Materiały źródłowe

• #1 Pancreatic Cancer | Symptoms, Diagnosis & Treatment | MD Anderson Cancer Center

  https://www.mdanderson.org/cancer-types/pancreatic-cancer.html

  Pancreatic cancer occurs when cancer cells form and grow within the pancreas. These tumors are hard to diagnose early, since pancreatic cancer signs and symptoms aren’t obvious. Because of this, the majority of these cancers are diagnosed after the disease has reached an advanced stage, when treatment options are limited. […] Pancreatic cancer is the third leading cause of cancer death in the United States. It is estimated that close to 60,000 new cases are diagnosed each year and over 47,000 people die because of this disease annually. […] The most common symptoms of pancreatic cancer are pain in your abdomen or back, weight loss and jaundice. […] When pancreatic cancer is confined to the pancreas, and sometimes when it has spread only to the nearby areas, it can be removed with surgery.

• #2 Pancreatic cancer – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pancreatic-cancer/symptoms-causes/syc-20355421

  Pancreatic cancer care at Mayo Clinic […] Palliative care. This care is provided by a team of doctors, nurses, social workers, and other trained professionals who specialize in providing much needed relief from the pain and unpleasant symptoms of a serious illness. […] Getting diagnosed with a life-threatening illness can be devastating to both the patient and their loved ones. But we have some of the following suggestions that may help patients cope: Learn about your condition. Knowledge is power and information can make you feel more confident in your treatment decisions. Find support. This can mean a support system of family and friends, a cancer support group of people going through the same experience, or qualified counselor like your therapist or religious leader. […] Pancreatic cancer care at Mayo Clinic.

• #3 The Role of Nurses in Pancreatic Cancer Patient Care – Pancreatic Cancer Action Network

  https://pancan.org/news/critical-role-nurses-play-care-pancreatic-cancer-patients/

  Nurses are a critical part of the healthcare team that provides care and treatment for people facing pancreatic cancer. They bring a wide range of skills to the team and help implement the treatment plan prescribed by the doctor. […] For patients and caregivers, nurses are not only strong advocates, they are also excellent resources when it comes to asking questions about treatment or getting tips or assistance with care, information about support services and educational materials. […] All nurses involved in pancreatic cancer patient care bring compassion, empathy and much knowledge to the patient’s multidisciplinary healthcare team. […] Nursing provides a rich combination of skill requirements and opportunities. […] It’s an honor to be in this profession and to help enhance the wellness and quality of life for people in our care. […] The Pancreatic Cancer Action Network strongly recommends seeking a healthcare team that suits all of your physical, mental and emotional needs.

• #4 Pancreatic Cancer | Henry Ford Health – Detroit, MI

  https://www.henryford.com/services/pancreatic-cancer

  We treat all forms of pancreatic cancer as well as rare and complex tumors. Find out more about the types of pancreatic cancer and tumors we treat. […] Pancreatic cancer treatment at Henry Ford includes: Best available therapies: You have access to the full range of treatments, including chemotherapy, radiation and surgery. Our participation in clinical trials gives you access to options that are not widely available. […] Coordinated services: Our multidisciplinary pancreas team discusses the therapies that are right for your needs before your first appointment. You see multiple specialists and leave with a personalized care plan. […] Nurse navigator: A pancreas cancer nurse navigator keeps your care moving forward by coordinating all treatments, imaging and services you need. This individual is also your direct contact for any questions or concerns. […] Supportive care: We offer a range of therapies and services to ease the burden of pancreatic cancer and treatments. Psychologists, dieticians, social workers and others help you push past challenges related to your care.

• #5 Pancreatic Cancer | Cancer Care | Nuvance Health

  https://www.nuvancehealth.org/services-and-treatments/cancer-care/types-of-cancer-we-treat/gastrointestinal-cancer/pancreatic-cancer

  Pancreatic cancer care that helps you receive the compassionate support and innovative treatments you need. […] Your care team is part of your community, meaning cutting-edge pancreatic cancer research, clinical trials and treatment plans are right in your backyard. […] Experienced cancer specialists, including doctors, nutritionists, specially trained nurses and social workers, guide your treatment. […] The nurse navigator helps coordinate appointments and lets you know what to expect, so you can focus on feeling better. […] Assistance from cancer dietitians, financial navigators and social workers may relieve some of these worries. […] Your care may start with genomic testing to check for specific changes in cancer cell genes. This information helps us determine the right treatments for your diagnosis.

• #6 Supportive Management of the Patient With Pancreatic Cancer:

  https://www.cancernetwork.com/view/supportive-management-patient-pancreatic-cancer

  The oncology nurse attends not only to the physiologic needs of the patient with pancreatic cancer but also to the educational, economic, logistic, and psychosocial factors that impact on quality of care. Managing patient care from admission through discharge in today’s short hospitalization periods, the oncology nurse’s vigilant attention to „patient care maps” helps keep the multidisciplinary health-care team on schedule, contain costs, and maximize hospital resources. Patient and family education provided by the oncology nurse, along with take-home reference materials, facilitates adjustment to the cancer diagnosis, encourages patient compliance with treatment procedures and pain management, and can cut health-care costs by eliminating unnecessary post-discharge trips to the doctor’s office or emergency room.

• #7 Pancreatic Cancer: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

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

  Surgery is the most effective treatment for pancreatic cancer. However, only about 20% of patients have resectable tumors at the time of diagnosis. With neoadjuvant chemotherapy, more patients with pancreatic cancer become surgical candidates. If the cancer has metastasized and surgery is not possible, palliative measures like radiation therapy, cholecystojejunostomy, or endoscopically placed biliary stents are indicated. […] Nurses provide symptomatic and supportive care to patients diagnosed with pancreatic cancer with interventions like administering medications, providing comfort measures, offering psychological support, ensuring adequate nutrition, and providing patient education and resources. […] Nursing interventions and care are essential for the patients recovery. In the following section, you’ll learn more about possible nursing interventions for a patient with pancreatic cancer.

• #8 Caregiver Roles & Responsibilities for Pancreatic Cancer – PanCAN

  https://pancan.org/facing-pancreatic-cancer/living-with-pancreatic-cancer/advanced-cancer/hospice/caregiver-roles-and-responsibilities/

  Hospice is patient and family-centered, meaning that it is designed to look after the needs of the patient as well the needs of the caregiver. […] Caregivers provide a very loving gift by ensuring that the people they love die with peace and dignity. […] As a caregiver who has helped a loved one live with pancreatic cancer, you understand how cancer changes lives. […] A person living with advanced pancreatic cancer usually has a variety of symptoms that caregivers try to manage. […] Caregivers may provide: […] Physical care […] organizing and giving medication. […] monitoring symptoms and discussing treatments with loved ones and hospice staff. […] providing assistance with personal care such as bathing, dressing, eating and using the toilet. […] Emotional care […] listening, talking, reading or playing music.

• #9 Supportive Management of the Patient With Pancreatic Cancer:

  https://www.cancernetwork.com/view/supportive-management-patient-pancreatic-cancer

  The oncology nurse is the singular thread that runs throughout the entire continuum of care of the patient with pancreatic cancer–from admission through discharge and post-discharge. […] Educational intervention by the oncology nurse increases patient compliance, heightens patient and caregiver expectations regarding side effects of both the disease and its treatment, and helps eliminate unnecessary trips to the doctor’s office or emergency room–all of which can impact on health-care costs. […] Pain management is another critical area to be addressed by patient education. […] The oncology nurse at a large academic research center has the additional role of explaining what clinical trials are and what it means to take part in them. […] Proper patient management, including careful assessment, appropriate interventions, and thorough patient and family teaching, greatly enhances recovery and rehabilitation, but managing patient care throughout today’s express hospitalizations requires a vigilant system for keeping on schedule.

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• #11 Improving Palliative Care and Quality of Life in Pancreatic Cancer Patients

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9080991/

  Pancreatic cancer patients often present with complications, which can impact treatment tolerance. Thus, symptom management is a vital component of treatment in addition to traditional chemotherapeutics. Concurrent palliative care with an emphasis on aggressive symptom management may sustain both clinical and patient-centered outcomes during treatment. […] In this secondary analysis, a nurse-led palliative care intervention may improve the QOL and psychological distress of pancreatic cancer patients. A phase III trial focused on patients with pancreatic cancer is needed to determine the effectiveness of the intervention. […] Palliative care and symptom management is an important modality of treatment for these patients. […] Given the complexity of the complications that occur with pancreatic cancer, multidisciplinary management with oncology, supportive medicine, psychology, nutrition, as well as other departments is essential to achieve the best outcomes.

• #12 Caregiver Roles & Responsibilities for Pancreatic Cancer – PanCAN

  https://pancan.org/facing-pancreatic-cancer/living-with-pancreatic-cancer/advanced-cancer/hospice/caregiver-roles-and-responsibilities/

  providing caring companionship and love. […] Practical care […] handling insurance and other financial matters. […] paying bills. […] coordinating visits from family, loved ones, friends and hospice staff. […] discussing last wishes to ensure they are carried out (if the caregiver is the healthcare power of attorney). […] During the hospice journey many memories are created the last memories that caregivers and family members will share with their loved one. […] Caregiving is extremely rewarding, but also very demanding. It is important for caregivers to maintain their own self-care or they will not be able to care for their loved one at the most crucial times. […] Caregivers and the hospice staff will work together to keep the patient as comfortable as possible. […] The hospice staff may visit the patient’s home more often, if needed.

