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    Zoom Through Video Job Interviews With These Tips for Applicants and Hiring Managers
    nursing professional development
    Zoom Through Video Job Interviews With These Tips for Applicants and Hiring Managers
    January 22, 2021
    The Case of Concurrent Therapy Concerns
    Treatment side effects
    The Case of Concurrent Therapy Concerns
    December 18, 2020
    In a World Where You Can Be Anything, Be Kind
    Nurse staffing
    In a World Where You Can Be Anything, Be Kind
    December 11, 2020
    Nursing Innovation Links Rural Facilities to Resources and Experts to Provide High-Quality Care Across the Country
    Access to cancer care
    Nursing Innovation Links Rural Facilities to Resources and Experts to Provide High-Quality Care Across the Country
    December 04, 2020
    Why All Oncology Nurses Should Be Environmentalists
    Oncology nurse influence
    Why All Oncology Nurses Should Be Environmentalists
    November 27, 2020
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    Clinical practice

    FDA Update
    U.S. Food and Drug Administration (FDA)

    FDA Approves Apalutamide for Nonmetastatic Castration-Resistant Prostate Cancer

    On February 14, 2018, the U.S. Food and Drug Administration (FDA) approved apalutamide (Erleada) for patients with non-metastatic castration-resistant prostate cancer.

    February 14, 2018
    Nursing Interventions Help Reduce Chemotherapy Symptom Burden
    Symptom management

    Motivational Interviewing Nursing Interventions Help Reduce Chemotherapy Symptom Burden

    Nursing interventions such as coaching, telephone follow-up, and home care have been reported with inconsistent results. In their article in the January 2018 issue of the Oncology Nursing Forum, Coolbrandt et al. discussed the evaluation of a nursing intervention focused on patient education and self-management to reduce symptom distress in outpatients with cancer.

    February 12, 2018
    fda
    U.S. Food and Drug Administration (FDA)

    FDA Approves Abiraterone Acetate With Prednisone for High-Risk Metastatic CSPC

    On February 7, 2018, the U.S. Food and Drug Administration (FDA) approved abiraterone acetate tablets in combination with prednisone for metastatic high-risk castration-sensitive prostate cancer (CSPC).

    February 08, 2018
    Cognitive Behavioral Therapy Helps Patients With Cancer Manage Insomnia
    Symptom management

    How Can Cognitive Behavioral Therapy Help Patients With Cancer Manage Insomnia?

    Simply put, sleep impacts everything. I consider it to be even more foundational than diet and exercise for some. If patients don’t sleep well, they are more likely to make poor food choices and not exercise. Individuals with insomnia symptoms are at higher risk for a number of physical health problems, including diabetes, obesity, and cardiovascular diseases. Insomnia has been linked to mood and anxiety disorders, higher levels of perceived stress, and impaired cognitive functioning.

    February 01, 2018
    Sleep-Wake Disturbances in Patients With Cancer
    Symptom management

    Sleep-Wake Disturbances in Patients With Cancer

    In bedrooms across the United States, people are crawling into bed, turning down the lights, and lying awake for hours on end. Sleep-wake disturbances and short sleep duration are extremely common, and rates are even higher in patients with cancer. Unfortunately, screening, assessment, and interventions are lacking for patients experiencing sleep-wake disturbances during their cancer journey.

    February 01, 2018
    Immunotherapy Without Immune Cells
    Immunotherapy

    Immunotherapy Without Immune Cells May Be on the Horizon

    Researchers have generated immunotherapy in the laboratory using nonimmune cells. If the findings can be translated into treatment, it may reduce some of the immune-related adverse events that patients experience with today’s cancer immunotherapy treatments. The study was reported in Nature Chemical Biology.

    January 24, 2018
    Spirit of Inquiry Leads to Evidence-Based Answers
    Nursing evidence-based practice

    A Spirit of Inquiry Leads to Evidence-Based Answers to Practice Questions

    Addressing a clinical problem through evidence-based practice (EBP) involves asking the right questions in the right way, finding the best available evidence, and assessing what practice change may be needed. A core factor in the EBP journey is the development of nurses who possess a spirit of inquiry within a culture that supports a systematic process for asking clinical questions.

