[Update of breast cancer in primary care (IV/V)].
Breast cancer is a prevalent disease affecting all areas of patients' lives. Therefore, family physicians must thoroughly understand this pathology in order to optimize the health care services and make the best use of available resources, for these patients. A series of 5 articles on breast cancer is presented below. It is based on a review of the scientific literature over the last 10 years. This fourth article deals with the treatment of the disease, the role of the primary care physician, and management of major complications. This summary report aims to provide a current and practical review about this problem, providing answers to family doctors and helping them to support their patients and care for them throughout their illness.
Systematic reflection on practice remains a vexed issue for many nurses and the context of a busy hospital environment poses a challenge. As a process to meet this challenge, Grand Rounds is worth considering. Medical practitioners have used this case study-based process over many years almost as a cultural ritual (Myint & Sabanathan, 2005: 297; Wolak, Cairns & Smith, 2008: 176). The format allows exploration of broad topics related to patient care through facilitated discussion with peers (Wolak et al., 2008 p 173). This paper shares how this format was used to encourage ongoing reflective practice, and foster clinical reasoning amongst nurses at The Maitland Hospital.