search for books and compare prices
Tables of Contents for Bone Marrow Transplantation
Chapter/Section Title
Page #
Page Count
Foreword
xv
Preface
xvii
Contributors
xix
PART I Administrative Strategies
1
168
Bone Marrow Transplantation Nursing: Into the Twenty-first Century
3
16
Marie Bakitas Whedon
Introduction
3
1
Historical Perspectives
3
5
Overview of Transplant Science
8
4
The Future of BMT
12
3
References
15
4
Administrative Issues of an Ambulatory Care Setting
19
20
Patricia Corcoran Buchsel
Introduction
19
1
Historical Perspective
19
1
Planning an Ambulatory BMT Unit
20
4
Ambulatory Care Services
24
7
Nursing Administration
31
4
Costs of Ambulatory Care
35
1
Peripheral Stem Cell Transplantation
35
1
Research
36
1
Future Trends
37
1
Conclusion
37
1
References
37
2
Administrative Issues of an Inpatient BMT Unit
39
30
Linda R. Campbell
Mary Catherine Foody
Introduction
39
1
Strategic Planning
39
2
Financial Considerations
41
2
Resource Utilization
43
6
Environmental Issues
49
2
The Inpatient BMT Nursing Staff
51
5
Model for BMT Care: Nursing Care Delivery
56
11
Conclusion
67
1
References
68
1
Intensive Care Management of the BMT Patient: Administrative and Clinical Issues
69
26
Terry Wikle Shapiro
Introduction
69
1
Issues in Planning Care
69
2
Caring for the Critically Ill Patient on the Unit
71
1
Caring for the Critically Ill BMT Patient in the ICU
72
1
The Critically Ill Patient
73
7
Design Considerations
80
2
Issues in Transferring Critically Ill BMT Patients to the ICU
82
1
Clinical Issues
82
10
Conclusion
92
1
References
93
2
Administrative Issues of the Pediatric BMT Unit
95
18
Linda Abramovitz
Vicki Link
Introduction
95
1
Planning the Pediatric Unit
95
8
Education
103
3
Nursing
106
5
Conclusion
111
1
References
111
2
Food and Nutrition Services for the BMT Patient
113
24
Jean Marie Stern
Polly Lenssen
Introduction
113
1
The Impact of Eating Problems on Foodservice Design
113
2
Foodservice Administration and Staffing
115
1
The Low-Microbial Diet
115
2
Monitoring Nutrient Intake
117
2
Foodservice Safety and Equipment Standards
119
1
Issues and Concerns in Establishing a BMT Foodservice
119
3
Acute Care Nutrition Services
122
6
Ambulatory Care Nutrition Services
128
4
The Discharge Process and Long-term Follow-up
132
1
Operations and Monitoring Systems
133
2
Conclusion
135
1
References
135
2
Pharmaceutical Services for a BMT Program
137
16
Valorie J. Wilkins
Introduction
137
1
Planning
137
5
Contingency Planning and Expectations
142
3
Evaluation and Control
145
5
Conclusion
150
1
References
151
2
Discharge Planning for the BMT Unit
153
16
Deborah Chielens
Introduction
153
1
Historical Perspective
153
1
Discharge Criteria
154
1
Patient Education
154
6
The Caregiver Role
160
1
The Difficult Patient
161
1
Communication
162
1
Future Trends
162
1
Conclusion
162
6
References
168
1
PART II Clinical Considerations
169
182
Pretransplant Care
171
16
Carrie Malmberg
Michael W. Wilson
Introduction
171
2
Referral to the Center
173
1
Preparation for Transplantation
173
5
Pretransplant Evaluation and Preparation of the Allogeneic Patient and Bone Marrow Donor
178
3
Pretransplant Evaluation and Preparation of the Autologous Patient
181
1
Pretransplant Evaluation and Preparation of the Platelet Donor
182
1
Hospital Admission
183
1
Consolidation of Services and Nursing's Role
184
1
Conclusion
184
1
References
185
2
Peripheral Stem Cell Transplantation: Past, Present, and Future
187
26
Cynthia R. King
Introduction
187
1
Overview
188
4
History of PSCT
192
1
Transplant Process
193
11
Pediatric PSCT
204
1
Costs
205
1
Outcomes
206
1
Future Directions
206
2
Conclusion
208
1
References
208
5
Pain Management
213
44
F. Peter Buckley
Karen L. Syrjala
Introduction
213
1
What Do We Mean by Pain?
