Lung Cancer - A Multidisciplinary Approach

Informationen zum Autor Alison Leary is Senior Lecturer in Oncology at University College London NHS Foundation Trust. She is also Visiting Fellow at Kings College London. Klappentext Lung cancer is the most common cause of cancer worldwide and the most common cause of cancer death in the UK. Lung Cancer: A Multidisciplinary Approach provides clinicians with a comprehensive text that can be used when caring for patients with lung cancer throughout the entire patient journey.This edited collection explores: the aetiology of lung cancer; mesothelioma; the range of available treatments, including chemotherapy and radiotherapy; surgical care, supportive and end of life care, quality of life issues, and the role of the nurse within the multidisciplinary team.* A comprehensive, evidence-based guide to lung cancer* Illustrative case studies used throughout* Contributions from respected healthcare professionals in the field* Interprofessional in focusLung Cancer: A Multidisciplinary Approach is an essential resource for all nurses and healthcare professionals working with cancer patients. Zusammenfassung Lung Cancer: A Multidisciplinary Approach provides clinicians with a comprehensive text that can be used when caring for patients with lung cancer throughout the entire patient journey. Inhaltsverzeichnis Contributors ix Acknowledgements xi 1 Introduction to Lung Cancer and Mesothelioma 1 Alison Leary Introduction 1 Epidemiology and causes of lung cancer 2 Overview of the types of lung cancer 6 Delivering cancer services and the multidisciplinary team 8 Meeting information needs 11 Summary 13 References 13 2 The Presentation and Diagnosis of Lung Cancer and Mesothelioma 15 Neal Navani and Stephen G. Spiro Introduction 15 Clinical features of lung cancer 17 Paraneoplastic syndromes 22 Risk factors for lung cancer 26 Performance status 27 Investigation of lung cancer 28 Staging of lung cancer 38 An algorithm for the diagnosis and staging of non-small-cell lung cancer 41 Mesothelioma 42 Summary 46 References 46 Further reading 47 3 Chemotherapy and Biological Agents 49 Fharat A. Raja and Siow Ming Lee Introduction 49 Chemotherapy 50 Chemotherapy for advanced NSCLC 53 Addition of targeted therapies to chemotherapy in NSCLC 55 Chemotherapy for small-cell lung cancer 57 Mesothelioma 59 Summary 61 References 61 4 Lung Radiotherapy 65 Nita Patel and Dawn Carnell Introduction 65 Principles of radiotherapy 65 The use of radiotherapy in non-small-cell lung cancer 73 The use of radiotherapy in small-cell lung cancer 76 Palliative radiotherapy 78 Management of patients during radiotherapy 80 New techniques under evaluation 83 Summary 84 References 84 5 Surgery for Lung Cancer 87 Neil Cartwright and Aman S. Coonar Introduction 87 The role of the surgeon 89 Reaching decisions about surgery 90 Surgery for cancers of the lung 100 The role of adjuvant treatment in NSCLC 108 Palliative surgical procedures 110 Carcinoid tumours and neuroendocrine cancer 111 Surgery for small-cell lung cancer 112 Bronchoalveolar cell cancer 112 Postoperative complications, rehabilitation follow-up 112 The multidisciplinary team in postsurgical care 115 Summary 116 References 116 6 The Nursing Care of Patients with Lung Cancer 121 Sally Moore Introduction 121 What are the important issues in relation to lung cancer nursing? 122 Context of lung cancer services 123 The challenges of lung cancer 124

