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Cancer Nursing: Principles and Practice,9780763702199
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Cancer Nursing: Principles and Practice


Edition: 4th
Author(s): Groenwald, Susan
ISBN10:  0763702196
ISBN13:  9780763702199
Format:  Hardcover
Pub. Date:  4/1/1997
Publisher(s): Jones & Bartlett Pub

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Table of Contents
Preface xiii
PART I The Cancer Problem 1(74)
1 Milestones in Our Understanding of Cancer
3(14)
JOHN W. YARBRO, MD, PhD
2 Biology of Cancer
17(22)
PAUL J. LEMARBRE, MD
SUSAN L. GROENWALD, RN, MS
Introduction
Research Models
Differences in the Features of Normal and Cancer Cells
Differences in the Appearance of Normal and Cancer Cells
Differences in Differentiation of Normal and Cancer Cells
Differences in the Cell Surfaces of Normal and Cancer Cells
Biochemical Differences Between Normal and Cancer Cells
Genetic Differences Between Normal and Cancer Cells
The Clinical Problem of Metastasis
Factors Contributing to Metastatic Potential
The Metastatic Sequence
Genetic Control of the Metastatic Continuum
Antimetastasis Therapy
Conclusion
References
3 Carcinogenesis
39(11)
JOHN W. YARBRO, MD, PhD
Introduction
Stages of Carcinogenesis
Chemical Carcinogenesis
Familial Carcinogenesis
Physical Carcinogenesis
Viral Carcinogenesis
Bacterial Carcinogenesis
Colon Cancer as a Model of Human Carcinogenesis
Controversies in Carcinogenesis
Conclusion
References
4 Cancer Control and Epidemiology
50(25)
BRENDA CARTMEL, PhD
MARY REID, RN, MSPH
Introduction
Basic Considerations in Epidemiological Research
Environmental Factors Associated with Cancer Causation
Host Characteristics Influencing Cancer Susceptibility
Other Applications of Epidemiology in Oncology
Cancer Control
The Application of Epidemiology to Nursing Practice
References
PART II Prevention, Detection, and Diagnosis 75(126)
5 Factors Affecting Health Behavior
77(17)
JAYNE I. FERNSLER, RN, DSN, AOCN
MARY ANN MILLER, RN, PhD
Introduction
National Initiatives
Definitions
Models and Theories of Health Behavior
Related Factors
Implications for Nursing Practice
References
6 Dynamics of Cancer Prevention
94(12)
LOIS J. LOESCHER, RN, MS
Introduction
Definitions of Cancer Prevention
Modern Approaches to Cancer Prevention
Challenges of Conducting Cancer Prevention Trials
Chemoprevention Research
Cancer Prevention Controversies and Dilemmas
Cancer Prevention and Changes in Health Care
Implications for Nursing
References
7 Cancer Risk and Assessment
108(25)
REBECCA F. COHEN, RN, EdD, MPA, CPHQ
MARILYN FRANK-STROMBORG, EdD, JD, NP, FAAN
Introduction
Definitions of Risk
Cancer Risk Factors in Minority Populations
Risk Factors for Specific Cancers
Cancer Risk Assessment
Education
Conclusion
References
8 Assessment and Interventions for Cancer Detection
133(42)
MARILYN FRANK-STROMBORG, EdD, JD, NP, FAAN
REBECCA F. COHEN, RN, EdD, MPA, CPHQ
Introduction
Detection of Major Cancer Sites
References
9 Diagnostic Evaluation, Classification, and Staging
175(26)
SHARON SALDIN O'MARY, RN, MN, OCN (R)
Diagnostic Evaluation
Classification and Nomenclature
Staging and Grading Classifications
Conclusion
References
PART III Treatment 201(326)
10 Quality of Life as an Outcome of Cancer Treatment
203(11)
DAVID CELLA, PhD
Introduction
The Role of Nursing
Evaluating Methods of Assessment
Approaches to Measuring Health-Related Quality of Life
Evaluating Psychometric Measures
Quality-of-Life Measures for Use in Oncology
Other Applications of HQL Data
Conclusion
References
11 Principles of Treatment Planning