    January 18, 2018
    Safety information on Varubi (Rolapitant) Injectable Emulsion
    U.S. Food and Drug Administration (FDA)

    Safety Information on Varubi (Rolapitant) Injectable Emulsion

    The Oncology Center of Excellence of the U.S. Food and Drug Administration (FDA) is informing healthcare providers about new safety information for Varubi® (rolapitant) injectable emulsion, a substance P/neurokinin (NK-1) receptor antagonist indicated for the prevention of delayed nausea and vomiting associated with cancer chemotherapy in adults.

    January 17, 2018
    drug holidays improve therapy for melanoma
    Research

    Drug Holidays May Improve Therapy for Treatment-Resistant Melanoma

    Taking an intentional drug holiday may improve patients’ response to reintroduction of treatment in drug-resistant melanoma, according to the results of a study published in Cancer Discovery.

    January 17, 2018
    The Case of the Pain Paradox
    Pain management

    The Case of the Pain Paradox

    Vince was diagnosed with non-muscle invasive, high-grade bladder cancer at age 54 and treated with intravesical Bacille-Calmette Guerin immunotherapy. He stopped smoking and began a consistent walking program. 

    January 16, 2018
    fda update
    U.S. Food and Drug Administration (FDA)

    FDA Broadens Afatinib Indication to Previously Untreated, Metastatic NSCLC

    On January 12, 2018, the U.S. Food and Drug Administration (FDA) granted approval to afatinib for a broadened indication in first-line treatment of patients with metastatic non-small cell lung cancer (NSCLC) whose tumors have non-resistant epidermal growth factor receptor (EGFR) mutations as detected by an FDA-approved test.

    January 15, 2018
    What Competencies Are Required for Oncology Nurse Generalists?
    Oncology nurse education

    What Competencies Are Required for Oncology Nurse Generalists?

    Oncology nursing is rapidly evolving specialty. Nurses need to stay on top of a complex technologic environment, ever-changing science, and rapid assimilation of research into practice. In doing so, they attain and maintain a high level of competency to adequately and safely care for people with cancer.

    January 09, 2018
    Patients With Cancer Pain Still Need Safe Access to Opioids
    Pain management

    Despite Regulations, Patients With Cancer Pain Still Need Safe Access to Opioids

    Each day, more than 175 Americans die from an opioid-related overdose. Misuse of, addiction to, and overdose from opioids cost the United States $78.5 billion a year, “including the costs of health care, lost productivity, addiction treatment, and criminal justice involvement.”. Other alarming numbers abound: 21%–29% of patients who are prescribed opioids misuse them, 4%–6% of those transition to heroin, and 80% of people who use heroin first misused prescription opioids.

    January 08, 2018
    Understanding Medicinal Cannabis in Cancer Care
    Complementary therapy

    Understanding Medical Cannabis in Cancer Care

    Medicinal cannabis, a topic that remains largely unstudied in human trials in the United States, is slowly becoming introduced in areas of health care and oncology in states that have legalized it for medical and adult recreational use.

    January 01, 2018
    FDA Approves First Biosimilar for Cancer Treatment, Among Other New Immunotherapy Dosing and Indications
    U.S. Food and Drug Administration (FDA)

    FDA Approves First Biosimilar for Cancer Treatment, Among Other New Immunotherapy Dosing and Indications

    Cancer treatment options continue to multiply as 2017 concludes, with the U.S. Food and Drug Administration (FDA) granting additional new drug approvals and broadening indications for others. Checkpoint inhibitors continue to explode on the scene with accelerated approvals for various indications. Treatment options for hematologic cancers are multiplying. Additionally, the first biosimilar for cancer treatment, bevacizumab-awwb, was approved as a biosimilar to bevacizumab.

