Episodios

  • Episode 320: What It’s Like to Be a Peer Reviewer or Associate Editor for an ONS Journal
    Jul 12 2024
    “In my role as an associate editor, I truly felt like I was bringing the voices of nurses who were new to oncology or new to writing forward. I was able to provide a venue for those oncology nurses who also wanted to bring forward some of the cool quality improvement projects that they were working on. I was really happy to share that knowledge through this role, so that all the other institutions can learn and maybe implement some of those solutions,” Megha Shah, DNP, FNP, OCN®, charge nurse at Northwestern Medicine Cancer Center Delnor in Geneva, IL, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during about her experience volunteering as a peer reviewer and associate editor for the Clinical Journal of Oncology Nursing (CJON). Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.25 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by July 12, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center’s Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to the role of a peer reviewer and associate editor for an ONS journal. Episode Notes Complete this evaluation for free NCPD. Volunteer Opportunities on ONS Communities Open Call for CJON Peer Reviewers Open Call for Oncology Nursing Forum Peer Reviewers Oncology Nursing Podcast episodes: Episode 73: Overcoming Challenges as a New Nurse Author Episode 25: How Publishing Can Advance Your Nursing Career – Part 2 Episode 24: How Publishing Can Advance Your Nursing Career – Part 1 ONS Voice articles: Publish Your First Article With ONS VoiceThe Power of Peer Review: With a Little Professional Polish, Your Work Will Shine Clinical Journal of Oncology Nursing resources: For AuthorsPeer Review CJON Writing Mentorship Program Oncology Nursing Forum resources: For AuthorsPeer ReviewUpon Further Review: Peer Process Vital to Publishing ONS Career Development Learning LibraryONS Resources for Book Authors and EditorsONS Books Peer Review To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an Oncology Nursing Podcast™ Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “I review an article for relevancy and accuracy, score the article, provide detailed comments and feedback on sections that need improvement or the sections that look wonderful and can go straight to publishing. After that, I submit the article to the editor. You have to meet the deadlines that are given. So, I could say an article on an average takes me about one to two hours to review, which is not bad. And you’re given about three or four days to review an article, so it’s very attainable.” TS 7:23 “Honestly, I wasn’t expecting to be picked for the associate editor position because I did not have any prior experience when I applied. But then soon after I applied, I got a call from the editor of CJON that she had reviewed my resume, she had reviewed my application, and she would love for me to join the team. She couldn’t see me on the call, but I was jumping up and down.” TS 9:24 “It’s fun, it’s rewarding, and I promise it will help you at some point in your career or your personal life. Whether you’re helping to lead a project at work or helping your child to write a paper for school, it’s going to come in handy; I promise you.” TS 17:00 “I feel like one of the biggest common misconceptions is [that volunteering as a peer reviewer] is a lot of work and it’s boring. That’s what I hear some of the nurses say. I disagree with that. I feel like it’s a lot of fun, and it’s rewarding, and it’s a great opportunity. I feel like everybody should try it.” TS 18:47
    Más Menos
    21 m
  • Episode 319: Difficult Conversations About Pregnancy Testing in Cancer Care
    Jul 5 2024
    Episode 319: Difficult Conversations About Pregnancy Testing in Cancer Care “For people diagnosed with cancer that are of childbearing potential, we have to consider how [pregnancy] testing could impact them. So we never know what someone has been through, and it’s important to lead with empathy while providing education of the importance of this testing. So someone may find now that pregnancy testing is a dreaded experience instead of what they thought would be a joyous one,” Marissa Fors, LCSW, OSW-C, CCM, director of specialized programs at CancerCare in New York, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about the psychosocial aspects of pregnancy testing in cancer care. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by July 5, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center’s Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to the patient experience of pregnancy testing during cancer treatment. