standardized among countries and regions.
- #102 The role of the nurse: prostate cancer in the elderly | European Association of Urology Nurses – EAUNhttps://nurses.uroweb.org/the-role-of-the-nurse-prostate-cancer-in-the-elderly/
Given the complexity of managing PCa in the elderly, nurses often act as care coordinators, ensuring seamless communication between different healthcare providers. […] Effective symptom management is essential for maintaining the quality of life in elderly PCa patients. Nurses play a crucial role in monitoring symptoms, administering medications, and providing interventions to alleviate pain, fatigue, and other treatment-related side effects. […] Nurses advocate for the needs and preferences of elderly patients, ensuring that their voices are heard in treatment decisions. […] By conducting frailty assessments, providing education and support, coordinating care, managing symptoms and advocating for patients, nurses significantly contribute to improving the outcomes and quality of life for elderly PCa patients.
- #103 About the Prostate Cancer Specialist Nurseshttps://www.pcfa.org.au/support/prostate-cancer-specialist-nurses/about-the-prostate-cancer-specialist-nurses/
The Prostate Cancer Specialist Nursing Service supports the placement of prostate cancer specialist nurses in a variety of Australian health care settings in partnership with health service providers. […] Prostate Cancer Specialist Nurses work within an agreed Practice Framework and Competency Standards which are based on nationally recognised best practice models. PCFA is committed to providing ongoing professional development and support for the duration of the program. […] A Prostate Cancer Specialist Nurse is an experienced registered nurse who has received additional training to make them an expert nurse in prostate cancer care. The Prostate Cancer Specialist Nurse works within a clear framework to ensure you receive the same level of care from your nurse, no matter where you live.
- #104 About the Prostate Cancer Specialist Nurseshttps://www.pcfa.org.au/support/prostate-cancer-specialist-nurses/about-the-prostate-cancer-specialist-nurses/
The Prostate Cancer Specialist Nurses work with your doctors and others involved in your care. They provide care and support to men and their families in all areas of prostate cancer care whether you are newly diagnosed or have already had some treatment. […] They are able to help you by: Providing you with an ongoing point of contact and support, Assisting you access services both in the hospital and in your community during and after treatment, Providing you with reliable information about your diagnosis and treatment plan, Providing you with information on dealing with the effects of treatment and how to get further help to deal with specific problems you may be having, Coordinating your care wherever you are in your cancer journey, Helping you access a support group. […] This is a free service. It is available on weekdays during normal office hours – please note that some of our Prostate Cancer Specialist Nurses work part time and may not be available on specific days of the week. It is not an emergency service and you should contact your nearest emergency service for urgent issues.
- #105 An exploration of the Role of the Prostate Cancer Specialist Nurse from Two International Perspectives – PubMedhttps://pubmed.ncbi.nlm.nih.gov/32718757/
Objective: A diagnosis of prostate cancer is a major life-changing event that brings social, psychological, physical, financial, and spiritual challenges. In both the United Kingdom (UK) and Australia, prostate cancer specialist nurses (PCSNs) have a unique role in the care of men and their families. Prostate cancer specialist nursing roles are described from the UK and Australian perspective. […] Conclusion: Specialist nursing roles have developed within different frameworks and in response to very different political drivers in the UK and in Australia. An evidence base has developed demonstrating that PCSNs offer positive outcomes for men and their families. Despite some differences in the scope of international roles, there are common aspects. Both health care settings have challenges in terms of education, role definition, and capacity. Yet both PCSN roles have delivered innovative models of specialist care in terms of service delivery and patient support and education.