    December 27, 2017
    fda update
    U.S. Food and Drug Administration (FDA)

    FDA Grants Accelerated Approval to Bosutinib for Treatment of Newly-Diagnosed PH+ CML

    On December 19, 2017, the U.S. Food and Drug Administration granted accelerated approval to bosutinib for treatment of patients with newly-diagnosed chronic phase Philadelphia chromosome positive chronic myelogenous leukemia.

    December 19, 2017
    fda update
    U.S. Food and Drug Administration (FDA)

    FDA Grants Regular Approval to Cabometyx for First-Line Treatment of Advanced Renal Cell Carcinoma

    On December 19, 2017, the U.S. Food and Drug Administration (FDA) granted regular approval to cabozantinib for treatment of patients with advanced renal cell carcinoma (RCC).

    December 19, 2017
    the medical benefits of healthy sleep
    Nurse self-care

    Sweet Dreams Discourage Inflammation

    Do you consider sleep to be part of your self-care regimen? Does a spinning wheel of thoughts keep you from restful sleep, or do you consciously sacrifice sleep time? If so, you are not alone. The Centers for Disease Control and Prevention (CDC) declared that insufficient sleep is a public health epidemic with an estimated 25% of the United States population suffering from some type of sleep disturbance.

    December 06, 2017
    Crucial Role of Symptom Management in Cancer Care
    Symptom management

    The Crucial Role of Symptom Management in Cancer Care

    Listening to feedback from patients is still one of the most important ways providers can assess and plan treatments for patients with cancer. However, symptom management is never as simple as screening for pain or asking about fatigue: it involves complex decision making, evidence-based interventions, and the support of the entire care team. It’s a central practice to oncology nursing, and it’s paramount to the successful outcomes of patients with cancer.

    December 04, 2017
    Using Alternative Medicine Instead of Conventional Cancer Treatments Increases Risk of Death
    Research

    Using Alternative Medicine Instead of Conventional Cancer Treatments Increases Risk of Death

    A large study published in the Journal of the National Cancer Institute found that patients with nonmetastatic breast, lung, or colorectal cancer who chose to use only alternative medicine had substantially worse survival than patients who received conventional cancer treatment.

    November 29, 2017
    ONS’s Recommendations for Gowns When Handling Hazardous Drugs
    Safe handling

    What Are ONS’s Recommendations for Gowns When Handling Hazardous Drugs?

    Although USP Chapter <800> implementation has been delayed, ONS experts are receiving questions about clarifications and specifics for wearing gowns when handling hazardous drugs (HDs). Questions include topics such as hanging gowns and reusing, length of time gowns can be worn, the need for gowns with oral chemotherapy agents, and materials requirements of gowns. 

    November 28, 2017
    Get Resources to Educate and Monitor Patients for Sepsis
    Clinical practice

    Get Resources to Educate and Monitor Patients for Sepsis

    Sepsis is a formidable complication of cancer and cancer treatment. Claiming more than 250,000 lives annually, it is a medical emergency. Do you have sepsis algorithms and protocols in place? Do all specialty areas have a way to identify patients with cancer as a highly vulnerable population? Is sepsis-specific education provided to nurses and patients? Starting the conversation and advocating for policy development and change may just save a life.

    November 27, 2017
    What’s the Procedure for Delivering Chemotherapy to an Inpatient Unit?
    Safety

    What’s the Procedure for Delivering Chemotherapy to an Inpatient Unit?

    The elements of an oncology unit are often very similar from location to location—the crescendo of plastic wheels clicking across brightly shined linoleum, beaming fluorescent lights that flicker to life when switched on, mounted fountains of cool hand sanitizer gel. But although oncology units have many similarities, clear differences exist as well.

    November 24, 2017
    FDA Update
    U.S. Food and Drug Administration (FDA)

    FDA Approves Emicizumab-Kxwh for Bleeding in Patients With Hemophilia A With Factor VIII Inhibitors

    On November 16, 2017, the U.S. Food and Drug Administration (FDA) approved emicizumab-kxwh (Hemlibra®, Genentech, Inc.) for routine prophylaxis to prevent or reduce the frequency of bleeding episodes in adult and pediatric patients with hemophilia A (congenital factor VIII deficiency) with factor VIII inhibitors.

