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Biomedical subjects

S M Mahon

Publications and source records attributed to S M Mahon.

52 records · Page 3Linked to original sources
PubMedDate not supplied

Benefits of collaboration in continuing education: a partnership between a university provider and a nursing specialty organization.

During the past 2 years, a university provider of nursing continuing education and the local chapter of a specialty nursing organization have successfully collaborated in the delivery of continuing education. This collaborative approach has been effective for providing continuing education in oncology nursing that serves the needs of nurses in the geographic area and maximizes the effective use of the resources of both partners. This approach has also prevented overlaps in program planning dates and duplication of content within the geographical area. Additional benefits include a growth in membership for the specialty organization and a sustained level of interest and attendance in programs sponsored by the university provider.

Education, Nursing, Continuing↗
PubMedDate not supplied

Principles of cancer prevention and early detection.

Oncology nurses are becoming involved more frequently in answering questions regarding cancer prevention and detection. This article includes a discussion of basic underlying principles of cancer prevention and detection, including types of prevention, frequently used epidemiologic terms, validity assessments of cancer screening tests, and strategies for risk assessment. An understanding of basic principles related to cancer prevention and detection is necessary to provide information and patient education that is accurate and beneficial to patients and their families. With this background information, oncology nurses can help develop programs for cancer prevention and control.

Chemoprevention↗
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Cancer prevention and early detection.

Advances in the area of cancer prevention and early detection are being made constantly. Basic epidemiologic research continues to provide insight into the impact of carcinogen exposure and the development of cancer. It is exciting to note that the study of Tamoxifen and Raloxifene chemoprevention trial is successfully recruiting women, including minority women, to participate. This large chemoprevention trial is providing much insight into how to recruit and retain women to take a chemoprevention agent to ultimately prevent the development of cancer. Advances also are being made in the knowledge base of how to best detect cancer in asymptomatic people. The best screening tool recommendation for the early detection of colorectal cancer remains controversial. Screening for colorectal cancer, however, is the only way to ultimately decrease the morbidity and mortality associated with the disease. Oncology nurses need to accurately risk for colorectal cancer and provide patients with the necessary information to make an informed choice about the most appropriate screening for their situation. Oncology nurses need to be familiar with new research and advances in cancer prevention and early detection so they can share information with patients and their families.

Breast Neoplasms↗
PubMedDate not supplied

Factors affecting genetic testing and decisions about prophylactic surgery.

Both of the articles reviewed here as well as the references, suggest that very little is actually known about the impact of many aspects of genetic testing. How decision are made about genetic testing in people who do not have cancer, how the results of testing are used used to guide care, and ultimately how people adjust to prophylactic surgery, which is the most effective form of prevention currently available to those who do have a mutation are not completely clear. This has many implications for practice in general. Oncology nurses who build relationships with those diagnosed with cancer and their families may be one of the best groups of professionals to provide the education and counseling individuals and families need prior to making any decision about genetic testing. Just as many responses to cancer exist, so do many responses to finding out the results of mutation status. Oncology nurses are challenged to help facilitate adjustment to learning that one carries a mutation that significantly increases risk of developing cancer. More nursing research needs to be conducted on how to facilitate this adjustment. Dealing with the unknown can be a frightening experience. Little is known about the long-term effectiveness of prophylactic mastectomy and oophorectomy in unaffected mutation-positive individuals. Most of what is known is based on retrospective review. Nurses are challenged to interpret this information, along with its inherent strengths and weaknesses, to individuals so they can make the best possible decisions. The psychosocial needs of those who undergo prophylactic surgery are not clearly understood. Surgery can have many psychological outcomes, and how individuals adjust to these changes is not clear. More nursing research is needed not only to understand these needs but also to design interventions to facilitate and improve adjustment to not only the information that one is mutation positive but also to prophylactic surgery. People who do not have cancer but have a high risk for cancer because of their genetic background need comprehensive and consistent care by knowledgeable healthcare providers. Although these individuals have not been diagnosed with cancer, they have complex psychosocial needs related to their family history and the decisions being made about prevention strategies. Oncology nurses can help fill this gap in care and provide the necessary support these individuals need.

BRCA2 Protein↗
PubMedDate not supplied

Psychosocial concerns associated with recurrent cancer.

Little research has been directed toward the needs of those with recurrent cancer. The purpose of this descriptive study was to describe the psychosocial problems and concerns associated with recurrence. Purposeful sampling for persons with recent recurrent malignancy produced a sample (N = 20) with diverse medical and demographic characteristics. Subjects completed the Psychosocial Adjustment to Illness Scale and an audiotaped structured interview to discuss the responses on the Psychosocial Adjustment to illness Scale in depth. Specific areas explored in the interviews included health-related issues, work and financial concerns, family and marital relationships, relationships with friends, and psychological distress. Verbatim transcripts were analyzed for themes and trends and double-coded with 94% Inter-rater agreement. Psychosocial Adjustment to Illness Scale scores were high, suggesting that this group has many psychosocial needs. Implications for health professionals include a need for thorough psychosocial assessment and improved communication with these patients.

Adaptation, Psychological↗
PubMedDate not supplied

Teaching women about mammography through use of a brochure.

This paper describes the development and use of a brochure intended to educate women about the nature and benefits of mammography. This brochure, which is presented in its entirety, has several unique features. It addresses the myths associated with mammograms and includes a visual depiction of the difficult-to-understand concept of relative difference with respect to size of breast lesions.

Female↗
PubMedDate not supplied

Psychosocial adjustment to recurrent cancer.

This descriptive study of the perceptions and needs of people with recurrent malignancies asks three questions: How do patients describe the meaning of a recurrence of cancer? Do individuals perceive the diagnosis of recurrence and the initial diagnosis of cancer differently? What are the key psychosocial problems associated with recurrent cancer? The theoretical framework was based on Lazarus and Folkman's theory of stress, appraisal, and coping. Subjects completed the Impact of Event Scale (IES), the Psychosocial Adjustment to Illness Scale--Self-Report (PAIS), and a semistructured qualitative interview. The interview elicited perceptions of the event of recurrence and differences between the diagnosis of recurrence and the initial diagnosis. The convenience sample included 40 patients diagnosed with recurrent cancer within the last 30 days. Many subjects (78%) reported that the recurrence was more upsetting than the initial diagnosis. Scores on both the IES and the PAIS were high when compared to normative samples of patients with cancer suggesting that this sample of patients experienced a lot of psychological distress as well as problems at home, work, and in their social lives. These concerns often were unknown to caregivers. Although more research is needed, the authors propose that, with more accurate assessment, more effective intervention could be implemented and the quality of life improved for patients with recurrent cancer.

Adaptation, Psychological↗