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Biomedical subjects

M A Gilmore

Publications and source records attributed to M A Gilmore.

9 recordsLinked to original sources

Perceived concerns of pregnant women with breast cancer treated with chemotherapy.

PURPOSE/OBJECTIVES: To identify concerns of women who had received chemotherapy for breast cancer while pregnant. DESIGN: Exploratory, descriptive, retrospective pilot study. SETTING: Large cancer center in the Southwestern United States. SAMPLE: Six women (mean age of 35.5 years) who had been treated for breast cancer while pregnant within the previous five years. METHODS: Mailed survey using a demographic form and the Bandyk Concerns Questionnaire--a 30-item Likert-type scale. MAIN RESEARCH VARIABLES: Concerns about the effects of breast cancer treatment on the pregnancy and the fetus. FINDINGS: The primary concern was "living to see my child grow up." Of least concern was "other people's opinion of me." CONCLUSIONS: Although an informational pamphlet was written based on these results, more extensive examination of the special group of patients is needed to draw any conclusions. IMPLICATIONS FOR NURSING PRACTICE: Nurses are in a good position to offer accurate information to women who must make the choices involved with receiving chemotherapy during pregnancy and to support the women during and after the treatment and the child's birth.

Adult↗

Phases of wound healing.

The phases of wound healing--inflammatory, fibroblastic, and maturation--are continuous, though they overlap and do not always occur in an orderly fashion. Wound healing may be retarded by age, diabetes, smoking, immunosuppression, poor nutrition, cell hypoxia, dehydration, bacteria, and other factors. Bacteria and pus may be so great at the inflammatory phase that the wound remains at that phase. It is important that the nurse recognize when pus is a major factor in an unhealed wound and initiate local care to assist in cleaning the wound bed. It is also important to recognize a clean wound and to initiate appropriate local care that facilitates wound healing. New information about wound healing at the cellular level continues to become available. Epidermal growth factors, platelet-derived growth factors, and the growth hormone somatomedin are being studied, and new methods based on these studies may change local wound care measures. It is essential to understand the phases of wound healing to determine appropriate wound care measures for individual patients.

Fibroblasts↗