    November 16, 2017
    Late side effects of immunotherapy
    Immunotherapy

    The Case of the Slow-to-Manifest Side Effects

    Mary, age 60, has been diagnosed with stage IIB ovarian cancer. Because she has a strong family history of various cancers, Mary is tested for Lynch syndrome, also known as hereditary nonpolyposis colorectal cancer (HNPCC).

    Her test is positive, and she is told she is at increased risk for developing cancers associated with HNPCC: ovarian, breast, prostate, kidney, endometrial, pancreatic, prostate, and liver.

    November 14, 2017
    FDA Update
    U.S. Food and Drug Administration (FDA)

    FDA Approves Brentuximab Vedotin for Primary Cutaneous Anaplastic Large Cell Lymphoma, CD30-Expressing Mycosis Fungoides

    On November 9, 2017, the U.S. Food and Drug Administration (FDA) granted regular approval to brentuximab vedotin (Adetris®, Seattle Genetics, Inc.) for the treatment of adult patients with primary cutaneous anaplastic large cell lymphoma (pcALCL) or CD30-expressing mycosis fungoides (MF) who have received prior systemic therapy.

    November 09, 2017
    Manage Oncologic Emergencies With Multiple Myeloma
    Multiple myeloma

    Manage Oncologic Emergencies With Multiple Myeloma

    As new therapies come to market, patients with multiple myeloma have more treatment options that are improving outcomes and extending overall survival. However, the most effective options involve multidrug combinations and continuous maintenance therapy, which can result in cumulative toxicities and the potential for oncologic emergencies.

    November 07, 2017
    FDA Update
    U.S. Food and Drug Administration (FDA)

    FDA Approves Vemurafenib for Erdheim-Chester Disease

    On November 6, 2017, the U.S. Food and Drug Administration granted regular approval to vemurafenib (Zelboraf®) for the treatment of patients with Erdheim-Chester Disease with BRAF V600 mutation.

    November 06, 2017
    Using Photography to Track Progress of Head and Neck Cancers
    Oncology nurse influence

    Using Photography to Track Progress of Head and Neck Cancers

    Building relationships with patients is just one of the many roles of oncology nurses. However, it’s generally not possible to see your patients every day. This isn’t uncommon, but it can pose problems to oncology professionals treating patients with head and neck cancers.

    October 27, 2017
    fda update
    U.S. Food and Drug Administration (FDA)

    FDA Approves Rolapitant IV for CINV

    On October 25, 2017, the U.S. Food and Drug Administration (FDA) approved the use of rolapitant (Varubi®) IV in combination with other antiemetic agents for adults experiencing delayed chemotherapy therapy-induced nausea and vomiting (CINV). Rolapitant through oral administration had been approved through the FDA in September 2015. The new IV administration route is expected to offer the same results at a lower cost to patients with CINV. 

    October 27, 2017
    What Oncology Nurses Need to Know About Subcutaneous Rituxan Hycela
    Immunotherapy

    What Oncology Nurses Need to Know About Subcutaneous Rituxan Hycela

    In June 2017, the U.S. Food and Drug Administration (FDA) approved Rituxan Hycela, a combination of rituximab and hyaluronidase, for subcutaneous administration in the treatment of follicular lymphoma and diffuse large B-cell lymphoma as well as chronic lymphocytic leukemia (CLL). This agent affords the same clinical benefit as IV rituximab, but in much less time. With this approval comes many questions about which patients are appropriate and administration considerations for subcutaneous rituximab and hyaluronidase.

    Assess and Manage Cancer-Related Pain
    Pain management

    Assess and Manage Cancer-Related Pain

    Despite the findings that more than 90% of cancer pain can be controlled with routine interventions, many patients continue to experience pain throughout their cancer diagnosis and treatment. The average pain score for patients on inpatient oncology units is 5.87 on a 0–10 scale, and 25% of patients spend more than 50% of the time in constant or severe pain.

