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Published on: October 6, 2023
Addressing Pain Associated with Bone Metastases: Oncology Nursing Roles in a Multidisciplinary Rapid-Access
Edith Pituskin1, Sheri Sneath2, Hope Rabel2
1University of Alberta, Edmonton AB Canada; Alberta Health Services, Edmonton AB Canada.
This review examines external beam radiotherapy for bone metastasis pain, highlighting nursing roles in palliative care. Oncology nurses are crucial for timely symptom management and treatment access in radiation oncology.
Area of Science:
- Oncology
- Palliative Care
- Radiation Therapy
Background:
- Bone metastases frequently cause pain, necessitating effective palliative care strategies.
- External beam radiotherapy is a key modality for managing pain from bone metastases.
- The role of nursing in radiation oncology, particularly in palliative settings, requires further elucidation.
Purpose of the Study:
- To review external beam radiotherapy for bone metastasis pain.
- To summarize evidence on different radiotherapy fraction prescriptions.
- To outline oncology nursing roles in rapid-access palliative radiotherapy clinics and describe nurse practitioner contributions.
Main Methods:
- Literature review of databases (PubMed, CINAHL).
- Analysis of an ethics-approved, prospective dataset.
- Incorporation of clinical expertise.
Main Results:
- Evidence regarding various radiotherapy fraction prescriptions for bone metastasis pain was summarized.
- Oncology nursing roles in rapid-access palliative radiotherapy were detailed.
- The clinical capacity of a nurse practitioner working at full scope was described.
Conclusions:
- Oncology nursing is essential for treating and managing symptoms in patients receiving radiation therapy for painful bone metastases.
- This evaluation offers insights into how oncology nurses facilitate timely access to care for patients with painful metastases.
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