- Screening, Prevention, Early Detection, and Genetic Risk - 7%
A. At-risk populations (e.g., disparities in cultures, socioeconomic status, age, occupations, cancer history)
B. Screening, early detection
C. Cancer prevention, risk reduction guidelines (e.g., cancer risk factors such as smoking, nutrition, genetics)
D. Hereditary cancer evaluation and counseling methods
- Diagnosis, Staging, and Treatment Planning - 15%
A. Diagnostic tests and results
B. Patient assessment
C. Staging guidelines
D. Natural history of disease (e.g., presentation, common metastatic sites, prognosis)
Prognostic indicators (e.g., immunoassays, flow cytometry, immunotyping, performance status, hormonal status)
- Cancer Treatment - 18%
A. Clinical trials and research studies
B. Systemic therapies (e.g., chemotherapy, hormonal, targeted, biological)
C. Localized therapies (e.g., intravesicular, intraperitoneal, intrathecal)
D. Surgical and interventional procedures
E. Radiation therapy
F. Blood and marrow transplantation
G. Multi-modality (combined) therapies
H. Complementary and alternative therapies
I. Delivery systems (e.g., VAD, infusion devices)
J. Interrelationship of disease, treatment, and comorbid conditions
K. Standards of care for specific cancers
L. Clinical response to treatment
Palliative care principles
- Side Effect and Symptom Management - 19%
A. Etiology, incidence, and patterns (e.g., acute, chronic, and late)
B. Toxicity and rating scales
C. Pharmacologic interventions
D. Multidisciplinary therapies (e.g., rehabilitation services, nutrition, counseling)
E. Complementary and alternative methods
F. Procedural interventions (e.g., paracentesis, thoracentesis, surgical, stents, drains)
Management of complications related to delivery systems (e.g., infection, thrombosis)
- Oncologic Emergencies - 7%
A. Risk factors and prevention strategies
B. Etiology of oncologic emergencies
C. Assessment strategies (e.g., physical examination, differential diagnosis)
Treatment strategies
- Survivorship - 6%
A. Psychosocial (e.g., fear of recurrence, depression, PTSD, family relations)
B. Physical (e.g., neuropathies, cardiomyopathy, cognitive effects, secondary cancers, fertility)
C. Financial and legal (e.g., employment, insurance, discrimination, disability, debt)
D. Survivorship treatment summaries
Survivorship plan of care (e.g., communication with primary care provider, follow up surveillance)
- End of Life Care - 6%
A. Philosophy of hospice
B. End of life care principles (e.g., symptom management, family and caregiver support, cultural variations, and education)
C. Grief and bereavement process
D. End of life care settings
Reimbursement issues in end of life care
- Psychosocial Issues - 7%
A. Theoretical frameworks used in psychology and sociology (e.g., developmental, coping, family systems)
B. Risk factors for psychosocial disturbances/alterations (e.g., social support, financial aspects, family dynamics)
C. Assessment instruments and techniques (e.g., interview, patient self-assessment)
D. Psychiatric and psychosocial comorbidities (e.g., anxiety, depression, and cognitive impairment)
E. Effects of cancer or treatment on psychosocial issues (e.g., sexuality, quality of life, family dynamics, coping)
Cultural, spiritual, and religious diversity
- Coordination of Care - 5%
A. Patient navigation
B. Case management
C. Insurance and reimbursement issues
D. Roles of other healthcare disciplines
Community resources
- Professional Practice - 5%
A. Ethical/legal issues (e.g., ethical decision-making models, informed consent, advanced directives, durable power of attorney for healthcare)
B. Legal documentation requirements
C. Regulatory documentation requirements
D. Insurance reimbursement documentation requirements
E. Diagnostic and procedural coding documentation requirements
F. Outcomes of advance practice nurse interventions on individuals, groups, and systems
G. Accreditation standards (e.g., The Joint Commission, ACOS, HCFA)
H. Competency evaluation of self and others
I. Continuous quality improvement methods
J. Evidence-based practice
K. Standards of care
L. Advanced practice standards
M. Collaborative agreements with physician(s)
N. Healthcare legislation
O. Licensing/certification requirements
P. Current practice trends (national, state and local, institutional)
Q. Validation of APN contributions to organizations
- Roles of the Advanced Practice Nurse - 5%
A. Mentorship and coaching
B. Presentation skills and writing for publications
C. Patient education (e.g., needs assessment, preparation of materials)
D. Research process (e.g., problem identification, synthesis of research literature, rights of human subjects, sampling, data collection instruments, data analysis)
E. Research utilization
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