Jeanne Held-Warmkessel

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PURPOSE/OBJECTIVES To identify potential factors that place patients with cancer at risk for unplanned readmissions after discharge from the hospital. DESIGN Retrospective, descriptive, medical record review. SETTING A National Cancer Institute-designated comprehensive cancer center in an urban area of the Northeastern United States. SAMPLE 78(More)
Adjuvant treatment options for women with ovarian cancer following optimal surgical debulking traditionally have focused on IV taxane and/or platinum-based regimens. Combining intraperitoneal (IP) with IV therapy may offer a survival advantage over IV therapy alone in selected patients. The nursing care of women receiving IP chemotherapy involves unique(More)
OBJECTIVES To review the risk factors, prevention, treatment, and management of the patient with penile cancer. DATA SOURCES Publications; clinical experience. CONCLUSION Penile cancer is a rare malignancy in the United States, but is more common in developing countries. The disease is so uncommon in the United States that there are oncology nurses who(More)
OBJECTIVES To review the management of advanced prostate cancer, including symptom management, hormonal therapy, and the use of chemotherapy. DATA SOURCES Published articles and book chapters on advanced prostate cancer. CONCLUSIONS Advanced prostate cancer is a common problem that has a significant impact on the patient's quality of life. Multiple(More)
A patient being treated for metastatic adenocarcinoma of the pancreas presents to the clinic for a routine appointment. A complete blood count reveals hemoglobin of 6.5 g/dl and a platelet count of 30,000 K/mm3 thought to be from the last of many doses of gemcitabine. On assessment, the only complaint was fatigue with no evidence of bleeding or other(More)
Lactic acidosis is the most common metabolic acidosis in hospitalized patients-the result from an underlying pathogenic process. To successfully manage lactic acid production, its cause needs to be eliminated. Patients with cancer have many risk factors for developing lactic acidosis, including the cancer diagnosis itself. Patients with lactic acidosis are(More)
The majority of colon cancers are adenocarcinomas originating from colonic epithelial tissue. Most colon tumors originate in the left side of the colon. Right colon tumors grow into the bowel lumen. The cause of colon cancer is not known, but risk factors have been identified. The three most prevalent are age, diet and genetics. Consumption of large amounts(More)
Cancer of the pancreas is the fourth most common malignancy-induced cause of death in the United States. For patients with small primary tumors, surgery may produce long-term survival. However, because most patients are not diagnosed early, chemotherapy or radiation therapy may be beneficial. Combined modality therapies are under investigation and may(More)