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast episodes: Episode 311: Standardized Pregnancy Testing Processes in Cancer Care Episode 293: Access to Care: How to Manage Moral Dilemmas and Advocate for Your Patients  Episode 262: LGBTQ+ Inclusive Nursing Care Begins With Using Supportive Language Episode 217: Support Pregnant and Postpartum Patients During Cancer Diagnosis and Treatment Episode 211: Apply the LGBTQIA+ Lived Experience to Your Patient Interactions Episode 208: How to Have Fertility Preservation Conversations With Your Patients ONS Voice articles: Cultural Humility Is a Nursing Clinical Competency The Case of the Pregnancy Predicament Transgender Patient Populations: Inclusive Care Involves Listening and Communicating Trauma-Informed Care Provides Person-Centered Support for Patients During Deep Distress Use Active Listening to Engage More Deeply in Patient Discussions ONS book: Oncology Nurse Navigation: Delivering Patient-Centered Care Across the Continuum (second edition)Clinical Journal of Oncology Nursing articles: Pregnancy and Cancer Treatment: Developing a Standardized Testing Policy and ProcedureUnintended Pregnancy: A Systematic Review of Contraception Use and Counseling in Women With Cancer ONS Congress® abstract: System Approach to Fertility Preservation and Pregnancy Status During Active Cancer TreatmentONS Huddle Cards: Fertility PreservationSexuality ECHO Training Program (Enriching Communication Skills for Health Professionals in Oncofertility)Journal of the National Comprehensive Cancer Network article: Pregnancy Screening in Patients With Cancer To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “In everyday life, pregnancy testing is actually still really complex. It’s more than just the positive pregnancy test and the happy parent we may see on commercials. For those that are hopeful for a positive test, there’s still a lot of anxiety, worry, fear, maybe before, during, or after the results. And I think about how long this person has been trying to conceive and the financial impacts involved, change in family dynamics. What if that test comes back negative? Then I think about the potential disappointment or the heartbreak. I also consider the flipside—those that are scared of a positive result for fears of becoming pregnant for a range of different reasons.” TS 3:40 “I think it’s important to always lead with empathy and kindness and an open mind. So you don’t want to assume you know or understand how a person feels or may respond. Allow your patients to share with you how they’re feeling in a nonjudgmental manner. This could be an incredibly vulnerable moment, and nurses can be a valuable source of support. Take a moment to just listen, normalize their feelings or let them ask questions. And I recognize it can be difficult to know what to say or do, but sometimes just being there for someone in those ways is incredibly meaningful and opens up more effective communication and trust.” TS 8:48 “For the patient that has been trying to conceive, taking another pregnancy test could be so daunting or triggering and bring back so many moments of grief. Seeing the results being negative could be ...
    Más Menos
    35 m
  • Episode 318: Early Mobility for Hospitalized Patients
    Jun 28 2024
    “We put into effect a program that supports guaranteed mobilization of every patient at least twice a day, which is such a huge change from where we were before, where patients were maybe getting out of bed just to go to the bathroom or maybe just to sit in the chair for one meal a day. So it really had a huge impact on overall mobility,” Jennifer Pouliot, MSN, RN, OCN®, clinical program director of oncology safety and quality at Mount Sinai Health System in New York, NY, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about the benefits of mobility in hospitalized patients with cancer. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by June 28, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center’s Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to patient mobility. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast episodes: Episode 195: Exercise’s Effect on Patient and Provider Well-Being Episode 82: Physical Activity Prescriptions in Cancer Care Episode 15: Incorporating Physical Activity in Patient Care  2024 ONS Congress® session: Benefits of an Early Mobility Program for Hospitalized Patients (Presented by Jennifer Pouliot and Mark Liu)ONS Voice articles: Does Dance/Movement Therapy Affect Outcomes for Pediatric Patients With Cancer? During or After Chemo, Exercise Fights Fatigue and Supports Cancer Recovery Exercise Program Improves Quality of Life in Patients With Breast Cancer—and Keeps Them Moving Daily Exercise the Evidence: How I Moved From an Idea to Program Development More Survivors Have Functional Limitations After Cancer What the Evidence Says About Low-Intensity Exercise in Cancer Care What the Evidence Says About Tai Chi in Cancer Care ONS courses: Incorporating Physical Activity Into Cancer Care Quality and Physical Activity Course Bundle Clinical Journal of Oncology Nursing articles: Increased Mobility and Fall Reduction: An Interdisciplinary Approach on a Hematology-Oncology and Stem Cell