• #13 Nursing care plan for pancreatic cancer

  https://nursipedia.com/nursing-care-plan-pancreatic-cancer-2/

  Nursing care plan for pancreatic cancer is a detailed document that outlines the patients diagnosis and treatment. This comprehensive document helps nurses, physicians, and other healthcare providers evaluate the patients condition and form a plan for managing their health. […] The goal of the care plan is to improve the patients quality of life. The outcomes measure the success of the care plan. […] The nursing care plan for pancreatic cancer is a comprehensive document that helps healthcare providers form a plan for managing the patients condition. The care plan includes an assessment, nursing diagnosis, outcomes, interventions, rationales, and evaluation. Through the implementation of this care plan, healthcare providers can improve the patients quality of life and maximize their outcome. […] There are several possible interventions for pancreatic cancer care plan including chest physiotherapy, pain management, fatigue management, and nutritional therapy.

• #14 Patient education: Pancreatic cancer (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/pancreatic-cancer-beyond-the-basics

  Patient education: Pancreatic cancer (Beyond the Basics) […] Pancreatic cancer is one of the leading causes of cancer-related death in the United States. […] Most people with pancreatic cancer have abdominal pain and weight loss, with or without jaundice (yellowing of the skin): […] Pain is a common symptom. It usually develops in the upper abdomen as a dull ache that wraps around to the back. The pain can come and go, and it might get worse after eating. […] Some people lose weight because of a lack of appetite, feeling full after eating only a small amount of food, or diarrhea. […] Jaundice causes yellow coloring of the skin and whites of the eyes. […] If you develop symptoms that raise suspicion for pancreatic cancer, your doctor or nurse will order one or more tests. […] A biopsy involves removing a small piece of tissue from the mass. A clinician examines the tissue under a microscope to see if there are signs of cancer.

• #15 Patient education: Pancreatic cancer (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/pancreatic-cancer-beyond-the-basics

  Patient education: Pancreatic cancer (Beyond the Basics) […] Pancreatic cancer is one of the leading causes of cancer-related death in the United States. […] Most people with pancreatic cancer have abdominal pain and weight loss, with or without jaundice (yellowing of the skin): […] Pain is a common symptom. It usually develops in the upper abdomen as a dull ache that wraps around to the back. The pain can come and go, and it might get worse after eating. […] Some people lose weight because of a lack of appetite, feeling full after eating only a small amount of food, or diarrhea. […] Jaundice causes yellow coloring of the skin and whites of the eyes. […] If you develop symptoms that raise suspicion for pancreatic cancer, your doctor or nurse will order one or more tests. […] A biopsy involves removing a small piece of tissue from the mass. A clinician examines the tissue under a microscope to see if there are signs of cancer.

• #16 Patient education: Pancreatic cancer (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/pancreatic-cancer-beyond-the-basics

  Patient education: Pancreatic cancer (Beyond the Basics) […] Pancreatic cancer is one of the leading causes of cancer-related death in the United States. […] Most people with pancreatic cancer have abdominal pain and weight loss, with or without jaundice (yellowing of the skin): […] Pain is a common symptom. It usually develops in the upper abdomen as a dull ache that wraps around to the back. The pain can come and go, and it might get worse after eating. […] Some people lose weight because of a lack of appetite, feeling full after eating only a small amount of food, or diarrhea. […] Jaundice causes yellow coloring of the skin and whites of the eyes. […] If you develop symptoms that raise suspicion for pancreatic cancer, your doctor or nurse will order one or more tests. […] A biopsy involves removing a small piece of tissue from the mass. A clinician examines the tissue under a microscope to see if there are signs of cancer.

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• #18 Support needs – Pancreatic cancer in adults: diagnosis and management – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/n/niceng85/ch8/

  Unfortunately, pancreatic cancer patients currently do not always get access to the support and information they need. National Patient Experience Surveys have shown that pancreatic cancer patients experience a worse experience of treatment and care than those with other cancer types. […] Access to a clinical nurse specialist has also been shown to improve patient experience through National Patient Experience Surveys and feedback to patient organisations. […] Research has identified that pancreatic cancer patients can have significant unmet needs in the areas of psychological wellbeing, anxiety and depression, as well as the psychological impact of pain, decreased energy or tiredness, fatigue and coping with bowel or digestive problems caused by pancreatic cancer on daily living and quality of life.

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• #20 Support needs – Pancreatic cancer in adults: diagnosis and management – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/n/niceng85/ch8/

  National Guideline Alliance (UK). Pancreatic cancer in adults: diagnosis and management. London: National Institute for Health and Care Excellence (NICE); 2018 Feb. (NICE Guideline, No. 85.) […] People and their families or carers are often left devastated by a diagnosis of pancreatic cancer particularly when they learn that there are limited treatment options for the disease and often a poor prognosis. This means they can have significant psychological information and support needs to help them cope with the diagnosis of a life limiting disease and the impact this has on them and their families. […] People and families and carers also need access to information and support to help them understand their diagnosis, the treatment and care options available and to fully participate in shared decision making.

• #21 Cancer Nursing Care Plans: 13 Nursing Diagnosis – Nurseslabs

  https://nurseslabs.com/cancer-nursing-care-plans/

  Use this nursing care plan and management guide to provide care for patients with cancer. Enhance your understanding of nursing assessment, interventions, goals, and nursing diagnosis, all specifically tailored to address the unique needs of individuals with cancer. […] Nurses have a huge set of responsibilities for handling a patient with cancer. Nursing care plans for cancer involve assessment, support for therapies (e.g., chemotherapy, radiation, etc.), pain control, promoting nutrition, and providing emotional support. […] The following are the nursing priorities for patients with cancer: Perform assessments and administer cancer treatments, Manage treatment-related side effects, Provide supportive care and education, Coordinate interdisciplinary care, Offer emotional support and counseling, Advocate for patient needs, Monitor patient responses and report changes, Facilitate access to resources and support services.

• #22 Cancer Nursing Care Plans: 13 Nursing Diagnosis – Nurseslabs

  https://nurseslabs.com/cancer-nursing-care-plans/

  After thorough assessment, nursing diagnoses are formulated to address the challenges of cancer, guided by the nurses clinical judgment and understanding of the patients unique condition. […] Here are examples of nursing diagnoses that may be useful for common concerns associated with cancer: Acute Pain related to tissue inflammation and treatment side effects as evidenced by patient reports of persistent pain, guarding behaviors, and limited mobility. […] Nursing goals may include: The patient will identify and express feelings appropriately, The patient will continue normal life activities, looking toward/planning for the future, one day at a time, The patient will verbalize understanding of the dying process and feelings of being supported in grief work. […] Therapeutic interventions and nursing actions for patients with cancer may include: Providing Emotional Support and Assisting in Grieving, Enhancing Body Image and Self-Esteem, Managing Acute Pain, Improving Nutritional and Fluid Volume Status, Decreasing Fatigue, Minimizing Infection Risk, Maintaining Oral Mucous Membrane Integrity and Preventing Stomatitis, Maintaining Skin Integrity, Normalizing Bowel Function, Managing Sexuality Concern, Reducing Fear and Anxiety and Providing Emotional Support, Administering Medications and Providing Pharmacologic Support.

• #23 Pancreatic Cancer: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

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

  Palliative care is not curative and focuses on managing symptoms and pain for improved quality of life. This can be achieved through surgical procedures, nutritional support, chemotherapy, and more. […] Patients with pancreatic cancer should refrain from drinking alcohol and eating fatty, fried meals since they are hard to digest and can cause diarrhea, gas, and bloating. […] A dietitian is vital in planning nutritional interventions for patients with pancreatic cancer and those currently undergoing chemotherapy or radiation therapy. […] Emotional and spiritual comfort is vital in alleviating fear and anxiety. Offer time for listening so the patient can express their thoughts. […] Nursing care plans help prioritize assessments and interventions for both short and long-term goals of care.

• #24 Improving Palliative Care and Quality of Life in Pancreatic Cancer Patients

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9080991/

  Pancreatic cancer patients often present with complications, which can impact treatment tolerance. Thus, symptom management is a vital component of treatment in addition to traditional chemotherapeutics. Concurrent palliative care with an emphasis on aggressive symptom management may sustain both clinical and patient-centered outcomes during treatment. […] In this secondary analysis, a nurse-led palliative care intervention may improve the QOL and psychological distress of pancreatic cancer patients. A phase III trial focused on patients with pancreatic cancer is needed to determine the effectiveness of the intervention. […] Palliative care and symptom management is an important modality of treatment for these patients. […] Given the complexity of the complications that occur with pancreatic cancer, multidisciplinary management with oncology, supportive medicine, psychology, nutrition, as well as other departments is essential to achieve the best outcomes.

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• #26 Palliative Care and Pancreatic Cancer | Get Palliative Care

  https://getpalliativecare.org/whatis/disease-types/pancreatic-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 pancreatic cancer. The goal is to improve quality of life for both you and your family. […] Palliative care is provided by a team of doctors, nurses, social workers and other specialists who work alongside your other doctors to give you an extra layer of support. […] Since palliative caregivers are experts at treating pain, they can prescribe whatever treatments will be the most effective, such as traditional pain medications, steroids or nerve blocks. […] For the most benefit, a palliative care team should be brought in at the first diagnosis to start and ease discussions with you and your family about your goals for care.

