Showing posts with label cancer diagnosis. Show all posts
Showing posts with label cancer diagnosis. Show all posts

Tuesday, February 15, 2011

Oncology (Cancer) Nurses on: The Nurse Friendly

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Annette Tersigni RN, Yoga Nursing®:"I am the founder of Yoga Nurse Medical Yoga and Stress Management and am the creator of the enlightening new field of Yoga Nursing® and the Yoga Nursing Institute. Yoga Nursing is the marriage of modern nursing science with the ancient science of yoga. My programs are endorsed by lots of doctors and health care providers as a safe therapy to decrease pain and suffering and help folks to find peace instead of going to pieces. I have dedicated the past 16 years educating people around the world on leading healthier, spiritual lifestyles and with a dose of tough love and loads of laughter helped them to WAKE UP and GET CONSCIOUS NOW.

I am a sought after no barriers heart felt speaker, coach, teacher and writer and am featured extensively in the media including in the Associated Press and on NBC, CBS, Fox News affiliates and have been interviewed on national TV by Arielle Ford as one of America's Experts. I am producing, writing, and acting in several DVD documentary/educational projects: I am training and coaching other nurses, yoga teachers and health professionals throughout the USA and Canada to be Yoga Nursing Therapists and I lead fantabulous Yoga and Juice fasting Makeover Retreats on the magnificent Pyrate laden Crystal Coast of North Carolina. My programs our hip, conscious, filled with hilarious humor, enlightening and designed to inspire and leave a legacy. This is the most prolific, jamming and juicy time of my life and I get to do it all by serving others. SERVING RULES!"
Street Address: 103 short st apt. E
Beaufort, North Carolina, 28516
E-mail Address: theyoganurse@gmail.com
Phone: 252.725.1924
Facebook: http://www.facebook.com/profile.php?id=629639595&v=info
Homepage Address: http://www.yoganurse.com
http://www.nursingentrepreneurs.com/tersigni

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See also: Breast Cancer Debra L. Fore, RN, MSN, Vista HealthCare Consulting:"Legal Nurse Consultant, primarily Medical Malpractice and Personal Injury, Social Security Claimants' Representative."
Specialty areas: Adult Critical Care, Disability, Legal Nurse Consultant, Medical Malpractice, Oncology, Personal Injury, Renal Dialysis, Social Security Claims Telemetry-Step Down
http://www.nursingexperts.com/fore/

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Nelson Louise M., CRNI, BS

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Rowley Karen, R.N.

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Ann Wallace, BA, RN: Legal Nurse Consultant, Tennessee, Emergency Department, Nurse Consultant, Neuro Intensive Care Unit (ICU), Oncology
http://www.nursingentrepreneurs.com/wallace/

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Joni Watson @joniwatson Austin, Texas:"Nonprofit Director, RN, OCN, wife, mom, Christ lover, shoe junkie, reader, blogger, and oh, so much more."
Twitter: http://twitter.com/#!/joniwatson
http://www.nursetopia.net

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Claire Westwood, RGN, RSCN, BA Health Studies (UK), happynurses.co.uk:"Claire Westwood is a trained nurse and inspirational life coach. She has been a nurse since 1985 and has worked in a variety of areas in adult and paediatric care. She is now a life coach and the founder of “happynurses” with a mission to create a million happy nurses. Claire works with individual nurses who feel overwhelmed and ‘stuck’ in life, enabling them to create fulfilling, balanced lives for themselves. She also enables employers who have high levels of absence or high staff turnover to raise their staff morale and reduce sickness and stress amongst their teams."
happynurses.co.uk
Claire Westwood, RGN, RSCN, BA Health Studies (UK)
Kenilworth House
Cheltenham, Gloucestershire, UK
E-mail Address: claire@happynurses.co.uk
http://www.nursingentrepreneurs.com/westwood/

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Oncology Nursing, Johns Hopkins Nursing:"As one of the National Cancer Institute's designated comprehensive cancer centers, The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins is recognized as one of the world's best. Nurses use knowledge and research to set standards for oncology care. Our unique environment affords nurses the opportunity to practice ambulatory, acute, critical, and palliative care using state-of-the-art technology. Emphasis is placed on providing individualized patient and family-centered care. We offer support to patients which focuses on living with cancer."
Johns Hopkins University and Health System
720 Rutland Avenue, Baltimore, Maryland 21205, USA
1-800-765-5447, careers@jhmi.edu
http://www.hopkinsmedicine.org/nursing/specialties_units/oncology/index.html

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Angiogenesis Inhibitors:
http://www.prescriptionforviagra.com/drugs/antiangiogenesis.htm

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Last updated by Andrew Lopez, RN on Monday, January 18, 2011

Friday, February 4, 2011

Jeffrey L. Sturchio: The Global Burden of Cancer

Most of us in developed countries have dwelled in the shadow of cancer. We've anxiously awaited a test result, become intimate with chemotherapy for ourselves or a loved one or held vigil at a bedside.

