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Advances in breast imaging such as DBT offer better, clearer images of breast tissue that can identify even low-grade DCIS tumors. But will more sensitive imaging lead to improved outcomes or increased overtreatment?
Male spouse or partner perspectives on a female patient's ability to cope was found to have a positive effect on her ability to cope and adjust to her disease. Unfortunately, this effect remains rarely researched and poorly understood among patients with breast cancer in same sex relationships.
In a study from the Cleveland Clinic, researchers investigated the association between well-differentiated thyroid cancer and risk for AML or CML in those patients treated with radioactive iodine.
What matters most to me, who matters most to me, and what do I want in my last days? Letter-writing project is a tool for patients to communicate their wishes for their last days.
Medical terminology can be a foreign language — or confusing, at the least — for many patients. Ann Brady uses a patient encounter to illustrate the potential miscommunication inherent in using "medicalese" in patient communication.
A new oncology nurse reflects on the first time she provided comfort care for a patient at the end of life and her family.
Reintegration to the general environment, particularly to school, can be challenging for survivors of childhood cancers. This review discusses how adverse effects such as chemo brain may present extra challenges for these patients and what can be done to ease patients' anxiety.
This review of radiodermatitis, a common adverse effect of radiation therapy, discusses preventive and treatment options available that reduce and/or minimize symptoms of the condition.
At $225 million per system, the precision of proton beam radiotherapy is not necessarily overshadowing its high costs. Yet ongoing studies seek to determine how this technology fits into current treatment regimens for prostate, breast, and other cancers.
A review of management approaches to Hodgkin lymphoma in Europe vs the United States/North America demonstrates that although some differences exist, worldwide studies that would enhance patient outcomes are feasible.
Publication of the JNC 8 introduces a lower threshold for initiating hypertension treatment during cancer therapy.
Researchers compared the association between diets high in plant-based omega-3 polyunsaturated fatty acids (PUFAs) vs those high in marine-based PUFAs and the risk for breast cancer.
Modern oncologic care entails actively pursuing treatment and cure; however, at the end of life, the ability to share silence may be the best treatment.
In a review of data from the NLST, researchers sought to determine if a risk-targeting approach would more efficiently select high-risk persons for lung cancer screening than the eligibility criteria defined by the NLST.
LISTEN, a novel program developed at WVU School of Medicine, is designed to tackle loneliness — a significant health concern for patients with cancer.
A kind gesture toward friends during their chemotherapy infusions developed into a support organization that helps patients pass the time during their treatment.
Although many physical expressions are universal, oncology nurses may be challenged to catch notice of more subtle body language from patients or a family member.
A cancer diagnosis is wrought with challenges for young adults. This article identifies the unique support needs for patients aged 20 to 39 years with cancer.
Study evaluates the incidence of post-traumatic stress disorder in patients with cancer from diagnosis through survivorship.
An analysis of select responses to a survey conducted by researchers from the College of Nursing at South Dakota State University identified oncology nurses' comfort level in handling end-of-life care and patient education.
Investigators sought to determine why so few biospecimens were available for research from minority populations of women with breast cancer.
Cultural humility is a different perspective on nurse-patient communication than cultural competence. Eucharia Borden, an oncology social worker, explains their difference and how it can improve your care for patients of minority cultures.
Cardio-oncology is an emerging interdisciplinary practice poised to address care patients who need concurrent cancer and cardiovascular disease therapies as well as the late effects of cancer and cancer treatments.
A report on current legislation and practice trends regarding opioids and how they are affecting cancer patients' ability to manage their pain.
New research on the benefits of high-fiber diets for CRC survivors took its findings one step further and identified the type of fiber consumed and which provided better benefits.
Researchers evaluated the effectiveness of online learning modules on physical activity counseling for oncology nurses. Although the modules improved nurses' counseling practices, they did not resolve the issue of physical activity in survivors.
Increasing survival rates for AYA patients with cancer have heightened the importance of discussing fertility preservation options. In this column, we review the options for male patients and the significance of including a discussion of them as part of treatment planning.
