How do you answer when the patient or family asks, "What is next?" More importantly, though, you need to recognize if they are asking that question, or is there something else they are really asking.
Do you have any resources that give specific guidelines or even anecdotal sources on how to adjust etoposide dose in a patient taking Prezcobix?
Researchers sought an explanation for the paucity of research, drug development, and clinical trials focusing specifically on cancer in pediatric populations.
This in-depth review examines the inherent challenges of providing cancer care for incarcerated patients.
Researchers are seeking genetic biomarkers that can predict which patients are most likely to suffer radiotoxicities and which can safely undergo intensified radiation treatment regimens.
A nurse-led study explored the significance of nurse navigators for patients with lymphoma approaching their transition from acute care to survivorship care.
My patient is receiving immunotherapy. What is the best tool for assessing side effects?
Researchers at St Jude Children's Research Hospital sought to determine what indicators in survivors of CNS tumors can predict the survivor's ability to live independently as an adult.
Skin cancer screening programs have led to diagnoses of melanoma that would have otherwise been missed, but the overall public health benefit of such programs remains unclear.
Oral care by a dentist was found to reduce pathogenic bacterial plaque thereby decreasing the risk of postoperative pneumonia, a potentially fatal adverse effect, in patients undergoing surgical procedures for cancer.
In the EBMT ALWP study, researchers sought to determine the efficacy of myeloablative conditioning to reduce the risk for post allogeneic HCT in patients with sAML without significantly increasing non-relapse mortality.
In a review of data from more than 20,000 veterans, researchers determined the effects of palliative care on suicide rates among veterans with advanced lung cancer.
This simple framework for communicating can be adapted to fit each situation, regardless of it being a nurse-to-patient or a nurse-to-nurse setting.
Wearable activity monitors offer oncology care teams an unbiased glimpse into patients' health behaviors and improved reports on performance status.
Recent research implicates patients' immune cells appear to stimulate radiation abscopal effects, raising the possibility that combining radiotherapy and immunotherapy could yield previously-untapped treatment synergies to improve tumor control.
Information patients find online can be a great concern for oncology nurses, especially when a diagnosis has an uncertain prognosis. In this follow-up study, researchers in Boston sought to determine the quality of the online resources patients with cancer, particularly pancreas, are finding.
Researchers sought to determine if men with prostate cancer would derive the same benefits from hypnosis as women with breast cancer. Their results highlight significant differences in what is helpful for men vs women.
In a randomized study, researchers sought to determine the effect of a nurse-led care program on unscheduled hospital visits and admissions and cost for patients with breast cancer undergoing outpatient chemotherapy.
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.
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.
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.
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.
Combined Microwave Ablation and Minimally Invasive Open Decompression for the Management of Thoracic Metastasis in Breast Cancer
[Cancer Management and Research] An investigation into the efficacy of microwave ablation and minimally invasive open decompression treatment for breast cancer with thoracic metastases.
This overview provides a snapshot of the shift in cancer care costs and age of patients, reviewing the 4 most commonly diagnosed cancers.
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.
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
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.
Results of a literature review highlighted 5 strategies for improving the management of urgent care situations in patients with cancer.
Please clarify the role and responsibilities of oncology nurse navigators (ONNs) vs those of the oncology social workers (OSWs).
A review of HER2-positive breast cancer, including etiology, diagnosis, and treatments.
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.
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.
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.
Overwhelmed by her poor prognosis, a patient with a newly diagnosed advanced cancer cuts off communicating with her health care team.
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.
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.
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.
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.
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.
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.
Study evaluates the incidence of post-traumatic stress disorder in patients with cancer from diagnosis through survivorship.
Investigators sought to determine why so few biospecimens were available for research from minority populations of women with breast cancer.
Male Occult Triple-negative Breast Cancer With Dermatomyositis: A Case Report and Review of the Literature
[OncoTargets and Therapy] In this case report, a patient with male breast cancer developed dermatomyositis.
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.
In this companion piece to our November column, we discuss the unique challenges to preserving the fertility of female patients with cancer and current options.
A report on current legislation and practice trends regarding opioids and how they are affecting cancer patients' ability to manage their pain.
A palliative care family meeting is an opportunity for the significant players in a patient's cancer journey to discuss the care plan. The oncology nurse has a pivotal role in ensuring the meeting effectively addresses any potential needs of the patient, caregiver, or family.
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.
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.
A comparative case study of 12 advanced primary care practices identified the 3 factors that are barriers to integrating comprehensive cancer survivorship services into primary care practices.
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.
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.
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.
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.
Treating the Other "Patient": Depressive Symptoms Are Predictive of Declining Physical Health in 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.
Identifying which archetypical profile fits your patient can help oncology nurses individualize support and education needs to their patients.
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.
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.
I hear the term "financial toxicity" used more and more when people are discussing the cost of cancer treatments. What exactly is financial toxicity?
A review of the updated NCCN Guidelines is presented with a look at the newly published Guideline for Patients.
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.
[Journal of Hepatocellular Carcinoma] This research examines the outcomes of HCC patients with BDTT in a single institution.
Palliative radiotherapy for bone metastases is safe, effective — but controversy persists for single-fraction treatment.
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- Cancer Treatment and Research: What Lies Ahead in 2019
- Helping Patients Face the Challenge of Eating Healthy During Cancer Treatment
- Continuous Therapy May Be Beneficial in Patients With Newly Diagnosed Multiple Myeloma
- Regular Physical Activity — Even Initiated Postdiagnosis — Improves Survival for Cancer Patients
- Gastrointestinal Perforation Complicates Management of Mantle Cell Lymphoma
- Brain Exercise Program Eases Chemobrain in Breast Cancer Survivors
- Hormone Therapy for Breast Cancer (Fact Sheet)
- Counseling on the Dangers of Vaping
- Radical Prostatectomy vs Active Surveillance: Results of Nearly 3 Decades of Follow-up
- Potential of Fecal Microbiota Transplantation in Managing Immunotherapy-Associated Colitis
- Ixazomib Maintenance After ASCT Improves Progression-Free, Overall Survival in Multiple Myeloma
- Evolutionary Role of Chemotherapy in Advanced Nasopharyngeal Carcinoma: A Literature-based Network Meta-analysis
- Helping Patients Face the Challenge of Eating Healthy During Cancer Treatment
- Gastrointestinal Perforation Complicates Management of Mantle Cell Lymphoma
- Modernizing Eligibility Criteria Could Increase Access to, Participation in Clinical Trials
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