213
1
Anatomy, Physiology, and Pharmacology of Nociception
213
3
Patient Pain and Suffering
216
3
Evaluation of Pain
219
1
Pain Diagnostics and Therapy Selection
220
1
Treating the Patient
221
1
Nonpharmacologic Techniques
221
5
Nonopioid Analgesics
226
3
Tricyclic Antidepressants
229
2
Opioids
231
15
Invasive Analgesic Techniques
246
1
Clinical Pain Management for the BMT Patient
246
4
Analgesia/Sedation for Painful and Unpleasant Procedures
250
2
Medication Weaning
252
1
Conclusion
253
1
References
254
2
Bibliography
256
1
Oral Medicine Concerns of the BMT Patient
257
26
Michele E. Lloid
Introduction
257
1
Overview
257
1
Clinical Assesment
258
1
Routine Oral Care
258
1
The Four Stages of BMT
259
16
Conclusion
275
1
References
276
7
Meeting the Psychological Needs of Recipients and Families
283
20
Karen Syrjala
Introduction
283
1
Meeting Psychosocial Needs
284
7
Administration of Services
291
6
Breaking Down Barriers with Nurses
297
2
Conclusion
299
1
References
299
4
Home Care of the BMT Recipient
303
20
Lisa Schulmeister
Introduction
303
1
Developments in Home Care
303
1
Implementing Home Care Programs
304
8
Administrative Issues
312
3
Clinical Issues
315
4
Conclusion
319
1
References
320
3
Long-Term Complications of BMT
323
28
Susan Randolph
Ellen Leum
Patricia Buchsel
Introduction
323
1
Chronic Graft-versus-Host Disease
323
10
Neurological Complications
333
1
Late Infectious Complications
333
2
Ophthalmologic Complications
335
1
Urologic Complications
335
1
Oral/Dental Complications
336
1
Pulmonary Complications
337
2
Graft Failure and Marrow Dysfunction
339
2
Endocrine Dysfunction
341
2
Aseptic Necrosis of the Bone
343
1
Secondary Malignancies
343
1
Beyond BMT
344
2
Conclusion
346
1
References
347
4
PART III Related Issues
351
112
Strategies for Education of the BMT Patient
353
12
Patricia F. Jassak
Nancy L. Porter
Introduction
353
1
The Process
354
1
Factors Affecting Education
354
1
Transplant Process Education
355
3
Approaches to Patient Education
358
4
Conclusion
362
1
References
362
3
Nursing Research
365
38
Mel R. Haberman
Introduction
365
1
Developing a Testable Research Question
365
2
Levels of Research Inquiry
367
1
Characteristics of a Research Problem
368
1
Background for the Study and Literature Review
368
1
Developing a Conceptual Framework
369
1
Research Design: Qualitative and Quantitative
370
12
Factors That Jeopardize Validity
382
3
Optimizing Experimental Research Designs
385
2
Statistical Analysis Plan
387
2
Optimizing Study Design Integrity
389
2
State-of-the-Science of BMT Nursing
391
5
Conclusion
396
1
References
397
6
The Role of Computers
403
24
Valerie Coxon
Introduction
403
1
Computers Today
403
2
Health-Care Software
405
1
Nursing Software
406
5
Patient-Operated Computers: A Growing Concept
411
5
Uses of the Computer by the BMT Patient
416
4
Practical Issues in the Use of Bedside Computers
420
3
The Future
423
1
Conclusion
424
1
References
424
3
Cost Issues for BMT
427
16
Carol M. Moinpour
Michael K. Chapko
Keith M. Sullivan
Sally Kirk
Introduction
427
1
Cost-Effectiveness Analysis
428
6
Collecting Marrow Transplant Charges: Issues and Problems
434
4
Conclusion
438
2
References
440
3
Centers of Excellence for Marrow Transplantation
443
20
Janet P. Nelson
Introduction
443
1
Cost-Containment Practices of Insurance Companies
444
1
Centers of Excellence and BMT
445
4
The Changing Role of Physicians in Managed Care
449
1
Risk Sharing
450
2
The Cost of BMT
452
1
Internal-Provider Management of COE Contracts
453
6
Cost Reduction Issues
459
2
Conclusion
461
1
References
461
2
Appendix A List of Abbreviations
463
6
Appendix B PBSC Equipment Suppliers
469
4
Appendix C Discharge Care Pathways
473
16
Index
489