This case describes management of a 61-year-old male with a history of chronic liver diseases and COPD who developed a posttransplant lymphoproliferative disorder 10 years after a liver transplant.
Researchers at Memorial Sloan-Kettering Cancer Center sought to determine if observation status may be a better treatment option for older adults with cancer who present to the ED.
As the holidays approach, offering these SUPPORT tips can help caregivers of patients with cancer make the most of the seasonal activities and the time with their loved ones.
A review of granulocyte colony-stimulating factors, dosage and administration, adverse effects, and nurse management steps is presented.
Nurses' critical thinking perspective is key to recognizing and managing adverse effects in patients with lymphoma, and staying ahead of the curve in a rapidly changing clinical setting.
Study results demonstrate that statins have antitumor activity in various solid-tumor cancers and leukemia; however, experts offer these caveats on using them to treat cancer — at least for now.
WWW is not for the world-wide web, but it is an easy way to remember the 3 w's of communication with patients with advanced disease: wish, worry, wonder.
In this case, a female patient with advanced lung cancer experiences a rare episode of nivolumab-induced Herzmyasthenie, emphasizing the need to be aware of the potential for rapid myocarditis concomitant with MG in patients undergoing treatment with anti-PD-1 monoclonal antibodies.
The transition from active treatment to survivorship for patients with breast cancer can be as complex as the disease. An oncology social worker discusses the challenges of this "new unknown" in the continuum of care.
Combining radiotherapy and immunotherapy has shown early promise against some advanced cancers, but oncology nurses need to be wary of potential overlapping toxicity profiles from each of these treatment modalities.
Using a 4-question survey, investigators determined oncology nurses' perception of their risks in handling and administering cytotoxic chemotherapy to patients.
This study explored the potential for pregnancy and breastfeeding among women who survived breast cancer, particularly those with ER-positive disease, and the impact of pregnancy on disease recurrence.
Breast Cancer Awareness Month has been celebrated in October since the early 1990s. In this column, Oncology Nurse Advisor asked 3 community education advocates to share their tips for a successful awareness event.
Although unprovoked VTE may be a sign of occult cancer, results of a meta-analysis showed no benefit to extensive cancer screening in these patients.
Caregivers of patients with malignant brain tumors often bear additional burdens in their role, as these patients often experience cognition-related adverse effects as well as the effects of their cancer and its treatment.
When patients and families are holding on to what you don't say, they may use combativeness and being argumentative to keep you — and your words — from bringing them to accept the unacceptable.
A newly developed patient education resource helps nurses educate patients with colorectal cancer about biomarker testing and counsel them on the significance of the results.
As the use of checkpoint inhibitors increases in many types of cancer, oncology nurses need to learn to recognize the signs and symptoms of pneumonitis, a rare but life-threatening adverse effect of these agents.
A study on a cohort of women enrolled in the WHI-OS shows that those with a history of periodontal disease had a higher risk for developing some cancers.
A look at the significant influence of age-adjusted prognoses and treatment priorities for radiation therapy in the oldest patients with cancer.
Some patients undergoing radiation therapy may experience traumatic symptoms if they had a prior experience that triggered their "fight, flight, or freeze" response. Somatic experiencing may help these patients manage their symptoms during their radiation treatments.
A navigator offers her take on how the ideal EHR system could unify the oncology care team toward the common goal of optimal patient outcomes.
Novel intervention focuses on caregivers' beliefs, knowledge, and skills regarding home care for patients with cancer resulting in improved pain management and better overall care at the end of life.
A London hospice facility's experiment with virtual reality offers patients at the end of life the chance to explore the world beyond their bed.
The person with cancer is not always the oncology nurse's only patient. Caregivers should be assessed for depressive symptoms, which can indicate declining physical health in the caregiver, and receive appropriate treatment.
Identifying which archetypical profile fits your patient can help oncology nurses individualize support and education needs to their patients.
