Multidisciplinary Team MDT Advantages and Disadvantages

In the Introduction to NHS Cancer Plan, Three Year Progress Report - Maintaining the Momentum the National Cancer Director, Professor Mike Richards, said that the establishment of specialist cancer teams across the country has been one of the most important developments in recent years. These multidis-ciplinary teams bringing together surgeons, radiologists, pathologists, oncologists, palliative care specialists and other professionals are now helping to ensure that patients receive appropriate...

Deep System Cervical Lymph Nodes Proper

Subclavian Triangle Nodes

The deeper fascial structures of the head and neck drain either directly into the deep cervical lymph nodes or through the superficial system first and then into the deep system. These superficial nodes have already been described. The deep cervical lymph nodes proper (Figure 13.1) consist of the junctional nodes, the upper, middle, and lower cervical nodal groups which are situated along the internal jugular vein, the spinal accessory group which accompanies the accessory nerve in the...

Psychological Model of Adjustment to Cancer

Inauthor Stirling Moorey

When someone first receives the news that they have cancer, the greatest concern is usually survival. Patients often ask am I going to die In younger people particularly, there is likely to be a period of shock and disbelief as implicit assumptions about invincibility are shattered. The individual then goes through a process of appraisal which will greatly influence their adjustment to the disease. As individuals make sense of their diagnosis they address three key questions How great is the...