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Addressing the psychological impact of BRCA testing

Addressing the psychological impact of BRCA testing

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A genetic predisposition to cancer is not the same as having cancer. Support for patients with the BRCA gene mutation should meet these unique needs.

Lung cancer: Guidelines, new drugs improve outcomes

Lung cancer: Guidelines, new drugs improve outcomes

Advances in treatments, better risk assessment, and effective supportive care are leading to better outcomes for patients with lung cancer.

Establishing survivorship care in a community-based center

Establishing survivorship care in a community-based center

When should survivorship care begin? The definition of a cancer survivor and strategies for educating and engaging survivors in their care are explored.

Patient binders: Creating a tool that helps patients and nurses

Patient binders: Creating a tool that helps patients and nurses

A survey of information needs helped this oncology unit create a teaching tool that helped to educate the nurses as well as their patients.

APBI: What is it and who is the appropriate patient?

APBI: What is it and who is the appropriate patient?

Accelerated partial breast irradiation is an option for brachytherapy that can deliver higher doses with better cosmesis for select patients with breast cancer.

What happens during a NIOSH HHE of an oncology clinic?

What happens during a NIOSH HHE of an oncology clinic?

Although chemotherapy drugs can be lifesaving for patients with cancer, they can be toxic to nurses and other health care personnel who handle them. Nurses should protect themselves through the use of proper handling techniques. A regular review of safe chemotherapy...

Patient navigator: A role for nurses that goes beyond clinical care

Patient navigator: A role for nurses that goes beyond clinical care

Cancer care entails a confusing labyrinth of screenings, tests, and treatments. This emerging role for nurses is becoming increasingly vital to achieve ideal patient outcomes.

Large-volume IM injections: 
A review of best practices

Large-volume IM injections: 
A review of best practices

Intramuscular injections offer improved treatment adherence, ease in 
monitoring of adverse effects, and multiple administration sites.

Oral therapy: Managing side effects can aid adherence

Oral therapy: Managing side effects can aid adherence

Diligent patient education that addresses adherence and persistence issues can optimize outcomes in patients with gastrointestinal stromal tumors.

Disparities in health care: The black population

Disparities in health care: The black population

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In this second installment on disparate populations, the author focuses on the challenges to providing oncologic care to the black community.

Disparities in health care: 
Hispanic communities

Disparities in health care: 
Hispanic communities

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What oncology nurses should understand about this ethnic group to provide culturally sensitive preventive care and treatment.

Filgrastim vs pegfilgrastim: A quality of life issue for children

Filgrastim vs pegfilgrastim: A quality of life issue for children

Administration, safety, and efficacy are similar in both agents. However, the frequency of administration makes a significant difference for patients.

Radiosensitivity: A new focus on cardiovascular sequelae

Radiosensitivity: A new focus on cardiovascular sequelae

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An increased risk of coronary artery stenosis in cancer survivors may be a long-term posttreatment effect of chest radiotherapy.

VEGF blockade: Optimizing chemotherapy drug uptake

VEGF blockade: Optimizing chemotherapy drug uptake

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New research is showing that sequence and timing have significant impact on the efficacy of therapeutic regimens that include bevacizumab.

Distress: Assessing the effects of coping with cancer

Distress: Assessing the effects of coping with cancer

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A cancer diagnosis can cause high levels of distress. Nurses should assess patients frequently and know how to intervene promptly.

Identifying barriers to cancer survivorship programs

Identifying barriers to cancer survivorship programs

Successful implementation of survivorship programs can be impeded by institutional policies, physician attitudes, and patient perceptions.

A new era in management of
 gastrointestinal cancers

A new era in management of
 gastrointestinal cancers

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Key studies presented at the 2011 Oncology Congress focus on treatments, prevention, and early diagnosis of GI tract cancers.

New treatments are improving outcomes in melanoma

New treatments are improving outcomes in melanoma

Targeted therapy, combination therapies, vaccines, and new treatment modalities demonstrate promising prognoses for these patients.