• #27 Pancreatic Cancer Treatment (PDQ®) – NCI

  https://www.cancer.gov/types/pancreatic/hp/pancreatic-treatment-pdq

  This summary provides information about the treatment of exocrine pancreatic cancer. […] To appropriately treat pancreatic cancer, it is crucial to evaluate whether the cancer can be resected. […] Surgical resection, when feasible, remains the primary treatment modality for patients with pancreatic cancer. On occasion, resection can lead to long-term survival, and it provides effective palliation. […] Complications of pancreatic cancer include: Malabsorption: Frequently, malabsorption caused by exocrine insufficiency contributes to malnutrition. Pancreatic enzyme replacement can help alleviate this problem. […] Palliative therapies can be considered in patients with any stage of disease. For more information, see the Palliative Therapy section. […] Palliative measures that may improve quality of life without affecting OS include: Surgical or radiological biliary decompression.

• #28 Palliative Care and Pancreatic Cancer | Get Palliative Care

  https://getpalliativecare.org/whatis/disease-types/pancreatic-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 pancreatic cancer. The goal is to improve quality of life for both you and your family. […] Palliative care is provided by a team of doctors, nurses, social workers and other specialists who work alongside your other doctors to give you an extra layer of support. […] Since palliative caregivers are experts at treating pain, they can prescribe whatever treatments will be the most effective, such as traditional pain medications, steroids or nerve blocks. […] For the most benefit, a palliative care team should be brought in at the first diagnosis to start and ease discussions with you and your family about your goals for care.

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• #30 Pancreatic Cancer Symptom Management | Patient Education | UCSF Health

  https://www.ucsfhealth.org/education/pancreatic-cancer-symptom-management

  Pancreatic cancer is often accompanied by one or more unpleasant symptoms. One of the goals of cancer therapies is to resolve or lessen the severity of these symptoms. Unfortunately, cancer treatments themselves may also cause symptoms. […] It is important to discuss any symptoms with your doctor or nurse so management strategies can be discussed, and if needed, medications prescribed to control the severity of symptoms. […] The best approach for finding effective ways to manage these symptoms is to discuss them with your doctor or nurses. There are many methods and resources available to help improve these symptoms. […] Pancreatic enzymes are used to improve digestion of foods and prevent symptoms such as frequent, fatty bowel movements. These can occur in patients with a blockage between the pancreas and the intestine, or who have had surgery to remove all or part of the pancreas.

• #31 Support needs – Pancreatic cancer in adults: diagnosis and management – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/n/niceng85/ch8/

  Offer enteric-coated pancreatin for people with unresectable pancreatic cancer. […] Consider enteric-coated pancreatin before and after pancreatic cancer resection. […] Do not use fish oils as a nutritional intervention to manage weight loss in people with unresectable pancreatic cancer. […] For people who have had pancreatoduodenectomy and who have a functioning gut, offer early enteral nutrition (including oral and tube feeding) rather than parenteral nutrition. […] For more guidance on nutrition support, see the NICE guideline on nutrition support in adults.

• #32 Pancreatic Cancer: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

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

  Palliative care is not curative and focuses on managing symptoms and pain for improved quality of life. This can be achieved through surgical procedures, nutritional support, chemotherapy, and more. […] Patients with pancreatic cancer should refrain from drinking alcohol and eating fatty, fried meals since they are hard to digest and can cause diarrhea, gas, and bloating. […] A dietitian is vital in planning nutritional interventions for patients with pancreatic cancer and those currently undergoing chemotherapy or radiation therapy. […] Emotional and spiritual comfort is vital in alleviating fear and anxiety. Offer time for listening so the patient can express their thoughts. […] Nursing care plans help prioritize assessments and interventions for both short and long-term goals of care.

• #33 Support needs – Pancreatic cancer in adults: diagnosis and management – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/n/niceng85/ch8/

  Offer enteric-coated pancreatin for people with unresectable pancreatic cancer. […] Consider enteric-coated pancreatin before and after pancreatic cancer resection. […] Do not use fish oils as a nutritional intervention to manage weight loss in people with unresectable pancreatic cancer. […] For people who have had pancreatoduodenectomy and who have a functioning gut, offer early enteral nutrition (including oral and tube feeding) rather than parenteral nutrition. […] For more guidance on nutrition support, see the NICE guideline on nutrition support in adults.

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• #35

• #36 Cancer Nursing Care Plans: 13 Nursing Diagnosis – Nurseslabs

  https://nurseslabs.com/cancer-nursing-care-plans/

  Patients with cancer often experience a range of complex emotions including fear, anxiety, sadness, anger, and uncertainty. […] The diagnosis and treatment process of cancer can lead to feelings of self-doubt, insecurity, and reduced confidence, which can be compounded by changes in physical appearance, functional abilities, and social relationships. […] Pain is a common experience for patients with cancer due to the invasive nature of the disease. […] Nutritional and fluid volume status can be significantly affected in patients with cancer. […] Fatigue is a common and distressing symptom experienced by many patients with cancer. […] Patients with cancer are at an increased risk of developing infections due to the compromised immune system caused by the disease and its treatments.

• #37 Pancreatic Cancer Symptom Management | Patient Education | UCSF Health

  https://www.ucsfhealth.org/education/pancreatic-cancer-symptom-management

  The number of times per day that you take pancreatic enzymes depends on your condition and on how well you respond to treatment. Your doctor will prescribe the number of pills and how often to take them. […] Pancreatic enzymes may control symptoms but cannot cure the condition. You should continue to take pancreatic enzymes even if you feel well. […] Fatigue is an extremely common symptom of cancer and cancer treatments. […] It is important to tell your health care providers about your fatigue. There are many resources available to help you cope and conserve your energy. […] Major depression may be treated with a combination of counseling and medications. Several therapies are helpful in the treatment of cancer-related depression. Most therapy programs are offered in either individual or group settings and include support groups, cancer education and classes on relaxation skills, coping, yoga and meditation.

• #38 Cancer Nursing Care Plans: 13 Nursing Diagnosis – Nurseslabs

  https://nurseslabs.com/cancer-nursing-care-plans/

  Patients with cancer often experience a range of complex emotions including fear, anxiety, sadness, anger, and uncertainty. […] The diagnosis and treatment process of cancer can lead to feelings of self-doubt, insecurity, and reduced confidence, which can be compounded by changes in physical appearance, functional abilities, and social relationships. […] Pain is a common experience for patients with cancer due to the invasive nature of the disease. […] Nutritional and fluid volume status can be significantly affected in patients with cancer. […] Fatigue is a common and distressing symptom experienced by many patients with cancer. […] Patients with cancer are at an increased risk of developing infections due to the compromised immune system caused by the disease and its treatments.

• #39 Assessment Nursing Diagnosis Planning Implemantation Rationale Evaluation | PDF | Surgery | Infection

  https://www.scribd.com/document/507015595/Ncp-for-Pancreatic-Cancer

  Mr. Sanchez is a 57-year-old postoperative pancreatic cancer patient experiencing pain at his IV site and surgical incisions. He is at risk for infection due to his compromised immune system from cancer. The nursing goal is for Mr. Sanchez to remain infection-free by the end of the intervention through instructing him on infection prevention, encouraging activity and positioning changes, and demonstrating proper hygiene techniques. Objectives include teaching Mr. Sanchez about transmission of infection and risk factors, promoting hydration and nutrition, and assessing his understanding of preventing complications.

• #40 Pancreatic Cancer: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

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

  Surgery is the most effective treatment for pancreatic cancer. However, only about 20% of patients have resectable tumors at the time of diagnosis. With neoadjuvant chemotherapy, more patients with pancreatic cancer become surgical candidates. If the cancer has metastasized and surgery is not possible, palliative measures like radiation therapy, cholecystojejunostomy, or endoscopically placed biliary stents are indicated. […] Nurses provide symptomatic and supportive care to patients diagnosed with pancreatic cancer with interventions like administering medications, providing comfort measures, offering psychological support, ensuring adequate nutrition, and providing patient education and resources. […] Nursing interventions and care are essential for the patients recovery. In the following section, you’ll learn more about possible nursing interventions for a patient with pancreatic cancer.

• #41 Progress in pancreatic cancer care helps patients recover, thrive after treatment | News

  https://news.llu.edu/patient-care/progress-pancreatic-cancer-care-helps-patients-recover-thrive-after-treatment

  Ronald Blaum’s care team brought his case to the tumor board, a multidisciplinary group of cancer experts who dedicate time to discuss individualized patient treatment plans to optimize their outcomes. […] Surgery gives the best chance of long-term survival for patients with pancreatic cancer, says Jukes Namm, MD, a surgical oncologist at Loma Linda University Cancer Center who performed Blaum’s Whipple procedure. […] Although the Whipple is a procedure that’s been around for nearly a century, Namm says a lot has changed to improve patients’ experiences and recovery. Beyond better technology, Namm says providing whole-person care before, during, and after surgery proves integral to patients’ healing. […] Care teams nowadays use a protocol called Enhanced Recovery After Surgery (ERAS), dedicated to monitoring and controlling the risk factors that could potentially increase the risk of surgical complications (e.g., nutrition, body temperature, blood sugars, pain control).

• #42 4 Innovative Pancreatic Cancer Treatment Options | MD Anderson Cancer Center

  https://www.mdanderson.org/cancer-types/pancreatic-cancer/pancreatic-cancer-treatment.html

  Patients might need to eat smaller meals more frequently throughout the day, instead of three larger meals a day. […] Some patients might need enzyme replacements and antacids. […] There could be long-term nutritional deficiencies as well. […] The pancreas helps regulate glucose, so when you take out a piece of that, diabetes can sometimes occur. […] For one thing, at a high-volume cancer center like MD Anderson, we do more than 150 of these procedures a year, and most of our patients go on to make a full recovery. […] But its also about your life afterward. […] Nutritional deficiencies can occur after a Whipple procedure without proper management, so patients will need a dietitian. […] Timing is also critical.