- #106 About the Prostate Cancer Specialist Nurseshttps://www.pcfa.org.au/support/prostate-cancer-specialist-nurses/about-the-prostate-cancer-specialist-nurses/
The Prostate Cancer Specialist Nurses work with your doctors and others involved in your care. They provide care and support to men and their families in all areas of prostate cancer care whether you are newly diagnosed or have already had some treatment. […] They are able to help you by: Providing you with an ongoing point of contact and support, Assisting you access services both in the hospital and in your community during and after treatment, Providing you with reliable information about your diagnosis and treatment plan, Providing you with information on dealing with the effects of treatment and how to get further help to deal with specific problems you may be having, Coordinating your care wherever you are in your cancer journey, Helping you access a support group. […] This is a free service. It is available on weekdays during normal office hours – please note that some of our Prostate Cancer Specialist Nurses work part time and may not be available on specific days of the week. It is not an emergency service and you should contact your nearest emergency service for urgent issues.
- #107 An exploration of the Role of the Prostate Cancer Specialist Nurse from Two International Perspectives – PubMedhttps://pubmed.ncbi.nlm.nih.gov/32718757/
Objective: A diagnosis of prostate cancer is a major life-changing event that brings social, psychological, physical, financial, and spiritual challenges. In both the United Kingdom (UK) and Australia, prostate cancer specialist nurses (PCSNs) have a unique role in the care of men and their families. Prostate cancer specialist nursing roles are described from the UK and Australian perspective. […] Conclusion: Specialist nursing roles have developed within different frameworks and in response to very different political drivers in the UK and in Australia. An evidence base has developed demonstrating that PCSNs offer positive outcomes for men and their families. Despite some differences in the scope of international roles, there are common aspects. Both health care settings have challenges in terms of education, role definition, and capacity. Yet both PCSN roles have delivered innovative models of specialist care in terms of service delivery and patient support and education.
- #108 The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries | British Journal of Cancerhttps://www.nature.com/articles/bjc2013568
The items were developed based on research literature utilising evidence from specialist nursing domains and clinician and patient consultation in each of the seven countries. […] Dimensions of post-treatment nursing care significantly and independently predicted unmet need. […] The most common aspect was for longer-term effects: men who had not seen a nurse about longer-term effects were twice as likely to have health system and information needs and patient care and support needs. […] Nursing care did not predict need in the physical and daily living domain. […] This study makes an important contribution to the understanding of the role of supportive care in addressing survivorship needs for men with prostate cancer and the significance of nursing in reducing mens unmet needs. […] This provides evidence that access to supportive nursing care can influence patient outcomes, and importantly indicates that there are areas of care, in particular after cancer treatment, that nursing could improve.
- #109 An exploration of the Role of the Prostate Cancer Specialist Nurse from Two International Perspectives – PubMedhttps://pubmed.ncbi.nlm.nih.gov/32718757/
Implications for nursing practice: PCSNs have the potential to significantly decrease the burden on the public health system and influence change. For men with prostate cancer and their families, PCSNs can improve care through holistic nursing models focussing on what is important to individuals: support, education, management of side effects, rehabilitation, and by delivering and improving access to high-quality care.
- #110 The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries | British Journal of Cancerhttps://www.nature.com/articles/bjc2013568
A fundamental shift is required in survivorship care to improve outcomes for men with prostate cancer, especially after treatment is completed. […] Furthermore, more consistent provision of nurses across the care pathway, with training to address sexual dysfunction and psychological care, should be a priority for enhancing supportive care. […] Health-care services therefore need to provide effective and targeted supportive care for men after prostate cancer treatment to meet this growing population of survivors.
- #111 The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries | British Journal of Cancerhttps://www.nature.com/articles/bjc2013568
Prostate cancer is for many men a chronic disease with a long life expectancy after treatment. […] The aim of this study was to explore the parameters of unmet supportive care needs in men with prostate cancer in relation to the experience of nursing care. […] At the time of the survey, 81% of the men had some unmet supportive care needs including psychological, sexual and health system and information needs. […] Critically, mens contact with nurses and/or receipt of advice and support from nurses, for several different aspects of nursing care significantly had an impact on mens outcomes. […] Unmet need is related not only to disease and treatment factors but is also associated with the supportive care men received. […] Critical to health service planning is the need to recognise the factors that contribute to mens poorer health and the ability to identify what supportive care packages, such as nursing, are needed and at what time in the treatment and recovery pathway.