214(15)
MARY B. MAXWELL, RN, C, PhD
Introduction
Historical Perspectives on Cancer
Treatment
Factors Involved in Treatment Planning
Determining the Treatment Plan
Assessing Response to Treatment
When a Cure Is Not Achieved
Future Prospects
References
12 Surgical Therapy
229(18)
MARGARET HANSEN FROGGE, RN, MS
BARBARA HANSEN KALINOWSKI, RN, MSN, OCN (R)
Introduction
Factors Influencing Surgical Oncology
Factors Influencing Treatment Decisions
Preventing Cancer Using Surgical Procedures
Diagnosing Cancer Using Surgical Techniques
Staging Cancer Using Surgical Procedures
Surgery for Treatment of Cancer
Special Considerations for Nursing Care
Conclusion
References
13 Radiotherapy
247(36)
LAURA J. HILDERLEY, RN, MS
Introduction
The Current Application of Radiotherapy in the Management of the Patient
Diagnosed with Cancer
Applied Radiation Physics
Equipment, Beams, and Materials Used in Radiotherapy
Simulation and Treatment Planning
Radiobiology
Chemical and Thermal Modifiers of Radiation
Tissue and Organ Response to Radiation
Nursing Care of the Patient Receiving Radiotherapy
Specific Nursing Care Measures for Patients Receiving Radiotherapy
Nursing Care of the Patient with a Radioactive Source
Advances in Radiotherapy
Conclusion
References
14 Chemotherapy: Principles of Therapy
283(34)
PETER V. TORTORICE, PHARMD, BCPS
Historical Perspective
Cancer Chemotherapy Drug Development
Scientific Basis of Chemotherapy
Chemotherapy Drug Selection and Factors Affecting Response to Chemotherapy
Lack of Response to Chemotherapy and Strategies to Overcome Treatment
Failure
Pharmacology of Chemotherapeutic Drugs
Conclusion
References
15 Chemotherapy: Principles of Administration
317(68)
MICHELLE GOODMAN, RN, MS, OCN (R)
MARY BETH RILEY, RN, MS
Chemotherapy Administration
Routes of Drug Administration
Vascular Access Devices
Reporting Defects
Conclusion
References
16 Chemotherapy: Toxicity Management
385(41)
DAWN CAMP-SORRELL, RN, MSN, AOCN, FNP
Introduction
Pretreatment Evaluation: Risk Analysis
Quality of Life and Chemotherapy Toxicity
Self-Care
Patient Education and Follow-Up
Chemotherapy Toxicities
Secondary/Therapy-Related Cancers
Conclusion
References
17 Biotherapy
426(33)
VERA S. WHEELER, RN, MN, OCN (R)
Introduction
Foundation Concepts for Biotherapy
Hematopoietic Growth Factors
Anticancer Cytokine Therapy
Activated Cell Therapy (Adoptive Immunotherapy)
Monoclonal Antibodies
Human Gene Therapy
Other Immunomodulating Agents
Nursing Management of the Patient Receiving Biotherapy
The Future of Biotherapy
References
18 Allogeneic Bone Marrow Transplantation
459(48)
PATRICIA CORCORAN BUCHSEL, RN, MSN
Introduction
Historical Perspectives
Concepts of Bone Marrow Transplantation
Types of Bone Marrow Transplantation
Process of Bone Marrow Transplant
The Bone Marrow Transplant
Complications of Bone Marrow Transplantation
Discharge from the Hospital
Clinical Management of the BMT Outpatient
Late Complications of BMT
Relapse
Psychosocial Issues
Future Applications
Conclusion
References
19 Autologous Bone Marrow and Blood Cell Transplantation
507(20)
DEBRA WUJCIK, RN, MSN, AOCN
Overview of Bone Marrow Transplantation
Indications
Process of Autologous Transplantation
Posttransplant Care
Influence of Health Care Reform
Price Capitation
Future Applications
Conclusion
References
PART IV Symptom Management 527(316)
20 Pain
529(56)
DEBORAH B. McGUIRE, RN, PhD, FAAN
VIVIAN R. SHEIDLER, RN, MS
Introduction and Background
Scope of the Cancer Pain Problem
Principles of Assessment and Management
Interventions
Conclusions and Future Directions
References
