Oncology Nursing 'Are We There Yet? How Much Longer?': Deciphering Patients' Persistent Questions

'Are We There Yet? How Much Longer?': Deciphering Patients' Persistent Questions

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.

Advisor Forum Adjusting Etoposide Dose When Used With Prezcobix

Adjusting Etoposide Dose When Used With Prezcobix

Do you have any resources that give specific guidelines or even anecdotal sources on how to adjust etoposide dose in a patient taking Prezcobix?

General Oncology Seeking an Explanation for the Lack of Research Focused in Pediatric Oncology Therapeutics

Seeking an Explanation for the Lack of Research Focused in Pediatric Oncology Therapeutics

Researchers sought an explanation for the paucity of research, drug development, and clinical trials focusing specifically on cancer in pediatric populations.

General Oncology Prisoner or Patient? Challenges of Cancer Care in the Incarcerated Population

Prisoner or Patient? Challenges of Cancer Care in the Incarcerated Population

This in-depth review examines the inherent challenges of providing cancer care for incarcerated patients.

General Oncology Advances in Radiogenomics: A Review

Advances in Radiogenomics: A Review

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.

Lymphoma Navigation at the End of Therapy: A Crucial Transition in Lymphoma Treatment

Navigation at the End of Therapy: A Crucial Transition in Lymphoma Treatment

A nurse-led study explored the significance of nurse navigators for patients with lymphoma approaching their transition from acute care to survivorship care.

Advisor Forum Assessment Tool for Immunotherapy Side Effects

Assessment Tool for Immunotherapy Side Effects

My patient is receiving immunotherapy. What is the best tool for assessing side effects?

Brain Cancer CNS Tumors in Childhood: Predicting Successful Independence in Adult Life

CNS Tumors in Childhood: Predicting Successful Independence in Adult Life

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 Skin Cancer Screening Programs: Are They Effective?

Skin Cancer Screening Programs: Are They Effective?

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.

Navigator Notes Integrating Preoperative Oral Care Into Cancer Treatment Plans

Integrating Preoperative Oral Care Into Cancer Treatment Plans

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.

Myeloproliferative Neoplasms Myeloablative Conditioning Effective in AML Secondary to MDS/MPN Prior to Allogeneic HCT

Myeloablative Conditioning Effective in AML Secondary to MDS/MPN Prior to Allogeneic HCT

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.

Lung Cancer Using Palliative Care to Improve Lung Cancer Outcomes in Veterans at Risk of Suicide

Using Palliative Care to Improve Lung Cancer Outcomes in Veterans at Risk of Suicide

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.

General Oncology How Keep/Stop/Start Analysis Can Improve Nursing Practice

How Keep/Stop/Start Analysis Can Improve Nursing Practice

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.

General Oncology Fitness Wearables Are Finding a Place in Oncology Care

Fitness Wearables Are Finding a Place in Oncology Care

Wearable activity monitors offer oncology care teams an unbiased glimpse into patients' health behaviors and improved reports on performance status.

Melanoma Is Radioimmunotherapy a Path Forward for Melanoma?

Is Radioimmunotherapy a Path Forward for Melanoma?

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.

General Oncology Internet Browsing for Cancer Information Emphasizes Visual Appeal Over Accuracy

Internet Browsing for Cancer Information Emphasizes Visual Appeal Over Accuracy

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.

Side-Effect Management Hypnosis: A Comparison of the Efficacy of an Intervention Across Patient Populations

Hypnosis: A Comparison of the Efficacy of an Intervention Across Patient Populations

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.

Navigator Notes Nurse-Led Program Improves Health, Financial Outcomes in Outpatient Chemotherapy

Nurse-Led Program Improves Health, Financial Outcomes in Outpatient Chemotherapy

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.

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

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

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.

Side-Effect Management 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.

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

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

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.

General Oncology 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

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.

Navigator Notes Combined Microwave Ablation and Minimally Invasive Open Decompression for the Management of Thoracic Metastasis in Breast Cancer

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.

Navigator Notes Younger Patients, Higher Costs: The Changing Demographics of Cancer

Younger Patients, Higher Costs: The Changing Demographics of Cancer

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

General Oncology Exercise Habits Influence Mortality in Adult Survivors of Childhood Cancer

Exercise Habits Influence Mortality in Adult Survivors of Childhood Cancer

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.

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

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

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.

General Oncology 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

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.

General Oncology Avoiding the ED: Planned Strategies for Unplanned Urgent Cancer Care

Avoiding the ED: Planned Strategies for Unplanned Urgent Cancer Care

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

Navigator Notes Coordinating Roles of ONNs, OSWs on Multidisciplinary Cancer Care Team

Coordinating Roles of ONNs, OSWs on Multidisciplinary Cancer Care Team

Please clarify the role and responsibilities of oncology nurse navigators (ONNs) vs those of the oncology social workers (OSWs).

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

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

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

Prostate Cancer Challenges of Shared Decision Making in Prostate Cancer Screening

Challenges of Shared Decision Making in Prostate Cancer Screening

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.

