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    Career Changes Are Challenging, but Hold On to Hope
    nursing professional development
    Career Changes Are Challenging, but Hold On to Hope
    June 04, 2021
    Mentors Changed My Career at Every Stage, From New Grad to Leader
    nursing professional development
    Mentors Changed My Career at Every Stage, From New Grad to Leader
    May 28, 2021
    The COVID-19 Pandemic Fast-Tracked Our Growth as Nurses
    COVID-19
    The COVID-19 Pandemic Fast-Tracked Our Growth as Nurses
    May 21, 2021
    When Everything Still Isn't Enough
    Advance care planning
    When Everything Still Isn't Enough
    April 30, 2021
    The Case of the Cord Blood Match
    Clinical practice
    The Case of the Cord Blood Match
    March 26, 2021
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    APRNs Must Stay Educated About Medical Cannabis in Cancer Care
    Advanced practice nursing (APN)

    APRNs Must Stay Educated About Medical Cannabis in Cancer Care

    As more U.S. states approve the use of medical cannabis, oncology advanced practice RNs (APRNs) may see increasing inquiries from patients who are interested in using it to manage cancer-related symptoms. However, the drug remains illegal under federal law, confounding research efforts for its use in cancer care and limiting the generation of supportive evidence.

    July 25, 2018
    CDK 4/6 Adverse Events
    Adverse events

    The Case of the CTCAE Assessment for CDK4/6 Adverse Events

    Mrs. Jones is a 66-year-old postmenopausal woman who developed left breast pain and a palpable mass. A mammogram and ultrasound showed a 4.6 cm mass with an enlarged axillary node. A core biopsy revealed invasive ductal carcinoma that is estrogen receptor positive, progesterone receptor positive, and HER2 negative. Positron-emission tomography and computed tomography scans revealed metastatic disease.

    June 19, 2018
    APRNs Can Help Address Global Financial Toxicity
    Advanced practice nursing (APN)

    APRNs Can Help Address Global Financial Toxicity

    Advancements in oncology, such as new diagnostic tools and novel therapies, have improved overall survival rates but have come at a high cost. In 2011, targeted therapies accounted for 63% of all chemotherapy expenditures. A novel cancer drug routinely costs each patient more than $100,000 per year; annual spending on cancer drugs is globally estimated around $100 billion U.S. dollars and is predicted to rise to $150 billion by 2020.

    June 14, 2018
    Stay Current on Evolving Therapies in Melanoma
    Advanced practice nursing (APN)

    Stay Current on Evolving Therapies in Melanoma

    After decades of no new treatment options for advanced melanoma, several drugs for unresectable stage III and IV disease and recurrent melanoma have been approved, including newer classes of drugs such as checkpoint inhibitors (anti-PD-1 and anti-CTLA-4 drugs) and signal transduction inhibitors (BRAF, MEK, and KIT inhibitors). Advanced practice registered nurses (APRNs) must be familiar with these newer agents and classes of drugs, especially the mutations that guide their use.

    May 10, 2018
    The Case of the Checkpoint Inhibitor Side Effects
    Immunotherapy

    The Case of the Checkpoint Inhibitor Side Effects

    John is a 62-year-old man diagnosed with metastatic non-small cell lung cancer (NSCLC). His tumor tested positive for high PD-L1 expression, and he began pembrolizumab treatment. John presents to the clinic for his third treatment and mentions that during the past week his arms and chest have been itchy and he has noticed a red, bumpy rash on his chest. When assessing John’s skin, you note a maculopapular rash on both of his upper extremities, anterior chest, and upper abdomen. What would you do?

    April 17, 2018
    APRNs Bridge the Gap in Survivorship Care
    Advanced practice nursing (APN)

    APRNs Bridge the Gap in Survivorship Care

    As improved screening, diagnosis, and treatments lead to cancer’s classification as a chronic disease, people with cancer are surviving longer than ever before. However, with lengthened survival comes long-term physical and emotional symptoms and other sequelae that require ongoing surveillance and management. Advanced practice registered nurses (APRNs) are essential to delivering quality survivorship care.

    April 05, 2018
    Managing Weight Loss in Patients With Cancer
    Advanced practice nursing (APN)

    Managing Weight Loss in Patients With Cancer

    Patients’ weight and nutrition status will often vary throughout the cancer care continuum. Weight loss might occur before the diagnosis, be one of the presenting cancer symptoms, be related to the tumor itself, or be secondary to side effects of their treatment (e.g., anorexia from chemotherapy or radiation). 

    March 27, 2018
    The Case of the Cancer Genetics Referral
    Clinical practice

    The Case of the Cancer Genetics Referral

    Christina is a 29-year-old African American woman with a strong family history of breast and ovarian cancers and a personal history of benign ovarian fibroids. She was referred to your office because of a suspicious lump in her left breast. Because of her family history, Christina is especially worried. You are concerned that Christina could have a hereditary family cancer syndrome, and you know that a comprehensive family history must be obtained.

    February 19, 2018
    Prevent and Treat Venous Thromboembolism in Patients With Cancer
    Clinical practice

    Prevent and Treat Venous Thromboembolism in Patients With Cancer

    Venous thromboembolism (VTE), namely deep vein thrombosis and pulmonary embolism, is a common and serious complication. VTE is the second-leading cause of death in patients with cancer and has been connected to poorer prognoses. Other consequences include reduced short- and long-term mortality, increased risk for recurrent VTE and bleeding, a threefold increase in hospitalizations, and higher total healthcare costs. Advance practice nurses (APNs) must understand prevention strategies and treatment guidelines for this serious complication.  

    February 17, 2018
    How Nurse Practitioners Are Enhancing the Oncology Workforce
    Advanced practice nursing (APN)

    How Nurse Practitioners Are Enhancing the Oncology Workforce

    With improved early detection guidelines and techniques as well as advancing cancer treatments, cancer is now a chronic disease in an already aging population. In addition, the Affordable Care Act expanded healthcare coverage to millions of previously uninsured Americans, increasing the need for medical services. With these trends in health care, nurse practitioners (NPs) are needed at the forefront to positively impact and enhance oncology care.

    January 11, 2018

    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.

    Kristen Baileys, RN, MSN, CRNP, OCN®
     
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