A cancer diagnosis often further stigmatizes gay men, particularly those who have not revealed their sexual orientation to others. In this review, CancerCare's Bill Goeren discusses the psychosocial challenges inherent to cancer care for gay men.
Grief over a loved one's impending death may manifest as other emotions or difficult-to-manage behavior. This month's column describes how families may express their grief as anxiety about their loved one's care, an attempt to take control of the situation, or anger toward the clinicians involved in their loved one's care.
Two recent studies examined the benefits of using a 3D bioabsorbable marker to indicate the tumor bed in women with breast cancer who underwent breast conserving surgery (BCS).
Breast cancer survivors who received taxane-based chemotherapy for their disease are at increased risk for falls due to CIPN and treatment-associated effects on balance and gait.
Twice daily radiation therapy with chemotherapy may improve survival times in patients with some advanced head and neck cancers, a new study confirms.
American Cancer Society (ACS) program teaches patients with cancer how to repair their physical image when faced with the changes in their appearance brought on by cancer treatments.
Cancer centers and hospital networks are finding both utility and value in clinical care pathways to help standardize diagnosis, treatment, and management of the most common disease presentations.
An interactive system connects adolescent and young adult survivors of childhood cancers with their health care team to ensure they establish and adhere to recommended survivorship care plans.
A diagnosis of a rare cancer is compounded by a greater sense of isolation because patients often struggle to find "someone like me." Support measures need to provide a sense of inclusion as well as meet unique needs.
Canadian investigators sought to understand the factors that influence the treatment choices of women with early-stage breast cancer.
Seeing another patient's situation as worse may be a coping mechanism for some patients with cancer, but those patients need to be reminded not to diminish their own disease and treatment.
Patient expectations, clinician perception, and institutional objectives create a perfect storm of conflicting interests regarding pain management, especially given the current trend to control opioid use.
Long-acting NK-1 receptor antagonist rolapitant demonstrates significant efficacy in managing CINV in patients receiving HEC or MEC for cancer.
A review of the updated NCCN Guidelines is presented with a look at the newly published Guideline for Patients.
Physical activity is proven to improve both physical and mental effects of cancer diagnosis and treatment, even if the activity needs to be modified to fit the patient's current abilities.
In this review of the role of bortezomib in the treatment of multiple myeloma, the researchers explain what nurses need to watch for in patients taking this drug.
A review of the importance of cancer screening programs and the important role of the oncology nurse navigator/care coordinator in developing them.
Palliative radiotherapy for bone metastases is safe, effective — but controversy persists for single-fraction treatment.
Despite recent new legislation, medical marijuana as an adjunct to palliative and end-of-life care remains controversial. But a greater acceptance within both the medical community and the lay public is prompting research on how it can be integrated into standard care.
Hodgkin lymphoma survivors are at higher risk of second cancers, and that risk is even higher in those with a first-degree relative with cancer.
Dr Lori Baudino, a clinical psychologist and dance/movement therapist, discusses a program that helps children with cancer cope with their disease and treatment, and learn to be children again.
A challenging patient case illustrates how caring for each other enables oncology nurses to provide better patient care.
Despite their efficacy in metastatic melanoma, KIs include risk of serious side effects in patients. This overview explains the effects and management recommendations for 4 agents used to treat metastatic melanoma.
NODA and V3 are volunteer programs that provide a compassionate presence for patients who are alone in their final hours.
Ibrutinib, idelalisib, ponatinib, and ruxolitinib are each associated with a variety of potential adverse effects and oncology nurses must be aware of these to successfully monitor for them.
A new tool may enable oncologists to deliver radiation therapy targeted to a tumor's biology and radiosensitivity, similar to how anticancer agents target specific tumor mutation-affected gene pathways.
Journaling can offer patients with cancer a safe space to express and process emotions without fear of judgment or risk of burdening loved ones.
Following the lead of a British cancer support organization, Teen Cancer America sponsors age-appropriate cancer center environments as well as peer and community support for adolescents and young adults with cancer.
