Monday, October 05, 2009 More Than Medicine AlbuquerqueJournalBy Amanda Schoenberg Journal Staff Writer With substantial shifts in treatment and outcomes for people with cancer, the way nurses care for cancer patients has also changed dramatically. As more cancer care moves from hospitals to outpatient settings, nurses who once worked only with terminally ill patients now also work in rehabilitation, prevention, chemotherapy research and as patient care coordinators, say local oncology nurses. And it takes a special kind of person to deal with the varied aspects of the job, from helping patients cope with the initial diagnosis, to getting to know patients' family members during lengthy treatments, to keeping up to date with rapidly evolving cancer care and then, in some cases, to helping a patient through the process of dying. Nurses who take on the task say compassion is pretty much a requisite. "Oncology nursing spans a huge spectrum," says Catherine Fleming, an oncology nurse who monitors quality of care at Lovelace Medical Center and has worked in outpatient and inpatient cancer care. In the 1970s and '80s, most oncology nurses worked in hospitals, says Brenda Nevidjon, president of the Oncology Nursing Society and professor of nursing at Duke University Medical Center's School of Nursing. Changes in managed care, new cancer treatments and help for the side effects of chemotherapy and radiation mean more nurses have since moved outside hospitals. Since the early '90s, cancer death rates have dropped for men and women. According to the National Cancer Center's 2007 trend report, 67.2 percent of patients survived their cancer at least five years in 2000. With new drugs and research, patients survive longer and longer, says Andrea Cox, charge nurse for the outpatient chemotherapy unit at the UNM Cancer Center.
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ABQJOURNAL HEALTH: More Than Medicine
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