Journal of Oncology Navigation & Survivorship: Providing an Array of Topics Relevant to Navigators

September 2018 Vol 9, No 9
Lillie D. Shockney, RN, BS, MAS, ONN-CG
Editor-in-Chief, JONS; Program Director, AONN+; University Distinguished Service Professor of Breast Cancer, Administrative Director, The Johns Hopkins Breast Center; Director, John Hopkins Cancer Survivorship Programs; Professor of Surgery and Oncology, JHU School of Medicine; Co-Creator, Work Stride-Managing Cancer at Work
shockli@jhmi.edu
Dear Navigators, Social Workers, Administrators, and Clinical Staff,

On behalf of the Editorial Board of the Journal of Oncology Navigation & Survivorship (JONS), it's my pleasure to offer the current issue. Each month, we aim to present navigators with an array of topics relevant to their practice. To achieve our goal, we publish original navigation research, treatment updates, interviews, and navigation best practices. Some highlights from the current issue follow.

In this month's interview, we hear from a caregiver-turned-advocate, Stephanie Whitten, and Matthew Fox, MD, about melanoma and the development of the foundation called Meredith's Mission—a nonprofit organization named for Stephanie's sister dedicated to raising awareness, providing education, and fundraising for melanoma research.

Clinical trial enrollment is consistently a topic of discussion for navigators. In the CEU-accredited article entitled "Recruiting and Retaining Minorities in Oncology Clinical Trials: A Nurse Navigator Perspective," we explore the barriers to participating in clinical trials especially in minority populations and individuals of low socioeconomic status.

We are pleased to publish a second CEU-accredited, original navigation research article this month. In the article entitled "Care and Treatment Decisions in Cancer: The Role of the Family Caregiver," you will read results from the authors' study of caregivers' involvement in treatment decision-making, their educational needs related to decision-making, and barriers to effective communication between caregivers, patients, and the healthcare team.

We hope this issue benefits you in your growth as a navigator. Thank you for making JONS part of your navigation practice.

Sincerely,

Lillie D. Shockney, RN, BS, MAS, ONN-CG
Editor-in-Chief, JONS; Program Director, AONN+
University Distinguished Service Professor of Breast Cancer, Adm Director, the Johns Hopkins Breast Center; Director, Johns Hopkins Cancer Survivorship Programs; Professor of Surgery and Oncology, JHU School of Medicine; Co-Creator, Work Stride-Managing Cancer at Work.
This email address is being protected from spambots. You need JavaScript enabled to view it.

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Best Practices in Breast Cancer – October 2018 Vol 9
Palliative care has a serious identity problem. Seventy percent of Americans describe themselves as “not at all knowledgeable” about palliative care, and most healthcare professionals believe it is synonymous with end-of-life care.1 This perception is not far from current medical practice, because specialty palliative care—administered by clinicians with expertise in palliative medicine—is predominantly offered through hospice care or inpatient consultation only after life-prolonging treatment has failed. This means that the majority of patients who could benefit from palliative care are not receiving it until they are very close to death. To ensure that patients with metastatic breast cancer receive the best cancer care throughout their disease trajectory, palliative care should be initiated alongside standard oncology care, and it should be implemented early.
Last modified: October 7, 2018

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