Side-Effect Management Evidence-Based Practices, No CLABSIs Achieved Through Quality Improvement

Evidence-Based Practices, No CLABSIs Achieved Through Quality Improvement

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.

Navigator Notes Cancer Screening Follow-up: Enabling Timely Diagnosis, Treatment

Cancer Screening Follow-up: Enabling Timely Diagnosis, Treatment

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.

Oncology Nursing Too Much Information: When Prognosis Breaks Down Patient Communications

Too Much Information: When Prognosis Breaks Down Patient Communications

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

Lung Cancer Evolving Role of Radiation Therapy in the Treatment of Mesothelioma

Evolving Role of Radiation Therapy in the Treatment of Mesothelioma

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.

Genitourinary Cancer Testicular Cancer Treatment May Increase Risk for Heart Disease in Survivors

Testicular Cancer Treatment May Increase Risk for Heart Disease in Survivors

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.

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

Does Better Breast Imaging Lead to 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 Affects Adjustments in Breast Cancer

Spousal, Partner Perception of Coping Affects 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

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

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

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

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

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

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 Cost vs Benefits: The Controversy Over Proton Beam Radiotherapy

Cost vs Benefits: 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.

General Oncology New Hypertension Threshold Guides Blood Pressure Management During Cancer Treatment

New Hypertension Threshold Guides Blood Pressure 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 Fatty Acids: Plant-Based vs Marine-Based

Anticancer Properties of Omega-3 Fatty Acids: Plant-Based vs Marine-Based

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.

Navigator Notes LISTEN Combats the Loneliness of Facing Cancer Diagnosis, Treatment

LISTEN Combats the Loneliness of Facing Cancer Diagnosis, Treatment

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 Patient Support Program Provides Diversions During Chemotherapy Infusions

Patient Support Program Provides Diversions During Chemotherapy Infusions

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 When There Are No Words: Interpreting Patients' and Families' Subtle Messages

When There Are No Words: Interpreting Patients' and Families' Subtle Messages

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.

General Oncology Incidence of Post-traumatic Stress Disorder High Among Patients With Cancer

Incidence of Post-traumatic Stress Disorder High Among Patients With Cancer

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

Breast Cancer Bridging the Gap in Genetic Cancer Research Data on Minority Populations

Bridging the Gap in Genetic Cancer Research Data on Minority Populations

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

Navigator Notes Male Occult Triple-negative Breast Cancer With Dermatomyositis: A Case Report and Review of the Literature

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.

Navigator Notes Looking Within: Cultural Humility in Healthcare Settings

Looking Within: 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 Incorporating Cardiac Care in the Oncology Setting

Incorporating 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.

Navigator Notes Bundling Interventions Bridges Gender Gap in AYA Cancer Fertility Discussions

Bundling Interventions Bridges Gender Gap in AYA Cancer Fertility Discussions

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.

Side-Effect Management Opioid Epidemic Response May Be Limiting Cancer-Related Pain Management

Opioid Epidemic Response May Be Limiting Cancer-Related Pain Management

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

The Total Patient The Role of the Oncology Nurse in an Effective Palliative Care Family Meeting

The Role of the Oncology Nurse in an Effective Palliative Care Family Meeting

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.

Colorectal Cancer Colorectal Cancer and Dietary Fiber: Source Is More Important Than Amount

Colorectal Cancer and Dietary Fiber: Source Is More Important Than Amount

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 Exercise Counseling, But Not Participation

Online Learning Modules Improve Exercise Counseling, But Not Participation

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 Adolescents and Young Adults With Cancer

Fertility Preservation in Male Adolescents and Young Adults 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 A Rare Case of Classical Hodgkin Lymphoma 10 Years After Liver Transplantation

A Rare Case of 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 Emergency Department Care for Older Adults With Cancer

Improving Emergency Department 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.

Hematologic Cancers Granulocyte Colony-Stimulating Factors: Use, Administration, Adverse Effects

Granulocyte Colony-Stimulating Factors: 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 Adverse Effects in Lymphoma

Critical Thinking Key to Effective Management of Adverse Effects 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.

Issues in Cancer Survivorship Three Factors Impede Cancer Survivorship Care in Primary Care Practices

Three Factors Impede Cancer Survivorship Care in Primary Care Practices

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.

General Oncology Statins, Antihypercholesterolemic Drugs Show Potential as Anticancer Agents

Statins, Antihypercholesterolemic Drugs Show Potential as Anticancer Agents

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 Regarding Patients With Advanced Disease

WWW: Navigating Complex Conversations Regarding Patients With Advanced Disease

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 A Case of Immunotherapy-Induced Myocarditis Concomitant to MG in Lung Cancer

A Case of Immunotherapy-Induced 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.

General Oncology Combining Radiation, Immunotherapy: An Emerging Challenge for Oncology Nursing

Combining Radiation, Immunotherapy: An Emerging Challenge for Oncology Nursing

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 Nurse Survey Identifies Adverse Events Related to Handling Chemotherapy

Nurse Survey Identifies Adverse Events 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 Breast Cancer Recurrence Not a Deterrent for Survivors Who Wish to Conceive

Breast Cancer Recurrence Not a Deterrent for Survivors Who Wish to Conceive

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 an Optimal Cancer Awareness or Community Outreach Program

Building an Optimal Cancer Awareness or Community Outreach Program

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 No Benefit to Extensive Cancer Screening in Unprovoked Venous Thromboembolism

No Benefit to Extensive Cancer Screening in Unprovoked Venous Thromboembolism

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.

