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Kristen Fessele Webinar 5 16-12
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Kristen Fessele Webinar 5 16-12


Managing Your Symptoms and Treatment Side Effects - presented by: Kristen Fessele, MSN, RN, ANP-BC, AOCN …

Managing Your Symptoms and Treatment Side Effects - presented by: Kristen Fessele, MSN, RN, ANP-BC, AOCN

Research Associate - Oncology Nursing Society

Published in Health & Medicine
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  • 1. Welcome! Managing Your Symptoms and Treatment Side Effects Part of Fight Colorectal Cancer’s Monthly Patient Webinar Series Our webinar will begin shortlywww.FightColorectalCancer.org877-427-2111
  • 2. 1. Tonight’s speaker: Kristen Fessele, RN, MSN, ANP-BC, AOCN 2. Archived webinars: 3. Follow up survey to come via email. Get a free Blue Star of Hope pin when you tell us how we did tonight 4. Ask a question in the panel on the right side of your screen 5. Or call the Fight Colorectal Cancer Answer Line at 877-427-2111
  • 3. Kristen Fessele, MSN, RN, ANP-BC, AOCN Research Associate Oncology Nursing Society
  • 4. Managing Your Symptoms and Treatment Side Effects Kristen Fessele, RN May 16, 2012
  • 5. About ONS• The Oncology Nursing Society is a professional association of more than 35,000 members committed to promoting excellence in oncology nursing and the transformation of cancer care.• Since 1975, ONS has provided a professional community for oncology nurses, developed evidence-based education programs and treatment information, and advocated for patient care, all in an effort to improve quality of life and outcomes for patients with cancer and their families.
  • 6. ONS Congress 2012• 37th annual meeting, held in New Orleans, LA on May 2-6, 2012• Over 3000 oncology nurses attended to share knowledge• Selected topics for tonight: – Complementary and Alternative Medicine – Caregiver Issues – Personalized Medicine
  • 7. Complementary and Alternative Medicine• Judith Fouladbakhsh, PhD, APRN, AHN-BC – Wayne State University, Detroit MI• Lynda Balneaves, RN, PhD – UBC School of Nursing, Vancouver BC• Cecile Lengacher, RN, PhD – USF College of Nursing, Tampa FL
  • 8. Complementary and Alternative Medicine• “… a group of diverse medical and health care systems, practices, and products that are not considered to be part of conventional medicine…” - National Center for Complementary and Alternative Medicine (NCCAM)
  • 9. Talk about CAM use with your oncology team!• Gain potential benefits• Keep open lines of communication between you and your healthcare team• Avoid safety issues
  • 10. CAM use is widespread• According to Fouladbakhsh – Almost 1 in 2 people with cancer use some form of CAM• CAM – Providers – Practices – Products
  • 11. CAM Providers• Chiropractors• Acupuncturists• Homeopathic practitioners• Ayurvedic physician• Massage therapists• Energy healers• and more… Fouladbakhsh & Stommel, 2007
  • 12. Tips to Find a Good CAM Provider• Accredited school• Board certified/licensed• Ask other professionals you trust for referrals• Find a local integrative medicine program• Willing to talk by phone to establish rapport Fouladbakhsh & Stommel, 2007
  • 13. CAM Practices• Acupuncture/acupressure• Ayurvedic therapy• Energy therapy – Healing touch, Reiki, Therapeutic Touch• Massage• Yoga• Tai Chi
  • 14. CAM Products• Vitamins• Herbs• Supplements• Production and claims of effectiveness not regulated• Treat like a regular medication – Risks, benefits and potential to interact with other medicines – Just because it’s natural, doesn’t mean it’s risk-free…
  • 15. Stress Reducing Complementary Therapies• What we think affects how our bodies work – Mind-body connection• Prolonged stress negatively affects health• Practices to relieve stress may help physical and emotional coping with the cancer experience for patients and caregivers
  • 16. “Fight or Flight” Stress Response• Short term stress is meant to be protective
  • 17. Effect of prolonged stress • Elevated stress hormones • Suppressed immunity • May lead to new or worsening health issues – Physical – Emotional
  • 18. Stress Reduction Practices• Meditation• Mindfulness-Based Stress Reduction• Tai Chi• Qi Gong• Yoga• and more…
  • 19. Caring for Caregivers• Laurel Northouse, RN, PhD, FAAN – University of Michigan School of Nursing, Ann Arbor MI• Jane Meier Hamilton, MSN, RN – Partners on the Path, Gwynedd Valley PA• Joanne Hambleton, RN, MSN, NE-BC – Fox Chase Cancer Center, Philadelphia PA
  • 20. Many Caregivers in Oncology• Professionals – Nurses, Physicians, Social Workers, Pharmacists, etc.• Family Caregivers• Volunteers
  • 21. Each group faces challenges• Caregiver Stress• Sleep Deprivation• Compassion Fatigue• Burnout
  • 22. Special challenges for the Family Caregiver• Caregivers face many demands• Few resources to learn how to be a caregiver• The situation affects both the caregiver and patient physically and emotionally
  • 23. More attention to come• Researchers are studying ways to support family and informal caregivers of people with cancer – Best ways to educate, prepare and support caregivers – To ease strain and burden – To promote physical and emotional health in the caregiver over the course of the patient’s experience
  • 24. Personalized Healthcare• “Patient/Person-centered Care” – Making the patient the focus of the health care system – A “Hot Topic” in healthcare reform• Treatment planning that considers: – How your body “digests” medicines – Features about your particular tumor cells that can guide the best treatment choices
  • 25. How your body “digests” medicines• When you take a medicine, your body: – Changes it into an “active” form before use – “Metabolizes” it out of your body, often through the liver or kidneys• Chemical process – Some people’s chemicals work at different rates than others – Some people lack needed chemicals to “digest” certain medicines
  • 26. What if I “digest” differently? • Researchers are interested to study these digestion/metabolism systems • Medication choices might change based on knowledge of how a particular person metabolizes – Too fast = might need a higher dose – Too slow = might need a lower dose, and/or be careful with other medicines that need to use the same “digestion” system – Missing = Choose a different medicine
  • 27. Examples• Thymidylate Synthase (TS) – 5-FU works by inhibiting TS – High TS levels may mean 5-FU doesn’t work as well• Dihydropyrimidine Dehydrogenase (DPD) – Deficiency associated with 5-FU side effects• UGT1A1 – A polymorphism (normal difference) in this enzyme may decrease ability to metabolism irinotecan = increased side effects
  • 28. Treating the Tumor’s Characteristics• What’s sticking out of the surface of the cancer cell?• What pathways are active between the cell surface and the nucleus?• What changes are there in the cancer cell’s genetic material?
  • 29. Nucleus
  • 30. Tailoring medicine choices to thespecific genes found in atumor cell may make treatmentsmore effective
  • 31. If you would like to view the fullpresentations: • Visit –Click on Education –Select Congress Sessions
  • 32. Questions?