Breast Cancer Awareness Month: Honoring Navigation

Best Practices in Breast Cancer – October 2017 Vol 8
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 Navigators,

As you know, navigation as a profession began in breast cancer with the work of Harold P. Freeman, MD. Dr Freeman worked to identify and remove barriers to care for a community of women in need of breast cancer screening. The idea of “navigating” patients around those barriers in hope of impacting and improving patient outcomes resonated with the oncology community, and the term “patient navigation” was born.

To honor our connection to the field of breast cancer, we dedicate a special annual edition of the Journal of Oncology Navigation & Survivorship (JONS) to breast cancer and the strides being made in the treatment of this disease as part of our Best Practices series. Whereas JONS addresses navigation and oncology topics at large, we designed the Best Practices series to provide disease-specific education as well as exploring implications for navigators.

In this issue, we hear from Sharon S. Gentry, RN, MSN, AOCN, CBCN, ONN-CG, who provides a thorough overview of breast cancer treatment. We delve into a more sensitive consideration associated with cancer treatment – reproductive issues – in an informative article by Catherine Klein, MBA, BSN, RN, CBCN, OCN, ONN-CG, entitled “Addressing Fertility Concerns for Young Women with Breast Cancer.” On the forefront of innovations in side effect management are scalp cooling devices that can prevent hair loss associated with chemotherapy. You’ll read about these devices in an article from our Multinational Association of Supportive Care in Cancer coverage entitled “New Devices Prevent Chemotherapy-Induced Hair Loss.” 

The navigator’s role in the implementation of new devices is illustrated in our article entitled “The Many Faces of Nurse Navigators Delivering Cancer Care from Diagnosis to Treatment: Now Another Crucial Role to Play.”

We hope this issue enhances your practice and ultimately helps you to empower your patients living with breast cancer.

Sincerely,

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, Cancer Survivorship Programs at the Sidney Kimmel Cancer Center at Johns Hopkins; Professor, JHU School of Medicine, Depts of Surgery and Oncology; Cofounder, Johns Hopkins Medicine Managing Cancer at Work.
E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

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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
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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: June 9, 2018

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