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<p>Contributors ix</p> <p>Foreword by Professor Roger Watson xi</p> <p>Acknowledgements xiii</p> <p><b>Introduction 1</b><br /><i>Tonks N. Fawcett and Anne McQueen</i></p> <p><b>1 Cancer: a journey of discovery 8</b><br /><i>Tonks N. Fawcett</i></p> <p>Cancer 8</p> <p>Cancer as a journey 9</p> <p>The treatment journey 11</p> <p>Life after treatment 13</p> <p>The cancer care journey: then and now 15</p> <p>Cancer journeys: stories and narratives 18</p> <p>Reflections on the journeys 19</p> <p><b>2 Integrating cancer genetics into healthcare 24</b><br /><i>Roseanne Cetnarskyj</i></p> <p>The relevance of genetics to the nurse's practice 25</p> <p>Identifying individuals with or at risk of genetic conditions 28</p> <p>Gathering multi-generational family history information 29</p> <p>Using family history information to draw a pedigree 30</p> <p>Recognising a mode of inheritance in a family 33</p> <p>Assessing genetic risk 34</p> <p>Referring individuals to specialist sources 37</p> <p>Genetic laboratory testing 39</p> <p>Communicating with individuals, families and healthcare staff 41</p> <p>Rare cancer syndromes 41</p> <p>Conclusion 42</p> <p><b>3 'Being with woman': the care of the childbearing woman with cancer 48</b><br /><i>Rosemary Mander</i></p> <p>Significance of cancer in childbearing 49</p> <p>Interaction of the cancer with the pregnancy and childbirth 50</p> <p>Cancer, childbearing and conflicts of interest 50</p> <p>Implications for the midwife and other staff 52</p> <p>Support for the childbearing woman with cancer and her family 56</p> <p>Conclusion 59</p> <p><b>4 Mucositis and the development of a new instrument for the measurement of oral mucositis in children 63</b><br /><i>Deborah Tomlinson and Lillian Sung</i></p> <p>Pathophysiology of oral mucositis 64</p> <p>Measuring oral mucositis in adults 65</p> <p>Measuring oral mucositis in children 68</p> <p>Development of children's international mucositis evaluation scale 71</p> <p>Conclusion 80</p> <p><b>5 Facing the challenges of primary malignant brain tumours 87</b><br /><i>Shanne McNamara</i></p> <p>Incidence 87</p> <p>Origins and classification 88</p> <p>Aetiology 88</p> <p>Clinical manifestations of primary malignant brain tumours 89</p> <p>Prognosis 90</p> <p>Impact of diagnosis on the patient and their family 92</p> <p>Diagnostic investigations 92</p> <p>Treatment 93</p> <p>Medical management 98</p> <p>Palliative care 102</p> <p>A multidisciplinary approach 103</p> <p>The future 103</p> <p><b>6 Cancer and the surgeon 109</b><br /><i>Ashley Brown</i></p> <p>Becoming a cancer surgeon 109</p> <p>Surgery as a treatment regime for cancer 110</p> <p>Principles of cancer surgery 110</p> <p>The surgeon and the patient newly diagnosed with cancer 112</p> <p>The multidisciplinary team 113</p> <p>Recovering from cancer surgery 115</p> <p>The surgeon and the clinical nurse specialist 116</p> <p>The joys and heartaches of a cancer surgeon 118</p> <p>Conclusion 120</p> <p><b>7 Cancer pain 122</b><br /><i>Papiya B. Russell and Anil Tandon</i></p> <p>The concept of total pain 123</p> <p>Assessment and management of emotional, psychological or spiritual pain 125</p> <p>Assessment and management of pain 127</p> <p>The use of adjuvant analgesics 143</p> <p>The specific challenge of neuropathic pain 145</p> <p>Other pain-relieving measures 146</p> <p>Relieving pain at the end of life 148</p> <p>Conclusion 148</p> <p><b>8 Cancer-related fatigue 159</b><br /><i>Antonia Dean</i></p> <p>Definitions of cancer-related fatigue 160</p> <p>The experience of cancer-related fatigue 160</p> <p>Assessing and measuring cancer-related fatigue 161</p> <p>Causes and mediators of cancer-related fatigue 162</p> <p>Management of cancer-related fatigue 165</p> <p>Discussion 171</p> <p>Conclusion 174</p> <p><b>9 The clinical research nurse in cancer clinical trials 179</b><br /><i>Patricia B. Campbell</i></p> <p>Preparation of research nurses 181</p> <p>Phases of clinical trials in cancer care 183</p> <p>The nurse–patient relationship in cancer clinical trials 187</p> <p>Conclusion 191</p> <p><b>10 Emotional work of caring in cancer nursing 196</b><br /><i>Anne McQueen</i></p> <p>Caring 196</p> <p>Emotional work 199</p> <p>Emotional intelligence 202</p> <p>Caring in cancer nursing 204</p> <p>Conclusion 208</p> <p><b>11 The management of rectal cancer and the consequences of treatment 212</b><br /><i>Gillian Knowles and Rachel Haigh</i></p> <p>Incidence, risk factors and aetiology 212</p> <p>Presenting features, diagnosis and staging 215</p> <p>Management and treatment 217</p> <p>Self-care and supportive interventions 222</p> <p>Conclusion 225</p> <p><b>12 Sustaining hope in people with cancer: developments in palliative and end-of-life care 229</b><br /><i>Margaret Colquhoun and Vicky Hill</i></p> <p>The nature of hope 230</p> <p>Models and frameworks 231</p> <p>The Gold Standards Framework 233</p> <p>Person-centred care 236</p> <p>Liverpool Care Pathway for the Dying Patient 240</p> <p>Models, frameworks and hope 244</p> <p>Conclusion 245</p> <p><b>Conclusion 250</b><br /><i>Tonks N. Fawcett and Anne McQueen</i></p> <p>Index 251</p> <p>Colour plate section follows page 50</p>

"This is a well-written book with practical information backed up by evidence on contemporary issues relating to cancer nursing. It is a resource that clinical nurses will identify with and appreciated." (Nursing Standard, 1 February 2012) <p>"Perspectives on Cancer Care has been written to support undergraduate and postgraduate nurses. The chapter on the management of cancer pain will be particularly useful for all nurses caring for patients in hospitals and receiving care in the community." (Nursing Times.net, 1 December 2011)</p> <p>"This book is likely to find a place in libraries and individual chapters may be useful to support course work . . . The use of case studies is a welcome illustration". (Cancer Nursing Practice, 1 June 2011)</p> <p> </p>

<b>Josephine (Tonks) N Fawcett</b> is Senior Lecturer and Anne McQueen is an Honorary Lecturer in the School of Health in Social Science at the University of Edinburgh

<i>Perspectives on Cancer Care</i> is a unique collection of insights from contributors, based on their specific expertise and experience. It provides a range of perspectives on cancer care that can inspire the reader and encourage high quality care through an enhanced understanding of the patients' needs and the carers' skills. <p><i>Perspectives on Cancer Care</i> presents a series of chapters highlighting different circumstances and approaches to the complex reality of cancer care. In each chapter the author presents their own picture of their experience of the individual's needs and the care required to address these needs, illustrating the particular sensitivity, trust, empathy and support required in the care of patients with cancer and their families. The holistic approach to total care is a prominent feature in cancer care and this is illustrated througout the various chapters.</p> <p>This collection of persectives on cancer care:</p> <ul> <li>highlights particular issues in the field</li> <li>encourages 'best practice'</li> <li>draws on the expertise of specialist practitioners in the field of cancer care</li> <li>features a holistic approach to cancer care, illustrated through scenarios</li> </ul>

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