Advanced Oncology Nursing Certification Review and Resource Manual

Advanced Oncology Nursing Certification Review and Resource Manual

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Overview

Advanced Oncology Nursing Certification Review and Resource Manual by Barbara Holmes, Ed. Gobel Ed.

Both a study guide and a clinical resource, this manual offers oncology advanced practice nurses a comprehensive review in preparation for advanced oncology certification tests and a valuable reference guide that can be used in everyday practice. Each chapter in this second edition addresses a topic important to advanced oncology nursing. Key points reinforce each concept, and a case study raises relevant questions. Content correlates to the weight the Oncology Nursing Certification Corporation (ONCC) has assigned to specific topics on the certification examination and is representative of the ONCC blueprints for the advanced oncology nursing certification tests. In addition, practice test questions are offered in the final chapter in the same format as the ONCC advanced practice certification exams. The manual's editors have served as faculty for the advanced oncology nursing certification review online course as well as an in-person course at ONS national conferences. Yet the manual is more than just a study guide for test preparation. Using the most current clinical evidence and literature available at the time of publication, the topics presented have been expanded and represent a valuable resource for oncology advanced practice nurses, graduate nursing students, oncology nurses in clinical practice, and other healthcare professionals.

Product Details

ISBN-13: 9781935864554
Publisher: Oncology Nursing Society
Publication date: 02/01/2016
Edition description: New Edition
Pages: 1000
Sales rank: 617,186
Product dimensions: 7.00(w) x 10.00(h) x 1.80(d)

Table of Contents

Preface xi

Chapter 1 Cancer Prevention, Screening, and Early Detection 1

Introduction 1

Role of the Advanced Practice Nurse 1

Cancer Risk Assessment 2

Primary Prevention and Risk Reduction 3

Secondary Prevention and Screening 12

Implications for OncoLogy Advanced Practice Nurses 21

Conclusion 22

Key Points 23

Recommended Resources for Oncology Advanced Practice Nurses 23

References 24

Chapter 2 Genetic Risk 29

Introduction 29

Basic Competencies 30

Genetic Professionals 31

Definitions 31

The Genetic Basis of Cancer 35

Common Genetic Cancer Predisposition Syndromes 36

Indications for Genetic Assessment 46

Genetic Testing Process 53

Prevention and Screening Strategies for Those With Hereditary Risk 60

Implications for Oncology Advanced Practice Nurses 66

Conclusion 67

Key Points 70

Recommended Resources for Oncology Advanced Practice Nurses 71

References 72

Chapter 3 Cancer Diagnosis and Staging 79

Introduction 79

Signs and Symptoms of Cancer 79

History and Physical Examination 80

Cancer Biomarkers 95

Overview of Staging, and Grading 100

Diagnostic Evaluation of Common Malignancies 101

Implications for Oncology Advanced Practice Nurses 132

Conclusion 133

Key Points 134

Recommended Resources for Oncology Advanced Practice Nurses 135

References 135

Chapter 4 Chemotherapy, Targeted Biotherapy, and Molecular Therapy 141

Introduction 141

Chemotherapy 142

Biologic-and Molecular-Targeted Agents 154

Resources 210

Patient and Family Education 213

Implications for Oncology Advanced Practice Nurses 213

Conclusion 214

Key Points 216

Recommended Resources for Oncology Advanced Practice Nurses 217

References 218

Chapter 5 Surgery 223

Introduction 223

Oncologic Surgical Strategies 223

Prevention and Early Detection 225

Diagnosis 226

Pathology and Staging 230

Role of Advanced Practice Nurses 232

Preoperative Phase 232

Perioperative Phase 237

Operative Procedure 239

Postoperative Care 245

Access Devices 249

Rehabilitation 249

Wounds 249

Reconstruction 253

Surveillance 253

Palliation 254

Conclusion 254

Key Points 256

Recommended Resources for Oncology Advanced Practice Nurses 257

References 257

Chapter 6 Radiation Therapy 265

Introduction 265

Indications 265

Pediatric Considerations 282

Geriatric Considerations 283

Standards 283

Patient and Family Education 284

Implications for Oncology Advanced Practice Nurses 286

Conclusion 287

Key Points 288

Recommended Resources for Oncology Advanced Practice Nurses 289

References 289

Chapter 7 Blood and Marrow Stem Cell Transplantation 293

Introduction 293

History of Hematopoietic Stem Cell Transplantation 293

Basic Concepts of the Hematopoietic System 295

Indications for Hematopoietic Stem Cell Transplantation 296

Types of Hematopoietic Stem Cell Transplantation 296

Sources of Stem Cells 304

Conditioning Regimens in Hematopoietic Stem Cell Transplantation 307

Pre-Hematopoietic Stem Cell Transplantation Evaluation 310

Infusion of Hematopoietic Stem Cells 311

Engraftment and Recovery 312

Post-Hematopoietic Stem Cell Transplantation Care 313

Complications of Hematopoietic Stem Cell Transplantation 315

Late Effects After Hematopoietic Stem Cell Transplantation 333

Late Secondary Malignancies After Allogeneic Hematopoietic Stem Cell Transplantation 335

