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Support Services

Nursing

The Cancer Center places a strong emphasis on the role of the nurse as a vital link between patient, physician and family. Staff nurses caring for cancer patients receive special education in how to administer chemotherapy, manage pain and provide psychosocial support. An oncology clinical nurse specialist serves as a consultant to physicians and other nurses and provides education and counseling to individual patients and their families.

 

Pain Management

A multidisciplinary team consisting of physicians from Anesthesia and Neurology coordinates Pain Service activities under the direction of a physician from the Department of Anesthesiology. Standard techniques of pain management include IM injections and nerve blocks, while advanced methods such as spinal injection of narcotics and neurosurgical intervention are used where appropriate. The service also utilizes patient-controlled analgesia.

Nutrition

Malnutrition is the most common secondary diagnosis in cancer patients, resulting from the disease process, or often, the treatment. Maintaining a patient's nutritional status has been shown to reduce morbidity and mortality of the cancer patient and to improve the outcome of treatment. A physician nutritionist from the Department of Medicine is the director of The Cancer Center's nutrition service. Hospital dietitions provide consultations for inpatients, and the physician performs a comprehensive assessment that includes a nuritional history, drug-nutrient interactions, physical exam, and interpretation of nutritional indices. Patients with evidence of malnutrition receive early intervention which may include oral supplements, enteral or parenteral nutrition.

Oncological Rehabilitation

The Department of Physical Medicine and Rehabilitation treats cancer patients on both an inpatient and outpatient basis. The goal of rehabilitation is to improve the quality of life for patient with neuromuscular impairment, vascular compromise, or general deconditioning. Therapies include:

Intermittent compression for venous and lymphatic outflow
Range of motion exercises
Activities of Daily Living (ADL) exercises
Bracing and prosthetic fitting
Speech therapy for patient undergoing laryngeal surgery
Pain control with transcutaneous electrical stimulation

 

Social Services

The Department of Social Work screens all cancer patients for psychosocial and discharge planning needs. The staff provides:

Placement in extended care facilities
Help in the home for personal care
Counseling in regard to the crisis of hospitalization
Information about, and referral to, community agencies

 

Support Groups

Among the support programs available are the following:

The Cancer Support Group- for all patients, meets twice weekly
The Breast Cancer Support Group- a five week overview of the diagnostic anbd treatment process
Look Good, Feel Better- a single evening session six times a year for women undergoing chemotherapy
Coping at Home- a program to teach primary care givers the skills they need (adopted nationally by the American Cancer Society)

 

Research

Because the effective treatment of cancer is a constantly evolving process, The Cancer Center conducts clinical and basic research as a means of advancing dya-to-day practice.

Clinical Research

Research studies from review of The Cancer Center's treatment experience
Contribution to national studies as an affiliate of the Radiation Therapy Oncology Group
Development of new and improved treatment methods in brachytherapy

Basic Research

The Frank Randazzo Jr. Cell Biology Laboratory was established in 1993 to conduct cellular and molecular research. The lab has two purposes: to study the fundamental differences in radiobiological responses between normal cells and cancer cells; to understand the mechanisms of cellular response to external beam radiation and brachytherapy. Lab studies include:

Kinetics of repair of X-ray damage in mammalian cells
Correlation of prostate specific antigen (PSA) and acid phosphatase and levels of cell killing by X-ray
Differential repair of X-ray damage in euoxic and hypoxic mammalian cells; potential for hypoxic radiosensitizers
Radiology Pathology Surgery Radiation Oncology Medical Oncology GYN Oncology Breast Center Support  

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