title: New approaches: innovations in cancer prevention, diagnosis, treatment, and support.
abstract: OBJECTIVE
  To discuss and project changes in cancer care in the 21st century.
  
  
  METHODS
  Projections are based on synthesis of multiple scholarly, professional, and governmental information sources.
  
  
  RESULTS
  Changes will be reflected in the areas of patient subgrouping for more effective prevention and treatment; a redesigned therapeutic paradigm; a mind-body renaissance emphasizing holism and quality of life; and an accentuated influence of ethics on oncology nursing practice arising from healthcare reform and new scientific understanding of the human gene.
  
  
  CONCLUSIONS
  Opportunities for nurses resulting from these changes include roles as genetic-risk analysts, health-education media designers, patient readiness evaluators, technology accessors, partners in a holistic care center, and treatment options advisors.
  
  
  CONCLUSIONS
  Nurses will need to respond to these challenges by expanding their knowledge base with respect to genetics and computer science, refining the interactive skills that are necessary to address the psychosocial aspects of cancer care, and assimilating new technology while designing strategies to minimize the dehumanizing consequences of technology dependency.
authors.affiliation: Westchester County Medical Center, Valhalla, NY.
authors.forename: C
authors.initials: C
authors.lastname: Engelking
mesh_terms: D003695:Delivery of Health Care / Q000639:trends*; D004992:Ethics, Medical; D005544:Forecasting; D005826:Genetics, Medical / Q000193:education / Q000379:methods; D006292:Health Priorities; D006694:Holistic Health; D006801:Humans; D007587:Job Description; D008490:Medical Informatics / Q000191:economics; D013677:Medical Laboratory Science / Q000639:trends; D016294:Models, Nursing; D009369:Neoplasms / Q000175:diagnosis* / Q000401:mortality / Q000523:psychology / Q000628:therapy*; D009859:Oncology Nursing / Q000193:education / Q000379:methods / Q000639:trends*; D011322:Primary Prevention / Q000379:methods / Q000639:trends; D011379:Prognosis; D011788:Quality of Life; D012380:Role; D012944:Social Support