February 2018 Vol 9, No 2

The beginnings of the Academy of Oncology Nurse & Patient Navigators (AONN+) were based on empiric knowledge that navigating patients through the maze of cancer care improves their clinical outcome as well as their experience.
This report evaluates the quality of that evidence and provides a plain language review of the statistics regarding the efficacy of High-Potency Polymerized Cross-linked Sucralfate as well as the inherent limitation of some guideline-supported therapies.
The survivorship care plan (SCP) is used to assist cancer survivors with the transition from active treatment to the survivorship phase; all nurses play a significant role in the delivery of this vital aspect of survivorship care.
Poor health literacy can lead to poor health outcomes. Helping patients to comprehend complex health information decreases their risk of negative outcomes while providing an optimal approach to patient-centered care.
To advance quality patient care and ensure all parties are working toward a common goal, navigators must integrate with oncology/hematology physician practices. At the AONN+ 8th Annual Navigation & Survivorship Conference, Tricia Strusowski, RN, MS discussed approaches to integration.
Leigha Senter-Jamieson, MS, LGC, and Associate Professor at The Ohio State University, discusses the ever-evolving landscape of cancer genetics and genomics and informed navigators how best to broach the subject with their patients while still prioritizing their treatment preferences.
As the number of patients receiving immune checkpoint blockade grows, the combination of radiation and immunotherapy has become increasingly relevant, particularly in the palliative care setting, where radiation is used to treat painful lesions, brain metastases, or isolated progression.
The prevalence of fatigue is very high across the cancer continuum, with approximately 60% of advanced cancer patients experiencing this condition.
Immunotherapy has changed the landscape of oncology, particularly in advanced metastatic disease, where the chance of prolonged remission is now measured in years or even into the early decades in some cancers.
In patients undergoing radiation therapy for painful bone metastases, results from a multicenter randomized trial suggest that pain management education may reduce pain intensity. According to data presented at the 2017 Palliative and Supportive Care in Oncology Symposium, controlled pain, which was defined as a pain score lower than 5 (out of 10), was reached faster and by more patients with the addition of nurse-led pain education compared with standard of care. However, no significant differences were found between the groups in quality of life.
A recent survey by Consumer Reports shows that nearly 90% of Americans would prefer to die at home, focused on comfort, and yet, two-thirds of Americans over the age of 65 years end up dying in a healthcare setting, intubated, and in considerable pain.

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