Researchers at the Bladder Cancer Research Center are interested in studying how bladder cancer symptoms affect a patient’s physical and psychological well-being, and how offering various types of support can improve quality of life and treatment outcomes.
Study: Screening and Early Intervention to Improve Patients’ Psychological Well-Being
Patients with bladder cancer frequently experience depression. Psychological distress expressed as depression or excessive anxiety has been identified in patients with advanced cancer (Cella, Jacobsen and Lesko, 1990). The frequency of psychological distress in patients with cancer at various disease stages ranges from 30 to 47 percent. Spiegel (1994) and Kaasa et al. (1993) reported that 70 percent of patients with advanced cancer and high levels of distress had poor performance and more pain.
A study is currently underway to determine if psychological screening and intervention at the time of diagnosis for cancer can improve the patient's well-being. This study uses the Brief Symptom Inventory (BSI) to identify individuals that need psychological intervention.
Enterostomal Therapy Support
Enterostomal therapy services are provided by a certified wound, ostomy and continence nurse (CWOCN). These services include:
- Preoperative counseling and stoma site marking
- Inpatient self-care teaching and assistance with physical, psychological and social adaptation
- Community referrals for support and appliances (as needed)
- Lifelong follow-up for maintenance issues
Nursing Interventions and Support
Expert nursing care received by patients at the Brady Urological Institute makes a difference in the quality of patient care. Postoperatively, patients at the Brady Institute are cared for by the nursing staff on the Marburg 2 Nursing Unit who routinely work with individuals treated surgically for urological conditions.
Nurses not only provide clinical and psychological care for patients, but also educate patients in preparation for discharge. Medical oncology nurses are involved in administration of chemotherapy, patient assessment, symptom management, planning of patient care and patient involvement in research protocols.