Standards of Care 335

Implications for Oncology Advanced Practice Nurses 335

Conclusion 336

Key Points 337

Recommended Resources for Oncology Advanced Practice Nurses 338

References 338

Chapter 8 Complementary and Integrative Therapies 345

Introduction 345

Use of Complementary and Integrative Therapies in the United States 346

Regulation, Monitoring, and Guidelines 348

Guiding Principles and Model Guidelines 349

Complementary and Integrative Therapy Modalities in Cancer Treatment 351

Complementary and integrative Therapy Modalities in Symptom Management 351

Complementary and Integrative Therapy Practice 352

Implications for Oncology Advanced Practice Nurses 365

Conclusion 374

Key Points 377

Recommended Resources for Oncology Advanced Practice Nurses 377

References 379

Chapter 9 Clinical Research 381

Introduction 381

Types of Research 381

Evaluating Strength of Research Studies 383

Ethical Issues 384

Protection of Human Participants 384

Role of the Advanced Practice Nurse in Research 387

Phases of Clinical Trials 389

Searching for Clinical Trials 389

Institutional Review Board 390

Conclusion 391

Key Points 393

Recommended Resources for Oncology Advanced Practice Nurses 394

References 394

Chapter 10 Pain, Fatigue, and Cognitive Impairment 397

Introduction 397

Pain 397

Fatigue 418

Cancer-Related Cognitive Impairment 427

Implications for Oncology Advanced Practice Nurses 437

Conclusion 438

Key Points 440

Recommended Resources for Oncology Advanced Practice Nurses 440

References 442

Chapter 11 Myelosuppression and Second Malignancies 451

Introduction 451

Bone Marrow Suppression 451

Second Malignancies 475

Conclusion 479

Key Points 481

Recommended Resources for Oncology Advanced Practice Nurses 482

References 483

Chapter 12 Cardiac and Pulmonary Toxicities 491

Introduction 491

Cardiac Toxicities 491

Pulmonary Toxicities 506

Conclusion 513

Key Points 514

Recommended Resources for Oncology Advanced Practice Nurses 515

References 515

Chapter 13 Gastrointestinal, Genitourinary, and Hepatic Toxicities 525

Introduction 525

Gastrointestinal Toxicities 525

Genitourinary Toxicities 544

Hepatic Toxicities 557

Conclusion 567

Key Points 568

Recommended Resources for Oncology Advanced Practice Nurses 569

References 570

Chapter 14 Neurologic, Ocular, and Dermatologic Toxicities 577

Introduction 577

Neurologic Toxicities 577

Ocular Toxicities 600

Dermatologic Toxicities 609

Conclusion 630

Key Points 633

Recommended Resources for Oncology Advanced Practice Nurses 634

References 635

Chapter 15 Metabolic Emergencies 643

Introduction 643

Disseminated Intravascular Coagulation 643

Sepsis 654

Tumor Lysis Syndrome 662

Hypercalcemia of Malignancy 668

Syndrome of Inappropriate Antidiuretic Hormone Secretion 674

Anaphylaxis 679

Evaluation of Outcomes 682

Conclusion 684

Key Points 685

Recommended Resources for Oncology Advanced Practice Nurses 687

References 688

Chapter 16 Structural Oncologic Emergencies 693

Introduction 693

Superior Vena Cava Syndrome 693

Cardiac Tamponade 703

Spinal Cord Compression 711

Increased Intracranial Pressure 720

Conclusion 729

Key Points 731

Recommended Resources for Oncology Advanced Practice Nurses 732

References 733

Chapter 17 Psychosocial Management 737

Introduction 737

Definitions and Symptoms 737

Sexuality and Altered Body Image 745

Personal Control 748

Spiritual Distress 748

Risk Factors for Psychosocial Disturbance 749

Coping and Adaptation 750

Evidence-Based Treatment Strategies 758

Standards of Practice 763

Patient and Family Education 763

Implications for Oncology Advanced Practice Nurses 764

Conclusion 764

Key Points 766

Recommended Resources for Oncology Advanced Practice Nurses 766

References 767

Chapter 18 Cancer Survivorship 775

Introduction 775

Cancer Survivors in the United States 775

Historical Development of a Cancer Survivorship Focus 776

Quality of Life and Survivorship 777

Physical Effects 777

Psychosocial Effects 778

Cancer Survivors and Employment 782

Health Insurance Challenges 784

Components of Cancer Follow-Up Care 785

Summary of Cancer Treatment and Plan for Follow-Up Care 787

Models of Care 788

Standards of Care 789

Professional Education 789

Research 790

Patient and Caregiver Education 790

Complementary and Alternative Therapies for Cancer Survivors 792

Implications for Oncology Advanced Practice Nurses 792

Conclusion 794

Key Points 796

Recommended Resources for Oncology Advanced Practice Nurses 797

References 798

Chapter 19 Palliative and End-of-Life Care 803

Introduction 803

Definition and Key Components of Palliative Care 803

Standards for Palliative Care 806

Grief and Bereavement 810

Community Resources for Palliative and Hospice Care 813

Implications for Oncology Advanced Practice Nurses 815

Future Directions 815

Conclusion 815

Key Points 816

References 818

Chapter 20 Roles of the Oncology Advanced Practice Nurse 821

Introduction 821

Background 821

Challenges in Advanced Practice Nurse Role Implementation 841

Advanced Practice Nurse Skills That Contribute to Improved Outcomes 843

Conclusion 851

Key Points 854

Recommended Resources for Oncology Advanced Practice Nurses 854

References 855

Chapter 21 Professional Practice of Advanced Practice Nurses 863

Introduction 863

Advanced Practice Nursing 863

Regulation of Practice 864

Scope of Practice 866

Standards 866

Reimbursement 866

Medicare Standards for Advanced Practice Nurses 867

Nurse Practitioner Versus Clinical Nurse Specialist Role in Advanced Practice 868

Professional Responsibilities 869

Research 872

Ethics 873

Ethical Controversies 878

Ethical Decision Making 880

Conclusion 881

Key Points 883

Recommended Resources for Oncology Advanced Practice Nurses 883

References 883

Chapter 22 Test Questions 887

References 935

Index 945

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