Why you should read this article • To be aware of the negative effect of staff attitudes and values on the delivery of cancer care to people with learning disabilities • To identify the need for improved training and education to enable staff to meet the needs of people with learning disabilities in accessing cancer assessment and treatment • To recognise the importance of assessing capacity and seeking informed consent in cancer care for people with learning disabilities Cancer is a leading underlying cause of death among people with learning disabilities, who are less likely to receive screening tests for the disease than those without learning disabilities. This article details a literature review that was undertaken to explore the experiences of general healthcare professionals in cancer assessment and treatment for people with learning disabilities. Two broad themes were identified: capacity and consent; and workforce and systemic factors. Issues were identified in relation to staff attitudes and values, resilience, training and education, ineffective systems for tracking populations who may require additional support, and improper application of capacity and consent legislation. Further research is required to develop and enhance services and staff experiences, to improve cancer outcomes for this patient population.
Our clinical nursing articles aim to inform and educate nurse practitioners and students. This is achieved through the publication of peer-reviewed, evidence-based, relevant and topical articles.
Emphasis on risk of exposure to asbestos in high-risk jobs may have obscured others at risk
Why you should read this article: • To enhance your knowledge of adrenal incidentaloma and the issues that patients with this condition may experience • To understand how digital technology could be used to support patients newly diagnosed with long-term conditions • To identify how online and web-based information and support programmes could be adapted to support patients with adrenal incidentaloma An adrenal incidentaloma is a mass discovered on the adrenal glands when patients have an investigative scan for an unrelated reason, and is considered a long-term condition. Online resources for people with other long-term conditions can provide information and advice on self-management, which can reduce their stress and anxiety. This article reports findings of a literature review on the effectiveness of using digital technology and digital communication methods to support patients newly diagnosed with a long-term condition. No evidence was found on this topic in relation to adrenal incidentaloma, so the literature on other long-term conditions – specifically cancer, diabetes mellitus and human immunodeficiency virus (HIV) – was reviewed. The article suggests that, despite the limited data on digital technology to support newly diagnosed patients with adrenal incidentaloma, online and web-based information and support programmes are used successfully for patients with other long-term conditions. Therefore, these programmes could be adapted or developed for this patient group.
The role of society and culture in influencing what is seen as a Western male grief response
Findings from a study of a digital tool to support people with multiple myeloma
Second of two articles describing the personal story of cancer
Literature review on enhanced recovery in patients undergoing colorectal surgery
Qualitative research into prostate cancer among black men in England
First of two articles on the personal experience of cancer, this explores relationships
CIPN is a common side effect of certain cytotoxic regimens characterised by sensory symptoms
A service evaluation into the effect PPI can have on a patient pathway
A service improvement project offered patients a choice early on in their treatment