Online Features

Choice of Breast Reconstruction After Mastectomy Affects Satisfaction, Quality of Life

Choice of Breast Reconstruction After Mastectomy Affects Satisfaction, Quality of Life

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A prospective trial with more than 2000 women who underwent mastectomy with immediate breast reconstruction sought to determine patient satisfaction with their breasts and quality of life annually over 4 years after their procedure.

The Caregivers' Cancer Journey

The Caregivers' Cancer Journey

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This installment demonstrates how the caregiver's cancer journey often parallels that of the patient with cancer, highlighting their need for evolving support through survivorship.

Staff Education Leads to Increase in Oncology Rehabilitation Referrals

Staff Education Leads to Increase in Oncology Rehabilitation Referrals

Educational intervention for oncology clinicians at a rural Michigan oncology clinic does not demonstrate a statistically significant increase in referrals to rehabilitation; however, results show a clinically significant improvement in identification of need, communication among staff, and potential for greater referrals.

Beware Abbreviated Explanations That May Undermine Your Meaning, Patients' Understanding

Beware Abbreviated Explanations That May Undermine Your Meaning, Patients' Understanding

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Have you ever thought about what is meant — or understood — when you say to a patient "It's going to be okay"? Hearing an exchange between her grandson and a pediatric nurse prompted Ann Brady to reflect on abbreviated communications.

The Nurse as Patient Advocate: What I Did When My Patient Had No Clothes

The Nurse as Patient Advocate: What I Did When My Patient Had No Clothes

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Patient advocacy can lead nurses to take on great challenges in the course of caring for their patients or to brave the elements to retrieve replacements for a patient's missing clothes.

Younger Patients, Higher Costs: The Changing Demographics of Cancer

Younger Patients, Higher Costs: The Changing Demographics of Cancer

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This overview provides a snapshot of the shift in cancer care costs and age of patients, reviewing the 4 most commonly diagnosed cancers.

USPSTF Updates Guidelines for PSA-Based Screening for Prostate Cancer in Older Men

USPSTF Updates Guidelines for PSA-Based Screening for Prostate Cancer in Older Men

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In updating its 2012 recommendations, the US Preventive Services Task Force changes its stance on PSA-based screening for prostate cancer in men older than 50. The new guidelines advocate for a patient-physician discussion of the benefits of testing vs the potential harms.

Exercise Habits Influence Mortality in Adult Survivors of Childhood Cancer

Exercise Habits Influence Mortality in Adult Survivors of Childhood Cancer

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A multinational retrospective study investigated the long term effects of exercise intensity and frequency on all-cause and cause-specific mortality among adult survivors of childhood cancers.

From Disparities to Disclosure: A Discussion on Lesbians and Breast Cancer

From Disparities to Disclosure: A Discussion on Lesbians and Breast Cancer

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Marissa Fors, director of CancerCare's Susan G. Komen® Breast Care Helpline, talked with Dr Penelope Damaskos, of Memorial Sloan Kettering Cancer Center, about breast cancer risk and related challenges for women who identify as lesbian and their healthcare providers.

Radiation-Induced Esophagitis: A Common, Debilitating Clinical Challenge in Thoracic Radiotherapy

Radiation-Induced Esophagitis: A Common, Debilitating Clinical Challenge in Thoracic Radiotherapy

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A review of current options and ongoing trials for managing ARIE, a common esophageal adverse effect caused by radiotherapy to the thoracic region for lung, breast, or head and neck cancers, or lymphoma.

Art as Palliative Care: Bedside Intervention Improves Pain, Anxiety, Mood in Hospitalized Cancer Patients

Art as Palliative Care: Bedside Intervention Improves Pain, Anxiety, Mood in Hospitalized Cancer Patients

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Results from a study on an innovative program from the Mayo Clinic in Rochester, Minnesota, demonstrates the potential positive effects of providing hospitalized patients with brief one-on-one art lessons.

Avoiding the ED: Planned Strategies for Unplanned Urgent Cancer Care

Avoiding the ED: Planned Strategies for Unplanned Urgent Cancer Care

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Results of a literature review highlighted 5 strategies for improving the management of urgent care situations in patients with cancer.

