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Biomedical subjects

T A Moran

Publications and source records attributed to T A Moran.

6 recordsLinked to original sources

Nursing challenges of caring for patients with HIV-related malignancies.

As many as 40% of individuals infected with HIV will be diagnosed with a malignancy during the course of their illness. Although neoplasms of all organ systems have been reported in infected patients, Kaposi's sarcoma (KS), non-Hodgkin's lymphoma (NHL), primary central nervous system (CNS) lymphoma, and invasive squamous cell cervical carcinoma are considered to be diagnostic of AIDS in the presence of HIV infection. The rapidity with which these malignancies are diagnosed can affect the morbidity experienced by patients. The management of patients with AIDS-related malignancies poses several challenges for oncology nurses. First, most such patients are treated with either chemotherapy or radiotherapy, and use of these modalities is complicated by the underlying HIV infection. Second, patients with AIDS-related malignancies experience numerous symptoms, and again, management of these symptoms is compounded by the underlying disease. By applying their knowledge and experience, oncology nurses can greatly lessen morbidity in these patients.

Carcinoma, Squamous Cell↗

Nursing management of the nonhospitalized patient receiving recombinant interleukin-2.

Clinical trials have demonstrated that rIL-2 can be safely administered in an outpatient setting. A thorough nursing assessment ensures patient safety and effective toxicity management. Because it is becoming more economically advantageous to treat patients on an outpatient basis, nurses will need to become involved in all aspects of managed care. Outpatient administration of rIL-2 challenges nurses to be both technologically expert and clinically proficient.

Home Care Services↗

Selected AIDS beliefs, behaviors and informational needs of homosexual/bisexual men with AIDS or ARC.

Due to the current absence of curative therapies, patients with AIDS or ARC (AIDS-Related Complex) rely on information to provide them with a sense of control over their lives [Institute of Medicine, National Academy of Sciences, Confronting AIDS: Directions for Public Health, Health Care and Research (1986)]. The purpose of this study was to describe AIDS beliefs, behaviors and informational needs of patients with AIDS or AIDS-related complex 7 years into the epidemic. Data were collected once using a modified version of the AIDS Beliefs and Behaviors Questionnaire (ABBQ) developed by McKusick et al. [Am. J. Public Hlth. 75, 493-496 (1985)] and Moran et al. [Oncol. Nurs. Forum (1988)]. Study results showed that 90% of outpatients (N = 30) at an internationally recognized AIDS medical center wanted more information about building their immune systems. Surprisingly few patients (10%) wanted explicit information about safe sexual behaviors, although 4 years into the epidemic, this information was a central concern [Moran, Unpublished Masters thesis (1986)]. Results suggests that nurses need to take a more active role in monitoring and addressing patients' changing informational needs.

AIDS-Related Complex↗

Self-care behaviors and informational needs of seropositive homosexual/bisexual men.

Patients with acquired immune deficiency syndrome (AIDS) or AIDS-related complex (ARC) are developing beliefs, behaviors, and a knowledge bases that may affect their health status, sense of well-being, and health care needs. However, little documentation of these changes exists. Consequently, the purpose of this study was to describe AIDS beliefs, behaviors, and informational needs of homosexual/bisexual human immunodeficiency virus (HIV) seropositive patients 7 years into the epidemic. Data were collected once from 178 patients using a modified version of the AIDS Beliefs and Behaviors Questionnaire (ABBQ). Study results showed that in 1987, most outpatients (73%) in an AIDS epicenter wanted more information about building their immune systems. Few patients (12%) wanted more explicit information about safe sexual behaviors, although 3 years into the epidemic this information was a central concern. Results suggest that health professionals need to take an active role in monitoring and addressing patients' changing informational needs.

AIDS-Related Complex↗

AIDS: current implications and impact on nursing.

The pandemic proportions of human immunodeficiency virus (HIV) have already begun impacting health care in the United States. It is safe to say that in the near future nursing will have to formulate an aggressive response to this situation. This article addresses the origins of HIV and the resulting acquired immunodeficiency syndrome (AIDS) and discusses the impact on nursing. It also suggests ways in which nursing as a profession can respond to the epidemic of HIV and the fear which surrounds it.

Acquired Immunodeficiency Syndrome↗