Oncology Nursing You Don't Say: Knowing When to Just Listen to Patients, Families Trying to Cope

You Don't Say: Knowing When to Just Listen to Patients, Families Trying to Cope

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 Educational Program Explains Biomarker Testing for Colorectal Cancer

Educational Program Explains Biomarker Testing for Colorectal Cancer

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 Early Recognition of Checkpoint Inhibitor-Related Pneumonitis Improves Outcomes

Early Recognition of Checkpoint Inhibitor-Related Pneumonitis Improves Outcomes

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 Risk of Some Cancers Higher in Women With a History of Periodontal Disease

Risk of Some Cancers Higher in Women With a History of Periodontal Disease

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 Optimal Treatment Regimens for Oldest Patients Is an Emerging Challenge for Radiation Oncology

Optimal Treatment Regimens for Oldest Patients Is 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.

Navigator Notes To Better Serve Patients With Cancer, Navigators Need Better Systems

To Better Serve Patients With Cancer, Navigators Need Better Systems

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 Pain Management, Cancer Care at End-of-Life Improved by Caregiver Education, Training Intervention

Pain Management, Cancer Care at End-of-Life Improved by Caregiver Education, Training Intervention

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 Offers New Experiences to Patients in Hospice

Virtual Reality Offers New Experiences to 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 Treating the Other "Patient": Depressive Symptoms Are Predictive of Declining Physical Health in Caregivers

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.

Oncology Nursing Understanding Your Patient: Keys to Outcomes Success

Understanding Your Patient: Keys to Outcomes Success

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

Oncology Nursing The Great Cancer Masquerade: When Grief Manifests as Anxiety, Control, Anger

The Great Cancer Masquerade: When Grief Manifests as Anxiety, Control, Anger

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 Novel 3D Marker Reduces Radiation, Improves Cosmesis in Breast Conserving Surgery

Novel 3D Marker Reduces Radiation, Improves Cosmesis in Breast Conserving Surgery

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 Taxane-based Chemotherapy May Diminish Balance, Gait in Breast Cancer Survivors

Taxane-based Chemotherapy May Diminish Balance, Gait in Breast Cancer Survivors

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 Improved Outcomes in Lung Cancer With Hyperfractionated Chemoradiation Therapy

Improved Outcomes in Lung Cancer With Hyperfractionated Chemoradiation Therapy

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 Program Focuses on How to 'Look Good Feel Better' During Cancer Treatment

Program Focuses on How to 'Look Good Feel Better' During Cancer Treatment

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 Clinical Pathways: Paving the Way to Improve Patient-Centered and Cohesive Cancer Care

Clinical Pathways: Paving the Way to Improve Patient-Centered and 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 Message System Uses Common Behavior to Promote, Enhance Childhood Cancer Survivorship Care

Text Message System Uses Common Behavior to Promote, Enhance Childhood Cancer Survivorship Care

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.

Breast Cancer Mastectomy vs BCT: Understanding Women's Treatment Choice for Early-Stage Breast Cancer

Mastectomy vs BCT: Understanding Women's Treatment Choice for Early-Stage Breast Cancer

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

Oncology Nursing The Impact of Minimizing a Cancer Diagnosis

The Impact of 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 the Crosshairs of an Opioid Crisis and HCAHPS-related Demands

Managing Pain in the Crosshairs of an Opioid Crisis and HCAHPS-related Demands

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 Eases CINV in Patients Receiving Highly, Moderately Emetogenic Chemotherapy

Rolapitant Eases CINV in Patients Receiving Highly, Moderately Emetogenic Chemotherapy

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

Navigator Notes Putting a Name on the Impact of Cancer Treatment Costs

Putting a Name on the Impact of Cancer Treatment Costs

I hear the term "financial toxicity" used more and more when people are discussing the cost of cancer treatments. What exactly is financial toxicity?

Side-Effect Management Distress Management Tool Gets an Update, Patient Version

Distress Management Tool Gets an Update, Patient Version

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

Multiple Myeloma Optimal Management of Myeloma With Bortezomib

Optimal Management of 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 A Navigator's Take: Developing Cancer Screening Programs in Your Community

A Navigator's Take: Developing Cancer Screening Programs in Your Community

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

Navigator Notes A Single Institution Report of 19 Hepatocellular Carcinoma Patients With Bile Duct Tumor Thrombus

A Single Institution Report of 19 Hepatocellular Carcinoma Patients With Bile Duct Tumor Thrombus

[Journal of Hepatocellular Carcinoma] This research examines the outcomes of HCC patients with BDTT in a single institution.

Side-Effect Management Updated ASTRO Guideline Bolsters Safety, Efficacy of Palliative RT for Bone Metastases

Updated ASTRO Guideline Bolsters Safety, Efficacy of Palliative RT for Bone Metastases

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

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