21 Infection
585(19)
JAN M. ELLERHORST-RYAN, RN, MSN, CS
Scope of the Problem
Physiological Alterations
Clinical Manifestations
Therapeutic Approaches and Nursing Care
Conclusion
References
22 Bleeding Disorders
604(36)
BARBARA HOLMES GOBEL, RN, MS
Scope of the Problem
Physiological Alterations
Clinical Manifestations
Assessment
Therapeutic Approaches and Nursing Care
Conclusion
References
23 Fatigue
640(15)
LILLIAN M. NAIL, RN, PhD, FAAN
Scope of the Problem
Definition of Fatigue
Pathophysiology of Fatigue
Cancer and Fatigue: Pathophysiology and Pathopsychology
Nursing Care of the Cancer Patient at Risk for Fatigue
Conclusion
References
24 Nutritional Disturbances
655(29)
ANN T. FOLTZ, RN, DNS
Introduction
Scope of the Problem
Normal Nutritional Physiology
Pathophysiology
Clinical Manifestations
Assessment and Grading
Therapeutic Approaches and Nursing Care
Conclusion
References
25 Hypercalcemia
684(18)
JENNIFER LANG-KUMMER, RN, MN, CS, FNP
Introduction
Physiology of Calcium Homeostasis
Clinical Manifestations
Treatment
Conclusion
References
26 Paraneoplastic Syndromes
702(19)
IRENE STEWART HAAPOJA, RN, MS, OCN (R)
Introduction
Endocrine Paraneoplastic Syndromes
Neurological Paraneoplastic Syndromes
Hematologic Paraneoplastic Syndromes
Renal Paraneoplastic Syndromes
Miscellaneous Paraneoplastic Syndromes
Conclusion
References
27 Malignant Effusions and Edemas
721(21)
MARY B. MAXWELL, RN, C, PhD
Scope of the Problem
Normal Fluid Regulation
Fluid Disturbances in Cancer
Lung: Malignant Pleural Effusion
Heart: Malignant Pericardial Effusion
Abdomen: Malignant Peritoneal Effusion
Brain: Malignant Cerebral Edema
Arms/Legs: Iatrogenic Secondary Lymphedema
Feet: Malignant Pedal Edema
Conclusion
References
28 Sexual and Reproductive Dysfunction
742(26)
LINDA U. KREBS, RN, PhD, AOCN
Scope of the Problem
Physiological Alterations
Clinical Manifestations: Effect of Cancer Therapy on Gonadal Function
Therapeutic Approaches and Nursing Care
Pregnancy and Cancer
Conclusion
References
29 Integumentary and Mucous Membrane Alterations
768(55)
MICHELLE GOODMAN, RN, MS, OCN (R)
LAURA J. HILDERLEY, RN, MS
SANDRA PURL, RN, MS, AOCN
Introduction
Anatomy and Physiology
Alterations to the Integument
Hair
Nails
Glands
Alterations of the Gastrointestinal Mucous Membranes
Alterations of the Genitourinary Mucous Membranes
Malignant Wounds
References
30 Late Effects of Cancer Treatment
823(20)
IDA MARIE (KI) MOORE, RN, DNSc
KATHLEEN S. RUCCIONE, RN, MPH
Scope of the Problem
Central Nervous System
Endocrine System
Immune System
Cardiovascular System
Pulmonary System
Gastrointestinal System
Renal System
Musculoskeletal System
Second Malignant Neoplasms
Early Detection and Prevention
Conclusion
References
PART V The Care of Individuals with Cancer 843(547)
31 AIDS-Related Malignancies
845(18)
THERESA A. MORAN, RN, MS
Introduction
Kaposi's Sarcoma
Non-Hodgkin's Lymphoma
Primary Central Nervous System Lymphoma
Invasive Squamous Cell Cancer of the Cervix
Other Malignancies and HIV
Conclusion
References
32 Bone and Soft-Tissue Sarcoma
863(26)
PATRICIA A. PIASECKI, RN, MS
Introduction
Epidemiology
Etiology
Prevention, Screening, Early Detection
Pathophysiology
Clinical Manifestations
Assessment
Classification and Staging
Therapeutic Approaches and Nursing Care
Classification of Certain Sarcomas
Metastatic Bone Tumors
Symptom Management and Supportive Care
Continuity of Care: Nursing Challenges
Conclusion
References
33 Bladder and Kidney Cancer
889(27)
JULENA LIND, RN, MN, MA, PhD (c)
LYNNE HAGAN, RN, BSN, CETN
Bladder Cancer
Cancer of the Kidney
Conclusion
References