• #43 Progress in pancreatic cancer care helps patients recover, thrive after treatment | News

  https://news.llu.edu/patient-care/progress-pancreatic-cancer-care-helps-patients-recover-thrive-after-treatment

  Ronald Blaum’s care team brought his case to the tumor board, a multidisciplinary group of cancer experts who dedicate time to discuss individualized patient treatment plans to optimize their outcomes. […] Surgery gives the best chance of long-term survival for patients with pancreatic cancer, says Jukes Namm, MD, a surgical oncologist at Loma Linda University Cancer Center who performed Blaum’s Whipple procedure. […] Although the Whipple is a procedure that’s been around for nearly a century, Namm says a lot has changed to improve patients’ experiences and recovery. Beyond better technology, Namm says providing whole-person care before, during, and after surgery proves integral to patients’ healing. […] Care teams nowadays use a protocol called Enhanced Recovery After Surgery (ERAS), dedicated to monitoring and controlling the risk factors that could potentially increase the risk of surgical complications (e.g., nutrition, body temperature, blood sugars, pain control).

• #44 4 Innovative Pancreatic Cancer Treatment Options | MD Anderson Cancer Center

  https://www.mdanderson.org/cancer-types/pancreatic-cancer/pancreatic-cancer-treatment.html

  Patients might need to eat smaller meals more frequently throughout the day, instead of three larger meals a day. […] Some patients might need enzyme replacements and antacids. […] There could be long-term nutritional deficiencies as well. […] The pancreas helps regulate glucose, so when you take out a piece of that, diabetes can sometimes occur. […] For one thing, at a high-volume cancer center like MD Anderson, we do more than 150 of these procedures a year, and most of our patients go on to make a full recovery. […] But its also about your life afterward. […] Nutritional deficiencies can occur after a Whipple procedure without proper management, so patients will need a dietitian. […] Timing is also critical.

• #45 Supportive Management of the Patient With Pancreatic Cancer:

  https://www.cancernetwork.com/view/supportive-management-patient-pancreatic-cancer

  Today’s cost-containment system underscores the need for well-engineered discharge plans and family education, as a large portion of the patient’s care must now be undertaken at home. […] The oncology nurse gets to know the patient with pancreatic cancer and his or her family better than the other members of the health-care team and can „red-flag” potential discharge problems that other staff members may not notice, such as difficulty in mastering glucose monitoring or an inadequate or unstable support system for home care. […] Oncology nursing involves much more than treating cancer–it takes a holistic look at the patient’s now-upturned world and attends to educational, physiologic, economic, and psychosocial needs, which will help the patient cope with the disease and its symptoms to enhance quality of life.

• #46 Patient education: Pancreatic cancer (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/pancreatic-cancer-beyond-the-basics

  Once pancreatic cancer is diagnosed, the next step is to determine its stage. […] Pancreatic cancer can be treated with several approaches, depending upon the stage of the tumor and the person’s health. […] The earliest stage of pancreatic cancers (stages I or II) can often be treated, and even cured, with surgery. […] Adjuvant (additional) therapy refers to chemotherapy, radiation, or a combination of both. […] In locally advanced pancreatic cancer, the cancer has extended into areas around the pancreas that make it difficult or impossible to remove it completely using surgery alone but has not yet spread to distant locations. […] The best treatment for locally advanced pancreatic cancer is to start with systemic therapy (specifically, chemotherapy). […] Systemic therapies (ie, drugs that are administered intravenously or orally) are typically used to treat these tumors.

• #47 Perspectives on Best Practices in Caring for Patients With Pancreatic Cancer and Cholangiocarcinoma

  https://www.oncnursingnews.com/view/perspectives-on-best-practices-in-caring-for-patients-with-pancreatic-cancer-and-cholangiocarcinoma

  Chemotherapy may be the only form of therapy for some patients with metastatic disease and is tailored to a patients performance status, comorbidities, and symptoms. […] This is a complex arena for patients, Rone added. […] If you tell them everything, they are terrified. You have to consider how much information they can process at one time. […] Its important for nurses to keep the conversation going with patients about palliative or end-of-life care. Care should be individualized and based on patient needs, desires, health status, location, and response to treatment.

• #48 How Skilled Nursing Care Benefits Someone With Pancreatic Cancer – Visiting Nurse & Community Care

  https://www.thevisitingnurses.com/skilled-nursing-care-how-skilled-nursing-care-benefits-someone-with-pancreatic-cancer/

  From the moment your dad gets a pancreatic cancer diagnosis, he’ll work closely with his doctors on treatment options. It’s a challenging form of cancer as the symptoms don’t appear until it’s started to spread, so he is going to need a lot of support, and skilled nursing care services are something your family has to consider. […] Skilled nurses can set up IV lines, fluids, infusions, and medications at his home. […] If they are, it’s best to have a skilled nurse there to watch for any troubling side effects like severe nausea. The nurse can consult with your dad’s doctor to determine what to do to make him comfortable. […] Skilled nurses can help your dad when these symptoms occur by administering medications and offering wound care. […] Skilled nursing care provides him with the help he needs on the days he’s feeling nauseous and can’t stop throwing up. Skilled nurses can administer the fluids and infusions he needs to prevent malnutrition or dehydration. […] Arrange skilled nursing care as soon as you can. The more support your dad has during his cancer treatments, the easier it is for him emotionally and physically.

• #49 Perspectives on Best Practices in Caring for Patients With Pancreatic Cancer and Cholangiocarcinoma

  https://www.oncnursingnews.com/view/perspectives-on-best-practices-in-caring-for-patients-with-pancreatic-cancer-and-cholangiocarcinoma

  It is not uncommon, however, to have insufficient tissue amounts available for molecular testing. […] Look at the patients chart to see [whether] molecular profiling has been done. If not, ask the oncologist about it. Its a fair question. […] Surgery is the only potentially curative treatment for patients with pancreatic cancer. […] Decisions about tumor resectability should be presented for discussion to a multidisciplinary board at a high-volume center. […] Its important to look at the patient from different modality viewpoints to determine best treatment, she added. […] Nurses play a vital role in treatment discussions with patients, Ferguson explained. […] Patients may wonder [whether] they should go through treatment. Nurses can help patients understand the benefits of treatment, such as slowing tumor growth, reducing severity of adverse effects [AEs], and prolonging life.

• #50 Pancreatic Cancer Treatment – NCI

  https://www.cancer.gov/types/pancreatic/patient/pancreatic-treatment-pdq

  Pancreatic cancer is a type of cancer that forms in the tissues of the pancreas. […] Signs and symptoms of pancreatic cancer include jaundice, pain, and weight loss. […] Pancreatic cancer is difficult to diagnose early. […] Tests that examine the pancreas are used to diagnose and stage pancreatic cancer. […] Certain factors affect prognosis (chance of recovery) and treatment options. […] Treatment of resectable or borderline resectable pancreatic cancer may include: chemotherapy with or without radiation therapy, followed by surgery. […] Palliative therapy can improve the patient’s quality of life by controlling the symptoms and complications of pancreatic cancer. […] Palliative therapy for pancreatic cancer may include: palliative surgery or stent placement to bypass blocked areas in ducts or the small intestine. […] There are treatments for pain caused by pancreatic cancer. […] Patients with pancreatic cancer have special nutritional needs. […] Treatment for pancreatic cancer may cause side effects. […] Follow-up care may be needed.

• #51 Pancreatic cancer – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pancreatic-cancer/diagnosis-treatment/drc-20355427

  Our caring team of Mayo Clinic experts can help you with your pancreatic cancer-related health concerns. […] Treatment for pancreatic cancer depends on the stage of the cancer and the location. Your health care team also considers your overall health and your preferences. For most people, the first goal of pancreatic cancer treatment is to get rid of the cancer, when possible. When that isn’t possible, the focus may be on improving quality of life and keeping the cancer from growing or causing more harm. […] Palliative care is a special type of health care that helps people with serious illness feel better. If you have cancer, palliative care can help relieve pain and other symptoms. A team of health care professionals does palliative care. The team can include doctors, nurses and other specially trained professionals. The team’s goal is to improve quality of life for you and your family.

• #52 Pancreatic Cancer Nursing Strategies – General Program – Pancreatic Cancer Decision Making | CCO

  https://clinicaloptions.com/program/pancreatic-cancer-nursing-strategies/100004755

  Advances in the Treatment of Pancreatic Cancer: Nursing Education to Optimize Clinical Practice and Support Patients in Decision Making […] Expert guidance on key nursing considerations in the management of patients with pancreatic cancer includes a downloadable slideset summary PDF pocket guide and Webcast. […] Pancreatic Cancer Guide Quick Reference: Managing Patients With Pancreatic Cancer […] Pancreatic Cancer Advances in the Treatment of Pancreatic Cancer: Nursing Education to Optimize Clinical Practice.

• #53

• #54 Pancreatic cancer – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pancreatic-cancer/diagnosis-treatment/drc-20355427

  Palliative care specialists work with you, your family and your care team to help you feel better. They provide an extra layer of support while you have cancer treatment. You can have palliative care at the same time as strong cancer treatments, such as surgery, chemotherapy or radiation therapy. […] When palliative care is used with all the other appropriate treatments, people with cancer may feel better and live longer.

• #55 Improving Palliative Care and Quality of Life in Pancreatic Cancer Patients

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9080991/

  Therefore, early identification of complications and referral to appropriate specialists is essential in the management of pancreatic cancer patients. […] Palliative care is an integral part in the management of pancreatic cancer patients. We have shown a positive impact of a palliative care intervention improving QOL measures across pancreatic cancer patients enrolled in phase 1 trials.

