Letters from Lillie

June 2013 Vol 4, No 3
Lillie D. Shockney, RN, BS, MAS, ONN-CG
Editor-in-Chief, JONS; Program Director, AONN+; University Distinguished Service Professor of Breast Cancer, Administrative Director, The Johns Hopkins Breast Center; Director, John Hopkins Cancer Survivorship Programs; Professor of Surgery and Oncology, JHU School of Medicine; Co-Creator, Work Stride-Managing Cancer at Work
shockli@jhmi.edu

Dear Reader,

Although it may be summer, which is known for being a time that employees take vacations, we all know that there is no vacation for our patients who have been diagnosed and are undergoing treatment for their cancer. Other than those patients with metastatic disease who might be able to take a “drug holiday”—better known as a break from the toxic drugs for a period of time while their cancer seems to be a bit more stable—in general, cancer is with us during every season. Patients rely on their navigators no matter what the season, upcoming holiday, or your personal vacation plans, so thank you for being so committed to providing quality navigation to your patients so consistently, and with such compassion.

This issue of JONS offers several special features. You will learn a new term called “boundary spanning” in an article from Pennsylvania State University. You will also learn about the work being done in Appalachia as it relates to ensuring that the navigator skills and knowledge “match” the needs and available resources.
We are all familiar with making sure the right patient gets the right drug, at the right time, using the right method, and in the right setting. Well, we all need to bring to the attention of the leadership at our respective institutions the importance of doing something quite similar when it comes to navigation—identifying the skills, knowledge, and expertise needed of a navigator to carry out specific tasks and functions. There are tasks and functions that can be carried out very well by a lay navigator, but other tasks and functions require medical knowledge and expertise, which require nursing knowledge.

Also in this issue is the next installment of the resources being provided by another pharmaceutical company that I have summarized for you; for this issue, I chose Merck Pharmaceuticals.

We are very busy planning for our 4th Annual AONN Conference. It is marvelous to see how many of you have already registered to attend. I am personally looking forward to seeing familiar faces as well as new faces in November in Memphis. The networking opportunities are truly boundless, and the knowledge you will gain from the speakers we have lined up for you will be phenomenal.

We hope you enjoy this issue. And remember, I am just a mouse click away if you need to personally reach out to me with questions or feedback about AONN. My e-mail is This email address is being protected from spambots. You need JavaScript enabled to view it..

With kind regards,

Lillie D. Shockney, RN, BS, MAS
Editor-in-Chief

Related Articles
Achieving the Mission: Promoting Evidence-Based Navigation Practices
November 2018 Vol 9, NO 11

This time of year is one of great excitement for us at JONS and the Academy of Oncology Nurse & Patient Navigators (AONN+).

The Value of Palliative Care Early in the Treatment Process
Lillie D. Shockney, RN, BS, MAS, ONN-CG
|
Best Practices in Breast Cancer – October 2018 Vol 9
Palliative care has a serious identity problem. Seventy percent of Americans describe themselves as “not at all knowledgeable” about palliative care, and most healthcare professionals believe it is synonymous with end-of-life care.1 This perception is not far from current medical practice, because specialty palliative care—administered by clinicians with expertise in palliative medicine—is predominantly offered through hospice care or inpatient consultation only after life-prolonging treatment has failed. This means that the majority of patients who could benefit from palliative care are not receiving it until they are very close to death. To ensure that patients with metastatic breast cancer receive the best cancer care throughout their disease trajectory, palliative care should be initiated alongside standard oncology care, and it should be implemented early.
Recognizing Progress and Encouraging Further Strides in Breast Cancer
Lillie D. Shockney, RN, BS, MAS, ONN-CG
|
Best Practices in Breast Cancer – October 2018 Vol 9
In addition to the obligatory orange and black decorations of October, it’s also the time of year to don your pink in honor of Breast Cancer Awareness Month! The progress we have made as a nation in elevating the importance of regular breast cancer screenings, funding research, and supporting breast cancer survivors has had a direct impact on our ability to increase and improve survivorship.
Last modified: July 17, 2018

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