TTITLE: Survey of Difficult Experiences of Nurses Caring For Patients

TTITLE: Survey of Difficult Experiences of Nurses Caring for Patients
Undergoing Radiation Therapy: An Analysis of Factors in Difficult Cases
BIBLIOGRAPHY: Tsuchihashi, Y., Matsunari, Y., Kanamaru, Y. (2018). Survey

of Difficult Experiences of Nurses Caring for Patients Undergoing Radiation
Therapy: An Analysis of Factors in Difficult Cases. Retrieved on November 9,
2020 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5763447/
SUMMARY:
The “Cancer Control Act” and “Promotion of a Basic Plan with Cancer
Prevention Steps” were developed in Japan in 2007. This included offering
quality medical services that was equally available in Japan for cancer patients.
In medical settings, radiation has been widely used, and in most of the world,
radiation therapy has been further developed. These are less complications in
patients and care has improved. The nurse’s role in radiation treatment is
becoming more and more significant. It has been indicated that radiation
therapy-related adverse events occur and complications occur secondarily in
radiological nursing, so the situation can be complicated and challenging.
Consequently, it is evident that nurses will face patient demands and that
information is required. Many nurses, however, lack the fundamental knowledge
to be able to assume the function, and the literature shows that nursing
techniques are often done through trial and error. Therefore, some nurses are
expected to feel overwhelmed and unable to help these patients. With regard to
the site of treatment, the head and neck, followed by the esophagus, were the
most common. The most prevalent therapies were chemotherapy and radiation.
Several patients undergoing concomitant chemoradiotherapy, also showed
severe adverse effects. Combined therapy is becoming increasingly standard,
with further adverse events predicted over the course of therapy.
The nurses had difficulty coping with pediatric cancer patients and dementia pati
ents undergoing radiation therapy. Approximately 80% of the nurses in hospital
“A” had treated patients receiving radiation therapy, 40 percent of whom has
encountered difficult cases. These nurses, lacking expertise and skills, could
cope with challenging cases of radiation therapy, but would possibly benefit from
further training and mentoring from specialist nurses who are experienced in
coping with the challenges of caring for patients receiving radiation therapy.
REACTION:
I strongly agree with the article for it is packed with reliable facts from
geriatricians themselves. During lectures, I have somehow learned about
radiotherapy and the nursing care of the client receiving radiation therapy.
However, reading this article even widened my view the toxicity of the treatment
and the managements of radiation therapy on cancer patients. I have not yet
encountered a patient receiving this therapy. And prior to reading this, I thought
that the only management that can be done to patient with cancer are
chemotherapy and some chemo medications that would help alleviate the
patient's pain. But I was wrong, and have now learned that this is one of the
management and treatment for patient having cancer that could help them cure
or control the malignant disease when a tumor cannot be removed surgically. I
was surprised to know that despite the nurses struggles and difficulties with
patients receiving radiotherapy, they could still learn, improve their skills and
attitude through training and from the experienced nurses. It is also important for
nurses to have knowledge about radiation therapy to understand patient
backgrounds and support them while they undergo treatment.
Moreover, with the therapy, I have not yet encountered a person who
received radiation therapy, even from our last actual rotations. If given the
chance to handle one, the article would be of big help because it gave me an
idea how to care for patients receiving radiation therapy, how to manage them
with independent nursing interventions and provide the safety precautions.
Additionally, as a student nurse and a future nurse, here are some nursing
interventions I can provide for patients with a patient receiving a radiation
therapy: assesses the patient’s skin and oropharyngeal mucosa regularly when
radiation therapy is directed to these areas, and also the nutritional status and
general well-being should be assessed. Treat the skin that is exposed to
radiation with extra care such as cleanse the skin daily with warm water and a
mild soap. And eat a balanced, nutritious diet since patient is require more
calories due to the cancer and treatment.
In relation to the nursing implications, the article allows for further

contribution towards nursing education because it will give the readers a better
grasp towards radiotherapy on cancer patients as this article tackles the
experiences of the nurses in different client or patients and a general overview of
the therapy as well as the further management on the case. In nursing practice,
the article will assist student nurses to enhance the quality of care they provide
to cancer patients receiving radiation therapy by being refreshed in the
application of assessment, interventions and management discussed by the
authors. Lastly, in nursing research, this can be a source of related literature
review for future researchers who are eager to dive in deeply into the efficacy
and effectiveness of the management presented in the article.

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TTITLE: Survey of Difficult Experiences of Nurses Caring for Patients

Undergoing Radiation Therapy: An Analysis of Factors in Difficult Cases

BIBLIOGRAPHY: Tsuchihashi, Y., Matsunari, Y., Kanamaru, Y. (2018). Survey

In relation to the nursing implications, the article allows for further

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