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Achieving Diversity and Inclusion in Nursing Requires a Closer Look at the Profession’s Structure

Nurse empowerment

Achieving Diversity and Inclusion in Nursing Requires a Closer Look at the Profession’s Structure

October 23, 2020

Manage Malnutrition’s Monstrous Consequences in Patients With Cancer

Treatment side effects

Manage Malnutrition’s Monstrous Consequences in Patients With Cancer

October 16, 2020

What It Feels Like to Be a Nurse of Color

Culture of safety

What It Feels Like to Be a Nurse of Color

October 09, 2020

Help AYA Survivors and Patients With Cancer Navigate Infertility

Patient empowerment

Help AYA Survivors and Patients With Cancer Navigate Infertility

October 02, 2020

Always Search for Ways to Connect With Patients

Oncology nurse-patient relationship

Always Search for Ways to Connect With Patients

September 18, 2020

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Breast Cancer Prevention, Screening, Diagnosis, Treatment, Side Effect, and Survivorship Considerations

In the United States, breast cancer is the most commonly diagnosed cancer in women. One in eight women will develop invasive disease in their lifetime with approximately 270,00 new cases diagnosed in the United States in 2019. Caucasian women have the highest incidence rate, whereas African American women are most likely to die from the disease. The five-year survival rate is 91%, with an estimated 3.8 million breast cancer survivors living in the United States.

October 15, 2020

Genetics & genomics

As True Detectives, Genetics Professionals Uncover the Meaning of True or Noninformative Negative Results

Patients who watch crime shows think that DNA testing is as simple as taking a cheek swab and getting the results in two minutes so the case is solved at the end of the 42-minute episode. The reality? DNA can be identified from buccal cells in a cheek swab, but results take several weeks to obtain and are not always a simple negative or positive.

August 18, 2020

Genetics & genomics

Help Patients Understand Genomic Variants of Unknown Significance

Patients approach genetic testing, either for germline (inherited) or somatic (tumor) alterations, hoping it will provide valuable information about their cancer risk, prognosis, or treatment options. Next-generation sequencing makes it possible to test for panels of 40 or more genes simultaneously. By testing more genes, the possibility of finding an actionable, informative result improves, but so does the chance of having a result with one or more variants of unknown clinical significance.

Genetics & genomics

Family Risk Factors May Indicate Need for Genetics Counseling Referrals

Genetics testing is not just about one family member; the results have implications for an entire family. Results of genetic testing can be confusing, and families often need assistance understanding what it means for them. Genetics counseling before and after testing is very important to help individuals and families understand the results of genetic testing when they are received and over time.

Genetics & genomics

What Happens During a Genetics Counseling Session?

When referring patients for genetics counseling and possible testing for hereditary risk, oncology nurses can help relieve their trepidation and anxiety by explaining what to expect during the visit. See the sidebar for key indications for referral.

Genetics & genomics

Germline and Somatic Mutations: What Is the Difference?

Cancer occurs from mutations, or harmful changes from an alteration in a gene’s DNA sequence. Most mutations involve changes in the order of the base pairs, including substitutions, deletions, additions, or shifts. Mutations can be divided into broad categories based on the tissue where they occur.

January 14, 2020

Genetics & genomics

Continued Conversation Shows That Nurses Need More Genetics Education

During the 44th Annual ONS Congress in April 2019, some sessions featured a Continuing the Conversation event following the main session. As a speaker, this might have been the best part for me. It was filled with unexpected, wonderful surprises and great conversations with oncology nursing colleagues.

Genetics & genomics

Why Pretesting Counseling Is Critical in the Age of Consumer Genetic Tests

On March 6, 2018, 23andMe—an at-home genetic testing company—announced their direct-to-consumer genetic test (DTCGT) would include DNA results for the three common founder BRCA mutations commonly seen in people with Ashkenazi Jewish ancestry. This was big news because DNA results for the BRCA mutations had been previously available on the 23andMe panel report until the U.S. Food and Drug Administration removed them in 2013.

Oncology nurse pride

A Career in Nursing Offers Plethora of Challenging, Satisfying Opportunities

It’s the season for graduations. My husband and I recently celebrated our youngest daughter’s graduation from Saint Louis University School of Nursing—just as we did for our two older daughters. As I reflected on this time of celebration, I was reminded of when I was asked to write for Continuing the Legacy: More Voices of Oncology Nurses, an ONS book that shares the narrative history of oncology nursing through individual nurse stories. I wrote about a patient who taught me a lot during our time together. At the end of each story, the authors were asked to reflect on their contributions and their experiences. With all of the celebrations lately, I had to look back on what I wrote.

Genetics & genomics

How DNA Revolutionized Oncology Care

April 25, 2018, marks National DNA Day. Why the hype? National DNA Day commemorates the successful completion of the Human Genome Project in 2003, and the discovery of DNA's double helix in 1953. Without DNA, understanding the diseases and treatments for cancer would be nearly impossible. Genetics and genomics play huge roles in treating malignancy, and it’s crucial to the care of patients with cancer for oncology nurses to understand genetics and genomics.

Cancer prevention

Cancer Prevention and Awareness Starts With Oncology Nurses

April is designated as National Cancer Control Month in the United States. It’s a federally endorsed observation, annually encouraged by a proclamation from the president. April is dedicated to raising awareness for cancer prevention and treatment throughout the country. Approved through a joint resolution by Congress in 1938, the yearly presidential announcement serves as a reminder to all Americans that awareness of the factors that cause or prevent cancer are crucial to the public health.