• #56 Palliative Care – PanKind The Australian Pancreatic Cancer Foundation

  https://pankind.org.au/patient-carer-hub/supportive-care/

  Supportive care, also known as palliative care, can significantly improve your quality of life when you have a serious illness like pancreatic cancer. […] A palliative approach to care can help people with pancreatic cancer live their lives as fully and comfortably as possible. […] Palliative care specialists collaborate with the patient’s medical team to address symptoms related to obstructions and alleviate stress, pain and nausea. […] In supportive care, nutrition is emphasised to ensure patients get ample energy to fuel the body, gain weight and build and repair cells and muscles. […] Pancreatic cancer supportive care may be provided at any stage of treatment, from the time of diagnosis and beyond. Patients may receive palliative care early on to help achieve treatment outcomes and improve quality of life.

• #57 Support needs – Pancreatic cancer in adults: diagnosis and management – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/n/niceng85/ch8/

  Unfortunately, pancreatic cancer patients currently do not always get access to the support and information they need. National Patient Experience Surveys have shown that pancreatic cancer patients experience a worse experience of treatment and care than those with other cancer types. […] Access to a clinical nurse specialist has also been shown to improve patient experience through National Patient Experience Surveys and feedback to patient organisations. […] Research has identified that pancreatic cancer patients can have significant unmet needs in the areas of psychological wellbeing, anxiety and depression, as well as the psychological impact of pain, decreased energy or tiredness, fatigue and coping with bowel or digestive problems caused by pancreatic cancer on daily living and quality of life.

• #58 Supportive care needs of people with pancreatic cancer: a literature review

  https://journals.rcni.com/cancer-nursing-practice/evidence-and-practice/supportive-care-needs-of-people-with-pancreatic-cancer-a-literature-review-cnp.2019.e1566/full

  Pain is a significant unmet need that must be managed more effectively. […] Early detection of and support for anxiety and depression may positively affect quality of life, therefore access to counsellors and psychologists is vital. […] The importance of early referral to supportive and palliative care and the potential effectiveness and acceptability of integrated oncology, where oncology and palliative care teams work together, has been highlighted. […] It is essential that more is done to identify individual needs through regular assessment using tools such as holistic needs assessments. To meet peoples needs it is important to explore and evaluate new models of care, such as early referral to supportive and palliative care and closer integration of oncology and palliative care.

• #59 Pancreatic Cancer, Information, Resources

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

  CancerCare provides free, professional support services for people affected by pancreatic cancer, as well as pancreatic cancer treatment information and financial help with cancer-related costs and treatment co-pays. […] Oncology social workers help you cope with the emotional and practical challenges of pancreatic cancer. […] Find resources and support to manage your financial concerns. Limited assistance from CancerCare is available to eligible families for cancer-related costs. […] Connect with others in our free support groups led by oncology social workers. […] CancerCare 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.

• #60 Pancreatic Cancer Supportive Care | Pancreatic Cancer | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/pancreatic-cancer/pancreatic-cancer-support-services/

  Social workers trained to work with patients who have cancer are available to assist with any of the challenges they face during or after treatment. […] Provides holistic care, addressing the spiritual and emotional dimensions of the cancer experience. They offer a source of comfort, strength, and hope during a very challenging time. […] Our licensed clinical psychologists and clinical therapists are specially trained to help patients with cancer relieve the stress, sadness, or worry associated with cancer and its treatment. […] Focuses on maintaining and restoring the highest possible functional status and quality of life to patients with cancer, at all stages of treatment through survivorship. […] Meeting with others in similar situations can be helpful and cathartic. […] Activities such as art therapy and expressive writing are designed to improve well-being and quality of life during and after cancer treatment.

• #61 Supportive Management of the Patient With Pancreatic Cancer:

  https://www.cancernetwork.com/view/supportive-management-patient-pancreatic-cancer

  The oncology nurse attends not only to the physiologic needs of the patient with pancreatic cancer but also to the educational, economic, logistic, and psychosocial factors that impact on quality of care. Managing patient care from admission through discharge in today’s short hospitalization periods, the oncology nurse’s vigilant attention to „patient care maps” helps keep the multidisciplinary health-care team on schedule, contain costs, and maximize hospital resources. Patient and family education provided by the oncology nurse, along with take-home reference materials, facilitates adjustment to the cancer diagnosis, encourages patient compliance with treatment procedures and pain management, and can cut health-care costs by eliminating unnecessary post-discharge trips to the doctor’s office or emergency room.

• #62 Supportive Management of the Patient With Pancreatic Cancer:

  https://www.cancernetwork.com/view/supportive-management-patient-pancreatic-cancer

  The oncology nurse is the singular thread that runs throughout the entire continuum of care of the patient with pancreatic cancer–from admission through discharge and post-discharge. […] Educational intervention by the oncology nurse increases patient compliance, heightens patient and caregiver expectations regarding side effects of both the disease and its treatment, and helps eliminate unnecessary trips to the doctor’s office or emergency room–all of which can impact on health-care costs. […] Pain management is another critical area to be addressed by patient education. […] The oncology nurse at a large academic research center has the additional role of explaining what clinical trials are and what it means to take part in them. […] Proper patient management, including careful assessment, appropriate interventions, and thorough patient and family teaching, greatly enhances recovery and rehabilitation, but managing patient care throughout today’s express hospitalizations requires a vigilant system for keeping on schedule.

• #63 Pancreatic Cancer: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.pancreatic-cancer-care-instructions.uh4785

  Pancreatic cancer occurs when abnormal cells grow in the pancreas. Your pancreas is in your belly, behind your stomach. It makes juices that help your body digest food. It also makes insulin, which helps control your blood sugar level. […] 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 if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. […] If you have not already done so, prepare a list of advance directives. Advance directives are instructions to your doctor and family members about what kind of care you want if you become unable to speak or express yourself. […] Watch closely for changes in your health, and be sure to contact your doctor if you have any symptoms that the cancer has come back or spread. These symptoms include: New lumps. Bone pain. Chest pain. Shortness of breath. Belly pain. Headaches that don’t go away.

• #64 Supportive Management of the Patient With Pancreatic Cancer:

  https://www.cancernetwork.com/view/supportive-management-patient-pancreatic-cancer

  The oncology nurse attends not only to the physiologic needs of the patient with pancreatic cancer but also to the educational, economic, logistic, and psychosocial factors that impact on quality of care. Managing patient care from admission through discharge in today’s short hospitalization periods, the oncology nurse’s vigilant attention to „patient care maps” helps keep the multidisciplinary health-care team on schedule, contain costs, and maximize hospital resources. Patient and family education provided by the oncology nurse, along with take-home reference materials, facilitates adjustment to the cancer diagnosis, encourages patient compliance with treatment procedures and pain management, and can cut health-care costs by eliminating unnecessary post-discharge trips to the doctor’s office or emergency room.

• #65 Pancreatic Cancer | Cancer Care | Nuvance Health

  https://www.nuvancehealth.org/services-and-treatments/cancer-care/types-of-cancer-we-treat/gastrointestinal-cancer/pancreatic-cancer

  Pancreatic cancer care that helps you receive the compassionate support and innovative treatments you need. […] Your care team is part of your community, meaning cutting-edge pancreatic cancer research, clinical trials and treatment plans are right in your backyard. […] Experienced cancer specialists, including doctors, nutritionists, specially trained nurses and social workers, guide your treatment. […] The nurse navigator helps coordinate appointments and lets you know what to expect, so you can focus on feeling better. […] Assistance from cancer dietitians, financial navigators and social workers may relieve some of these worries. […] Your care may start with genomic testing to check for specific changes in cancer cell genes. This information helps us determine the right treatments for your diagnosis.

• #66 Pancreatic Cancer Supportive Care | Pancreatic Cancer | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/pancreatic-cancer/pancreatic-cancer-support-services/

  Living with pancreatic cancer or getting back to normal life after treatment can be challenging. As cancer specialists, we want to make sure we address each patients unique needs at every point in the cancer journey. […] From the moment of diagnosis, our comprehensive supportive care team will help you navigate resources and resolve challenges related to cancer. […] UT Southwestern has trained supportive care specialists available to patients and their families from diagnosis through treatment and beyond. The goal is to make sure we are addressing each patients individual needs along the care continuum. […] Our nurse navigators play a crucial role in helping cancer patients navigate the complex healthcare system. They act as a guide and advocate for patients from diagnosis through treatment and beyond.

• #67 Innovative Pancreatic Cancer Care

  https://www.rwjbh.org/treatment-care/cancer/types-of-cancer/gastrointestinal-cancer/pancreatic-cancer/

  Nurse navigators help secure appointments, coordinate follow-up visits related to treatments and procedures, and guide you through aspects of survivorship. […] Our multidisciplinary team of specialists provides the most advanced pancreatic cancer treatment options in a compassionate and welcoming environment. […] Patients are provided an individualized pancreatic cancer treatment plan specific to their disease and its stage. […] Pancreatic cancer treatment options we offer include: Whipple procedure (pancreaticoduodenectomy), Distal pancreatectomy, Central pancreatectomy, Minimally invasive pancreatectomy (robotic and laparoscopic), Enhanced recovery after surgery pathways (ERAS) for pancreas, Clinical trials, Pancreatic cyst surveillance program, Diagnostic interventional gastroenterology services with endoscopic ultrasound (EUS), Molecular diagnostics, Advanced radiographic procedures.

