Sitton E
Department of Radiation Oncology, USC/Kenneth Norris Jr Cancer Hospital, Los Angeles, CA, USA.
Semin Oncol Nurs. 1998 Aug;14(3):210-9. doi: 10.1016/s0749-2081(98)80030-2.
To review current management of individuals with metastases to the central nervous system and brachial nerve plexus, and to provide a scientific basis for nursing management of the effects of the disease and treatment.
Published articles, book chapters, clinical trial data, and experience from nursing literature.
Central nervous system metastases are events that may create oncologic emergencies with neurologic impairment and pain. Treatment of patients with central nervous system metastases is generally palliative regardless of the type of the primary cancer. Early diagnosis and treatment improve the chances for optimal recovery of neurologic function and pain management.
Central nervous system metastases may develop in patients with systemic disease. Disease and treatment effects present challenges to patients, family, and care providers. Nurses have a responsibility in educating the patient/family and in providing supportive care.
回顾目前对中枢神经系统和臂丛神经转移患者的管理，为该疾病及其治疗效果的护理管理提供科学依据。
已发表的文章、书籍章节、临床试验数据以及护理文献中的经验。
中枢神经系统转移可能引发伴有神经功能损害和疼痛的肿瘤急症。无论原发性癌症的类型如何，中枢神经系统转移患者的治疗通常是姑息性的。早期诊断和治疗可提高神经功能最佳恢复和疼痛管理的机会。
系统性疾病患者可能发生中枢神经系统转移。疾病和治疗效果给患者、家庭及护理人员带来挑战。护士有责任对患者/家属进行教育并提供支持性护理。