- #112 The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries | British Journal of Cancerhttps://www.nature.com/articles/bjc2013568
Understanding the importance of comprehensive patient outcomes is essential in delivering whole-patient cancer care. […] Studies exploring unmet needs of men with prostate cancer consistently show that these needs are highest in relation to psychological and sexuality issues, as well as information about treatment and care in the health-care setting. […] Identifying the characteristics of unmet need and nursing outcomes over the cancer pathway can contribute to the evidence of the impact of specialist nurses as well as clarify quality parameters in providing good after-care. […] In this study, we examine the relative predictive impact of prostate-specific dimensions of nursing care on the scope and extent of mens unmet supportive care needs across seven countries within Europe. […] Experience of supportive nursing care was measured using a scale developed by the authors.
- #113 The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries | British Journal of Cancerhttps://www.nature.com/articles/bjc2013568
Understanding the importance of comprehensive patient outcomes is essential in delivering whole-patient cancer care. […] Studies exploring unmet needs of men with prostate cancer consistently show that these needs are highest in relation to psychological and sexuality issues, as well as information about treatment and care in the health-care setting. […] Identifying the characteristics of unmet need and nursing outcomes over the cancer pathway can contribute to the evidence of the impact of specialist nurses as well as clarify quality parameters in providing good after-care. […] In this study, we examine the relative predictive impact of prostate-specific dimensions of nursing care on the scope and extent of mens unmet supportive care needs across seven countries within Europe. […] Experience of supportive nursing care was measured using a scale developed by the authors.
- #114 The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries | British Journal of Cancerhttps://www.nature.com/articles/bjc2013568
The items were developed based on research literature utilising evidence from specialist nursing domains and clinician and patient consultation in each of the seven countries. […] Dimensions of post-treatment nursing care significantly and independently predicted unmet need. […] The most common aspect was for longer-term effects: men who had not seen a nurse about longer-term effects were twice as likely to have health system and information needs and patient care and support needs. […] Nursing care did not predict need in the physical and daily living domain. […] This study makes an important contribution to the understanding of the role of supportive care in addressing survivorship needs for men with prostate cancer and the significance of nursing in reducing mens unmet needs. […] This provides evidence that access to supportive nursing care can influence patient outcomes, and importantly indicates that there are areas of care, in particular after cancer treatment, that nursing could improve.
- #115 An exploration of the Role of the Prostate Cancer Specialist Nurse from Two International Perspectives – PubMedhttps://pubmed.ncbi.nlm.nih.gov/32718757/
Objective: A diagnosis of prostate cancer is a major life-changing event that brings social, psychological, physical, financial, and spiritual challenges. In both the United Kingdom (UK) and Australia, prostate cancer specialist nurses (PCSNs) have a unique role in the care of men and their families. Prostate cancer specialist nursing roles are described from the UK and Australian perspective. […] Conclusion: Specialist nursing roles have developed within different frameworks and in response to very different political drivers in the UK and in Australia. An evidence base has developed demonstrating that PCSNs offer positive outcomes for men and their families. Despite some differences in the scope of international roles, there are common aspects. Both health care settings have challenges in terms of education, role definition, and capacity. Yet both PCSN roles have delivered innovative models of specialist care in terms of service delivery and patient support and education.
- #116 The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries | British Journal of Cancerhttps://www.nature.com/articles/bjc2013568
The items were developed based on research literature utilising evidence from specialist nursing domains and clinician and patient consultation in each of the seven countries. […] Dimensions of post-treatment nursing care significantly and independently predicted unmet need. […] The most common aspect was for longer-term effects: men who had not seen a nurse about longer-term effects were twice as likely to have health system and information needs and patient care and support needs. […] Nursing care did not predict need in the physical and daily living domain. […] This study makes an important contribution to the understanding of the role of supportive care in addressing survivorship needs for men with prostate cancer and the significance of nursing in reducing mens unmet needs. […] This provides evidence that access to supportive nursing care can influence patient outcomes, and importantly indicates that there are areas of care, in particular after cancer treatment, that nursing could improve.
