The United States has waged a war on cancer for more than 50 years, but no patient ever willingly enlists for service. Although evidence conflicts about the psychosocial implications of using war imagery terms with patients with cancer, researchers conducting a new study found that patients with nonmetastatic disease embrace using war imagery to place meaning around their diagnosis. The researchers reported their findings in Supportive Care in Cancer.

Maintaining a patient’s personal grooming during an inpatient stay is an important aspect of holistic nursing care, but nurses and hospitals alike may fall short when it comes to textured hair care, nurses reported in the American Journal of Nursing.

In your day-to-day conversations with patients, colleagues, or even friends and family at home, are you merely hearing what others tell you or are you actively listening to them? When we actively listen to what someone is saying, we intreat curiosity about their words and the emotions they are communicating with their tone and body language. Active listening engages a whole-person connection, whereas passive listening relies on the brain’s ability to catch the main points of a conversation.

Patients often report mixed feelings about “ringing the bell” to signify completion of their cancer treatment: It’s a joyous moment, but they may have underlying apprehension, too. And other patients may never have a chance to ring the bell if their cancer progresses despite receiving the best possible care.

Whole-person care involves evaluating a patient’s physical, emotional, spiritual, and social health. A conversational assessment can help oncology nurses foster an open dialogue about the patient as a person, not just their physical or health needs.

As a healthcare provider, I had been warned about getting too close to my patients. They told me that it was unprofessional, it would cloud my judgment, it would lead to emotional burnout, and various other reasons. For my first year as a nurse, I took that advice to heart and kept my emotional distance while still doing my best to provide care to the whole patient. Then one night I met Jeff, and everything changed.

As a clinical nurse specialist (CNS) with a cardiovascular background, I have seen the evidence-based benefits of exercise in a variety of settings. However, several years ago, when I was working as a CNS on an acute inpatient oncology unit, I noticed that exercise was not regularly included in care plans. As I learned from staff, this was done out of concern that patients needed to rest to save their energy. 

To increase access to breast and cervical cancer screening, U.S. Congress passed the Breast and Cervical Cancer Mortality Prevention Act of 1990, which led to the creation of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). Because of NBCCEDP, eligible women who are low-income, underserved, and underinsured receive free breast and cervical cancer screening and diagnostic testing. 

Patients with cancer navigate many isolating experiences: treatment side effects such as alopecia, long stays in the hospital, loss of life’s normalcy, and limited time with friends and family.

In part thanks to advancements in both cancer treatment and supportive care, the number of cancer survivors is expected to reach 22 million by 2030. Adolescent and young adult (AYA) patients aged 15–39 constitute only 5% of new cancer diagnoses but have an 85% relative five-year survival rate. They represent a significant portion of all current and future cancer survivors and have unique needs, including reaching developmental milestones, coping with disruptions in personal and professional relationships, and encountering potential difficulties in family planning.  

Nurses can now navigate patients with prostate cancer to a virtual simulation for guidance on all aspects of the disease, from screening to treatment. Plus, providers can interact with Nathan, the simulation avatar, in a clinical encounter to help improve their consultation skills when discussing screening and treatment decisions with men. The Centers for Disease Control and Prevention (CDC) released this resource after launching its popular simulation for patients with breast cancer.

Oncology nurses use many tools to help our patients, but one of the most effective is our words.  However, our terminology may be overwhelming to patients and feel like medical jargon. We also often use terms to describe how a patient is experiencing cancer, reporting adverse events, noncompliance, failing treatment, and palliative care, which can be confusing and misleading.

In the 30 years since its inception in 1990, oncology nurse navigation has continually evolved and grown in response to patient and healthcare needs.

Post-traumatic stress disorder (PTSD) is often associated with survivors of military combat or natural disaster, such as refugees or veterans. However, patients with a current or past cancer diagnosis, and their loved ones, are at risk for developing cancer-related PTSD (CR-PTSD).

“There’s no way you can extricate what’s been going on and the outcomes of the (COVID-19 coronavirus) from the basic racism and social injustice and inequities that have existed in this country for so many years,” American Academy of Nursing Living Legend Catherine Alicia Georges, EdD, RN, FAAN, said in a June 17, 2020, podcast. “The chronicity of racism is the issue.”

The death of George Floyd on May 25, 2020, spurred a national wave of protest. United in the wake of a global pandemic, people are doing what they feel is necessary to bring social justice and equality changes to the forefront of the American experience. Across the country, people are demanding immediate changes to a biased system. In a formal statement, ONS condemned racism and called for “all of us to commit to an end to hatred, discrimination, and racism in every form.”

In nursing school and during my first clinical rotations, I was always uncomfortable with performing bed baths. To shut out my discomfort, I would focus on the task at hand, doing my best to ensure the patient’s privacy, keeping the water warm, and only exposing the one body area I was washing at the moment.

By bringing together gero-oncology experts from the ONS membership, staff, and leadership, the ONS geriatric oncology group is identifying gaps in geriatric oncology nursing research and care and connecting ONS members with available resources targeting this vulnerable population. Adult patients with cancer—aged 65 and older—already make up a majority of patients that oncology nurses see. Despite the population’s prevalence throughout cancer institutions and clinics, many nurses are not acutely familiar with the specialized care required to successfully help them navigate their treatment.  
 

Finding comfort among loved ones at home can be conducive to healing in all of its dimensions for patients with cancer. For patients in home care, many aspects of treatment and day-to-day medical care are done by loved ones or family members. In the United States, nearly 4.6 million at-home caregivers are tending to patients with cancer. Although many at-home caregivers embrace the responsibility, managing successful oncology care can be a complex burden for family members—many of whom are likely unprepared for the stressors of cancer care.  

American author Kurt Vonnegut once wrote, “Laughter and tears are both responses to frustration and exhaustion. . . . I myself prefer to laugh, since there is less cleaning up to do afterward.” Humor has the ability to sooth and heal, and humor often makes grim situations feel brighter and less daunting. Moments affixed with tragedy, grief, loss, and terror can often soften in time, allowing for understanding, acceptance, and sometimes even laughter.