Integrating new therapies

Article

At the Oncology Nursing Society's 35th congress this past weekend, I sat in on a very interesting session on integrative therapies that I wanted to share. ReikiAt Dana-Farber Cancer Institute in Boston, nurses responded to patients' requests for Reiki by getting training and developing a program for the energy therapy. Reiki is a form of "energy medicine" in which a practitioner will place his or her hands on the patient to pass energy in order to promote healing. And while there are no formal studies that prove that Reiki works, one of the presenters at ONS, Suzanne Oliver, said the response of patients has been very positive. In addition, trained nurses have used Reiki on other nurses to help alleviate stress, which has also received positive feedback. For more information on this program, contact Mary Jane Ott at maryjane_ott@dfci.harvard.edu. Healing ArtsPatricia Nishimoto of the Tripler Army Medical Center in Honolulu discussed the expressive arts program at her center. With patients from over 20 countries, the oncology nurses at the center wanted to develop a nurturing way for patients, family members, and friends to communicate their emotions during the cancer journey. Art seemed to be the perfect medium that speaks across cultures.Now in its fourth year, the program has seen over 200 participants express their feelings through art. Nishimoto told stories of how discussing their art brought families together and how it helped some children who were not old enough to communicate well show their emotions. Nishimoto told one story of two young children (I think they were two) whose father was dying and the mother wanted them to visit him but the children were afraid of the machines and monitors surrounding their father. Nishimoto got some clay and had the children play with it, putting their handprints in it. She then suggested they get their father's handprints. The children were focused on the task, not the surroundings, and were not as scared. After the father died, the mother said every night the children put their hands in their father's clay handprint and say they are holding his hand. Nishimoto encouraged the crowd to start expressive arts programs at their centers and that she would be more than glad to help. For more information, she can be reached at patricia.nishimoto@amedd.army.mil.These are just a couple of examples of the awesome and innovative work oncology nurses do to support their patients.

Related Videos
For patients with cancer, the ongoing chemotherapy shortage may cause some anxiety as they wonder how they will receive their drugs. However, measuring drugs “down to the minutiae of the milligrams” helped patients receive the drugs they needed, said Alison Tray. Tray is an advanced oncology certified nurse practitioner and current vice president of ambulatory operations at Rutgers Cancer Institute in New Jersey.  If patients are concerned about getting their cancer drugs, Tray noted that having “an open conversation” between patients and providers is key.  “As a provider and a nurse myself, having that conversation, that reassurance and sharing the information is a two-way conversation,” she said. “So just knowing that we're taking care of you, we're going to make sure that you receive the care that you need is the key takeaway.” In June 2023, many patients were unable to receive certain chemotherapy drugs, such as carboplatin and cisplatin because of an ongoing shortage. By October 2023, experts saw an improvement, although the “ongoing crisis” remained.  READ MORE: Patients With Lung Cancer Face Unmet Needs During Drug Shortages “We’re really proud of the work that we could do and achieve that through a critical drug shortage,” Tray said. “None of our patients missed a dose of chemotherapy and we were able to provide that for them.” Tray sat down with CURE® during the 49th Annual Oncology Nursing Society Annual Congress to discuss the ongoing chemo shortage and how patients and care teams approached these challenges. Transcript: Particularly at Hartford HealthCare, when we established this infrastructure, our goal was to make sure that every patient would get the treatment that they need and require, utilizing the data that we have from ASCO guidelines to ensure that we're getting the optimal high-quality standard of care in a timely fashion that we didn't have to delay therapies. So, we were able to do that by going down to the minutiae of the milligrams on hand, particularly when we had a lot of critical drug shortages. So it was really creating that process to really ensure that every patient would get the treatment that they needed. For more news on cancer updates, research and education, don’t forget to subscribe to CURE®’s newsletters here.
Yuliya P.L Linhares, MD, an expert on CLL
Yuliya P.L Linhares, MD, and Josie Montegaard, MSN, AGPCNP-BC, experts on CLL
Image of a man with a beard.
Image of a man with gray facial hair and a navy blue suit with a light orange tie.
Image of a woman with black hair.