During those intense and often tragic periods, we usually have options -- education, treatment, pain relief and sometimes, blessedly, remission and recovery -- that is, if we happen to reside in a wealthy country. Not so for millions of others, adults and children alike, in poorer countries where more than 70 percent of all cancer deaths occur yet five percent or less of cancer resources are allocated to the people living there, despite the growing cancer burden.

Cancer is the leading cause of death worldwide, killing more people than AIDS, tuberculosis and malaria combined. The cancer burden in low- and middle-income countries is increasingly disproportionate. Globally in 2009, there were an estimated 12.9 million cases of cancer, a number expected to double by 2020, with 60 percent of new cases occurring in low- and middle-income countries.

Not only do these countries carry more than half the disease burden, they lack the resources for cancer awareness and prevention, early detection, treatment or palliative options to relieve the staggering pain and human suffering if the disease is untreated -- an unthinkable outcome for people who have cancer in rich nations.

Cancer also has the most devastating economic impact of any cause of death in the world, according to the recent landmark report, "The Global Economic Cost of Cancer," released by the American Cancer Society and Livestrong. Premature deaths and disability from cancer cost the global economy nearly 1 trillion dollars a year. The data from this study provides compelling evidence that balancing the world's global health agenda to address cancer more effectively will save not only millions of lives, but also billions of dollars.

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Saturday, January 1, 2011

Discussing cancer treatment with the terminal patient, KevinMD.com

“Are you giving up on me?” My patient looks at me severely. “There must be other treatment options! Aren’t there some experimental drugs out there? I have beaten this cancer twice before. Are you saying that I can’t beat it again?”

No one can ever know with absolute certainty whether my patient’s newly recurrent cancer might miraculously disappear with one more treatment. His recurrence, however, has developed very quickly and is growing very rapidly. New cancer nodules are developing weekly. I have never seen a patient with a cancer this aggressive have a meaningful, sustained response to further treatment. The research literature confirms my impression.

It is always difficult to know what to recommend. Although “no further treatment” is always an alternative, I routinely run through all of the options, reviewing whatever is available, and hoping that we land on the combination that offers that improbable, one-in-a-thousand cure. However unlikely, we sometimes set up appointments and hope for the best.

Today, though, my sense is that it is time to focus on new goals.

The decision not to pursue more studies and more treatment can be very, very difficult. Surgeon and journalist Atul Gawande in an essay in The New Yorker entitled “Letting Go,” writes about how difficult it can be for physicians and patients to halt cancer treatment as the end of life draws near. The dilemma, he concludes, “arises from a still unresolved argument about what the function of medicine really is — what, in other words, we should and should not be paying for doctors to do.” In Gawande’s view, the profession should equip and supply doctors and nurses “who are willing to have the hard discussions and say what they have seen …”

Article continues at KevinMD.com
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Wednesday, December 15, 2010

Cancer patients die too often in hospitals, study says - The Boston Globe

Researchers at the Dartmouth Atlas Project in Lebanon, N.H., analyzed the records of 235,821 Medicare patients ages 65 and older who died between 2003 and 2007. Overall, the researchers found that one-third of patients spent their last days in hospitals and intensive-care units. But there was a big range. At one end was Manhattan, where 46.7 percent died in the hospital. In contrast, 7 percent of cancer patients died in the hospital in Mason City, Iowa.

While chemotherapy and other aggressive procedures can prolong life and enable some cancer patients to return home and to work, studies have shown that these treatments have little or no value for frail elderly patients and those with advanced cancer. But 6 percent of patients received chemotherapy in their last two weeks of life, and the rate was much higher — more than 10 percent — in some places, the researchers found.

Similarly, more than 18 percent of cancer patients were placed on a feeding tube or received cardiopulmonary resuscitation in their last two weeks of life in Manhattan, compared with less than 4 percent in Minneapolis.

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Thursday, December 2, 2010

Facing Cancer, Sharing Laughter, Theresa Brown, RN

It’s the rare patient who copes with the stress of cancer by being a comedian, but a few people do. I have always found these patients not only funny, but fascinating.

One patient, a middle-aged woman, very thin, with an elfin face, got bad news on morning rounds. With the medical team at her bedside, she gestured toward the physician, then looked at Todd, her nurse for that shift, and asked in an innocent tone, “Does he know about our baby?”

Theresa BrownJeff Swensen for The New York Times Theresa Brown, R.N.

Todd said he turned every possible shade of red, but it was the kind of comment we’d all come to expect from this sardonic patient. She told us that she wanted her tombstone simply to list all the men with whom she’d ever been intimate. When one particularly somber doctor made his rounds, she scolded him for failing to order her a nightly martini.

We don’t need Freud to point out the unconscious desire expressed by this spirited middle-aged woman, who, faced with her own mortality, joked that she was still a sexually active party girl.

Another patient managed to find his own dark sense of humor in the midst of a dreadful chemotherapy session. The particular drug he needed required that I sit in the room and slowly inject it into his intravenous line. We call it “pushing chemo” because the drug comes in huge syringes that we use to literally push chemo into the patient’s veins. It takes about 20 minutes to get all the drug in, and during the process I was swathed in special blue plastic gowns that covered me from head to toe, and two layers of thick blue plastic gloves, to protect myself from this toxic drug that can blister skin.

