Online Ahead of Print

Breast Cancer

Better Breast Imaging: Improved Outcomes or Increased Overdiagnosis

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?

Navigator Notes

Spousal, Partner Perception of Coping, Adjustments in Breast Cancer

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.

Head and Neck Cancer

Overtreatment a Concern With RAI for Well-Differentiated Thyroid Cancer

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.

Oncology Nursing

Dear Doctor Letter Adds Patients’ Bucket List to EOL Care

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.

Oncology Nursing

Using Medical Terms in Patient Education

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.

Oncology Nursing

A Witness to Letting Go: Nursing Care at the End of Life

A new oncology nurse reflects on the first time she provided comfort care for a patient at the end of life and her family.

Side-Effect Management

Managing Chemo Brain in Pediatric Cancer Survivors

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.

Side-Effect Management

Advances in Prevention, Treatment of RT-Associated Radiodermatitis Hold Promise

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.

General Oncology

The Controversy Over Proton Beam Radiotherapy

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.

Lymphoma

Hodgkin Lymphoma Treatment in EU vs US: Similarities Would Enable Worldwide Studies

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.

General Oncology

JNC 8 Guides BP Management During Cancer Treatment

Publication of the JNC 8 introduces a lower threshold for initiating hypertension treatment during cancer therapy.

Breast Cancer

Anticancer Properties of Omega-3 PUFAs: Plants vs Fish

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.

Oncology Nursing

Sitting With Silence in EOL Cancer Care

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.

Lung Cancer

Risk-Targeting Approach vs NLST Eligibility Criteria for Lung Cancer Screening

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.

Navigator Notes

Program Addresses Loneliness of Cancer

LISTEN, a novel program developed at WVU School of Medicine, is designed to tackle loneliness — a significant health concern for patients with cancer.

General Oncology

Diversionary Activities Help Pass Time in Infusion Chair

A kind gesture toward friends during their chemotherapy infusions developed into a support organization that helps patients pass the time during their treatment.

Oncology Nursing

Interpreting Patients’, Families’ Subtle Body Language

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.

Oncology Nursing

Psychosocial Needs of YAs With Metastatic Cancer

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.

General Oncology

Incidence of PTSD Among Patients With Cancer

Study evaluates the incidence of post-traumatic stress disorder in patients with cancer from diagnosis through survivorship.

Oncology Nursing

Curriculum Changes May Help Improve Care for Terminally Ill Patients

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.

Breast Cancer

Bridging the Gap in Genetic Cancer Research Data on Minorities

Investigators sought to determine why so few biospecimens were available for research from minority populations of women with breast cancer.

Navigator Notes

Cultural Humility in Healthcare Settings

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.

Oncology Nursing

Cardiac Care in the Oncology Setting

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.

Side-Effect Management

Opioid Epidemic Response Affects Cancer Pain Management

A report on current legislation and practice trends regarding opioids and how they are affecting cancer patients' ability to manage their pain.

Colorectal Cancer

CRC and Dietary Fiber: Type of Fiber Is More Important

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.

Oncology Nursing

Online Learning Modules Improve Physical Activity Counseling

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.

Navigator Notes

Fertility Preservation in Male AYAs With Cancer

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.

Lymphoma

Classical Hodgkin Lymphoma 10 Years After Liver Transplantation

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.

General Oncology

Improving ED Care for Older Adults With Cancer

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.

Oncology Nursing

SUPPORT Tips for Families Coping With Cancer During the Holidays

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.

Hematologic Cancers

G-CSFs: Use, Administration, Adverse Effects

A review of granulocyte colony-stimulating factors, dosage and administration, adverse effects, and nurse management steps is presented.

Lymphoma

Critical Thinking Key to Effective Management of AEs in Lymphoma

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.

General Oncology

Repurposing Statins to Combat Cancer

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.

Oncology Nursing

WWW: Navigating Complex Conversations

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.

Lung Cancer

Case Report: Myocarditis Concomitant to MG in Lung Cancer

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.

Navigator Notes

Navigating the Breast Cancer Posttreatment Transition

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.

General Oncology

Challenges of Combining Radiation With Other Therapies

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.

Oncology Nursing

Nurses Identify AEs Related to Handling Chemotherapy

Using a 4-question survey, investigators determined oncology nurses' perception of their risks in handling and administering cytotoxic chemotherapy to patients.

Breast Cancer

Impact of Pregnancy on Breast Cancer Recurrence

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.

Navigator Notes

Building Successful Cancer Awareness Events

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.

General Oncology

Extensive Cancer Screening Not Beneficial in Unprovoked VTE

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.

Navigator Notes

Invisible Burdens: Complexities of Caregiving in Brain Cancer

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.

Oncology Nursing

Communicating With Nonaccepting Patient Families

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.

Navigator Notes

Biomarker Testing Education Program for CRC

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.

Side-Effect Management

Importance of Recognizing Checkpoint Inhibitor-Related Pneumonitis

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.

General Oncology

History of Periodontal Disease Increases Risk of Cancers in Women

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.

General Oncology

Super-Elders: An Emerging Challenge for Radiation Oncology

A look at the significant influence of age-adjusted prognoses and treatment priorities for radiation therapy in the oldest patients with cancer.

Side-Effect Management

Body-Trauma Triggers During Radiation Therapy

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.

Navigator Notes

Better Health Systems for Patient Navigation

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.

Navigator Notes

Caregiver Training Intervention Improves At-Home Cancer Care

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.

General Oncology

Virtual Reality Experiences for Patients in Hospice

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.

Oncology Nursing

Depression Predicts Poor Health in Cancer Caregivers

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.

