Biomedical subjects

P Spencer-Cisek

Publications and source records attributed to P Spencer-Cisek.

4 recordsLinked to original sources

PubMed1999

Acute tumor lysis syndrome associated with concurrent biochemotherapy of metastatic melanoma: a case report and review of the literature.

BACKGROUND: Treatment of solid tumors rarely has been associated with tumor lysis syndrome. However, to the authors' knowledge the clinical scenario has not been reported previously in melanoma patients. METHODS: A patient with bulky metastatic melanoma was treated with concurrent biochemotherapy using interleukin-2, interferon-alpha, and a combination of cisplatin, vinblastine, and dacarbazine. RESULTS: Within 24 hours of the initiation of treatment, brisk tumor lysis occurred and led to a fatal outcome. CONCLUSIONS: Improvements in the treatment of solid tumors may increase the incidence of tumor lysis syndrome for tumors once believed to be marginally responsive. Oncologists should remain cognizant of this problem as more active regimens become available.

Acute Disease↗

PubMed1995

Reimbursement issues for advanced practice.

PURPOSE/OBJECTIVES: To review issues regarding reimbursement for services provided by advanced practice nurses (APNs). DATA SOURCES: Published articles, book chapters, and professional experiences. DATA SYNTHESIS: Historically, barriers have prevented APNs from practicing to the full extent of their capabilities. One barrier is the lack of consistent reimbursement for services provided at the state and federal levels. A number of strategies can be implemented to simplify reimbursement. CONCLUSIONS: APNs must receive direct reimbursement for the services provided to work effectively in the current healthcare arena. IMPLICATIONS FOR NURSING PRACTICE: Direct reimbursement will enable APNs to control their practice, thus increasing healthcare accessibility and availability to individuals who currently have limited access to medical care.

Humans↗

PubMed1995

Regulation of advanced nursing practice: Part Two--Certification.

PURPOSE/OBJECTIVE: To present an overview of issues related to the use of advanced practice nursing (APN) certification. DATA SOURCES: Published articles, position papers, and colleague experiences. DATA SYNTHESIS: Certification is used for credentialing APNs at the state level, and in some states, it is a requirement for second licensure. Presently, a great deal of variability exists in the purposes and procedures related to certification processes, thus devaluing its use. CONCLUSION: The lack of consistency among certifying agencies and the lack of documented impact of certified advanced nursing practice can negatively affect the value placed on certification as an advanced practice credential. In the current climate of increased regulation, nursing must maintain control of practice regulation. IMPLICATIONS FOR NURSING PRACTICE: Inconsistencies between states and among nursing organizations can negatively affect the mobility and career flexibility of APNs. The evaluation of outcomes related to certified advanced nursing practice must be a research priority in the current climate. Collaboration among specialty organizations also must occur to increase the credibility of certification as a nursing credential.

Certification↗

PubMedDate not supplied

PRISM: Priority Symptom Management Project phase I: assessment.

PURPOSE/OBJECTIVES: To provide an overview of the process, goals, and outcome recommendations from the assessment phase of the Oncology Nursing Society's Priority Symptom Management (PRISM) project and to provide the foundation for a series of evidence-based practice and qualitative systematic review articles generated from the first phase of PRISM. DATA SOURCES: Published articles, abstracts, and books; computerized databases; nonpublished research; personal communications; and proceedings of the PRISM summit meeting. DATA SYNTHESIS: Symptom management is a key component in quality cancer care. The assessment phase of PRISM yielded systematic reviews with an evidence-based framework to evaluate key symptoms, developed a framework for teaching and evaluating other symptoms, and recommended future ONS initiatives. CONCLUSIONS: Outcome recommendations from the PRISM summit targeted practice; professional and public education; research; and health policy. IMPLICATIONS FOR NURSING PRACTICE: These activities provide background for subsequent evidence-based practice and qualitative systematic review articles that will focus on cancer symptom management.

Benchmarking↗