Transplantation UnitMultimodal Exercise Program: A Pilot Randomized Trial for Patients With Lung Cancer Receiving Surgical Treatment ONS's Get Up, Get Moving resources American Physical Therapy Association’s Activity Measure for Post-Acute Care (AM-PAC)National Database of Nursing Quality Indicators (NDNQI) To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the Oncology Nursing Podcast™ Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “Mount Sinai developed a mobility mission. And this mission included interdisciplinary approach. So that’s talking with the whole team about mobility, knowing the patient’s baseline, documenting and understanding the functional status and that it should not decline during hospitalization. Every patient is mobilized unless medically contraindicated. We have a mission to get patients out of bed for every meal. Physical therapy is not required before nursing can mobilize patients, and then to escalate the inability to mobilize patient to the provider upon admission, so we can address that in real time and see what we can do to make sure that they don’t stay in the bed.” TS 7:30 “We measured the progress of the program through documented mobility interventions, trending the patient’s mobility score and AM-PAC functional assessment, which is the Activity Measure for Post-Acute Care. And then also with NDNQI data like falls, falls with injury, pressure injuries, and then also patient satisfaction surveys.” TS 9:44 “We saw that 76% of our patients, they either maintained or improved their mobility score while they were in the hospital. We had a 6% reduction in excess days. We had a decrease in readmissions, about 6%. And then we saw an increase in our patient satisfaction score about the willingness to recommend the hospital from 63% to 91%. So we found those really powerful, meaningful, and we also had a lot of comment cards from patients highlighting the mobility program.” TS 17:16 “We know the literature is out there. We know the benefits exist. It’s really just about advocating and having a business plan that benefits both the organization, the staff, and the patients. And then pilot; start small. So you learn, you grow, you adjust. You figure out what works, what ...
    Más Menos
    25 m
  • Episode 317: AYAs With Cancer: A Patient’s Experience
    Jun 21 2024
    “I was in this really unique space of being 19. So I’m over the 18 cut-off of peds but diagnosed with Ewing sarcoma, but I was an adult. I was able and supposed to be making my own decisions but treated in a pediatric setting. And not everybody in that setting is expecting to talk to someone who is educated and understands what's going on,” Alec Kupelian, a cancer survivor and operations and program development specialist at Teen Cancer America in Los Angeles, CA, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about advocacy for adolescents and young adults (AYAs) with cancer and his own cancer journey. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by June 21, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center’s Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to the experience of AYA patients with cancer. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast episodes: Episode 307: AYAs With Cancer: Financial Toxicity Episode 300: AYAs With Cancer: End-of-Life Care Planning Episode 9: How to Support Adolescent and Young Adult Patients With Cancer ONS Voice articles: AYA Cancer Survivorship: Younger Survivors Face Different Challenges and Prefer More Casual Support Programs Nursing Considerations for Adolescent and Young Adult Cancer Survivorship Care Have Meaningful Conversations With Pediatric, Adolescent, and Young Adult Patients and Their Families AYA Champions Clinic Fills Gaps in Care and Addresses Unmet Needs ONS book: Oncology Nurse Navigation: Delivering Patient-Centered Care Across the Continuum (second edition)ONS course: Advocacy 101: Making a DifferenceClinical Journal of Oncology Nursing articles: Adolescent and Young Adult Cancer Survivors: Development of an Interprofessional Survivorship ClinicTwo Case Reports on Financial Toxicity and Healthcare Transitions in Adolescent and Young Adult Cancer SurvivorsSexual Health: A Nursing Approach to Supporting the Needs of Young Adult Cancer Survivors Oncology Nursing Forum articles: Integrative Literature Review on Psychological Distress and Coping Strategies Among Survivors of Adolescent CancerPhysical Activity in Young Adult Cancer Survivors: A Scoping Review ONS Huddle Cards: Coping Fertility Preservation Sexuality ONS Learning Libraries: Inclusive CareSurvivorship Teen Cancer America The Monthly DripAYA Oncology Healthcare Professionals Program Advisory Group Stupid CancerAdolescent and Young Adult Cancer Congress988 Suicide and Crisis LifelineSupportive Care in Cancer article: An Actionable Needs Assessment for Adolescents and Young Adults With Cancer: The AYA Needs Assessment and Service Bridge (NA-SB)To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “I joke a lot of the times that cancer was actually one of the best years of my life, and that’s not because it was good necessarily. It’s because that next year, after cancer, was probably the worst year of my life, and that drop-off into that early survivorship was a really brutal experience for me, and from talking to other cancer survivors, for them as well.” TS 3:25 “I talk to a lot of clinicians and a lot of young adult cancer survivors, and the more that I hear other people’s stories, the more clear it is to me that you never know who a patient is going to disclose information to. A lot of those symptoms or side effects or secondary issues that come about from cancer, which complicate every part of your life, it may not come to the [physician]. I was most comfortable with my nurses because I spent time with them.” TS 9:15 “You put your nose to the grindstone, and there’s a good guy, which is you, and a bad guy, which is cancer, and you just get through it. It’s very clear. And you have so much attention and dedicated support. And then when treatment’s over, everybody pats your back, dusts their shoulders, and says, ‘Congrats, go get out there.’ And all that structure goes away, and you are left floundering, trying to reconnect to what you were before and what life looked like. And it’s not always the same. … Most AYA patients would say treatment was the easy part. And those first two years after treatment were the hardest ...
    Más Menos
    47 m
  • Episode 316: Pharmacology 101: Estrogen-Targeting Therapies
    Jun 14 2024
    “Estrogen plays a key role in promoting the proliferation of normal and breast cancer epithelium. So now we have gone from focusing just on the estrogen to also look at estrogen receptors on breast cancer cells and targeting that—and now even to a point of looking at the downstream effects of when the estrogen binds to estrogen receptor of those signaling pathways,” Rowena “Moe” Schwartz, PharmD, BCOP, FHOPA, professor of pharmacy practice at James L. Winkle College of Pharmacy at the University of Cincinnati in Ohio, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about estrogen-targeting anticancer therapies. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by June 14, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center’s Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to estrogen-targeting therapies. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast episodes: Pharmacology 101 series Episode 242: Oncology Pharmacology 2023: Today’s Treatments and Tomorrow’s Breakthroughs Episode 194: Sex Is a Component of Patient-Centered Care Episode 113: Manage Cancer-Related Hot Flashes With ONS Guidelines™ ONS Voice articles: Oncology Drug Reference Sheet: Elacestrant Sexual Considerations for Patients With Cancer: Evidence-Based Approaches to Confront Challenges and Offer Support Oncology Drug Reference Sheet: Alpelisib ONS Guidelines™ Offer Framework for Managing Treatment-Related Hot Flashes ONS courses: Breast Cancer: Survivorship and Quality of Life Breast Cancer: Treatment and Symptom Management ONS/ONCC Chemotherapy Immunotherapy Certificate ONS books: Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice (second edition) Clinical Guide to Antineoplastic Therapy: A Chemotherapy Handbook (fourth edition) Clinical Journal of Oncology Nursing articles: Hot Flashes: Clinical Summary of the ONS Guidelines™ for Cancer Treatment-Related Hot Flashes in Women With Breast Cancer and Men With Prostate CancerHot Flashes: Common Side EffectTreatment-Induced Ovarian Insufficiency and Early Menopause in Breast Cancer SurvivorsTargeted Therapies: Treatment Options for Patients With Metastatic Breast Cancer Oncology Nursing Forum articles: Associations Between Cholecalciferol Supplementation and Self-Reported Symptoms Among Women With Metastatic Breast Cancer and Vitamin D Deficiency: A Pilot StudyComparing Interventions for Management of Hot Flashes in Patients With Breast and Prostate Cancer: A Systematic Review With Meta-Analyses ONS Learning Libraries: Breast Cancer Oral Anticancer Medication ONS Guidelines™ and Symptom Interventions: Hot Flashes Oral Anticancer Medication ONS Huddle Cards: Hormone TherapySexuality Oral Chemotherapy Patient Education Sheets: Managing Hormonal Side Effects/Menopausal Symptoms To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “One of the kind of interesting things about [selective estrogen receptor degraders] is that these novel compounds also reduce the estrogen receptor alpha protein level. That becomes really important when we talk about elacestrant, because when there are mutations in the estrogen receptor protein, this is where this drug is actually indicated.” TS 7:48 “Every time I talk about tamoxifen side effects, I just think about when I was early in my career and we used to talk at some support groups, and I would talk about tamoxifen having no side effects, because we really thought it had no side effects at that time. But we have learned since then that there are side effects because of its effect on other tissues. So one of the things that we have learned is that increased risk of endometrial cancer, and that is something really important for women to be aware of.” TS 10:10 “It’s important to monitor bone mineral density, prior to the initiation of therapy and then usually yearly afterward. And then again, stress some of those lifestyle management strategies: avoiding smoking, to avoid chronic alcohol use, vitamin D and calcium, regular weight-bearing exercises, as well as looking at things such as bisphosphonate therapy or denosumab for prevention of treatment-induced bone loss.” TS 14:...
