Objectives

To discuss the symptom burden experienced among patients with castrate-resistant prostate cancer and bone metastases and the role of the oncology nurse practitioner in evaluation for palliative radiotherapy.

Data Sources

These include PubMed, international consensus documents, and clinician experience.

Conclusion

Men with advanced prostate cancer may live for several years after diagnosis of bone metastases; however, pain and other difficult symptoms are problematic. Pain is effectively treated with palliative radiotherapy, but careful assessment and intervention of other difficult symptoms must be addressed over time.

Implications for Nursing Practice

Nurse practitioners in radiation oncology should be well-versed in the disease trajectory of this patient population. Careful symptom inquiry and comprehensive physical examination is a key responsibility. Palliative radiotherapy, alongside analgesics and supportive care measures, can effectively reduce symptoms and improve quality of life in men with prostate cancer metastatic to bone.

中文翻译：

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前列腺癌骨转移：从放射肿瘤学护士的角度解决慢性疼痛

目标

讨论去势抵抗性前列腺癌和骨转移患者的症状负担以及肿瘤科护士在评估姑息性放疗中的作用。

数据源

其中包括 PubMed、国际共识文件和临床医生经验。

结论

患有晚期前列腺癌的男性在诊断出骨转移后可能还能活几年；然而，疼痛和其他困难症状是有问题的。姑息性放疗可有效治疗疼痛，但随着时间的推移，必须仔细评估和干预其他疑难症状。

对护理实践的影响

放射肿瘤学的执业护士应精通该患者群体的疾病轨迹。仔细的症状询问和全面的体格检查是一项关键职责。姑息性放疗，连同镇痛剂和支持性护理措施，可以有效减轻前列腺癌骨转移男性的症状并改善其生活质量。