tailieunhanh - A Clinical Guide to Stem Cell and Bone Marrow Transplantation

As the science and technology of clinical stem cell and bone marrow transplantation has grown, so has the need for a comprehensive guide to caring for these complex patients. As the number of advanced practice nurses, specialty nurses, physician's assistants, fellows, residents, and medical students who care for such patients grows, so does the need for relevant and practical information. We decided to put our combined 30-plus years of stem cell and bone marrow transplant experience to good use, and thus, this handbook was developed | A Clinical Quide to Stem Cell and Bone Marrow Transplantation Terry Wikle Shapiro Deborah Rranney Davison Deborah M. Rust Page x Psychosexual adjustment following BMT 413 Long-term post-transplant testing and evaluation 415 Immunizations 416 Chapter 10 419 Psychosocial Issues Daniel Shapiro Cynthia Monheim Evidence of major depression 419 Mania 420 Substance abuse 420 Psychosis or delusions 420 Overwhelming anxiety 421 Suicidal ideation in the absence of hopeless medical circumstances 421 StafF-patient conflicts 422 Pain medication abuse 425 Interventions helpful for all patients 426 Interventions helpful for family 429 Interventions helpful for donors 429 Pretransplant screenings 430 Difficult patients 431 Emotionally difficult circumstances 434 Index .