    Más Menos
    30 m
  • Episode 315: Processing Grief as an Oncology Nurse
    Jun 7 2024
    “I think the reality is that we as humans are having a human experience, some of which is incredible and some of which is terrible. And to deny ourselves the opportunity to feel any of those emotions would be to deny our own human experience. And so processing feelings, and I think the bigger ones in particular, like grief, especially in the work that we do, it’s not only good to do, but it’s part of just what it means to, I think, be a human,” Ann Konkoly, MBA, MSN, APRN-CNM, chief executive officer of Authentic Koaching LLC and Kultivate Women’s Health LLC, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about processing grief in a healthcare context. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 1.0 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by June 7, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center’s Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to processing grief. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast episodes: Episode 264: Stop the Stressors and Improve Your Mental Health as a NurseEpisode 236: Coping With Grief Episode 187: The Critical Need for Well-Being and Resiliency and How to Practice ONS Voice articles: Writing Condolence Cards Supports Nurses as Well as Deceased Patients’ Families When Grief Goes Beyond Burnout, Organizations Must Intervene Peer Groups Offer a Safe Space for Oncology Nurses to Share Lived Experiences Critical Event Debriefings Can Reduce Oncology Nurses’ Risk of Compassion Fatigue and Burnout Moral Injury and Trauma in Nursing: What You’re Feeling Is More Than Compassion Fatigue, but You’re Not Alone Achieve a Healthy Work-Life Balance With These ONS Member-Tested Techniques Involve All Populations in the Nurse Well-Being Conversation Clinical Journal of Oncology Nursing articles: Complicated Grief: Risk Factors, Interventions, and Resources for Oncology Nurses Songs for the Soul: A Program to Address a Nurse's GriefA Concept Analysis of Nurses’ Grief Helping Nurses Cope With Grief and Compassion Fatigue: An Educational Intervention ONS Nurse Well-Being Learning LibraryONS Huddle Card: Moral ResilienceAmerican Association of Colleges of Nursing: End-of-Life Nursing Education Consortium Nurses Living the Good Life podcastTara Brach: RAIN (Recognize, Allow, Investigate, Nurture) TechniqueBooks mentioned in this episode: Permission to Feel by Mark BrackettAtlas of the Heart by Brené BrownTake Back Your Brain by Kara Loewentheil Feelings Wheel To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “Processing is just what we do with these big feelings or these small feelings that come up and how we work through them. And it really depends on the individual and what coping tools and mechanisms that they use. But usually for a lot of people, what we see is that when there is some sort of feeling—like grief—that comes along, one of the most important things that we can do is just to, number one, acknowledge that we are having some sort of a feeling and to then subsequently name it.” TS 2:05 “The brain, usually the limbic system, is driven by these three main things that it wants you to do at all times: It wants you to seek pleasure—number one. Number two, it wants you to avoid pain. And number three, it wants you to conserve energy. … And so from an evolutionary standpoint, it totally makes sense that when faced with a feeling like grief, the limbic system drives us to say, ‘Let’s avoid all that pain, because that feels really heavy and hard, and it’s going to take a lot of energy.’ And so many of us from a purely, you know, as a human approach to things that cause pain, we usually turn away from them.” TS 17:18 “For those of us out there who find we’re somewhat ill equipped and our partners or our colleagues are saying, ‘Boy, what’s going on?’ and we don’t know, the next step is to say, ‘Well, wait a minute. Who can help me kind of figure this out?’ And I think whether it’s therapy, whether it’s a coach, whether it’s a trusted mentor or colleague that you could have a very honest conversation with, whether it’s your employee assistance program that provides you with some resources and support, there’s no ...