Genetics & genomics

Oncology Nurses Play Key Role in Genetics Education, Testing for Patients

Identifying genetically predisposed women with breast cancer who could benefit from risk assessment and genetic counseling is an important competency for oncology nurses. However, a recent study published in the Journal of Clinical Oncology (JCO) reported that fewer than 50% of newly diagnosed patients with breast cancer who should have been given formal genetic counseling actually received the appropriate genetic testing.

Genetics & genomics

Oncology Nurses Can Help Patients Understand At-Home Genetic Testing

Direct-to-consumer genetic testing (DTCGT) has entered the prime-time stage. It’s difficult to watch TV without seeing ads touting the simplicity of DTCGT and what it can tell you, and it even made Oprah’s 2017 Favorite Things List.

Oncology nurse influence

CJON Offers Opportunities for Oncology Nurses to Start Writing and Get Published

Young authors have so much to share, and they shouldn’t think that what they have to say isn’t worthy of publication just because they’re young. I’ve had the privilege of mentoring young authors on many occasions. Recently, I had the joy of watching a novice author actually open a journal and see her article in print. It was made even more special because it was my daughter, Elaine, who is a senior nursing student at Saint Louis University School of Nursing. She shared her personal story about her decision to become a nurse in the Clinical Moment feature in the Clinical Journal of Oncology Nursing’s (CJON’s) October 2017 issue.

November 03, 2017

Genetics & genomics

Why Oncology Nurses Need to Embrace Genetics

Genetics in clinical oncology nursing practice permeates all aspects of care from prevention and detection to treatment decisions to long-term survivorship care. Each of these areas often overlap, and oncology nurses need a solid genetics understanding to provide optimal care.

October 23, 2017

Why Breast Cancer Awareness Is Important All Year

As Breast Cancer Awareness Month begins this week, we’ll start seeing pink awareness efforts everywhere. Pink products will line the shelves at stores, awareness and fundraising ads will showcase celebrities wearing pink ribbons, and high school, collegiate, and even professional athletes will adorn their uniforms with pink, some even articulating a specific person or family member affected by breast cancer for whom they’re dedicating their athletic efforts.

October 06, 2017

Nursing education

After 100 Years, Nursing School Is Both Different Yet Still the Same

Earlier this month, I found this picture of my grandmother from 1918. She must have sent it to her sister, because on the back of the photo was scrawled a message: “I thought you might want a snap to see me in my nursing uniform.” This is like a selfie from nearly a hundred years ago. Although the sign behind her says, “Don’t park here,” that’s exactly what she’s doing. The humor was not lost.

September 22, 2017

Cancer prevention

The Importance of HPV Vaccination for Your Patients

August marks the beginning of National Immunization Awareness Month, which is an annual observance to promote awareness of the importance of vaccination for individuals of all ages. It’s a great time for nurses to check with their patients and make sure they’re up to date on the recommended vaccines.

August 01, 2017

Raise Awareness in July for Ultraviolet Safety and Skin Cancer Risk

With summer in full swing, it’s the perfect time to head outdoors and enjoy the sunny weather. But are you protecting yourself from potential risks? The U.S. Department of Health and Human Services has named July as Ultraviolet (UV) Safety Month. The goal is to spread the word about how important it is to protect everyone’s skin from the harmful effects of UV rays. This presents a teaching opportunity for oncology nurses and their patients—not just during July but all year long.

Cancer screening

Local Organizations Can Make a Big Difference in Cancer Care

I have the privilege of managing and being the sole provider in a unique program. I work in the Hereditary Cancer Program at Saint Louis University Cancer Center, where I provide risk assessment services and education about genetic testing to individuals and families in the region. It’s an amazing nursing role, and I can truly help people prevent cancer and manage their risk.

Encourage Malignant Melanoma Awareness in May

As Melanoma/Skin Cancer Detection and Prevention Month, May is the perfect time to encourage people to examine their skin and seek medical assistance if they recognize signs of a melanoma. Early detection and prompt treatment is associated with a much higher survival rate for skin cancer diagnoses.

Genetics & genomics

The Story of Henrietta Lacks Sheds Light on Ethical Considerations in Genetic Testing

Imagine a situation where a patient’s tumor cells were used for countless scientific experiments—without the patient’s informed consent. Safeguards are in place today to prevent such an ethical breach, but in 1951 Henrietta Lacks and her family weren’t as lucky. Author Rebecca Skloot shared Henrietta’s story in a 2010 nonfiction book, The Immortal Life of Henrietta Lacks, that was adapted into a movie released on April 22, 2017.

Cancer prevention

Physical Activity Benefits Patients and Nurses Throughout Life

My husband is a gerontologist. My oldest daughter is an RN working with acutely ill elderly patients at a busy academic medical center. They both know that living to 90 or 100 years old is becoming the norm. They’ll also tell you that the habits formed throughout a lifetime can make a big difference in the quality of life as one gets older.

Clinical practice

Genetic Testing Is Important for Survivorship

Cancer survivorship is filled with many challenges, hopes, and expectations. June 5 marks National Survivorship Day, and survivorship is being celebrated throughout the month. Survivors are often not sure where they're going once their cancer journey commences. In my practice, I care for people with a genetic risk for cancer, and I work with survivors on a regular basis.

Cancer prevention

Spread Awareness on Melanoma Monday

On one of the first warm spring days in St. Louis, I came home and found my active dog, Maggie, sound asleep and enjoying the warmth of the sun. Like many humans, she was taking pleasure in a beautiful day and found it relaxing. As the summer approaches, many will spend much more time outside. Despite the inviting nature of a warm day, there are still hidden dangers.

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To discuss the information in this article with other oncology nurses, visit the ONS Communities.

To report a content error, inaccuracy, or typo, email pubONSVoice@ons.org.

Suzanne Mahon RN, DNSc, AOCN®, AGN-BC

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