Newsletters - Oncology Nursing Society

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					   January 2011
   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
Cassie Voge’s
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.

ONS National
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
                                       Gather Information
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!!!
UW Comprehensive
Cancer Center                          Recommended Web Sites for Patients and Families
600 Highland Avenue, K4/647
Madison, WI 53792            
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?

                        Distress Thermometer

                        ―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):
               - 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
              Fluid Analysis
                   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
                   o Tenckhoff
                   o PleurX
                   o Aspira

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
Magazine, 2000

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
program focused.

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:
            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:

                                                                                                  An equal
    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

                        Board Members

                        President – Nancy Dendaas

                        President Elect – Lisa Meschke
  Wisconsin Capitol
           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

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