34 Breast Cancer
916(64)
DIANNE D. CHAPMAN, RN, MS, OCN (R)
MICHELLE GOODMAN, RN, MS, OCN (R)
Introduction
Etiology
Prevention of Breast Cancer
Screening
Multidisciplinary Breast Centers
Pathophysiology
Clinical Manifestations
Classification and Staging
Therapeutic Approaches and Nursing Care
Breast Reconstruction
Metastatic Breast Cancer
Male Breast Cancer
Symptom Management and Supportive Care
Pregnancy and Breast Cancer
Continuity of Care
References
35 Central Nervous System Cancers
980(56)
KAREN BELFORD, RN, MS, OCN (R), CCRN
Introduction
Epidemiology
Etiology
Prevention, Screening, Early Detection Programs
Pathophysiology
Clinical Manifestations
Assessment
Classification and Staging
Therapeutic Approaches and Nursing Care
Symptom Management and Supportive Care
Continuity of Care: Nursing Challenges
Conclusion
References
36 Colon and Rectal Cancer
1036
LINDA HOEBLER, RN, MSN
Introduction
Epidemiology
Etiology
Prevention, Screening, Early Detection
Pathophysiology
Clinical Manifestations
Assessment
Classification and Staging
Therapeutic Approaches and Nursing Care
Symptom Management and Supportive Care
Continuity of Care: Nursing Challenges
Conclusion
References
37 Endocrine Malignancies
1055(27)
RITA WICKHAM, RN, PhD(c), AOCN
KIMBERLY ROHAN, MS, RN, OCN (R)
Introduction
Thyroid Tumors
Parathyroid Tumors
Pituitary Tumors
Adrenal Tumors
Adrenocortical Tumors
Pheochromocytoma
Multiple Endocrine Neoplasia
Conclusion
References
38 Esophageal, Stomach, Liver, Gallbladder, and Pancreatic Cancers
1082(63)
JOANN COLEMAN, RN, MS, CRNP, OCN (R)
Esophageal Tumors
Stomach Tumors
Liver Tumors
Gallbladder Cancer
Pancreatic Cancer
Conclusion
References
39 Gynecologic Cancers
1145(54)
JANET RUTH WALCZAK, RN, MSN
PAULA R. KLEMM, RN, DNSc, OCN (R)
CAROL GUARNIERI, RN, MSN, AOCN
Introduction
Endometrial Cancer
Ovarian Cancer
Cervical Cancer
Vulvar Cancer
Vaginal Cancer
Conclusion
References
40 Head and Neck Malignancies
1199(36)
CONNIE YUSKA BILDSTEIN, RN, MS, CORLN
CAROL BLENDOWSKI, RN, BS, OCN (R)
Introduction
Epidemiology
Etiology
Prevention, Screening, Early Detection Programs
Pathophysiology
Clinical Manifestations
Assessment
Classification and Staging
Therapeutic Approaches and Nursing Care
Symptom Management and Supportive Care
Continuity of Care: Nursing Challenges
Conclusion
References
41 Leukemia
1235(25)
DEBRA WUJCIK, RN, MSN, AOCN
Introduction
Epidemiology
Etiology
Classification
Pathophysiology
Assessment of Acute Leukemia
Acute Myelogenous Leukemia
Acute Lymphocytic Leukemia
Myelodysplastic Syndromes
Chronic Myelogenous Leukemia
Chronic Lymphocytic Leukemia
Hairy Cell Leukemia
Supportive Therapy
Psychosocial Support
Conclusion
References
42 Lung Cancers
1260(31)
REBECCA J. INGLE, RN, MSN, FNP, AOCN
Introduction
Epidemiology
Etiology
Prevention, Screening, Early Detection Programs
Pathophysiology
Clinical Manifestations
Assessment
Classification and Staging
Therapeutic Approaches and Nursing Care
Symptom Management and Supportive Care
Continuity of Care: Nursing Challenges
Conclusion
References
43 Malignant Lymphomas
1291(28)
CONNIE HENKE YARBRO, RN, MS, FAAN
MARY ELLEN McFADDEN, RN, MLA, OCN (R)
Introduction
The Immune System and Neoplasia
Maturation of the Lymphocyte
Hodgkin's Disease
Non-Hodgkin's Lymphomas
Complications of Treatment
Consequences of Survival
Supportive Care
Conclusion
References
44 Multiple Myeloma
1319(15)
CAROL A. SHERIDAN, RN, MSN, AOCN
Introduction
Epidemiology
Etiology
Normal Physiology
Pathophysiology
Diagnosis and Staging
Clinical Manifestations
Assessment
Treatment
Nursing Management
Conclusion
References