- #117 The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries | British Journal of Cancerhttps://www.nature.com/articles/bjc2013568
The items were developed based on research literature utilising evidence from specialist nursing domains and clinician and patient consultation in each of the seven countries. […] Dimensions of post-treatment nursing care significantly and independently predicted unmet need. […] The most common aspect was for longer-term effects: men who had not seen a nurse about longer-term effects were twice as likely to have health system and information needs and patient care and support needs. […] Nursing care did not predict need in the physical and daily living domain. […] This study makes an important contribution to the understanding of the role of supportive care in addressing survivorship needs for men with prostate cancer and the significance of nursing in reducing mens unmet needs. […] This provides evidence that access to supportive nursing care can influence patient outcomes, and importantly indicates that there are areas of care, in particular after cancer treatment, that nursing could improve.
- #118 The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries | British Journal of Cancerhttps://www.nature.com/articles/bjc2013568
A fundamental shift is required in survivorship care to improve outcomes for men with prostate cancer, especially after treatment is completed. […] Furthermore, more consistent provision of nurses across the care pathway, with training to address sexual dysfunction and psychological care, should be a priority for enhancing supportive care. […] Health-care services therefore need to provide effective and targeted supportive care for men after prostate cancer treatment to meet this growing population of survivors.
- #119 Needs of Patients with Prostate Cancer for Home Carehttps://pmc.ncbi.nlm.nih.gov/articles/PMC6103199/
This study aimed to identify the needs for home care of patients with prostate cancer. […] It was found that the level of need for home care was high among the patients who had low education level and were residing in villages with a nuclear family. In addition, the level of need for home care increased among the patients who were in the recurrence phase of their illness, who had somebody in the family to meet the need for home care, and who had other family members in need of care. It was found that the level of the need for home care was high among patients whose lives were severely affected by prostate cancer and who considered their health to be poor. Within this context, it is advisable for medical staff to include training and consultancy services in their caring process to promote patient independence.
- #120 Nursing Management of Prostate Cancer | Wild Iris Medical Educationhttps://wildirismedicaleducation.com/blog/nursing-management-of-prostate-cancer
Nursing interventions can improve the long-term health status and quality of life of patients who have undergone treatment for cancer. Nurses play a vital role in providing direct care and education and in helping patients cope more effectively with post-treatment sequalae such as psychological distress, chemotherapy long-term effects, urinary problems, and bowel dysfunction. […] The nurse can encourage the person to take steps to prevent incontinence, improve continence, anticipate leakage, and cope with lack of complete control. […] Nursing care for those undergoing androgen deprivation therapy (ADT) involves helping patients address the adverse effects caused by hypogonadism. […] Nurses must be knowledgeable and comfortable with the topic, including religious implications, cultural norms, gender differences, and sexual preferences. […] The nurse also helps strengthen patient and family confidence to explore preferences for issues related to end-of-life care, such as withdrawal of active disease treatment, desire for the use of life-support measures, and symptom management.
- #121 An exploration of the Role of the Prostate Cancer Specialist Nurse from Two International Perspectives – PubMedhttps://pubmed.ncbi.nlm.nih.gov/32718757/
Objective: A diagnosis of prostate cancer is a major life-changing event that brings social, psychological, physical, financial, and spiritual challenges. In both the United Kingdom (UK) and Australia, prostate cancer specialist nurses (PCSNs) have a unique role in the care of men and their families. Prostate cancer specialist nursing roles are described from the UK and Australian perspective. […] Conclusion: Specialist nursing roles have developed within different frameworks and in response to very different political drivers in the UK and in Australia. An evidence base has developed demonstrating that PCSNs offer positive outcomes for men and their families. Despite some differences in the scope of international roles, there are common aspects. Both health care settings have challenges in terms of education, role definition, and capacity. Yet both PCSN roles have delivered innovative models of specialist care in terms of service delivery and patient support and education.
