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Caring for Cancer Patients Vicki Norton, MHA, RN, OCN Clinical Nursing Director, Park Nicollet Methodist Hospital Director-at-Large, ONS Board of Directors.

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Presentation on theme: "Caring for Cancer Patients Vicki Norton, MHA, RN, OCN Clinical Nursing Director, Park Nicollet Methodist Hospital Director-at-Large, ONS Board of Directors."— Presentation transcript:

1 Caring for Cancer Patients Vicki Norton, MHA, RN, OCN Clinical Nursing Director, Park Nicollet Methodist Hospital Director-at-Large, ONS Board of Directors

2 Working with Cancer patients: what you need to know How many cancer patients are there? What healthcare settings will I find oncology patients? What is some basic information to know about cancer? What are my resources to care for cancer patients? How would I know if I’d be a good oncology nurse?

3 Why do all nurses NEED to know about cancer? # that have been touched by cancer in their families / significant others # that have supported a walk/run/fundraising event for cancer # that have cared for patients with a cancer diagnosis in a nursing clinical experience # that expect to care for patients with cancer

4 “This book is a history of cancer. It is a chronicle of an ancient disease – once a clandestine, “whispered- about” illness – that has metamorphosed into a lethal shape- shifting entity imbued with such penetrating metaphorical, medical, scientific, and political potency that cancer is often described as the defining plague of our generation.” Siddhartha Mukherjee (Author’s Note, xiii) The New York Times Best Seller

5 2014 Statistics All Sites New Cases = 1,665,540  Male = 855,220  Female = 810, 320 Deaths = 585,720  Male = 310,010  Female = 275,710 Percent Surviving 5 Years = 66.1% 2004-2010 www.cdc.gov/cancerfacts

6 Percent Surviving 5 Years Top four causes of death in U.S. Heart disease (24.5%) Cancer (23%) Chronic Respiratory Disease (6%) Stroke (4%) www.cdc.gov

7 Percent Surviving 5 Years Top 4 causes of cancer deaths Male Lung Prostate Colon/rectum pancreas Female Lung Breast Colon/rectum Pancreas www.cdc.gov

8 Percent Surviving 5 Years What % of Americans will get cancer? Lifetime Risk of Developing Cancer: Approximately 40.4 % of men and women will be diagnosed with cancer at some point during their lifetime. Prevalence of cancer: In 2015, there will be an estimated 14.5 million people living with cancer in the United States (~5% of population). www.cancer.org

9 Percent Surviving 5 Years Healthcare settings with oncology patients Primary Care Clinics Women’s Health Centers Cancer Centers Infusion Centers Rural & Metro Hospitals Rehabilitation Facilities Home Care Long-term Care Palliative Care End-of-Life Care

10 Percent Surviving 5 Years Hot Topics in Cancer Care 2015 Genetics New treatment modalities Palliative Care/End of Life Care Assisted Suicide Survivorship

11 Percent Surviving 5 Years Oncology Nursing: The Application of Cancer Genetics and Genomics Throughout the Oncology Care Continuum “Advances in the understanding and application of cancer genetics (i.e., single gene hereditary disorders) and cancer genomics (i.e., the identification of multiple genes, DNA sequences, and proteins and their interaction with one another) have dramatically changed the practice and implementation of cancer risk assessment, risk reduction, prevention, screening, diagnosis, therapeutics, and options for personalized health care.” www.ons.org/positionstatements

12 End of Life Issues The American Nurses Association, in its position statement Registered Nurses’ Roles and Responsibilities in Providing Expert Care at the End of Life states: “Respect for persons is a fundamental principle of bioethics; ensuring respect for persons includes honoring their wishes regarding treatment decisions.” www.nursingworld.org

