title: Homeostasis 5: nurses as external agents of control in breast cancer.
abstract: Breast cancer is caused by a homeostatic imbalance of cell division. Healthcare practitioners need to understand cellular activities to appreciate the physiological basis of health (homeostasis), the pathophysiological basis of illness and the physiological rationale of healthcare. Cells are the 'basic unit of life' (Clancy and McVicar, 2011a). This article describes normal cell division and the anatomy and physiology of the breast and, using a case study, will show how breast cancer is a homeostatic imbalance of cell division. There are analogies between the components of homeostasis and the components of the nursing (healthcare) process (Clancy and McVicar, 2011b) in the condition of breast cancer. After reading this article, nurses should be able to: understand that breast cancer is a cellular hence chemical imbalance that causes uncontrollable mitotic division of breast cells; understand how the cell cycle of cancer cells differs from that of normal cells; identify nature-nurture interactions involved in the aetiology of breast cancer; understand that when caring for people with breast cancer, health professionals including oncology nurses are acting as external agents of homeostatic control as the patient 'recovers' from breast cancer, and also to some extent when reducing signs and symptoms, hence quality of life, by providing palliative care.
authors.affiliation: School of Nursing and Midwifery, University of East Anglia, UK.
authors.forename: John
authors.initials: J
authors.lastname: Clancy
authors.forename: Andrew
authors.initials: A
authors.lastname: McVicar
mesh_terms: D000328:Adult; D001940:Breast / Q000473:pathology / Q000502:physiology; D001943:Breast Neoplasms / Q000451:nursing / Q000473:pathology / Q000503:physiopathology; D002455:Cell Division / Q000502:physiology; D005260:Female; D006706:Homeostasis / Q000502:physiology*; D006801:Humans; D009859:Oncology Nursing / Q000379:methods*