    October 10, 2017
    fda update
    U.S. Food and Drug Administration (FDA)

    FDA Approves Lower Dose of Cabazitaxel for Prostate Cancer

    On September 14, 2017, the U.S. Food and Drug Administration (FDA) approved a lower dose of cabazitaxel (20 mg/m2 every 3 weeks) in combination with prednisone for the treatment of patients with metastatic castration-resistant prostate cancer previously treated with a docetaxel-containing treatment regimen.  Cabazitaxel (25 mg/m2 every 3 weeks) was approved for this indication in 2010.

    September 14, 2017
    Clinical Nurse Specialists
    Advanced practice nursing (APN)

    Overcome Barriers to Your Clinical Nurse Specialist Practice

    As an oncology clinical nurse specialist (CNS), you may find yourself answering over and over the question of, “What is it you do?” In many instances, it is a broader role then most may realize, and you wear several hats. As you explain to other oncology staff what a CNS does, focus on the three spheres of influence.

    September 14, 2017
    Manage Pain in Patients With Cancer
    Pain management

    Manage Pain in Patients With Cancer With These Tools and Resources

    One distinct, uniquely personal symptom unifies almost all patients with cancer: pain. It can be as wildly varied and different as each patient it affects. It can be acute, sudden experiences of pain, or the symptoms can be chronic and perpetual. Patients undergoing the treatments associated with cancer often suffer varying degrees of pain through their cancer journeys, which leads to significant physical and psychosocial burdens. This can decrease their quality of life and potentially impact their overall outcomes. A 2015 National Comprehensive Cancer Network report suggested that the evidence suggests a clear link between improved survival outcomes and adequate symptom management.

    September 01, 2017
    Cancer Care for Patients After a Natural Disaster
    Oncology nursing community

    How Did You Continue to Provide Cancer Care for Patients After a Natural Disaster?

    When a severe tornado hit Joplin, MO, on the evening of May 22, 2011, the situation was serious. St. John’s Regional Medical Center in Joplin was hit so hard that it is still unusable. It needed to be evacuated, nearby Freeman hospital became quickly overwhelmed with patients, and the surrounding community prepared for action.

    August 30, 2017
    Cancer Care When Disaster Strikes
    Oncology nursing community

    Cancer Care When Disaster Strikes

    In the early hours of September 13, 2008, Hurricane Ike—a category 2 hurricane—hit Galveston Island, TX, bringing with it sustained winds of up to 110 miles per hour and storm surges reaching as high as 17 feet. By the next day, more than 200 shelters had opened across Texas to house the estimated 40,000 people who had been forced to evacuate from their homes.

    August 30, 2017
    FDA Update
    U.S. Food and Drug Administration (FDA)

    FDA Approves Tisagenlecleucel for B-cell ALL, Tocilizumab for Cytokine Release Syndrome

    On August 30, 2017, the U.S. Food and Drug Administration granted regular approval to tisagenlecleucel for the treatment of patients up to age 25 years with B-cell precursor acute lymphoblastic leukemia that is refractory or in second or later relapse.

    August 30, 2017
    Natural Disasters Take a Toll on Both Patients and Nurses
    Oncology nursing community

    Natural Disasters Take a Toll on Both Patients and Nurses, at the Cancer Center and at Home

    I live in Middle Tennessee, an area that’s part of tornado alley, a pathway across central United States that has a higher incidence of tornadoes. We routinely prepare for the storms, listening for the tornado sirens whether at home or work. Although there have been a number of tornado touchdowns in our region in recent years, fortunately none have directly hit our healthcare facilities.

    August 29, 2017
    Herbs and cancer drugs
    Clinical practice

    Are Your Patients Taking Herbs That May Interact With Their Cancer Drugs?

    Many Americans use dietary supplements, including herbal products, in the belief that they are natural and safe. Patients with cancer use them often to enhance the effects or to reduce the adverse reactions of cancer treatments. However, few herbs have been thoroughly studied in humans. Therefore, their interactions with prescription drugs and the clinical relevance, remain undetermined. These interactions could be pharmacokinetic in nature when an herb alters the absorption, metabolism, or excretion of other drugs, or pharmacodynamic in which it affects the mechanism of action of other drugs when consumed together. Following are a few relevant herb-drug interactions encountered in the oncology setting.

