scholarly journals Advance Directives and Do-Not-Resuscitate Orders in Patients with Cancer with Metastatic Spinal Cord Compression: Advanced Care Planning Implications

2010 ◽  
Vol 13 (5) ◽  
pp. 513-517 ◽  
Author(s):  
Ying Guo ◽  
J. Lynn Palmer ◽  
Josephine Bianty ◽  
Benedict Konzen ◽  
Ki Shin ◽  
...  
2019 ◽  
Vol 28 (17) ◽  
pp. S24-S29
Author(s):  
Rebecca Troke ◽  
Tanya Andrewes

Background: metastatic spinal cord compression (MSCC) is an oncology emergency. Prevalence is increasing. Treatment and care are complex and those diagnosed may be faced with life-changing challenges. Aims: to review the impact and management of MSCC in patients with cancer, in order to analyse nursing considerations for supporting patients. Methods: a literature review and thematic analysis of five primary research papers, published between 2009 and 2014. Findings: two themes of prognosis/survival time and independence versus dependence were discovered. Conclusions: the onset of MSCC may result in paralysis and associated loss of independence, impacting on a patient's quality of life. Understanding individuals' prognosis and treatment/care preferences is fundamental for the sensitive, individualised support of patients with MSCC. The findings reinforce the nurses' role in health education, in order to raise awareness of MSCC and promote early diagnosis so that patients maintain function and independence as long as possible. The findings support the need for nurses to be equipped with appropriate communication skills to initiate and engage in sensitive, difficult and proactive conversations with patients and their families, supporting the delivery of humanised care.


2005 ◽  
Vol 3 (5) ◽  
pp. 711-719 ◽  
Author(s):  
Meic H. Schmidt ◽  
Paul Klimo ◽  
Frank D. Vrionis

Approximately 70% of cancer patients have metastatic disease at death. The spine is involved in up to 40% of those patients. Spinal cord compression may develop in 5% to 10% of cancer patients and up to 40% of patients with preexisting nonspinal bone metastasis (>25,000 cases/y). Given the increasing survival times of patients with cancer, greater numbers of patients are likely to develop this complication. The role of surgery in the management of metastatic spinal cord compression is expanding. The management of metastatic spine disease can consist of a combination of surgery, radiation treatment, and chemotherapy. Treatment modalities are not mutually exclusive and must be individualized for patients evaluated in a multidisciplinary setting.


2007 ◽  
Vol 67 (1) ◽  
pp. 256-263 ◽  
Author(s):  
Dirk Rades ◽  
Peter J. Hoskin ◽  
Johann H. Karstens ◽  
Volker Rudat ◽  
Theo Veninga ◽  
...  

2016 ◽  
Vol 28 ◽  
pp. S2
Author(s):  
A. Cole ◽  
J. O'Hare ◽  
K. Harpur ◽  
C. O'Brien ◽  
N. Evans ◽  
...  

2017 ◽  
Vol 22 (1) ◽  
pp. 58-63 ◽  
Author(s):  
Alexandra Giraldo ◽  
Sergi Benavente ◽  
Mónica Ramos ◽  
Ramona Vergés ◽  
Odimar Coronil ◽  
...  

2013 ◽  
Vol 16 (01) ◽  
pp. 14-20 ◽  
Author(s):  
Jackie Turnpenney ◽  
Sue Greenhalgh ◽  
Lena Richards ◽  
Annamaria Crabtree ◽  
James Selfe

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