• #68 Pancreatic Cancer | Cancer Care | Nuvance Health

  https://www.nuvancehealth.org/services-and-treatments/cancer-care/types-of-cancer-we-treat/gastrointestinal-cancer/pancreatic-cancer

  Pancreatic cancer care that helps you receive the compassionate support and innovative treatments you need. […] Your care team is part of your community, meaning cutting-edge pancreatic cancer research, clinical trials and treatment plans are right in your backyard. […] Experienced cancer specialists, including doctors, nutritionists, specially trained nurses and social workers, guide your treatment. […] The nurse navigator helps coordinate appointments and lets you know what to expect, so you can focus on feeling better. […] Assistance from cancer dietitians, financial navigators and social workers may relieve some of these worries. […] Your care may start with genomic testing to check for specific changes in cancer cell genes. This information helps us determine the right treatments for your diagnosis.

• #69 Supportive Management of the Patient With Pancreatic Cancer:

  https://www.cancernetwork.com/view/supportive-management-patient-pancreatic-cancer

  Today’s cost-containment system underscores the need for well-engineered discharge plans and family education, as a large portion of the patient’s care must now be undertaken at home. […] The oncology nurse gets to know the patient with pancreatic cancer and his or her family better than the other members of the health-care team and can „red-flag” potential discharge problems that other staff members may not notice, such as difficulty in mastering glucose monitoring or an inadequate or unstable support system for home care. […] Oncology nursing involves much more than treating cancer–it takes a holistic look at the patient’s now-upturned world and attends to educational, physiologic, economic, and psychosocial needs, which will help the patient cope with the disease and its symptoms to enhance quality of life.

• #70

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh4785

  Pancreatic cancer occurs when abnormal cells grow in the pancreas. Your pancreas is in your belly, behind your stomach. It makes juices that help your body digest food. It also makes insulin, which helps control your blood sugar level. […] You may need to take medicines to help you digest food and control your blood sugar. If you have pain, your doctor will give you medicine or other treatment to help you be more comfortable. […] 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. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine.

• #71

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh4785

  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. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you have any symptoms that the cancer has come back or spread. These symptoms include: New lumps. Bone pain. Chest pain. Shortness of breath. Belly pain. Headaches that don’t go away.

• #72 Patient education: Pancreatic cancer (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/pancreatic-cancer-beyond-the-basics

  Pancreatic cancer often causes bothersome symptoms like jaundice, intestinal blockage, pain, and weight loss. Treatments are available to relieve these symptoms. […] Ending cancer treatment does not mean ending care for the person. […] Hospice care is frequently recommended when a person is unlikely to live longer than six months.

• #73 Treating Pancreatic Cancer | Pancreatic Cancer Treatment | American Cancer Society

  https://www.cancer.org/cancer/types/pancreatic-cancer/treating.html

  Its important to discuss all of your treatment options, including their goals and possible side effects, with your doctors to help make the decision that best fits your needs. […] You may feel that you must make a decision quickly, but its important to give yourself time to absorb the information you have just learned. […] Be sure to talk to your cancer care team about any method you are thinking about using. […] People with cancer need support and information, no matter what stage of illness they may be in. […] Different types of programs and support services may be helpful, and they can be an important part of your care. […] Whether or not you continue treatment, there are still things you can do to help maintain or improve your quality of life. […] Remember that even if you choose not to treat the cancer, you can still get supportive care to help with pain or other symptoms. […] You and your family are encouraged to talk with your doctor or a member of your supportive care team about hospice care options, which include hospice care at home, a special hospice center, or other health care locations.

• #74 Caregiver Roles & Responsibilities for Pancreatic Cancer – PanCAN

  https://pancan.org/facing-pancreatic-cancer/living-with-pancreatic-cancer/advanced-cancer/hospice/caregiver-roles-and-responsibilities/

  providing caring companionship and love. […] Practical care […] handling insurance and other financial matters. […] paying bills. […] coordinating visits from family, loved ones, friends and hospice staff. […] discussing last wishes to ensure they are carried out (if the caregiver is the healthcare power of attorney). […] During the hospice journey many memories are created the last memories that caregivers and family members will share with their loved one. […] Caregiving is extremely rewarding, but also very demanding. It is important for caregivers to maintain their own self-care or they will not be able to care for their loved one at the most crucial times. […] Caregivers and the hospice staff will work together to keep the patient as comfortable as possible. […] The hospice staff may visit the patient’s home more often, if needed.

• #75 Caregiver Roles & Responsibilities for Pancreatic Cancer – PanCAN

  https://pancan.org/facing-pancreatic-cancer/living-with-pancreatic-cancer/advanced-cancer/hospice/caregiver-roles-and-responsibilities/

  The day-to-day care of the patient is essential to good hospice care. […] Caregivers should expect the hospice staff to listen respectfully and respond quickly at any hour of the day or night. […] Caregivers keep track of many types of information regarding the patient’s care. […] Caregiving does require a time commitment. […] The hospice staff will provide information about ways to keep the patient comfortable. […] Taking care of one’s self as a caregiver is very important. […] Caregivers may need breaks to avoid physical and emotional exhaustion. […] Caregiving is a 24-hour-a-day, 7-day-a-week job. Most caregivers cannot do it alone — they need help. […] If outside help is hired, such as home health aides, write a list of duties so these individuals will know exactly what is expected of them.

• #76 Where to receive care – Pancreatic Cancer UK

  https://www.pancreaticcancer.org.uk/information/end-of-life-care-for-pancreatic-cancer/care-towards-end-of-life/where-to-receive-care/

  If you have pancreatic cancer and are approaching the end of your life, you can speak to your doctor or nurse about where you would like to be cared for and where you would like to die. […] Choosing where you would like to be cared for, and where you would like to die, can be recorded in any plans you make about your care. You may want to be cared for at home, or at a local hospice. […] Your doctor or nurse can try to arrange support and care so that you can be cared for where you wish. But be aware that this may not always be possible. Speak to your family as well so that they are aware of your wishes. […] You may want to be cared for and die at home. Your GP, district nurse or community palliative care nurse will organise your care at home and will be your main contact. […] There are different nurses that can help you at home, and they provide different types of care. Your GP can refer you to the nursing teams in your area.

• #77 Pancreatic cancer advice? – AgingCare.com

  https://www.agingcare.com/questions/pancreatic-cancer-advice-479184.htm

  My grandfather will be coming home this weekend on hospice after being diagnosed with pancreatic cancer. […] Anyone have experience caring for someone with pancreatic cancer/cancer? […] The key is keeping the pain under control. […] Hospice will give you morphine — don’t be afraid to give it to him. […] If the hospice people aren’t receptive to phone calls and questions, don’t hesitate to get a new one. […] In both cases, hospice was invaluable. […] Hospice actually came and provided round the clock care for the last couple of days due to pain management. […] You will get very little to no help from what Hospice has become in our country now. […] I agree, that this is 24/7 work and HARD working seeing one through to death. […] There is no reason for suffering now given that all are aware this is end of life treatment. […] I hope that the end is very peaceful for your granddad.

• #78 Supportive care needs of people with pancreatic cancer: a literature review

  https://journals.rcni.com/cancer-nursing-practice/evidence-and-practice/supportive-care-needs-of-people-with-pancreatic-cancer-a-literature-review-cnp.2019.e1566/full

  Pain is a significant unmet need that must be managed more effectively. […] Early detection of and support for anxiety and depression may positively affect quality of life, therefore access to counsellors and psychologists is vital. […] The importance of early referral to supportive and palliative care and the potential effectiveness and acceptability of integrated oncology, where oncology and palliative care teams work together, has been highlighted. […] It is essential that more is done to identify individual needs through regular assessment using tools such as holistic needs assessments. To meet peoples needs it is important to explore and evaluate new models of care, such as early referral to supportive and palliative care and closer integration of oncology and palliative care.

• #79 Improving Palliative Care and Quality of Life in Pancreatic Cancer Patients

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9080991/

  Pancreatic cancer patients often present with complications, which can impact treatment tolerance. Thus, symptom management is a vital component of treatment in addition to traditional chemotherapeutics. Concurrent palliative care with an emphasis on aggressive symptom management may sustain both clinical and patient-centered outcomes during treatment. […] In this secondary analysis, a nurse-led palliative care intervention may improve the QOL and psychological distress of pancreatic cancer patients. A phase III trial focused on patients with pancreatic cancer is needed to determine the effectiveness of the intervention. […] Palliative care and symptom management is an important modality of treatment for these patients. […] Given the complexity of the complications that occur with pancreatic cancer, multidisciplinary management with oncology, supportive medicine, psychology, nutrition, as well as other departments is essential to achieve the best outcomes.

• #80 Improving Palliative Care and Quality of Life in Pancreatic Cancer Patients

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9080991/

  Pancreatic cancer patients often present with complications, which can impact treatment tolerance. Thus, symptom management is a vital component of treatment in addition to traditional chemotherapeutics. Concurrent palliative care with an emphasis on aggressive symptom management may sustain both clinical and patient-centered outcomes during treatment. […] In this secondary analysis, a nurse-led palliative care intervention may improve the QOL and psychological distress of pancreatic cancer patients. A phase III trial focused on patients with pancreatic cancer is needed to determine the effectiveness of the intervention. […] Palliative care and symptom management is an important modality of treatment for these patients. […] Given the complexity of the complications that occur with pancreatic cancer, multidisciplinary management with oncology, supportive medicine, psychology, nutrition, as well as other departments is essential to achieve the best outcomes.

• #81 Palliative Care and Pancreatic Cancer | Get Palliative Care

  https://getpalliativecare.org/whatis/disease-types/pancreatic-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 pancreatic cancer. The goal is to improve quality of life for both you and your family. […] Palliative care is provided by a team of doctors, nurses, social workers and other specialists who work alongside your other doctors to give you an extra layer of support. […] Since palliative caregivers are experts at treating pain, they can prescribe whatever treatments will be the most effective, such as traditional pain medications, steroids or nerve blocks. […] For the most benefit, a palliative care team should be brought in at the first diagnosis to start and ease discussions with you and your family about your goals for care.