Oncology Nursing Society conducted a role delineation survey (RDS) on oncology nurse navigators (ONNs) to determine how the role has evolved since the previous RDS and to determine if an ONN certification is needed.
The patient seemed to demonstrate typical noncompliance behaviors. Until one day her appearance suggested another explanation, prompting an investigation that revealed a surprising cause.
A cursory look at hypnosis and where it may be used to offer an alternative and side-effect-free management of several aspects of care that can be beneficial to patients with cancer.
In his plenary lecture at 2016 SABCS, Peter P. Bach, MD, MAPP, reviewed the factors contributing to escalating drug prices and the significance of drug prices in the value of a cancer treatment regimen.
Women with a history of breast cancer face a wide variety of challenges as they transition from the role of "patient" to "survivor".
Although many men obtain a second opinion regarding their prostate cancer care options, they seldom deviate from the original course of action.
A recent paper on the future of radiation oncology reports on the trend toward a greater role for shared decision making and patient-reported outcomes, such as the interrelated benchmarks of patient satisfaction, engagement, and treatment-plan adherence.
A new meta-analysis examines the impact of palliative care services on patients' and caregivers' quality of life and outcomes.
Inducing vasoconstriction in the scalp of patients with breast cancer undergoing chemotherapy effectively reduces the amount of drug that reaches the hair follicles and hair-cell metabolism, minimizing one of the most dreaded side effects of treatment.
Culturally sensitive communications with Hispanic patients can help them understand their cancer diagnosis and treatment options.
Loss of bone density related to chemotherapy and adjuvant therapy for breast cancer can lead to debilitating hip and vertebral fractures. This discussion discusses the impact of resistance training for these patients.
Faced with a harsh treatment option, a patient with genitourinary cancer helps create a treatment plan that preserves his self-image.
A new card game helps patients and caregivers broach the difficult subject of end-of-life wishes and prioritize what's most important in their planning.
A growing proportion of cancer patients are elderly—creating a demographic shift with important implications for cancer care, including radiotherapy. Integrating geriatric care into oncology nursing has never been more important.
A nurse develops a tablet app that helps intubated patients communicate with their nurses, caregivers, and families.
How long were you a nurse before you felt competent? Reflections on creating an atmosphere of learning and growing from our own mistakes.
The patient's history and current blood work results indicated a dangerously high potassium level. But a meticulously handled redraw proved it false.
Cancers that cause more readily noticeable physical changes can produce self-image challenges for patients. This discussion reviews what interventions can help validate patients' self-image concerns.
Recent studies indicate that adverse side effects can result from factors unrelated to the pharmacologic agent, but rather from other factors.
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- Physical Inactivity Linked With Increased Risk of Hodgkin, Non-Hodgkin Lymphoma
- Challenges for Young Adult Couples Facing a Cancer Diagnosis
- Pivot Nurse Improves Patients' Navigation Through Lung Cancer Care
- Progression-Free Survival Extended With PANEX Protocol in R/R Multiple Myeloma
- Following ACS Guidelines Shown to Improve Outcomes for Colon Cancer Survivors
- Letter-Writing Project Communicates Care Wishes to Healthcare Team, Family
- Pivot Nurse Improves Patients' Navigation Through Lung Cancer Care
- Long-term Carfilzomib May Be Safe, Effective In Relapsed Multiple Myeloma
- Palliative Sedation a Valid Option for Refractory Symptoms in End-stage Cancer
- Testicular Cancer Treatment May Increase Risk for Heart Disease in Survivors
- FDA Approves Fostamatinib for ITP After Insufficient Response to Previous Treatment
- Elderly Patients Are Underrepresented in Trials For Soft Tissue Sarcoma
- Combination Effective as First-Line Therapy in Advanced ER-Positive HER2-Negative Breast Cancer
- In Older Women With Breast Cancer QoL May Predict 10-Year Mortality
- Screening Colonoscopy Improves CRC-Related Mortality in Veterans
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