Navigators Are Key in Encouraging Oral Therapy Adherence

December 2015 Vol 6, No 6
Lillie D. Shockney, RN, BS, MAS, ONN-CG
Program Director and Co-Founder, AONN+; University Distinguished Service Professor of Breast Cancer, Departments of Surgery and Oncology; Administrative Director, The Johns Hopkins Breast Center; Director, Cancer Survivorship Programs at the Sidney Kimmel Cancer Center at Johns Hopkins; Professor, JHU School of Medicine, Departments of Surgery, Oncology, Gynecology & Obstetrics - Baltimore, MD

Welcome to our first newsletter in the Conquering the Multiple Myeloma Continuum series, which focuses on adherence to oral medications in patients with multiple myeloma (MM). In this first newsletter, you will learn about some of the major causes of nonadherence that patients and their providers face.

For those of you who know me, you know that I have several philosophies. One of them is that “You cannot manage what you do not measure.” Therefore, you will read about methods for assessing adherence, because, otherwise, you will not know how severe the problem is or the specific causes that prevent patients with MM from taking their medications as prescribed (see below). Barriers to adherence, interventional strategies for improving medication adherence, and adherence tools and resources are also discussed in detail. There is a great Health Belief Model that allows for better understanding of patients’ motivations, beliefs, and barriers so navigators can facilitate appropriate adherence interventions. This model consists of 5 concepts, including perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action.

You will also read information on how to incorporate compliance to oral therapy into the daily routine of patients with myeloma (see page 46). Cindy Chmielewski, a patient advocate and mentor, discusses challenges associated with oral oncolytics in patients with myeloma, how to overcome these barriers, and how to best support your patients.

In another commentary, we provide information and words of wisdom by Deborah Christensen, RN, BSN, HNB-BC, an oncology nurse navigator (see page 46). She explains how stressed patients are when they are dealing with a diagnosis like MM, which can result in the patient’s inability to listen and process information. Just because patients nod their heads up and down does not mean they retain anything. Oncology nurse navigators, however, have a proven track record of being some of the most trusted people in the eyes of their patients. Patients will confide in navigators the difficulties they are experiencing with taking their medications as prescribed. This, in turn, allows the opportunity for a successful intervention.

We know this type of information will enable you to better support your patients and treat them more effectively. We must make sure patients’ responsibilities to take their medications as prescribed can happen consistently, confidently, and easily.

Related Articles
“Establishing a Successful Navigation Program”: A JONS Exclusive Series
Lillie D. Shockney, RN, BS, MAS, ONN-CG
|
October 2018 Vol 9, NO 10

How do you establish a successful navigation program? The answers are right here in this issue!

Journal of Oncology Navigation & Survivorship: Providing an Array of Topics Relevant to Navigators
Lillie D. Shockney, RN, BS, MAS, ONN-CG
|
September 2018 Vol 9, No 9
On behalf of the Editorial Board of the Journal of Oncology Navigation & Survivorship (JONS), it's my pleasure to offer the current issue. Each month, we aim to present navigators with an array of topics relevant to their practice. To achieve our goal, we publish original navigation research, treatment updates, interviews, and navigation best practices. Some highlights from the current issue follow.
The Benefits of Humor When Confronted with Cancer
Lillie D. Shockney, RN, BS, MAS, ONN-CG
|
August 2018 Vol 9, No 8
Some days it's hard to laugh and easy to cry, especially when confronted with the harsh reality of cancer. But according to Lillie D. Shockney, RN, BS, MAS, ONN-CG, Director of Cancer Survivorship Programs at Johns Hopkins, finding humor in the day-to-day can actually boost the immune system and improve the overall health of patients with cancer.
Last modified: June 11, 2018

Subscribe to the Journal of Oncology Navigation & Survivorship®

To sign up for our print publication or e-newsletter, please enter your contact information below.

  • First Name *
    Last Name *
     
    Country
  • Please enter your mailing address.

    Address
     
    Address Line 2
    City
     
    State
    Zip Code