Volume 18, Issue 1 Capitol Chapter Notes
Wisconsin Capitol Chapter
Oncology Nursing Society
Wisconsin Capitol Chapter
Officers for 2011
Wisconsin Capitol Chapter members recently elected the following new
officers to the board:
President-Elect – Lisa Meschke
IOL in Brief . . . . . 1 Treasurer-Elect – Cheryl Blaskowski
Kathy Rothering’s Congratulations! The Wisconsin Capitol Chapter commends you for
IOL in Brief . . . . . 4 your commitment to ONS and your willingness to serve its members.
Elections . . . . . . 5 IOL in Brief by Cassie Voge
If you’re interested in accessing the IOL Syllabus, click on
Club donations . . 5
Cancer as a Family Diagnosis (page 136 of syllabus)
This was one of the most powerful presentations I attended, in that it was told
Board Members. . 6 from the viewpoint of nurses who were also patients undergoing cancer
treatment. These three oncology nurses also covered family issues that arise in
oncology treatment. The speakers used case studies and gave examples to
illustrate ways of helping families cope. They provided tips for caregivers and
information about family/caregiver resources.
Ten Tips for Cancer Caregivers
Find YOUR Support System
If you have any articles or
items of interest for upcoming Relieve Your Mind, Recharge Your Body
newsletters, please send them Take Comfort in Others
to: Plan for the Future
Accept a Helping Hand
Be Mindful of YOUR Health
Alternatively, mail them to: Consider Stress-Management Techniques
Do What You Can, Admit What You Can’t
Kathy Rothering, RN, BSN, Nurses are CAREGIVERS too!!!
Cancer Center Recommended Web Sites for Patients and Families
600 Highland Avenue, K4/647
Madison, WI 53792 www.CaringBridge.org
Capitol Chapter Notes Page 2 of 6
Cassie’s IOL in Brief cont
Caregiver Assessment Questions
1. Who is the primary family caregiver?
2. How confident do you feel to provide emotional/physical care?
3. How well are you, family members, and the patient communication about the
4. How are you managing the stress that caregivers often experience?
5. What social support services are available to you and your family?
6. What kind of information do you want or need to help you cope?
7. What is your family’s greatest challenge, concern or problem, right now?
―6th Vital Sign‖
Measures mood, powerlessness, fear, etc.
Score range 0-10, 10 = extreme distress
Score of 4 or more identifies need for further evaluation and possible intervention
Oncologic Emergency: Malignant Pleural Effusion (page 202)
These APNs presented the pathophysiology of pleural effusions, as well as the
clinical presentation, diagnostic workup and nursing/medical management for
patients with this complication.
A great YouTube video that was shown within this presentation (8-minute
thoracentesis video from New England Journal of Medicine):
www.youtube.com/watch?v=Tbzb2TwDno - start at minute 3:25 for actual
Cassie’s IOL experience was funded by the Mary Scherbring
Conference Scholarship established in 2007 by the Southeast
Minnesota Chapter of ONS in memory of their colleague Mary
Scherbring. Mary, a long time member of the Southeast Minnesota
Chapter, was an oncology nurse at the Mayo Clinic when she was
diagnosed with a rare form of lymphoma in February 2007. Mary, an
advocate for oncology nursing continuing education, chaired the
planning committee for the 2006 ONS IOL conference.
Volunteers for the Nominations and Membership
We need you to start by May/June 2011.
Grab a friend or 2 and join us. Past Treasurer, Judy
DeMuth has volunteered to manage the spread sheet, so
the work is already cut in ½!
Contact a board member for more information.
Cassie Voge and Teri Kuntzsch have co-chaired this
committee for many years. Cassie would like to take on a
new challenge and has volunteered to manage our Capitol
Chapter’s virtual website! Thank you both for your
dedication and service.
Capitol Chapter Notes Page 2 of 6
Higher incidence in women
Median survival: 4 months
o Transudative: watery, clear, pH>7.4, low protein, usually
o Exudative: high protein, less watery, sometimes bloody,
pH<7.3, typically malignant
Pleurodesis common agents
o Talc (success rate is 70-100%)
o Bleomycin (success rate is 64-84%)
o Doxycycline (success rate is 60-81%)
o Controversial which agent is best, though a Cochrane Review
showed talkc to have the lowest chance of recurrence
No studies have demonstrated superiority of one type of indwelling
catheter over another
An interesting fact: during thoracentesis/tube placement, the practitioner must
slide the needle over the rib, not under due to innervation/pain (even though the
site is anesthetized).
Healing vs. Cure (page 240)
Ann Berger, the Chief of Pain and Palliative Care at NIH (National Institutes of Health
Clinical Center at Bethesda, MD) presented this final presentation for the
conference. Her summary: ―Just as health is more than the absence of physical
illness, so too palliative care is more than the absence of disturbing physical
symptoms. Healing involves the transition from hopelessness to wholeness.