• #82 Pancreatic Cancer Care | MUSC Hollings Cancer Center

  https://hollingscancercenter.musc.edu/patient-care/cancer-types/gastrointestinal-cancers/pancreatic-cancer

  If you or a loved one has been diagnosed with pancreatic cancer, its important to be treated at a facility that can offer the latest treatments along with clinical trials. […] Our nurse navigators are an integral part of cancer care. They can help you to navigate through the health system, organize your appointments, and access additional resources. […] Treatment for pancreatic cancer depends on the size of the tumor, how much it has spread, and the genetic makeup of the tumor. […] Hollings performs genetic testing in every pancreatic cancer case so that all treatment options can be explored. […] Clinical trials are how we know which treatments work; results from clinical trials determine what becomes the standard of care across cancer centers. […] Our clinical trials page includes more information about trials as well as some questions for you to ask if you are considering a trial. […] We pride ourselves on our holistic approach to cancer care. We offer you many resources to help you throughout your cancer journey, including financial counseling, physical therapy, nutrition services, and support groups.

• #83 Pancreatic Cancer | Rogel Cancer Center | Michigan Medicine | University of Michigan

  https://www.rogelcancercenter.org/pancreatic-cancer

  Treating pancreatic cancers can be challenging. Our experienced gastrointestinal cancer experts have the skill and expertise to treat these rare cancers. Our medical oncologists, radiation oncologists and surgeons work together to develop effective treatment plans for even the most challenging pancreatic cancers. When pancreatic tumors aren’t immediately operable, our medical oncology and radiation oncology specialists use chemotherapy and radiation therapy to reduce tumor size and help make surgery possible. We use minimally invasive techniques to help you recover from surgery faster. Our research focus means we’re always searching for the newest therapies for pancreatic cancer. We offer access to sophisticated treatments for eligible patients through GI cancer clinical trials. Rogel Cancer Center specialists are experts in developing personalized strategies to treat complex pancreatic cancers. Pancreatic cancer surgery is the best option for preventing the spread (metastasis) of these cancers. When tumors can’t be fully removed, surgeons may do surgery to improve function and manage symptoms (palliative surgery). Our radiation oncology experts use radiation therapy to reduce tumor size and help make surgery possible. Our experts may recommend medications that travel through your bloodstream to destroy cancer cells. The specialists at Rogel Cancer Center work together to treat all types of pancreatic cancer in our multidisciplinary clinics.

• #84 Expert Care for Pancreatic Cancer in Oregon | OHSU

  https://www.ohsu.edu/knight-cancer-institute/pancreatic-cancer

  Lifesaving therapies through our Pancreatic High-Risk Clinic. […] Our doctors and scientists in the Knight Cancer Institute and the Brenden-Colson Center work together to bring discoveries in the lab to patients as quickly as possible. […] Finding pancreatic cancer early is a core mission of the Brenden-Colson Center. The center has joined forces with the Knight Cancer Institutes Cancer Early Detection Advanced Research Center to detect pancreatic cancer when its most curable. […] Cancer social workers can help you with financial, housing or transportation issues. […] Cancer nutrition services provide registered dietitians to help before, during and after cancer treatment. […] Acupuncture for cancer can help you manage side effects. […] Cancer registries, including for pancreatic cancer, propel research and share information about the latest advances.

• #85

• #86 Pancreatic Cancer Supportive Care | Pancreatic Cancer | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/pancreatic-cancer/pancreatic-cancer-support-services/

  Social workers trained to work with patients who have cancer are available to assist with any of the challenges they face during or after treatment. […] Provides holistic care, addressing the spiritual and emotional dimensions of the cancer experience. They offer a source of comfort, strength, and hope during a very challenging time. […] Our licensed clinical psychologists and clinical therapists are specially trained to help patients with cancer relieve the stress, sadness, or worry associated with cancer and its treatment. […] Focuses on maintaining and restoring the highest possible functional status and quality of life to patients with cancer, at all stages of treatment through survivorship. […] Meeting with others in similar situations can be helpful and cathartic. […] Activities such as art therapy and expressive writing are designed to improve well-being and quality of life during and after cancer treatment.

• #87 Perspectives on Best Practices in Caring for Patients With Pancreatic Cancer and Cholangiocarcinoma

  https://www.oncnursingnews.com/view/perspectives-on-best-practices-in-caring-for-patients-with-pancreatic-cancer-and-cholangiocarcinoma

  Patients with unresectable pancreatic cancers and cholangiocarcinoma face poor prognoses, but systemic treatment continues to evolve. […] For patients who receive a diagnosis of pancreatic adenocarcinoma or cholangiocarcinoma, the words do not seem to go far enough. However, there are certain systemic treatments offering some hope for patients with unresectable disease. […] To provide a better understanding of best practices for these cancers, Oncology Nursing News spoke with 4 oncology nurses who are well versed in this arena. […] Identifying tumor biomarkers means more optimal treatment, Kristin Ferguson, DNP, RN, OCN, said. […] Having this information ahead of time and adding it to the patients treatment toolbox expedites future treatment and helps clinicians monitor disease progression, Ferguson said.

• #88 4 Innovative Pancreatic Cancer Treatment Options | MD Anderson Cancer Center

  https://www.mdanderson.org/cancer-types/pancreatic-cancer/pancreatic-cancer-treatment.html

  After surgery, to destroy any cancer that may not have been completely removed. […] Along with radiation, which is called chemoradiation. […] For some patients with advanced cases of pancreatic cancer, MD Anderson doctors can conduct genetic sequencing to determine whether the patient is a candidate for one of MD Andersons targeted therapy clinical trials. […] These experimental therapies have the potential to improve the chances of successful treatment and survival. […] Pancreatic cancer treated in our Gastrointestinal Center. […] MD Anderson patients have access to clinical trials offering promising new treatments that cannot be found anywhere else. […] MD Anderson has licensed social workers to help patients and their loved ones cope with cancer. […] The Whipple procedure is a surgery that removes the head of the pancreas, the distal bile duct, the gallbladder, regional lymph nodes, and the duodenum the first part of the small intestine that connects to the stomach.

• #89 Supportive Management of the Patient With Pancreatic Cancer:

  https://www.cancernetwork.com/view/supportive-management-patient-pancreatic-cancer

  The oncology nurse is the singular thread that runs throughout the entire continuum of care of the patient with pancreatic cancer–from admission through discharge and post-discharge. […] Educational intervention by the oncology nurse increases patient compliance, heightens patient and caregiver expectations regarding side effects of both the disease and its treatment, and helps eliminate unnecessary trips to the doctor’s office or emergency room–all of which can impact on health-care costs. […] Pain management is another critical area to be addressed by patient education. […] The oncology nurse at a large academic research center has the additional role of explaining what clinical trials are and what it means to take part in them. […] Proper patient management, including careful assessment, appropriate interventions, and thorough patient and family teaching, greatly enhances recovery and rehabilitation, but managing patient care throughout today’s express hospitalizations requires a vigilant system for keeping on schedule.

• #90 4 Innovative Pancreatic Cancer Treatment Options | MD Anderson Cancer Center

  https://www.mdanderson.org/cancer-types/pancreatic-cancer/pancreatic-cancer-treatment.html

  After surgery, to destroy any cancer that may not have been completely removed. […] Along with radiation, which is called chemoradiation. […] For some patients with advanced cases of pancreatic cancer, MD Anderson doctors can conduct genetic sequencing to determine whether the patient is a candidate for one of MD Andersons targeted therapy clinical trials. […] These experimental therapies have the potential to improve the chances of successful treatment and survival. […] Pancreatic cancer treated in our Gastrointestinal Center. […] MD Anderson patients have access to clinical trials offering promising new treatments that cannot be found anywhere else. […] MD Anderson has licensed social workers to help patients and their loved ones cope with cancer. […] The Whipple procedure is a surgery that removes the head of the pancreas, the distal bile duct, the gallbladder, regional lymph nodes, and the duodenum the first part of the small intestine that connects to the stomach.

• #91 Cancer Nursing Care Plans: 13 Nursing Diagnosis – Nurseslabs

  https://nurseslabs.com/cancer-nursing-care-plans/

  Use this nursing care plan and management guide to provide care for patients with cancer. Enhance your understanding of nursing assessment, interventions, goals, and nursing diagnosis, all specifically tailored to address the unique needs of individuals with cancer. […] Nurses have a huge set of responsibilities for handling a patient with cancer. Nursing care plans for cancer involve assessment, support for therapies (e.g., chemotherapy, radiation, etc.), pain control, promoting nutrition, and providing emotional support. […] The following are the nursing priorities for patients with cancer: Perform assessments and administer cancer treatments, Manage treatment-related side effects, Provide supportive care and education, Coordinate interdisciplinary care, Offer emotional support and counseling, Advocate for patient needs, Monitor patient responses and report changes, Facilitate access to resources and support services.