     

    August 15, 2017
    Cancer treatment and anxiety
    Psychosocial issues

    The Case of the Anxiety Answer

    Kris is a 46-year-old newly diagnosed with stage III cervical cancer. She is an avid runner and vegetarian, and she believes strongly in taking care of herself. “I never thought I would get cancer,” she says. “I thought I did everything I could to avoid this.”

    August 15, 2017
    management of immunotherapy for better quality of life
    Clinical practice

    Management of Immunotherapy-Related Endocrinopathies

    Advanced practice oncology nurses know how complex the care of patients with cancer can be. Every day seems to bring further advancements in the treatment and management of cancer. It can be difficult to keep up with the onslaught of new information, but our patients rely on us to bring them the latest, greatest, and safest treatment options available.

    July 27, 2017
    Chemotherapy administration safeety
    Safety

    Who Is Monitoring Your Infusions for Administration Safety?

    Inquiries received in the ONS clinical inbox often ask about various responsibilities of nurses who hold an ONS chemotherapy provider card and have been deemed competent to administer cancer treatments within their practice setting.

    July 25, 2017
    Leah Alair
    Oncology nurse-patient relationship

    Walls and a Blue Ribbon

    I arrived at work on Tuesday morning to find my charge nurse handing out blue ribbons, beads, and bracelets to staff.

    "March is National Colon Cancer Awareness Month,” she said. “Put on the blue, we're promoting awareness and encouraging people to get their screenings!" I stared at some of my coworkers with ribbons tied neatly in their hair.

    It’s important to know that I routinely have to field the question, "Are you sure you're old enough to be a nurse?" I had a feeling the ribbon wasn't going to help my credibility. This was also my second day of caring for a patient struggling to cope in a very tough fight against colon cancer. Would she mind? Would it be insensitive?

    July 18, 2017
    Immunotherapy Inquiry
    Immunotherapy

    The Case of the Immunotherapy Inquiry, Part II

    You may remember Jay, a 62-year-old man with inoperable stage IIIA non-small cell lung cancer (NSCLC), from the case study in the April 2017 issue of ONS Voice. He was symptomatic with a persistent cough, unintentional weight loss, and fatigue.

    July 18, 2017
    FDA Update
    U.S. Food and Drug Administration (FDA)

    FDA Approves Neratinib for Extended Adjuvant Treatment of Early-Stage HER2-Positive Breast Cancer

    On July 17, 2017, the U.S. Food and Drug Administration approved neratinib (Nerlynx™, Puma Biotechnology, Inc.) for the extended adjuvant treatment of adult patients with early stage HER2-overexpressed/amplified breast cancer, to follow adjuvant trastuzumab-based therapy.

    July 18, 2017
    Cancer Immunotherapy
    Immunotherapy

    ONS Answers Your Top Questions About Cancer Immunotherapy

    July 13, 2017
    FDA Update
    U.S. Food and Drug Administration (FDA)

    FDA Grants Regular Approval to Blinatumomab and Expands Indication to Include Philadelphia Chromosome-Positive B Cell ALL

    July 12, 2017
    FDA Update
    U.S. Food and Drug Administration (FDA)

    FDA Approves L-Glutamine Powder for the Treatment of Sickle Cell Disease

    On July 7, 2017, the U.S. Food and Drug Administration (FDA) approved L-glutamine oral powder for oral administration to reduce the acute complications of sickle cell disease in adult and pediatric patients five years and older.

    July 07, 2017
    ONS Congress

    Oncology Treatments and Trends Continue to Change Rapidly

    “This has been a historic year in oncology pharmacology,” Rowena Schwartz, PharmD, BCOP, associate professor at the University of Cincinnati, told the audience during a session at the 42nd Annual Congress in Denver, CO. “There were new drugs, yes, but we’re really learning how to use the drugs that we have.”

    July 03, 2017
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