2018 OCN Keywords January 22, 2018 Subject Area Weight Keywords

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1 Subject Area Weight Keywords Care Continuum 19% Care Continuum Coordination of Care Navigation Psychosocial Symptom Management Health Promotion/Screening and Early Detection Disease Prevention High-Risk Behaviors Preventive Health Practices Advance Care Planning Epidemiology Modifiable Risk Factors (e.g., smoking, diet, exercise, occupation) Non-modifiable Risk Factors (e.g., age, gender, genetics) Survivorship Rehabilitation Recurrence Concerns Financial Concerns Employment Concerns Insurance Concerns Family and Social Support Concerns Sexuality Concerns Treatment Treatment-Related Considerations Delayed-Onset Side Effects Chronic Side Effects Secondary Malignancies Follow-up Care Palliative Care End-of-Life Care Grief Bereavement Hospice Care Caregiver Support Interdisciplinary Team Multidisciplinary Plan of Care Pharmacologic Comfort Measures Non-pharmacologic Comfort Measures Patient/ Caregiver Education Early and Late Treatment Effects Alterations in Physical Status Alterations in Cognitive Status Alterations in Psychosocial Status Coping Skills Cultural and Spiritual Beliefs Signs and Symptoms of Approaching Death

2 Oncology Nursing Practice 17% Scientific Basis for Practice Diagnosis and Staging Disease-Related Biology Carcinogenesis Immunology Clinical Trials Protocol Guidelines Treatment Plan Calendars Clinical Trials Eligibility Informed Consent Research Protocols Site-Specific Cancer Considerations Pathophysiology Common Metastatic Locations Diagnostic Measures Diagnostic Tests Prognosis Prognostic Indicators Classification Histological Grading Scope, Standards and Related Issues Standards of Care (nursing process) Legal Issues Documentation Accreditation The Joint Commission Self-care Compassion Fatigue Standards of Professional Performance Ethics Navigation Patient Advocacy Education Evidence-Based Practice Putting Evidence into Practice (PEP) Guidelines Research Quality of Practice Communication Leadership Collaboration Professional Practice Professional Practice Evaluation Resource Utilization Environmental Health Safety Guidelines (e.g., OSHA, NIOSH) Personal Protective Equipment Safe Handling Role of the Professional Nurse Patient and Caregiver Advocacy Issues Legislation Related to Oncology Culturally Competent Care Writing and Formulating Policy and Procedures

3 Educational Materials Preparation and Evaluation Professional Boundaries Ethical Principles in Decision Making Quality and Performance Improvement Activities Coordination of Care Multidisciplinary Collaboration Patient Care Conferences Mentoring Treatment Modalities 19% Treatment Modalities Blood and Marrow Transplant Surgery Radiation Therapy Chemotherapy Biotherapy Immunotherapy Targeted Therapy Systemic Therapy Vascular Access Devices (VADs) Patient and Caregiver Education Symptom Management Side Effects Related to Treatment Patient Response to Treatment Dose-limiting Toxicities Lifetime Cumulative Dose Limits Biosimilar Drugs Symptom Management and Palliative Care 23% Symptom Management Palliative Care Etiology and Patterns of Symptoms (acute, chronic, late) Anatomical and Surgical Alterations Lymphedema Ostomy Site-Specific Radiation Pharmacologic Interventions Nonpharmacologic Interventions Complementary and Integrative Modalities Massage Acupuncture Herbal Supplements Alterations in Functioning Hematological Status Blood Components Transfusions Hematopoiesis Immunological Status Altered Immune Function Gastrointestinal Status Mucositis Xerostomia Nausea and Vomiting Dysgeusia (Altered Taste) Dysphagia

4 Dyspepsia Hiccoughs Elimination Fecal Diversions Bowel Obstructions Genitourinary Status Elimination Patterns Urinary Diversions Urinary Obstructions Integumentary Status Altered Skin Integrity Infection Respiratory Status Techniques for Optimal Ventilation Energy Conservation Oxygen Therapy Pursed-Lip Breathing Tracheostomy Care Chest Tubes Anemia Infection Anxiety Pleural Effusion Obstructed Airway Ascites Atelectasis Cardiovascular Status Cardiotoxic Drugs Volume Overload Neurological Status Altered Mental Status Sensorimotor Function Neurosensory Deficits Peripheral Neuropathies Autonomic Neuropathies Neurological Changes Musculoskeletal Status Strength and Mobility Activities of Daily Living Lymphedema Fall Risk and Prevention Nutritional Status Dietary Changes Diarrhea Anorexia Appetite Changes Stomatitis Weight Loss or Gain Cachexia Cognition Status Patient Safety Level of Consciousness

5 Chemo Brain Energy Level Fatigue Sleep Patterns Verbal and Nonverbal Communication Patient and Caregiver Education Pain Management Side Effects of Analgesic Therapy Survivorship Palliative Care Needs Community Resources Psychosocial Coping Skills Comfort Oncologic Emergencies 12% Oncologic Emergencies Disseminated Intravascular Coagulation (DIC) Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) Sepsis Septic Shock Tumor Lysis Syndrome Hypersensitivity Anaphylaxis Hypercalcemia Cardiac Tamponade Spinal Cord Compression Superior Vena Cava Syndrome Increased Intracranial Pressure Obstructions Bowel Obstructions Urinary Obstructions Pneumonitis Extravasations Patient and Caregiver Response to Treatment Quality of Life Psychosocial Dimensions of Care 10% Psychosocial Cultural Diversity Spiritual Diversity Religious Diversity Financial Concerns Coordination of Care Available Resources Altered Body Image Learning Styles Barriers to Learning Social Relationships Family Dynamics Coping Mechanisms Coping Skills Survivorship Support Systems Patient Support

6 Individual Support Group Support Caregiver Support Family Support Psychosocial Considerations Patient Verbalization of Concerns Anxiety Loss and Grief End-of-Life Depression Loss of Personal Control Sexuality PLISSIT Model Reproductive Issues Contraception Fertility Sexual Dysfunction Physical Effects Psychological Effects Intimacy Navigation Support Services Referrals Financial Concerns Stress Relief Techniques

2 Diagnosis and Staging of Cancer 2.1 Pathophysiology of cancer 2.2 Classification and staging 2.3 Diagnostic measures for specific cancer types

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