Maggie Hughes
Substance Abuse in the Hospice Setting
Maggie Hughes, LMSW, Medical Oncology Social Worker 4/18/2013  21
Solomon, a 45-year-old male, was diagnosed with metastatic pancreatic cancer two years ago. He is no longer responsive to multiple treatment options and is currently under hospice ...

Anne Booms
Management of Chronic Cancer Pain: Reappraising the Issue
Anne Booms, MeNsgPC, AOCN, CHPN, BCN, CWCN, CHN,CNN, MeNsgNP(Belgium), MHN(Belgium) 3/6/2013  14
A 42-year-old female with ovarian cancer, receiving adjuvant treatment, was referred to me for pain assessment and management. Following assessment, my impression was that she was ...

Linda M. Gorman
The Gift
Linda M. Gorman, RN, MN, PMHCNS-BC, CHPN, FPCN, OCN 2/28/2013  12
A recent article in The New York Times by Abby Goodnough chronicled a nurse with a terminal illness who contacted her alma mater nursing school and left the following message: "I ...

Deborah A. Boyle
Caveats for Pain Management in Older Adults With Cancer
Deborah A. Boyle, RN, MSN, AOCNS, FAAN 2/21/2013  7
Of all the potential corollaries of symptom distress during the cancer experience, pain management is most often characterized by misperception and sub-standard treatment. These ...

Rachel Odo
Coffee Ground Enemas & Pain Control: Honoring Patient Determination
Rachel Odo, Clinical Social Worker 1/23/2013  16
A patient is admitted for pain control. He has diffuse large B-cell lymphoma. At this point, the pain has become so unbearable that he has relented in his fight to refuse all ...

Monica Key
An Unusual Pain From G-CSF Injections
Monica Key, APRN, CCRN, AOCNP 12/13/2012  8
I help care for many patients with breast cancer and there is something quite odd I have been recently witnessing in this population. While it is not highly frequent, it is frequent ...

AnnMarie Walton
ONS Connections 2012: Addressing the Needs of Patients With Complex Pain
AnnMarie Walton, MPH, RN, OCN, CHES 11/30/2012  7
Have you heard about topical cocaine for mucositis? Can morphine be used transdermally? Can IV lidocaine be administered for neuropathic pain? These and other novel approaches to ...

Julianna Paradisi
Barriers to Home Management of Cancer Pain
Julianna Paradisi, RN, OCN 11/26/2012  14
In the oncology infusion clinic, sometimes I provide care for patients whose pain medication management is not under their control.

Michelle Bragazzi
Oral Rinse Showing Promise for Radiation-Induced Oral Mucositis
Michelle Bragazzi, BS, RN 10/29/2012  15
A study led by a team of researchers at the Mayo Clinic reports that doxepin, a tricyclic antidepressant, is helping to control the pain of oral mucositis in the head and neck ...