- #122 The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries | British Journal of Cancerhttps://www.nature.com/articles/bjc2013568
A fundamental shift is required in survivorship care to improve outcomes for men with prostate cancer, especially after treatment is completed. […] Furthermore, more consistent provision of nurses across the care pathway, with training to address sexual dysfunction and psychological care, should be a priority for enhancing supportive care. […] Health-care services therefore need to provide effective and targeted supportive care for men after prostate cancer treatment to meet this growing population of survivors.
- #123 An exploration of the Role of the Prostate Cancer Specialist Nurse from Two International Perspectives – PubMedhttps://pubmed.ncbi.nlm.nih.gov/32718757/
Objective: A diagnosis of prostate cancer is a major life-changing event that brings social, psychological, physical, financial, and spiritual challenges. In both the United Kingdom (UK) and Australia, prostate cancer specialist nurses (PCSNs) have a unique role in the care of men and their families. Prostate cancer specialist nursing roles are described from the UK and Australian perspective. […] Conclusion: Specialist nursing roles have developed within different frameworks and in response to very different political drivers in the UK and in Australia. An evidence base has developed demonstrating that PCSNs offer positive outcomes for men and their families. Despite some differences in the scope of international roles, there are common aspects. Both health care settings have challenges in terms of education, role definition, and capacity. Yet both PCSN roles have delivered innovative models of specialist care in terms of service delivery and patient support and education.
- #124 The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries | British Journal of Cancerhttps://www.nature.com/articles/bjc2013568
A fundamental shift is required in survivorship care to improve outcomes for men with prostate cancer, especially after treatment is completed. […] Furthermore, more consistent provision of nurses across the care pathway, with training to address sexual dysfunction and psychological care, should be a priority for enhancing supportive care. […] Health-care services therefore need to provide effective and targeted supportive care for men after prostate cancer treatment to meet this growing population of survivors.
- #125 An exploration of the Role of the Prostate Cancer Specialist Nurse from Two International Perspectives – PubMedhttps://pubmed.ncbi.nlm.nih.gov/32718757/
Implications for nursing practice: PCSNs have the potential to significantly decrease the burden on the public health system and influence change. For men with prostate cancer and their families, PCSNs can improve care through holistic nursing models focussing on what is important to individuals: support, education, management of side effects, rehabilitation, and by delivering and improving access to high-quality care.
- #126 The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries | British Journal of Cancerhttps://www.nature.com/articles/bjc2013568
A fundamental shift is required in survivorship care to improve outcomes for men with prostate cancer, especially after treatment is completed. […] Furthermore, more consistent provision of nurses across the care pathway, with training to address sexual dysfunction and psychological care, should be a priority for enhancing supportive care. […] Health-care services therefore need to provide effective and targeted supportive care for men after prostate cancer treatment to meet this growing population of survivors.
- #127 Needs of Patients with Prostate Cancer for Home Carehttps://pmc.ncbi.nlm.nih.gov/articles/PMC6103199/
The approach is that patients should be discharged from the hospital as soon as possible to prevent their exposure to hospital-acquired infections. […] The study was carried out to identify the needs of nursing patients with prostate cancer at home. […] It was found that the extent to which the patients who had someone for home care in the family needed home care was high at a statistically meaningful level. […] The patients who need home care felt their health situation was bad. […] The patients who had nobody at home to care for them needed home care 93 times more than those who did. […] The medical staff giving care in this way to patients with prostate cancer should pay attention to training and consultancy, including the support for the home care of the patients.