13 Percent Surviving 5 Years Assisted Suicide The Hospice and Palliative Care Nursing Association (HPNA) has a position statement called Legalization of Assisted Suicide: We.. “Affirm the value of end-of-life care, which includes aggressive and comprehensive symptom management; open and honest communication about prognosis, treatment options and the dying process; ongoing discussion about patients’ goals of care; and psychosocial and spiritual support for patients and their families; and bereavement services.” www.hpna.org

14 Percent Surviving 5 Years Survivorship Statement “Many survivors face distinct and serious health care issues. Cancer survivors are at increased risk for long-term morbidity and premature mortality, related directly to the cancer itself, to preexisting comorbidities, and to exposure to therapy.” jco.ascopubs.org

15 Percent Surviving 5 Years Cancer Basics Cancer starts when cells in a part of the body start to grow out of control. In normal cells, when the cell DNA changes for any reason, the cell either repairs or dies In cancer cells, the cell does not repair or die but starts to replicate the damaged cells Grows into a tumor in an organ or multiplies in the blood or lymph systems Cancer cells travel (metastasize) to other parts of the body through the bloodstream or lymph system Cancers are named based on the place that it originates, not necessarily where it is found

16 Percent Surviving 5 Years

17 Cancer Risks Age Smoking Sun Exposure Previous radiation exposure Diet Genes Infections Other – chemicals www.cancer.org

18 Percent Surviving 5 Years 7 signs of cancer C-A-U-T-I-O-N Change in bowel or bladder habits A sore that does not heal Unusual bleeding or discharge Thickening or lump in the breast, testicles, or elsewhere Indigestion or difficulty swallowing Obvious change in the size, color, shape, or thickness of a wart, mole, or mouth sore Nagging cough or hoarseness www.cancer.org

19 Percent Surviving 5 Years Other Symptoms Persistent headaches Unexplained loss of weight or loss of appetite Chronic pain in bones or any other areas of the body Persistent fatigue, nausea, or vomiting Persistent low-grade fever, either constant or intermittent Repeated infection www.cancer.org

20 Percent Surviving 5 Years Treatment Prevention Early diagnosis Surgery Radiation Bone Marrow and Stem Cell transplants Chemotherapy/Biotherapy Targeted Therapies

21 ONS Clinical Practice Resources www.ONS.org Clinical Inbox Do you have a hands-on question for the ONS education team? Email our experts at clinical@ons.org.clinical@ons.org Putting Evidence into Practice Learn which treatments are most effective for patients with cancer—and which aren’t. Visit the PEP webpages to learn about interventions for more than 20 different cancer topics.PEP webpages ASCO/ONS Chemotherapy Safety Administration Standards The gold standard for chemotherapy administration, applied by institutions everywhere to ensure the safest care for nurses and their patients.chemotherapy administration

22 Percent Surviving 5 Years Putting Evidence into Practice ONS Resource 20 topics Anorexia Constipation Depression Diarrhea Fatigue 15 more

23 Percent Surviving 5 Years Survivorship What does that mean for nursing care? – All healthcare settings – Long term effects of treatment – Symptom management – Reoccurrence – Anxiety for patient – Advanced Care Planning

24 Palliative and End-of-Life Care Symptom Management Quality of Life discussions Ethical Issues Family dynamics Comfort Care/Hospice

25 End-of-Life Nursing Education Consortium (ELNEC) Nursing care at EOL Pain Management Symptom Management Ethical Issues in Palliative Nursing Communication Cultural Considerations in EOL care Loss, Grief, Bereavement Achieving Quality Palliative Care Preparation for and Care at the Time of Death Information about ELNEC Courses: http://www.aacn.nche.edu/ELNEC

26 Percent Surviving 5 Years Oncology Nursing as a Profession What does it take? – Knowledge – Critical thinking – Technical skills – Psychosocial skills – Compassion – Empathy – Self care – Called – Life-long learning

27 Percent Surviving 5 Years Oncology Nursing Society Student discounts on membership Scholarships through the ONS Foundation for education Resources and educational offerings on caring for oncology patients Leadership and volunteer opportunities

28 Free Membership


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