    Más Menos
    55 m
  • Episode 314: Plasma and Cryoprecipitate Administration: The Oncology Nurse’s Role
    May 31 2024
    “Transfusion safety is really a registered nurse activity, and I just continue to reiterate the blessing of nursing assessment, getting those vitals before the transfusion, and then monitoring them closely and stopping the transfusion if they have a reaction, because that’s really an assessment, and we can’t delegate that to nonlicensed staff. And so that’s really why we just celebrate that nurses have such a great role in transfusion safety,” Renee LeBlanc, BSN, RN, manager of the infusion services office at Fred Hutchinson Cancer Center in Seattle, WA, told Lenise Taylor, MN, RN, AOCNS®, BMTCN®, oncology clinical specialist at ONS, during a conversation about administration of plasma and cryoprecipitate. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.25 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by May 31, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center’s Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to plasma and cryoprecipitate administration. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast episodes: Episode 234: Oncologic Emergencies 101: Thrombotic Thrombocytopenia PurpuraEpisode 228: Oncologic Emergencies 101: Disseminated Intravascular CoagulationEpisode 196: Oncologic Emergencies 101: Bleeding and ThrombosisEpisode 176: Oncologic Emergencies 101: Cytokine Release Syndrome ONS Voice articles: Nursing Considerations for Adverse Events From CAR T-Cell Therapy Manage Thrombosis in Patients With Cancer ONS courses: Essentials in Oncologic Emergencies for the Advanced Practice ProviderOncologic Emergencies ONS book: Understanding and Managing Oncologic Emergencies: A Resource for Nurses (third edition)Clinical Journal of Oncology Nursing article: STAT: Cytokine Release SyndromeONS Huddle Cards Cytokine Release Syndrome Disseminated Intravascular Coagulation AABB (Association for the Advancement of Blood and Biotherapies, formerly American Association of Blood Banks)American Association of Clinical OncologyBlood Bank Guy (Joe Chaffin, MD)Joint Commission: Patient Blood Management Certification Review Process Guide 2021 To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “Plasma is indicated for massive transfusions and emergent reversal of warfarin therapy–related intracranial hemorrhage. Nurses may also see plasma ordered pre-op for multiple coagulation deficiencies or factor XI deficiency.” TS 2:58 “Surgical centers performing procedures with large-volume blood loss would be a prime location for staff to be experts in transfusing plasma and cryo. Nurses caring for patients with cytokine release syndrome may be familiar with monitoring for hypofibrinogenemia. Cryoprecipitate in this setting may be given more prophylactically than for a patient who’s actively bleeding or having a procedure.” TS 6:48 “Plasma coagulation factors have a short half-life. Transfusing as close to the procedure will ensure the highest level of factor activity at the time of the procedure. Nurses can ensure best outcomes through care coordination and timing the transfusions as close to the procedure as possible. So we don’t want to start transfusing plasma at midnight if the factors are going to be expiring and their procedure isn’t until 9:00 in the morning.” TS 10:40 “One of the questions that I get sometimes, especially with plasma, is, ‘I don’t have time to be at the bedside for 15 minutes for four units.’ Remember that each unit is a different donor, and what they eat, what kind of antibodies they have, whether they were pregnant—it’s all part of that experience. It’s not the same plasma product given four different times or three different times. And so just really drawing nurses into the value of being at the bedside for that first 15 minutes of that final determination of acceptability and tolerance.” TS 14:20
    Más Menos
    18 m
  • Episode 313: Cancer Symptom Management Basics: Other Pulmonary Complications
    May 24 2024