- #128 Diagnosis and treatment of prostate cancer | Nursing Timeshttps://www.nursingtimes.net/cancer/diagnosis-and-treatment-of-prostate-cancer-21-02-2014/
Nurses are often key workers for patients with prostate cancer and are responsible for ensuring men have the support they need throughout their cancer journey. This article provides an overview of the patient pathway. […] Nurses are often the key workers for patients with prostate cancer, and are responsible for maintaining continuity of care. Key nursing roles are providing information and supporting men in making treatment decision. […] After treatment, nurses need to assess patients for side-effects and offer formal assessment and treatment for troubling symptoms. Patients should be asked regularly whether their side-effects are troubling, as their views and quality of life may change over the years. […] Treatments for prostate cancer affect masculinity, as side-effects include erectile dysfunction, testicular shrinkage, breast development and loss of strength. While some men joke about their feminisation, this may mask psychological distress. Nurses should be alert to cues and offer patients referral to professionals for help with psychosexual issues. […] Advances in knowledge about prostate cancer and improvements in imaging techniques mean the patient diagnostic and treatment pathway changed recently. Nurses have an important role in this pathway to ensure patients make the right choices to maintain their quality of life.
- #129 Nursing Management of Prostate Cancer – Asvins Specialty Hospitalshttps://www.asvinshospitals.com/blog-post/nursing-management-of-prostate-cancer/
Nursing management of prostate cancer: Compassionate and comprehensive care. […] Nursing management is a crucial component of prostate cancer care, emphasizing the vital role nurses play in supporting patients through their journey with this condition. […] Nursing management begins with a thorough assessment of the patients physical and emotional well-being. Nurses evaluate the patients condition, medical history, and treatment plan. They also educate patients and their families about prostate cancer, its treatments, potential side effects, and self-care strategies. […] Managing the symptoms and side effects of prostate cancer and its treatments is a central focus of nursing care. Nurses assist in alleviating pain, urinary difficulties, and emotional distress, ensuring patients comfort and quality of life.
- #130 Nursing Management of Prostate Cancer – Asvins Specialty Hospitalshttps://www.asvinshospitals.com/blog-post/nursing-management-of-prostate-cancer/
Nurses work closely with the healthcare team, including oncologists, surgeons, and social workers, to ensure seamless coordination of care. They advocate for patients needs, help in treatment decisions, and facilitate communication between patients and healthcare providers. […] A cancer diagnosis can be emotionally challenging. Nurses provide emotional support, lending a compassionate ear and helping patients cope with anxiety, depression, and the psychological impact of the disease. […] Nursing management extends beyond initial treatment. Nurses provide ongoing monitoring, conduct regular check-ups, and ensure that patients are following their care plans. They assist in identifying any complications or treatment-related issues that may arise. […] In conclusion, nursing management is integral to the holistic care of individuals with prostate cancer. Nurses bring compassion, expertise, and a patient-centered approach to the forefront, ensuring that patients receive the support and care they need at every stage of their journey. Their dedication and commitment significantly contribute to better outcomes and improved quality of life for those facing prostate cancer.
- #131 Nursing Management of Prostate Cancer | Wild Iris Medical Educationhttps://wildirismedicaleducation.com/blog/nursing-management-of-prostate-cancer
Nurses play a pivotal role in helping these patients by listening to and addressing their concerns. […] Nurses are also a valuable resource and support for helping the prostate cancer patient manage the long-term, post-treatment effects and improve their quality of life. […] Nurses must remain knowledgeable about the following treatment options and be prepared to educate and discuss them with their patients, to support them through their decision-making process, and to provide care during and following their treatment. […] Patient education is at the heart of caring for those undergoing treatment for prostate cancer. Nurses are in a unique position to educate men with prostate cancer and their families, screen for and identify adverse effects of treatment, and provide support throughout the treatment process.