45 Prostate Cancer
1334(21)
JEANNE HELD-WARMKESSEL, RN, MSN, CS, AOCN
Introduction
Epidemiology
Prevention, Screening, and Early Detection
Pathophysiology
Clinical Manifestations
Assessment
Classification and Staging
Therapeutic Approaches and Nursing Care
Symptom Management and Supportive Care
Conclusion
References
46 Skin Cancers
1355(19)
LOIS J. LOESCHER, RN, MS
MARSHA A. KETCHAM, RN, OCN (R)
Introduction
Epidemiology
Etiology and Risk Factors
Nonmelanoma Skin Cancers
Melanoma
Prevention
Nursing Management
Conclusion
References
47 Testicular Germ Cell Cancer
1374(16)
DEBRA L. BROCK, RNC, MSN, ANP, AOCN
SUSAN M. FOX, RN, MS, OCN (R)
Introduction
Epidemiology
Etiology
Prevention, Screening, Early Detection
Pathophysiology
Clinical Manifestations
Assessment
Classification and Staging
Therapeutic Approaches and Nursing Care
Symptom Management and Supportive Care
Continuity of Care: Nursing Challenges
Conclusion
References
PART VI Issues in Cancer Survivorship 1390(45)
48 Psychosocial Responses to Cancer
1393(19)
ANDREA M. BARSEVICK, RN, DNSc
JUDIE MUCH, MSN, CRNP, AOCN
CAROLE SWEENEY, RN, MSN, OCN (R)
Introduction
Assessment of the Appraisal-Coping Process
Factors That Influence the Appraisal-Coping Process
Psychosocial Interventions
Psychosocial Outcomes
Common Problems of the Individual/Family with Cancer
Professional Responses to Cancer
Conclusion
References
49 Physical, Economic, and Social Adaptation of the Cancer Survivor
1412(9)
KAREN SMITH BLESCH, RN, PhD
Introduction
Developmental Considerations for Adult Cancer Survivors
Disease Trajectory Considerations
Physical Functioning and Cosmesis
Socioeconomic Considerations
Conclusion
References
50 Spiritual and Ethical End-of-Life Concerns
1421(14)
ELIZABETH JOHNSTON TAYLOR, RN, PhD
Introduction
Fundamental "End-of-Life" Questions
Approaches to Making Spiritual and Ethical End-of-Life Decisions
Conclusion
References
PART VII Delivery Systems for Cancer Care 1435(116)
51 Cancer Programs and Services
1437(28)
LUANA LAMKIN, RN, MPH, OCN (R)
Introduction
Forces Affecting Cancer Care Delivery
Cancer Program Development
Components of Cancer Program
Resource Allocation
Cancer Program Marketing and Contracting
Conclusion
References
52 Ambulatory Care
1465(36)
DIANE M. OTTE, RN, MS, ET, OCN (R)
Ambulatory Care Overview
The Role of the Nurse in Ambulatory Care
Nursing Issues
Patient-Related Issues
Conclusion
References
53 Home Care
1501(30)
JOAN C. McNALLY, RN, MSN, OCN (R), CRNH
Overview of Home Health Care
Role of the Nurse in Home Health
Economic Issues
Ethical Concerns
Infusion Therapy in the Home
Discharge from Home Health Care
Quality Improvement in Home Care
Conclusion
References
54 Hospice Care
1531(20)
JEANNE MARTINEZ, RN, MPH
STEVEN WAGNER, RN, BSN
Introduction
Palliative Care Approaches
Hospice Care in the Present
Nursing and Hospice Care
Death in the Home
Bereavement Care
Stress and the Hospice Nurse
Legal and Ethical Issues Surrounding Hospice Care
Future Trends and Challenges for Hospice Care
Conclusion
References
PART VIII Professional Issues in Cancer Care 1551(284)
55 Quality of Care
1553(35)
DIANE SCOTT DORSETT, RN, PhD, FAAN
Conceptual Foundations of Quality Care
Research and Evaluation in Quality of Care
Quality in Performance: Applications in Practice
Conclusion
References
56 Impact of Changing Health Care Economics on Cancer Nursing Practice
1588(20)
VALINDA RUTLEDGE, RN, MSN, MBA
JOY STAIR, RN, MS
Introduction
Changing Health Care Economics
Industry Response to the Economic Environment
Nursing Approaches to the Changing Health Care Environment
Specific Economic Issues in Cancer Care