Benefits and risks of parenteral nutrition in patients with cancer

Benefits and risks of parenteral nutrition in patients with cancer

Nutritional status can have a significant impact on patients with cancer, and PN may help some patients respond better to treatment.

Understanding and managing drug shortages in oncology

Understanding and managing drug shortages in oncology

Disruptions in supply impact patient care. Nurses should know when to use a substitution drug and when to wait for the next shipment.

Survivors of pediatric cancers: How much do they know?

Survivors of pediatric cancers: How much do they know?

As more children survive pediatric cancers, oncology nurses are challenged to learn about past cancer histories.

Approaches to chemotherapy-induced nausea and vomiting

Approaches to chemotherapy-induced nausea and vomiting

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Our ability to prevent acute CINV has improved greatly, but delayed CINV remains a problem.

DS-ACP: A care plan that goes beyond directives and proxies

DS-ACP: A care plan that goes beyond directives and proxies

Disease-specific advance care planning provides greater clarity about preferences, improving end-of-life care.

Integrating spiritual care as part of comprehensive cancer treatment

Integrating spiritual care as part of comprehensive cancer treatment

Conversations that encourage patients to explore their beliefs can improve both coping strategies and disease outcomes.

Compassion fatigue in oncology nursing: A witness to suffering

Compassion fatigue in oncology nursing: A witness to suffering

The ability to recognize the symptoms and manage the consequences are critical to personal and professional health.

Neoplastic meningitis: Keeping palliative care options open

Neoplastic meningitis: Keeping palliative care options open

Prognosis is not good, but many patients still seek treatment, equating prolonged neurologic function with better quality of life.

Disease-specific advance care planning: Conversations emphasize patient preferences and provide clarity

When planning for end-of-life care, disease-specific advance care planning delivers greater patient satisfaction and clarity about preferences.

Managing EGFR inhibitor side effects in lung cancer patients

Managing EGFR inhibitor side effects in lung cancer patients

Oncology nurses can do much to effectively use epidermal growth factor receptor inhibitors, a mainstay of lung cancer treatment.

Understanding the interaction between food and treatment

Understanding the interaction between food and treatment

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What, how much, and when patients eat, as well as dietary supplement use, impact the efficacy of cancer therapy.

Oral care considerations during the patient's cancer treatment

Oral care considerations during the patient's cancer treatment

Developing an evidence-based oral care policy may help to prevent or to more effectively manage oral mucositis in oncology patients.

Prevention and management of hand-foot syndromes

Prevention and management of hand-foot syndromes

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Hand-foot syndromes can greatly compromise quality of life. Aggressive management can prevent treatment disruption.

Preparing family members to care for the patient at home

Preparing family members to care for the patient at home

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Outpatient treatment shortens hospital stays and shifts responsibility for patient care onto family members with no medical training.

Lymphedema: Diagnosis, prevention, and management

Lymphedema: Diagnosis, prevention, and management

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Lymphedema diminishes function, causes chronic pain, and may make working impossible. Prevention is most effective.

Managing adult cancer pain: The latest NCCN guidelines

Managing adult cancer pain: The latest NCCN guidelines

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Pain management is important for cancer patients during therapy and sometimes after treatment is completed—not just at the end of life.

The methods and terminology of cancer trials: A review

The methods and terminology of cancer trials: A review

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Oncology nurses involved in clinical trials must understand the basics of cancer research and their practice's studies.

Navigating the tempest over breast cancer screening

Navigating the tempest over breast cancer screening

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The recommendations of the US Preventive Services Task Force have generated considerable controversy but little practical change.

New cancer therapies in 2009: A review for the oncology nurse

New cancer therapies in 2009: A review for the oncology nurse

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Plerixafor for stem cell transplantation, transdermal granisetron for nausea and vomiting, and everolimus for kidney cancer are profiled.

After the cancer diagnosis: What do you say—and do—next?

After the cancer diagnosis: What do you say—and do—next?

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The most important thing, say the experts interviewed for this article, is for oncology nurses to reassure patients that they are not alone.

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