Urothelial cancers: ureter, renal pelvis, and bladder
1Cleveland Clinic Taussig Cancer Institute, 9500 Euclid Ave., Desk R33, Cleveland, OH 44915, USA. tylera2@ccf.org
Objectives:
To review the diagnosis, treatment, and nursing management of patients with urothelial cancers.
Data Sources:
PubMed, Ovid MEDLINE, Text books, and clinical experience.
Conclusion:
Progress is being made in the surgical and systemic management of urothelial cancers, and the oncology nurse is in a position to make an impact on patient education and overall quality of life.
Implications For Nursing Practice:
Nursing care begins at pre-diagnostic testing and continues through treatment for metastatic disease. Nurses must be knowledgeable about diagnostic tests, treatment options, and the quality-of-life implications of associated surgeries and/or treatments to support and guide patients. Education should be comprehensive, addressing not only treatment side effects but also long-term implications on patients' lives and lifestyles.
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