New Recommendations Target Promoting Better Sun Protection Habits for All Patients

New Recommendations Target Promoting Better Sun Protection Habits for All Patients

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A new US Preventive Services Task Force Evidence Report is suggesting that greater efforts are needed to educate children and young adults with fair skin about risks of sun exposure. Although the Task Force recommendations are directed at primary care, its members are encouraging oncology nurses to take note of these new findings.

Evolution of HER2-Positive Breast Cancer: Yesterday, Today, and Tomorrow

Evolution of HER2-Positive Breast Cancer: Yesterday, Today, and Tomorrow

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A review of HER2-positive breast cancer, including etiology, diagnosis, and treatments.

Challenges of Shared Decision Making in Prostate Cancer Screening

Challenges of Shared Decision Making in Prostate Cancer Screening

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A review of shared decision making with men about undergoing PSA testing revealed that although full SDM discussions are increasing, variations in whether these discussions occur and how much information is shared still exist.

Venetoclax Found Effective in Relapsed/Refractory Chronic Lymphocytic Leukemia

Venetoclax Found Effective in Relapsed/Refractory Chronic Lymphocytic Leukemia

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A group of Australian researchers report study findings that demonstrate a significant improvement in PFS in patients with relapsed/refractory CLL treated with venetoclax plus rituximab compared with the standard care.

Evidence-Based Practices, No CLABSIs Achieved Through Quality Improvement

Evidence-Based Practices, No CLABSIs Achieved Through Quality Improvement

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Faced with an increasing CLABSI rate on their oncology unit, nurse leaders at this rural Northwest hospital surveyed their staff to identify the changes they needed to make. Implementing those changes resulted in a dramatic improvement in patient care outcomes.

Cancer Screening Follow-up: Enabling Timely Diagnosis, Treatment

Cancer Screening Follow-up: Enabling Timely Diagnosis, Treatment

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A review of the literature on follow-up after positive screening results led researchers to a consensus opinion on timing of diagnostic tests for 4 cancers: breast, cervical, colorectal, and lung.

Too Much Information: When Prognosis Breaks Down Patient Communications

Too Much Information: When Prognosis Breaks Down Patient Communications

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Overwhelmed by her poor prognosis, a patient with a newly diagnosed advanced cancer cuts off communicating with her health care team.

Evolving Role of Radiation Therapy in the Treatment of Mesothelioma

Evolving Role of Radiation Therapy in the Treatment of Mesothelioma

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Research into the potential of radiation therapy in the management of mesothelioma may improve the prognosis, and possibly extend progression-free survival, for patients with this incurable cancer.

Challenges for Young Adult Couples Facing a Cancer Diagnosis

Challenges for Young Adult Couples Facing a Cancer Diagnosis

A cancer diagnosis can alter life plans for a young adult couple, completely upending their carefully thought out plans. Understanding their unique challenges can ensure oncology nurses are prepared to help these patients and their partners face an uncertain future.

Testicular Cancer Treatment May Increase Risk for Heart Disease in Survivors

Testicular Cancer Treatment May Increase Risk for Heart Disease in Survivors

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Recent research shows that although testicular cancer survivors do not totally conform to the criteria for metabolic syndrome, past treatment with platinum-based chemotherapy increases its prevalence among survivors and may lead to a greater risk for heart disease in this patient population.

Does Better Breast Imaging Lead to Improved Outcomes or Increased Overdiagnosis?

Does Better Breast Imaging Lead to Improved Outcomes or Increased Overdiagnosis?

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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?

Spousal, Partner Perception of Coping Affects Adjustments in Breast Cancer

Spousal, Partner Perception of Coping Affects Adjustments in Breast Cancer

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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.

Overtreatment a Concern With RAI for Well-Differentiated Thyroid Cancer

Overtreatment a Concern With RAI for Well-Differentiated Thyroid Cancer

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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.

Letter-Writing Project Communicates Care Wishes to Healthcare Team, Family

Letter-Writing Project Communicates Care Wishes to Healthcare Team, Family

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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 Terms in Patient Education: Using the Confusing to Explain the Complicated

Medical Terms in Patient Education: Using the Confusing to Explain the Complicated

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

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

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

Managing Chemo Brain in Pediatric Survivors of Childhood Cancer

Managing Chemo Brain in Pediatric Survivors of Childhood Cancer

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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.

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

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

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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.

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