Oncology Nursing: Positioning for the Future
A Controversial Issue in Cancer Care
Conclusion
References
57 Ethical Issues in Cancer Nursing Practice
1608(17)
DAVID C. THOMASMA, PhD
Introduction
General Ethical Issues
Nursing Ethical Issues
Cancer Ethical Issues
Conclusion
References
58 Alternative Methods of Cancer Therapy
1625(17)
CONNIE HENKE YARBRO, RN, MS, FAAN
Introduction
Historical Perspectives
Popular Alternative Methods of Today
Alternative Treatment Facilities
Promoters and Practitioners of Alternative Methods
Who Seeks Alternative Cancer Treatments, and Why
Control of Alternative Methods
Role of Nurses/Nursing Interventions
Conclusion
References
59 Patient Education and Support
1642(24)
ROSE MARY PADBERG, RN, MA, OCN (R)
LAWRENCE F. PADBERG, PhD
Introduction
A Definition of Patient Education
Patient Support
Understanding the Purposes of Patient Education
The Teaching-Learning Process: Theory and Practice
Continuity Across Care Settings
Developing Patient Education and Support Materials and Programs
Resources for Patient Education and Support
Future Considerations for Patient Education and Support
References
60 Advancing Cancer Nursing Through Nursing Education
1666(12)
GLORIA A. HAGOPIAN, RN, EdD
Introduction
History of Cancer Nursing Education
Important Influences on Cancer Nursing Education
Cancer Nursing Education Today
Critical Issues and Challenges
Summary
References
61 Advancing Cancer Nursing Through Nursing Research
1678(13)
MEL HABERMAN, RN, PhD, FAAN
Introduction
Trends in Health Care and Oncology
Topics and Priorities for Oncology Nursing Research
Outcomes for Nursing Research
Mechanisms for Oncology Nursing Research
Research Critique
Scientific and Ethical Conduct of Research
Future Directions for Research
Conclusion
References
62 Cultural Diversity Among Individuals with Cancer
1691(45)
KAREN N. TAOKA, RN, MN, AOCN
JOANNE K. ITANO, RN, PhD, OCN (R)
Introduction
Transcultural Nursing and Assessment
Ethnicity and Cancer
Nursing Issues
Conclusion
References
63 Policy, Politics, and Oncology Nursing
1736(19)
PAMELA J. HAYLOCK, RN, MA, ET
KATHERINE McDERMOTT, RN, MPA, OCN (R)
Introduction
Nursing's Political Legacy
Scope of Nursing Practice and State Boards of Nursing
Political Issues Affecting Cancer Care
Politics, Social Policy, and the American Health Care System
The Health Care Delivery System
Enhancing Political Effectiveness
Future Trends
Conclusion
References
64 Role of the Oncology Advanced Practice Nurse
1755(15)
ANNETTE GALASSI, RN, MA, CANP, AOCN
Introduction
History of Advanced Practice Nursing
Regulation of Advanced Practice Nursing
Prescriptive Authority
Reimbursement of Advanced Practice Nursing Services
Collaboration and Consultation--Hallmarks of Advanced Practice
Oncology Advanced Practice Nursing Roles
Advanced Practice Nursing--Into the Twenty-First Century
Conclusion
References
Appendix A: Oncology Nurse Practitioner Position Description
65 Thriving as an Oncology Nurse
1770(20)
MARY CUNNINGHAM, RN, MS
Stress
Individual Appraisal
Person-Environment Fit
Demands--Sources of Stress
Supplies--Stress Management Strategies
Conclusion
References
66 Cancer Nursing Resources
1790(45)
BARBARA A. BARHAMAND, RN, MS, AOCN
Alphabetical Index
Cross-Referencing Subject Index
Organizations
Government Agencies and Resources
Cooperative Clinical Trial Groups
Nursing Educational Opportunities
Print and Electronic Resources
State Cancer Pain Initiatives
Comprehensive, Clinical, and Consortium Cancer Centers
Pharmaceutical Resources
Index 1835

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