Not only was the patient completely unprotected, but I was shooting the drug right into his veins. That paradox was not lost on him, and he called the chemotherapy “poison.” To heighten the sense of irony, the drug resembles orange soda in color and consistency, but all the checks and double-checks we go through before administering it show it is not that sweet drink from my childhood.

The patient had a female friend visiting, and they were watching a television program about a white supremacist group. While I sat there, pushing the chemo into his veins, he started riffing on how he was the only African-American member of the group. It wasn’t so much what he said as how he said it, and he had me laughing so hard I almost cried. It was, of course, an unsettling topic about which to joke, but maybe that’s why he chose it, venturing into forbidden humor as a way to cope with the unsettling circumstances of his treatment.

I remember another patient, a union organizer, who was hospitalized for treatment during the months just prior to the 2008 presidential election. I had evening shift that day, and the patient’s frustration grew as he watched coverage of the campaign on television. He saw the election as potentially historic, and wanted to be out campaigning. Instead, his cancer kept him stuck in a hospital bed.

He started telling a series of off-color jokes that I won’t repeat. I was busy caring for patients, but while I was out of the room he would think up a joke for me, and then tell me the joke the next time I came in. Each time the joke would be more outrageous, and each time he would say, “I really cleaned that one up for you.”

I suppose I should have been offended, but I wasn’t. I’ve never been in the hospital with cancer, but I’m pretty sure I would find it exhausting and terrifying. As coping strategies go, I could handle his racy humor just fine.

At the end of James Thurber’s short novel “The 13 Clocks,” a prince and princess have achieved a fairy-tale happy ending. They are advised to “Remember laughter. You’ll need it even in the blessed isles of Ever After.”

And that is what I like to remember from caring for these patients — the laughter. A patient and a nurse, sharing some laughs, lifting for a few hours the dark cloud created by disease.

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
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Monday, November 15, 2010

Should tobacco companies pay for smokers' CT scans to screen for lung cancer?

According to a potential ruling in Massachusetts, tobacco companies will have to pay for smokers’ screening CT scans.

The Boston Globe (via Doug Farrago) writes that the decision “would allow thousands of other Massachusetts smokers to join the lawsuit, which covers people 50 or older who have smoked at least one pack a day of Marlboro cigarettes for at least 20 years,” and, “if a jury sides with the smokers, Philip Morris could be required to pay for each patient’s low-dose computed tomography scan, which can detect early-stage lung cancer.”

Now, I’m all for penalizing tobacco companies, but there some unintended consequences here.

First, there is no evidence that CT scans for early detection of lung cancer saves lives. In fact, the USPSTF doesn’t recommend it.

Second, what happens if the CT scan detects all sorts incidental findings, like benign masses that necessitate further workup? Indeed, a lung biopsy may be needed to definitively exclude cancer, which itself can lead to bleeding, infection, or other complications.

Would the tobacco companies pay for the additional tests that stem from the screening CT scan? If not, this decision will only further fiscally burden our health system.

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Andrew Lopez, RN
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Thursday, November 11, 2010

Prevent Cancer Foundation-About Us

Our mission is to advocate and support the prevention and early detection of cancer through research, education and community outreach to all populations, including children and the underserved. We envision a future where cancer incidence and mortality will be significantly reduced through preventive measures. We carry out our mission in three main ways:

  1. by funding research that helps us better understand how to prevent cancer;
  2. by educating people about how they can prevent cancer; and
  3. by reaching out to communities across the country through our resources, events and partnerships with other organizations

Since 1985, we have provided more than $120 million in support of cancer prevention research, education and outreach programs nationwide and have played a pivotal role in developing a body of knowledge that is the basis for important prevention and early detection strategies. We have funded nearly 400 scientists at over 150 leading medical institutions across the country. Our public education programs have applied this scientific knowledge to teach the public on ways they can reduce their cancer risks.

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Cancerwise | Cancer blog from MD Anderson Cancer Center

Learning you have cancer is scary and confusing enough.

Thinking about how you'll manage to keep your job during cancer treatment adds another layer of worry and stress.

A three-part series in Network, MD Anderson's newsletter for patients, survivors and caregivers, is exploring ways to cope with your job after a cancer diagnosis.

From deciding whom to tell (or whether to disclose your diagnosis at all) to making a plan to deal with job responsibilities, to knowing your legal rights, the series aims to be relevant and meaningful.

marisaramirez_network1.jpgThe first article, in Network's summer issue, featured cervical cancer survivor Marisa Ramirez, who found her job a refuge in a time of uncertainty.

"I really didn't know who I was going to be as a cancer patient. But I knew how to go to work Monday through Friday, doing media relations for Interfaith Ministries," she recalls.

"I put my back up against that, and it helped me be more positive."

Ramirez says her coworkers offered prayers and support, but "followed my lead" when it came to dealing with her illness.

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