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The role of the nurse in meeting the educational needs for self-care in cachectic cancer patients and their family caregivers: a scoping review

Hopkinson, Jane B. ORCID: https://orcid.org/0000-0002-3915-9815 2023. The role of the nurse in meeting the educational needs for self-care in cachectic cancer patients and their family caregivers: a scoping review. Asia-Pacific Journal of Oncology Nursing 10 (1) , 100294. 10.1016/j.apjon.2023.100294

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Abstract

Purpose: To give an overview of what is known about the nurse contribution to education in self-care by people with cancer cachexia and their family caregivers. Background Nurse-led patient education can help patients and their family caregivers to manage cancer symptoms, cancer treatments and treatment side effects. Methods: This scoping review explored the extent to which nurse-led education has become part of the multimodal management of cancer cachexia. It is based on a systematic search of Medline, Embase, CINAHL, APA PsycINFO, and the Cochrane Library. Search limits were English language, date range January 2015 to March 2023, and adults 18 years and older. Results: A total of 6,370 titles were screened, 127 papers and conference abstracts selected for full text examination and 9 publications included in the review. The analysis found the nurse within the multidisciplinary cancer cachexia care team can: • raise awareness of cancer cachexia syndrome and its causes,• share knowledge of symptoms and related problems, which can aid patient understanding to support adherence to interventions and to support emotional coping,• offer dietary information and advice to mitigate risk of malnutrition,• teach skills in the self-management of nutritional impact symptoms,• adjust information, advice and skills training to cultural and social context and• offer and signpost educational resources about the management of cancer cachexia. Nurses, like other healthcare professionals, do not have a shared understanding of cancer cachexia and its management. For nurses to be confident and competent in the provision of nurse-led cachexia education, they themselves need evidence-based education in cachexia care and how to tailor education according to cachexia stage, symptoms, emotional response and social circumstance. Conclusion: Nurses with the knowledge and confidence to provide cancer cachexia education for their patients can potentially play an important role in the management of cancer cachexia and mitigation of cachexia-related problems.

Item Type: Article
Date Type: Published Online
Status: In Press
Schools: Healthcare Sciences
Publisher: Elsevier
ISSN: 2347-5625
Date of First Compliant Deposit: 5 September 2023
Date of Acceptance: 13 August 2023
Last Modified: 18 Dec 2023 09:55
URI: https://orca.cardiff.ac.uk/id/eprint/162095

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