• #92 Reddit – The heart of the internet

  https://www.reddit.com/r/pancreaticcancer/comments/126jfeq/a_years_reflection_of_caring_for_a_loved_one_with/

  I am told they will put in a referral and I should hear from the larger hospital system that the surgeon is affiliated with within 24 hours. […] Surgeon, who was wonderful, takes 30 seconds to look at the CT and says we need to go back to the oncologist and have a few rounds of chemo to shrink the tumor before surgery. […] It’s just us, he lives 30 minutes from a town and nearly 45 from where he would get chemotherapy, and I live many hours away. […] Eventually, nearly 2 months after CT, we get him in for his biopsy (stage 2a pancreatic tail adenocarcinoma), port placement and start chemo a year ago today. […] I had to call everyone I knew, and I ended up transferring his care down to the hospital system affiliated with my medical school. […] After 5 rounds of gem/abraxane and a distal pancreatectomy and splenectomy, he’s done.

• #93 Reddit – The heart of the internet

  https://www.reddit.com/r/pancreaticcancer/comments/126jfeq/a_years_reflection_of_caring_for_a_loved_one_with/

  I cherish the year I had with him despite the immense emotional, physical and financial strain, I put my whole life on hold and considered giving up my dream in order to care for him, and truthfully I’d do it again, it was so worth it. […] However, as I reflect on the process, it didn’t need to be so hard. […] It shouldn’t be so hard, nearly no patient has the knowledge and time to put into coordinating all of the ins and outs of this process. […] I am so disappointed in this process, and exhausted by the past year. My heart goes out to all who are managing care. […] So you just got the word, it MIGHT be PC, maybe you are having pain, your tumor marker is up or the physicians have seen something on CT. Here is what I would do differently: […] schedule an appointment with the oncologist first, take the first available, call every day until your appointment to see if they have cancelations.

• #94 Caring for the Continuum of Patients With Pancreatic Cancer: The Importance of Survivorship Care Planning | Oncology Nursing Society

  https://www.ons.org/publications-research/cjon/19/1/caring-continuum-patients-pancreatic-cancer-importance-survivorship

  Pancreatic cancer is widely recognized as one of the most formidable cancer diagnoses. […] Survivorship care plans are a new trend in improving communication between the providers and the patient. […] The importance of survivorship care planning will be demonstrated through a case study presentation and evidence-based discussion. […] Based on a review of current literature and recommendations, it can be concluded that survivorship care planning would be beneficial for all patients with cancer. This simple tool has the potential to improve coordination of care and patient satisfaction.

• #95 Improving Palliative Care and Quality of Life in Pancreatic Cancer Patients

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9080991/

  Pancreatic cancer patients often present with complications, which can impact treatment tolerance. Thus, symptom management is a vital component of treatment in addition to traditional chemotherapeutics. Concurrent palliative care with an emphasis on aggressive symptom management may sustain both clinical and patient-centered outcomes during treatment. […] In this secondary analysis, a nurse-led palliative care intervention may improve the QOL and psychological distress of pancreatic cancer patients. A phase III trial focused on patients with pancreatic cancer is needed to determine the effectiveness of the intervention. […] Palliative care and symptom management is an important modality of treatment for these patients. […] Given the complexity of the complications that occur with pancreatic cancer, multidisciplinary management with oncology, supportive medicine, psychology, nutrition, as well as other departments is essential to achieve the best outcomes.

• #96 Support needs – Pancreatic cancer in adults: diagnosis and management – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/n/niceng85/ch8/

  Guidance is needed on the specific psychological support needs of people with pancreatic cancer and their families or carers. […] The NICE guideline Supportive and palliative care for adults with cancer contains a recommendation that Assessment and discussion of peoples needs for physical, psychological, social, spiritual and financial support should be undertaken at key points (such as at diagnosis; at commencement, during, and at the end of treatment; at relapse; and when death is approaching). […] The committee noted that the majority of studies included in the evidence employed some form of questionnaire or interview to assess patient opinion and experience. […] The committee noted that there was very little evidence about the effective information and support interventions to address the psychological needs of people with pancreatic cancer.

• #97 Support needs – Pancreatic cancer in adults: diagnosis and management – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/n/niceng85/ch8/

  Guidance is needed on the specific psychological support needs of people with pancreatic cancer and their families or carers. […] The NICE guideline Supportive and palliative care for adults with cancer contains a recommendation that Assessment and discussion of peoples needs for physical, psychological, social, spiritual and financial support should be undertaken at key points (such as at diagnosis; at commencement, during, and at the end of treatment; at relapse; and when death is approaching). […] The committee noted that the majority of studies included in the evidence employed some form of questionnaire or interview to assess patient opinion and experience. […] The committee noted that there was very little evidence about the effective information and support interventions to address the psychological needs of people with pancreatic cancer.

• #98 Supportive care needs of people with pancreatic cancer: a literature review

  https://journals.rcni.com/cancer-nursing-practice/evidence-and-practice/supportive-care-needs-of-people-with-pancreatic-cancer-a-literature-review-cnp.2019.e1566/full

  Pain is a significant unmet need that must be managed more effectively. […] Early detection of and support for anxiety and depression may positively affect quality of life, therefore access to counsellors and psychologists is vital. […] The importance of early referral to supportive and palliative care and the potential effectiveness and acceptability of integrated oncology, where oncology and palliative care teams work together, has been highlighted. […] It is essential that more is done to identify individual needs through regular assessment using tools such as holistic needs assessments. To meet peoples needs it is important to explore and evaluate new models of care, such as early referral to supportive and palliative care and closer integration of oncology and palliative care.

• #99 The Role of Nurses in Pancreatic Cancer Patient Care – Pancreatic Cancer Action Network

  https://pancan.org/news/critical-role-nurses-play-care-pancreatic-cancer-patients/

  Nurses are a critical part of the healthcare team that provides care and treatment for people facing pancreatic cancer. They bring a wide range of skills to the team and help implement the treatment plan prescribed by the doctor. […] For patients and caregivers, nurses are not only strong advocates, they are also excellent resources when it comes to asking questions about treatment or getting tips or assistance with care, information about support services and educational materials. […] All nurses involved in pancreatic cancer patient care bring compassion, empathy and much knowledge to the patient’s multidisciplinary healthcare team. […] Nursing provides a rich combination of skill requirements and opportunities. […] It’s an honor to be in this profession and to help enhance the wellness and quality of life for people in our care. […] The Pancreatic Cancer Action Network strongly recommends seeking a healthcare team that suits all of your physical, mental and emotional needs.

• #100 Supportive Management of the Patient With Pancreatic Cancer:

  https://www.cancernetwork.com/view/supportive-management-patient-pancreatic-cancer

  Today’s cost-containment system underscores the need for well-engineered discharge plans and family education, as a large portion of the patient’s care must now be undertaken at home. […] The oncology nurse gets to know the patient with pancreatic cancer and his or her family better than the other members of the health-care team and can „red-flag” potential discharge problems that other staff members may not notice, such as difficulty in mastering glucose monitoring or an inadequate or unstable support system for home care. […] Oncology nursing involves much more than treating cancer–it takes a holistic look at the patient’s now-upturned world and attends to educational, physiologic, economic, and psychosocial needs, which will help the patient cope with the disease and its symptoms to enhance quality of life.

• #101 Cancer Nursing Care Plans: 13 Nursing Diagnosis – Nurseslabs

  https://nurseslabs.com/cancer-nursing-care-plans/

  Use this nursing care plan and management guide to provide care for patients with cancer. Enhance your understanding of nursing assessment, interventions, goals, and nursing diagnosis, all specifically tailored to address the unique needs of individuals with cancer. […] Nurses have a huge set of responsibilities for handling a patient with cancer. Nursing care plans for cancer involve assessment, support for therapies (e.g., chemotherapy, radiation, etc.), pain control, promoting nutrition, and providing emotional support. […] The following are the nursing priorities for patients with cancer: Perform assessments and administer cancer treatments, Manage treatment-related side effects, Provide supportive care and education, Coordinate interdisciplinary care, Offer emotional support and counseling, Advocate for patient needs, Monitor patient responses and report changes, Facilitate access to resources and support services.

• #102 Caregiver Roles & Responsibilities for Pancreatic Cancer – PanCAN

  https://pancan.org/facing-pancreatic-cancer/living-with-pancreatic-cancer/advanced-cancer/hospice/caregiver-roles-and-responsibilities/

  Hospice is patient and family-centered, meaning that it is designed to look after the needs of the patient as well the needs of the caregiver. […] Caregivers provide a very loving gift by ensuring that the people they love die with peace and dignity. […] As a caregiver who has helped a loved one live with pancreatic cancer, you understand how cancer changes lives. […] A person living with advanced pancreatic cancer usually has a variety of symptoms that caregivers try to manage. […] Caregivers may provide: […] Physical care […] organizing and giving medication. […] monitoring symptoms and discussing treatments with loved ones and hospice staff. […] providing assistance with personal care such as bathing, dressing, eating and using the toilet. […] Emotional care […] listening, talking, reading or playing music.

• #103 Progress in pancreatic cancer care helps patients recover, thrive after treatment | News

  https://news.llu.edu/patient-care/progress-pancreatic-cancer-care-helps-patients-recover-thrive-after-treatment

  Surgery alone cannot achieve the best outcome for patients with pancreatic cancer, Namm says. It takes a whole care team to bring together various modalities and disciplines, which is crucial for all cancer care, but specifically in treating pancreatic cancer because the stakes are so high and the surgery involves high risk. […] Learning about other patients’ stories with pancreatic cancer undergoing Whipple procedures encouraged and uplifted the Blaums, they said. […] Namm says it is a privilege to watch patients like Blaum thrive after treatment. More exciting advances are on the horizon, he says, which can further improve outcomes for those with pancreatic cancer for example, minimally invasive, robotic Whipple procedures. […] At Loma Linda University Cancer Center, physicians are committed to providing patients with compassionate, comprehensive, and personalized care that gives them the best opportunity to diagnose and overcome cancer.

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