Healing can occur in the context of compassionate relationships. This lecture will
focus on the definition on healing, how it may occur and how nurses and any
health care provider may be able to help the patient, with healing presence, heal.‖
She spoke in depth about spiritual/emotional pain and suffering. She utilized
audio clips from patients that truly highlighted these issues and brought them into
Highlights and Quotes:
You can’t die cured, but you can die healed. Healing is about a sense of wholeness as a
person, and that wholeness includes understanding our ―mortality, our place in the
world—death is not a betrayal of life, but a part of it. • Dan Frimmer M.D. • TIME
It is not the suffering that is most important but the growth and transformation that
result from it. •Suffering is the catalyst for change
Capitol Chapter Note
We are often more comfortable in dealing with the physical ailments than in the Page 4 of 6
underlying ―emotional issues which are the root cause. John Sarno, MD Healing Back
Just as you ought not to attempt to cure eyes without head or head without
Capitol Chapter Notes Page 5 of 6
IOL in Brief Continued by
Kathy Rothering Life
The Council of Dads is not about
Keynote speaker and best selling author Bruce Feiler captivated his audience as he waiting
took us on his journey with cancer. He was funny, serious, poignant, and inspiring as
he related the story of his diagnosis with a rare sarcoma in his leg and his concern that for the
he may not survive to share his passions and influence the lives of his daughters.
Bruce identified 6 traits he possessed that he wanted passed down to his girls. (love storm
of travel, humor, etc.) He carefully chose 6 male friends and asked each to be
responsible for becoming his voice and sharing a specific trait with his daughters if he to pass,
didn’t survive. His book, The Council of Dads is the story of his cancer experience
and the special friends he chose to ensure his girls would know their dad through his it’s about
life passions. Bruce Feiler is one of those special people who dances in the rain. He
is an inspiration to all. learning
How to Plan, Implement, and Sustain an Effective Survivorship Program to dance
I spent Friday afternoon at this survivorship workshop. It was heartening to learn that in the
the challenges our UW Survivorship Committee face are universal challenges, starting
with defining ―survivorship‖ and choosing an acceptable name. Three APNs from 3 rain.
different facilities, George Washington Cancer Institute, Sanford Cancer Center
Hematology and Oncology, and Michigan State University presented their programs.
Resources varied widely. Settings were urban, rural, and academic. All agreed, Anonymous
financial support and sustainability are challenges faced by programs large and small.
Survivorship starts at the time of diagnosis and includes the patient, their family,
friends, and caregivers. Because of advances in diagnosis and treatment, there are
approximately 12 million cancer survivors in the U.S. today and that number is
predicted to grow to 20 million by the year 2020. Survivors are multi-faceted
individuals and survivorship programs need be too, addressing the physical,
psychological, social, and spiritual well-being of its individuals. Two models of care
were presented. The Business Model has ongoing assessments and revisions, a
budget, a business plan structure, and goals. The Logic Model outlines short,
intermediate, and long-term objectives, provides a methodical way to capture and
document results, makes provisions for change, and provides a tool to keep the
The take home message was decide what you want to provide and build on your
strengths. Start slow with measurable objectives. Know your infrastructure, staffing
capacity, knowledge base, and funding resources. Demonstrating program success
will help sustain funding.
Recommended website: www.gwumc.edu/casnp
I would like to thank the ONS Capitol Chapter for my IOL
scholarship. Congress and IOL are wonderful ways to
renew your passion for oncology nursing. Apply today!
IOL in Brief continued Kathy Rothering Distributive
Where’s the Line? Ethical Economics and Health Care
To Each Person:
In collaboration with the Ethics Special Interest Group (SIG), Gabriela share?
The One-A-Week Club
The ONS/Red Cross Blood drive is being held
January 17 - February 3rd. Let them know you’re
an ONS Capitol Chapter member and get a small
thank you gift, not to mention the satisfaction of
giving. Contact Stephanie Youngbauer for details.
Don’t forget to vote in the ONS National elections
on the ONS website. Voting ends February 15th.
A $1000 bonus will be given to a small, medium,
and large chapter with the greatest percentage of
voting members. It could be us!
Capitol Chapter Notes Page 6 of 6
President – Nancy Dendaas
President Elect – Lisa Meschke
Chapter Secretary – Kendra O’Connell
Treasurer – Kimberly Brandt
Capitol Chapter Notes
Oncology Nursing Page 4 of 5
Treasurer Elect – Cheryl Blaskowski
Educational Coordinator – Bethaney Campbell
Nominations/Membership Chair – Cassie Voge and Teri Kuntzsch
Newsletter – Kathy Rothering and Hollis Spaier