New research recommends nurses play a key role in alleviating the concerns of newly diagnosed cancer patients. This interaction will lead to a better quality of life for anxious patients, according to a paper published in the current edition of the Clinical Journal of Oncology Nursing.
“People facing life-threatening diagnoses often feel alone, and newly diagnosed lung cancer patients with early stage disease can have concerns about an uncertain future, the potential for treatment failure, the cancer spreading and the possibility of death,” said Rebecca H. Lehto, assistant professor in the College of Nursing at Michigan State University. “Health care providers, who are uncomfortable with and avoid discussing end-of-life questions, may contribute to a patient’s alienation.”
On the other hand, “Nurses who are comfortable with listening for and discussing existentially related concerns may be in a better position to promote the patient’s psychological adaptation,” Lehto adds.
Lehto’s research identifies the concerns that people experience and strategies to help resolve the normal psychological responses in the early postdiagnostic and treatment period.
“With a nurse’s help, if a patient can resolve the issues that impact quality of life during early treatment, it may greatly improve their outlook,” she said. “It is difficult for patients to focus on learning about anti-cancer treatment if they are overwhelmed with anxiety and distressing thoughts.”
Other strategies for assisting patients with their concerns include discussing life stories, talking about personal relationships and spiritual resources, and supporting patients as they make funeral arrangements and handle other legal issues.
Despite natural concerns that these discussions will increase psychological distress for patients, Lehto says the nurse’s role is essential.
“By addressing death-related concerns early, nurses will determine individualized needs for mental health or other supportive interventions or services,” she said.
Source: Michigan State University.
To sign up for our newsletter or print publications, please enter your contact information below.