- #132 Prostate Cancer Nursing Management Is Critical to Quality Care | Oncology Nursing Societyhttps://www.ons.org/09-2013/prostate-cancer-nursing-management-critical-quality-care
Fertility and sexuality concerns are probably the most critical areas for the nurse to educate and support the patient. […] Nurses can initiate the conversation and let the patient know what management strategies are available out there. […] Prostate-specific antigen levels and digital rectal exams are recommended for those who are using expectant management as well as for those who have been treated. […] Continued surveillance and annual physical exams are important in prostate cancer nursing management and should be reinforced by every nurse. […] Education on what to expect and management of chronic and late effects is paramount in prostate cancer nursing management. […] In providing direct care to these patients, the nurse has a unique opportunity to initiate a conversation with the patient about concerns, fears, and expectations as well as to provide the necessary support to men with the diagnosis of prostate cancer.
- #133 The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries | British Journal of Cancerhttps://www.nature.com/articles/bjc2013568
The items were developed based on research literature utilising evidence from specialist nursing domains and clinician and patient consultation in each of the seven countries. […] Dimensions of post-treatment nursing care significantly and independently predicted unmet need. […] The most common aspect was for longer-term effects: men who had not seen a nurse about longer-term effects were twice as likely to have health system and information needs and patient care and support needs. […] Nursing care did not predict need in the physical and daily living domain. […] This study makes an important contribution to the understanding of the role of supportive care in addressing survivorship needs for men with prostate cancer and the significance of nursing in reducing mens unmet needs. […] This provides evidence that access to supportive nursing care can influence patient outcomes, and importantly indicates that there are areas of care, in particular after cancer treatment, that nursing could improve.
- #134 The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries | British Journal of Cancerhttps://www.nature.com/articles/bjc2013568
A fundamental shift is required in survivorship care to improve outcomes for men with prostate cancer, especially after treatment is completed. […] Furthermore, more consistent provision of nurses across the care pathway, with training to address sexual dysfunction and psychological care, should be a priority for enhancing supportive care. […] Health-care services therefore need to provide effective and targeted supportive care for men after prostate cancer treatment to meet this growing population of survivors.
- #135 An exploration of the Role of the Prostate Cancer Specialist Nurse from Two International Perspectives – PubMedhttps://pubmed.ncbi.nlm.nih.gov/32718757/
Implications for nursing practice: PCSNs have the potential to significantly decrease the burden on the public health system and influence change. For men with prostate cancer and their families, PCSNs can improve care through holistic nursing models focussing on what is important to individuals: support, education, management of side effects, rehabilitation, and by delivering and improving access to high-quality care.
- #136 Nursing Management of Prostate Cancer – Asvins Specialty Hospitalshttps://www.asvinshospitals.com/blog-post/nursing-management-of-prostate-cancer/
Nurses work closely with the healthcare team, including oncologists, surgeons, and social workers, to ensure seamless coordination of care. They advocate for patients needs, help in treatment decisions, and facilitate communication between patients and healthcare providers. […] A cancer diagnosis can be emotionally challenging. Nurses provide emotional support, lending a compassionate ear and helping patients cope with anxiety, depression, and the psychological impact of the disease. […] Nursing management extends beyond initial treatment. Nurses provide ongoing monitoring, conduct regular check-ups, and ensure that patients are following their care plans. They assist in identifying any complications or treatment-related issues that may arise. […] In conclusion, nursing management is integral to the holistic care of individuals with prostate cancer. Nurses bring compassion, expertise, and a patient-centered approach to the forefront, ensuring that patients receive the support and care they need at every stage of their journey. Their dedication and commitment significantly contribute to better outcomes and improved quality of life for those facing prostate cancer.
- #137 Polish Nursinghttp://www.pielegniarstwo.ump.edu.pl/article.php?lang=en&id=469
Nursing care of the patient in terminal stage of prostate cancer case study. […] The aim of the study was to assess the health situation, identify care problems and plan the nursing care of the patient in the terminal stage of prostate cancer. […] Nursing care of the patient in the terminal stage of prostate cancer should be holistic and take into account the biological, social, mental and spiritual spheres.