Oncology Nursing

Keys to Successful Patient Outcomes

Identifying which archetypical profile fits your patient can help oncology nurses individualize support and education needs to their patients.

General Oncology

Gay Men and Cancer

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.

Oncology Nursing

The Cancer Masquerade

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.

Breast Cancer

3D Marker Improves Outcomes for BCS

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

Late Effects of Taxane-based Chemotherapy

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.

Lung Cancer

Impact of Hyperfractionated RT on Patient Outcomes

Twice daily radiation therapy with chemotherapy may improve survival times in patients with some advanced head and neck cancers, a new study confirms.

Side-Effect Management

Workshop Addresses Significant Cancer Treatment Issue

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.

Navigator Notes

Improving Patient-Centered, Cohesive Cancer Care

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.

Navigator Notes

Text Messages Ensure Survivorship Care for AYA Survivors

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.

General Oncology

Rare Cancers Challenge Patients, Clinicians

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.

Breast Cancer

Why Women Opt for Mastectomy vs BCT

Canadian investigators sought to understand the factors that influence the treatment choices of women with early-stage breast cancer.

Oncology Nursing

Minimizing a Cancer Diagnosis

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.

Side-Effect Management

Managing Pain in a Changing Climate

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.

Side-Effect Management

Rolapitant Effective in Relieving Delayed CINV

Long-acting NK-1 receptor antagonist rolapitant demonstrates significant efficacy in managing CINV in patients receiving HEC or MEC for cancer.

Side-Effect Management

Distress Management Tool Updated

A review of the updated NCCN Guidelines is presented with a look at the newly published Guideline for Patients.

Breast Cancer

Physical Activity Improves Outcomes in Breast Cancer

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.

Multiple Myeloma

Managing Myeloma With Bortezomib

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.

Navigator Notes

Navigation and the Development of Cancer Screening Programs

A review of the importance of cancer screening programs and the important role of the oncology nurse navigator/care coordinator in developing them.

Side-Effect Management

ASTRO Updates Guideline for Palliative RT of Bone Mets

Palliative radiotherapy for bone metastases is safe, effective — but controversy persists for single-fraction treatment.

Side-Effect Management

Cannabis in Oncology Care

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.

Lymphoma

Second Cancers in Hodgkin Lymphoma Survivors

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.

Navigator Notes

Dance/Movement Therapy Supports Children 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.

Oncology Nursing

Transference of Cancer Patients’ Suffering

A challenging patient case illustrates how caring for each other enables oncology nurses to provide better patient care.

Melanoma

Kinase Inhibitor-Related Adverse Effects in Metastatic Melanoma

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.

Navigator Notes

Support for Cancer Patients at EOL

NODA and V3 are volunteer programs that provide a compassionate presence for patients who are alone in their final hours.

Hematologic Cancers

Oral Kinase Inhibitor Adverse Effect Management in Patients with Hematologic Cancers

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.

General Oncology

Precision Radiation Therapy for Cancer

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.

General Oncology

Therapeutic Writing For Patients With Cancer

Journaling can offer patients with cancer a safe space to express and process emotions without fear of judgment or risk of burdening loved ones.

Cancer Survivorship News

AYA Cancer Support Organization

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.

Navigator Notes

A More Expansive Role for ONNs

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.

Oncology Nursing

Finding a Cause for Patient Noncompliance

The patient seemed to demonstrate typical noncompliance behaviors. Until one day her appearance suggested another explanation, prompting an investigation that revealed a surprising cause.

General Oncology

Hypnosis in Cancer Treatment

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.

SABCS 2016

Drug Prices Influence Value of Cancer Treatment

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.

Breast Cancer

Considering Follow-up Care for a Growing Population of Breast Cancer Survivors

Women with a history of breast cancer face a wide variety of challenges as they transition from the role of "patient" to "survivor".

Prostate Cancer

Second Opinions Rarely Change Prostate Cancer Treatment Choice

Although many men obtain a second opinion regarding their prostate cancer care options, they seldom deviate from the original course of action.

General Oncology

Shared Decision Making Will Require New Tools, Paradigms

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.

General Oncology

Palliative Care Provides Benefits, But Does Not Extend Life

A new meta-analysis examines the impact of palliative care services on patients' and caregivers' quality of life and outcomes.

Side-Effect Management

Cold Caps Minimize Chemotherapy-Induced Alopecia

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.

Oncology Nursing

Tips for Culturally Sensitive Communications With Hispanic Patients and Caregivers

Culturally sensitive communications with Hispanic patients can help them understand their cancer diagnosis and treatment options.

General Oncology

Resistance Training Improves Posttreatment Outcomes for Breast Cancer Survivors

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.

Genitourinary Cancer

How We Developed a New Protocol for Urethral Carcinoma

Faced with a harsh treatment option, a patient with genitourinary cancer helps create a treatment plan that preserves his self-image.

Navigator Notes

Making EOL Discussions Easier

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.

General Oncology

Gero-Oncology: Preparing for the Coming Wave of Elderly Cancer Patients

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.

General Oncology

Giving Voice to the Voiceless

A nurse develops a tablet app that helps intubated patients communicate with their nurses, caregivers, and families.

Oncology Nursing

The Bounty of Failure

How long were you a nurse before you felt competent? Reflections on creating an atmosphere of learning and growing from our own mistakes.

Lymphoma

Pseudohyperkalemia: When Too Much Isn’t Really Too Much

The patient's history and current blood work results indicated a dangerously high potassium level. But a meticulously handled redraw proved it false.

Breast Cancer

How Physical Changes From Breast Cancer Affect Self-Image

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.

Side-Effect Management

Chemotherapy Side Effects: Expectations vs Outcomes

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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