By John F. Smyth
Published in organization with eu Society of clinical Oncology, this quantity is designed for trainee oncologists, oncology nurses, and people operating with melanoma sufferers on a daily foundation. targeting the "soft talents" required in speaking with sufferers, the booklet contains issues akin to the aetiology of melanoma, prognosis and staging, and explaining the aim of therapy, together with chemotherapy, hormone therapy, and immunological and gene-based remedies. It additionally discusses sufferer help teams, tracking remission, and relapse. The e-book is written via united kingdom oncologists yet has overseas application.
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Extra resources for Communicating with Cancer Patients
If cancer can be promoted by a faulty immune system, it was a logical step to try to develop anti-cancer therapies that restore efficiencies in the immune system or boost it in some way. Early trials with totally non-specific immune stimulants such as bacille Calmette–Guérin (BCG) were unsuccessful, but in recent times greater understanding of the complexity of immune surveillance and the interplay between the tumour and its host have led to some successes. The cytokines, alpha interferon and the interleukins, are used to mount an immune response against certain forms of cancer – for example, renal cell cancer and malignant melanoma.
Another area where good communication between doctor and nurse can benefit everyone concerned relates to clinical trials. Apart from the obvious need to conduct clinical research, it is well established that patients benefit from enrolment in trials. Nevertheless, as I discuss in Chapter 7, many patients are initially nervous, and the amount of detail in consent forms can be overwhelming. Nurses can play a vital role in encouraging enrolment to trials by helping patients to understand what is involved, and reassuring them of the extra attention that inevitably results from trial participation.
The timing of when you explain chemotherapy to a patient will vary depending on the nature of the referral and the indication for which you are prescribing. For the management of advanced or metastatic cancer where you are likely to be the only specialist involved, you may have to outline the relevant treatment at your first meeting. This is a particular challenge given all the other information that you are trying to share at the first consultation, and my advice is to be fairly brief if this is the only time to introduce your recommended plan.
Communicating with Cancer Patients by John F. Smyth