    “Of all the eight different pulmonary toxicities you and I have talked about over these two different podcasts, they’re all very different etiologies and treatments. So, we went everywhere from infection and good stewardship with antibiotics to pulmonary GVHD to diffuse alveolar hemorrhage. And I think that’s what’s the hardest part for us as nurses. It’s not just one thing that’s causing it, and there’s multiple different ways to treat these things,” Beth Sandy, MSN, CRNP, thoracic medical oncology nurse practitioner at the Abramson Cancer Center at the University of Pennsylvania in Philadelphia told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about pulmonary toxicities in cancer treatment. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by May 24, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center’s Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to pulmonary complications in people with cancer. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast episodes: Episode 295: Cancer Symptom Management Basics: Pulmonary Embolism, Pneumonitis, and Pleural Effusion Episode 212: When Cancer Care Gets Complex: Those Other Oncologic Emergencies Episode 206: Graft-Versus-Host Disease: Biomarkers and Beyond Oncologic Emergencies 101 series ONS Voice articles: Pneumonitis With Immunotherapy Treatment The Case of the Post-Transplant Pulmonary Problem How Inhaled Cannabis May Contribute to Pulmonary Toxicity in Patients With Cancer ONS courses: Essentials in Oncologic Emergencies for the Advanced Practice ProviderOncologic Emergencies Treatment and Symptom Management—Oncology RN ONS books: Understanding and Managing Oncologic Emergencies: A Resource for Nurses (third edition) Clinical Manual for the Oncology Advanced Practice Nurse (fourth edition) Clinical Journal of Oncology Nursing article: Influenza Adherence Tool Kit: Implementation and Evaluation Among Allogeneic Hematopoietic Transplantation RecipientsOncology Nursing Forum articles: Community Respiratory Virus Infection in Hematopoietic Stem Cell Transplantation Recipients and Household Member CharacteristicsEmergence of Stereotactic Body Radiation Therapy Multifactorial Model of Dyspnea in Patients With Cancer ONS Huddle Cards: Hematopoietic Stem Cell TransplantationProton therapyRadiationSepsis ONS Guidelines™ and Symptom Interventions: DyspneaAmerican Cancer Society patient resources: Shortness of Breath Infections in People With Cancer American Lung Association To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “[Intensity-modulated radiation therapy] is a type of radiation that can really take into account certain movements. And this is particularly important with the lungs, because we can’t necessarily have patients hold their breath for a long period of time, so the chest rises and falls and the heart beats while you're trying to do radiation to the lungs. So with IMRT, they can simulate that, so that the beam is going to follow that specific movement in that patient. That’s really helpful because then, hopefully, we’re going to keep that radiation dose mostly on cancer tissue and not on healthy tissue. And thus, that should reduce the amount of radiation that’s to the healthy tissue and hopefully reduce pneumonitis.” TS 3:44 “Proton beam radiation is something that we’ve described in the past as radiation that will typically have an entrance dose but not an exit dose, so minimizing toxicity by hopefully around 50%. … If you’re doing proton beam therapy, that radiation is designed to only have an entrance dose from either the back or the front or the side, whichever way they’re going, but then hopefully stop on a dime at that tumor so that they’re only really getting the entrance dose of that radiation. … So in turn, especially if you’re doing that to the lungs, that should minimize dose of radiation to healthy lung tissue.” TS 5:03 “If they’re having a fever, low blood count, thick ugly mucus, this often, typically can be infection as well. And then get a chest x-ray because, a lot of times I’ve been saying for a lot of these things, we need a CT scan to see this. ...
    Más Menos
    34 m