Table Of ContentGynecological Cancer Care
A Guide to Practice
Gynecological Cancer Care
A Guide to Practice
Edited by Tish Lancaster and Kathryn Nattress
Foreword by Dame Gill Oliver
Boca Raton London New York
CRC Press is an imprint of the
Taylor & Francis Group, an informa business
Firstpublished2005byAusmedPublicationsPtyLtd
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Gynecological Cancer Care Nursing: A Guide to Practice
ISBN13:978-0-9752018-0-0(pbk)
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NationalLibraryofAustraliaCataloguing-in-Publicationdata
Gynaecologicalcancercare:aguidetopractice.
Bibliography.
Includesindex.
ISBNO975201808.
ISBN9780975201800.
I.Gynecologicnursing. 2.Generativeorgans,Female-
Cancer-Nursing-Australia. 3.Generativeorgans,Female
-Diseases-Nursing-Australia. I.Lancaster,Letitia.
II.Nattress,Kathryn.
618.1
Contents
Dedication
Acknowledgments
Foreword
Preface
About the Authors
Anatomical Diagrams
Chapter 1 Setting the Scene 1
Tish Lancaster
Chapter 2 Genetic Susceptibility 13
Diane Stirling and Sheila Slater
Chapter 3 Screening 29
Annie Stenlake
Chapter 4 Ovarian Cancer 47
Mary Ryan and Patricia Mackenzie
Chapter 5 Cervical Cancer 63
Catherine Spencer and Huang Fang
Chapter 6 Endometrial Cancer 79
Jayne Maidens
vi
Contents
Chapter 7 Vulvar Cancer 91
Anne Mellon
Chapter 8 Gestational Trophoblastic Disease 105
Kathryn Nattress
Chapter 9 Uncommon Cancers 123
Rosie McCahill, Tish Lancaster, and Georgina Richter
Chapter 10 Chemotherapy 145
Sheila MacBride and Ellen Toms
Chapter 11 Radiotherapy 167
Karima Velji
Chapter 12 Fertility 187
Elizabeth Pearce
Chapter 13 Menopause 201
Gaye Paterson
Chapter 14 Lower Limb Lymphedema 213
Margaret Sneddon
Chapter 15 Stomal Care 235
Julia Thompson
Chapter 16 Urinary Difficulties 255
Anne Sargent
Chapter 17 Psychosocial and Spiritual Care 273
Kim Hobbs and Katharine Smith
Chapter 18 Sexuality and Body Image 289
Rosalind Robertson
Chapter 19 Social and Cultural Diversity 303
Lisbeth Lane
Chapter 20 Palliative Care 313
Anne Morgan
Chapter 21 Advanced Symptom Management 329
Peta McVey
Chapter 22 Loss, Grief, and Bereavement 357
Elizabeth Lobb
References 369
Index 413
<Dedication
Dedicated to our sisters
Anna and Sara
whose careers have included time as gyn-oncology nurses
Ac^nowCedgments
Many people have contributed to the development of this book and supported
us throughout the project. Our grateful thanks are extended to:
• the individual chapter authors of this book, for their commitment
to excellence in the care of women with gynecological cancer;
• Dame Gill Oliver, for so graciously agreeing to provide the
foreword;
• our work colleagues, for their indulgence of our obsession with this
all-consuming project; in particular we thank Philip Beale, Amanda
Beaven, Jonathan Carter, Jacqui Gillan, Ilona Juraskova, Barbara
Shaw, and Gerry Wain;
• our families, for having always supported our choice of career;
• Guy and Oscar, for giving us a reason to turn off the computer and
go home at night; and
• the staff at Ausmed Publications, for their willing support of our
passion for our craft.
Tish Lancaster
Kathryn Nattress
September 2005
(foreword
Gill Oliver
‘I don’t feel like a woman any more.’
All manifestations of cancer are iniquitous, but gynecological cancers have
particular potential to create great distress in patients and their loved ones.
Altered body image receives much attention when cancer is being discussed,
but this is most often in the context of breast cancer or in cancers of the head
and neck—in which the bodily changes are often visible. But in gynecological
cancer—for example, in uterine, vulvar, or cervical cancer—changes are
often hidden from view. And women often have difficulty in discussing these
physical, psychological, and emotional changes. Gynecological cancers are
hidden.
Gynecological cancers are poorly represented in the academic
literature, in the mass media, and in day-to-day conversation. For those who
are affected with these diseases, this means that there is less information and
help available to cope with the physical, emotional, and social effects of their
disease. I have known women with cervical cancers whose most intimate
relationships have foundered on the rocks of ignorance, anxiety, and fear.
If the care and support of people who are affected by gynecological
cancers is to improve, those who provide this care require access to the most
up-to-date, comprehensive, and accurate educational and support materials.
Gynecological Cancer Care: A Guide to Practice has been designed to
do just that. The wealth of experience demonstrated by its range of expert
international authors guarantees that each chapter is filled with real practical
information and advice. Those who read it and take its lessons to heart
will certainly enhance the care that they provide for their patients. The
existing literature is woefully sparse, and this book, edited with great skill
by Tish Lancaster and Kathryn Nattress, is a timely and welcome addition.