List of contents

Contributors ix
 
Acknowledgements xi
 
1 Introduction to Lung Cancer and Mesothelioma 1
Alison Leary
 
Introduction 1
 
Epidemiology and causes of lung cancer 2
 
Overview of the types of lung cancer 6
 
Delivering cancer services and the multidisciplinary team 8
 
Meeting information needs 11
 
Summary 13
 
References 13
 
2 The Presentation and Diagnosis of Lung Cancer and Mesothelioma 15
Neal Navani and Stephen G. Spiro
 
Introduction 15
 
Clinical features of lung cancer 17
 
Paraneoplastic syndromes 22
 
Risk factors for lung cancer 26
 
Performance status 27
 
Investigation of lung cancer 28
 
Staging of lung cancer 38
 
An algorithm for the diagnosis and staging of non-small-cell lung cancer 41
 
Mesothelioma 42
 
Summary 46
 
References 46
 
Further reading 47
 
3 Chemotherapy and Biological Agents 49
Fharat A. Raja and Siow Ming Lee
 
Introduction 49
 
Chemotherapy 50
 
Chemotherapy for advanced NSCLC 53
 
Addition of targeted therapies to chemotherapy in NSCLC 55
 
Chemotherapy for small-cell lung cancer 57
 
Mesothelioma 59
 
Summary 61
 
References 61
 
4 Lung Radiotherapy 65
Nita Patel and Dawn Carnell
 
Introduction 65
 
Principles of radiotherapy 65
 
The use of radiotherapy in non-small-cell lung cancer 73
 
The use of radiotherapy in small-cell lung cancer 76
 
Palliative radiotherapy 78
 
Management of patients during radiotherapy 80
 
New techniques under evaluation 83
 
Summary 84
 
References 84
 
5 Surgery for Lung Cancer 87
Neil Cartwright and Aman S. Coonar
 
Introduction 87
 
The role of the surgeon 89
 
Reaching decisions about surgery 90
 
Surgery for cancers of the lung 100
 
The role of adjuvant treatment in NSCLC 108
 
Palliative surgical procedures 110
 
Carcinoid tumours and neuroendocrine cancer 111
 
Surgery for small-cell lung cancer 112
 
Bronchoalveolar cell cancer 112
 
Postoperative complications, rehabilitation follow-up 112
 
The multidisciplinary team in postsurgical care 115
 
Summary 116
 
References 116
 
6 The Nursing Care of Patients with Lung Cancer 121
Sally Moore
 
Introduction 121
 
What are the important issues in relation to lung cancer nursing? 122
 
Context of lung cancer services 123
 
The challenges of lung cancer 124
 
The role of the specialist nurse 138
 
Summary 139
 
References 139
 
7 Supportive Care in Lung Cancer 145
Kay Eaton
 
Introduction 145
 
Supportive care 146
 
Communicating the 'diagnosis' 147
 
Attitudes towards cancer 148
 
Uncertainty 149
 
Psychological distress 150
 
A family-centred approach to care 152
 
Improving the patient experience: care across the pathway 153
 
Summary 156
 
References 156
 
8 End of Life Care 159
Michael Coughlan
 
Introduction 159
 
Palliative and end of life care 159
 
Dying in the twenty-first century 160
 
Diagnosing dying 162
 
Managing complex ethical dilemmas 163
 
Planning care for the patient dying from lung cancer 164
 
Summary 181
 
References 182
 
9 Quality of Life in Lung Cancer 189
Alison Leary
 
Introduction 189
 
Cancer: the journey, the individual and

Report

"This is a superb book that includes a huge amount of relevant and up-to-date information without appearing to be cumbersome. It will be invaluable to all healthcare professionals caring for patients with lung cancer." ( Nursing Standard , 1 February 2013)

"This well-written book can be quite useful as a resource for RNs and other healthcare professionals caring for lung cancer patients." ( Doody s , 3 August 2012)

"I recommend this volume as a resource for students, staff new to the field and qualified professionals. It provides a comprehensive overview of the main issues faced by patients diagnosed with this aggressive disease." ( Cancer Nursing Practice , 1 June 2012)

Product details

• Authors: a Leary, Alison Leary, Alison (Royal Brompton and Harefield Nhs Fo Leary
• Assisted by: Alison Leary (Editor), Alison (Royal Brompton and Harefield NHS Foundation Trust) Leary (Editor), Leary Alison (Editor)
• Publisher: Wiley, John and Sons Ltd
• Languages: English
• Product format: Paperback / Softback
• Released: 23.02.2012
• EAN: 9781405180757
• ISBN: 978-1-4051-8075-7
• No. of pages: 222
• Subjects: Natural sciences, medicine, IT, technology > Medicine > Non-clinical medicine; Krankenpflege, Nursing, Nursing Special Topics, Spezialthemen Krankenpflege, Pflege i. d. Krebs- u. Palliativmedizin, Cancer & Palliative Care Nursing