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THE PULSE
Fall 2014
s14Spri ng
The Pulse
IN THIS ISSUE
Message from the President
September 2014
Even though it finally feels like summer, we
are all preparing for the fall to come. The
kids have returned to school, baseball is over
and the football fans are ready for the season
to start.
Angela has a fabulous line-up for programs
this year. She has been working diligently
with the reps to obtain as many CEU’s as
possible.
As the year comes to an end, we will be
looking for current members of ONS to step
up and become involved with our local
chapter. We are in need of President Elect,
Treasurer and Membership Chair. Please
think about spending time making new
friends and having fun while learning. It
looks great on a resume!!!
We had our 30 year celebration at Saylorville
lake. The attendance was slim, but we had a
great time. Good food, friends and fun.
With the membership change over the last
couple of years, we noted that there are
many more nurses in the Ames area that are
national members, but do not participate
much with the local group. WE have been
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thinking that we should have a few of our
meetings in the Ankeny area, hoping that we
would encourage more involvement with
that group of people. If anyone has any
suggestions about where to have a dinner
please email Angela Dotson, our program
chair, at [email protected].
Let’s try to extend our learning and
friendship as far as possible. .
We are always open to suggestions for
activities or needs from the community. If
you have any, please email me at
[email protected]
Have a great fall, and see you at the
meetings!!!
Kathy Korinko, RN, BSN, OCN
President, CIONS
Educational opportunities
Board member spotlight
Virtual community
From the editor
Awards/Scholarships/
support services
Board report
Meeting minutes
Legislation in Iowa
Trivia question
Get Involved:Community events
Feature picture
Feature article
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Issue Date
2014 Board of Directors
President – Kathy Korinko
President Elect – Luci Shipley
Secretary – Shelley Anderson
Treasurer – Eileen Holzmueller
Membership Chair – Pat Nockels
Program Chair – Angela Dotson
Nominating Chair – Rachael Johnson
Publication Chair – Pati Berger
Mission Statement
To advance the education and treatment of
cancer patients and oncology nurses by
promoting new and different education
modalities.
Vision
To provide excellent patient care and
education to Oncology patients and their
families.
THE PULSE
Fall 2014
s14Spri ng
Program Information
CIONS EDUCATIONAL
OPPORTUNITIES

September 23rd – Endocrine
Resistance in Advanced Breast
Cancer: A case study for nurses.
5:30p. Sam and Gabes, 8631
Hickman Rd, DSM. $5 members,
$10 non-members.

November 11th - Genentech
If you are interested in attending any
programs, please RSVP to Angela Dotson at
[email protected]
LOCAL EDUCATIONAL
OPPORTUNITIES


NOCC annual Ovarian Cancer
Conference. September 24th.
Mercy Medical Center, east tower.
$50 for health care professionals
with CEU’s
John Stoddard Cancer Center
Oncology Fall Nursing Conference.
November 6th and 7th. Fee for
UnityPoint employees - $45-one
day, $85-both days. NonUnityPoint employees - $60-one
day, $100-both days. (CEU’s – 1.41
for both days, 0.66 for Thursday
only, 0.75 for Friday only.
ONS EDUCATIONAL OPPORTUNITIES
Emerging Trends in Palliateve Care. One
conference, three cities.

Houston, TX. Saturday, Sept 27th.
Hilton Americas

Columbus, OH. Friday, Oct 17th.
Bridgewater Banquet and Conference
Center

Phoenix, AZ. Saturday, November 15th.
Phoenix Convention Center
Palliative care is often equated with end-of-life
care, and as oncology nurses, you need to
understand why it is so much more than that. It is
comprehensive symptom management and
comfort care that begins at the time of diagnosis
and continues throughout the course of the
disease; it has been proven to improve the lives of
patients and their families. In oncology, palliative
are addresses the emotional, physical, practical
and spiritual needs of patients and their loved ones
at any time during the cancer continuum.
WEBSITE/VIRTUAL COMMUNITY
Visit CIONS virtual community at
https://cions.shutterfly.com/. You can access
general information about events,
newsletters, etc., however becoming a
“member” allows you access privileges, set
reminders, get alerts of new postings.
Become a member today to fully utilize the
CIONS virtual community. This is a secure
site.
Registration is now open.
ONS members: $189
Nonmembers: $269
CNE Central: Did you know that CNE Central
offers many opportunities to learn about various
aspects of cancer care? Here is just a shortened list
of current opportunities:
For a full list you can go to
http://www2.ons.org/CNECentral
Recruit on ONS Member to Win Rewards.
You can win exciting rewards when you invite your
colleagues to the ONS community. The rewards
keep building in the ONS Member-Bring-aMember program.

Three members: ONS tote bag

Five members; $50 Amazon or
Starbucks gift card

Seven members: Free one-year ONS
membership

10 members: $200 Visa gift card

15 members: ONS conference
registration and VIP perks.
Luci
Board Member SPOTLIGHT
Eileen
Holzmueller–
Treasurer
Q: Where do you work and what do you do?
A: I have been employed at Medical
Oncology and Hematology Associates
(MOHA) for almost 20 years. I work part
time and my time is divided between the
chemotherapy suite and working alongside a
physician in their daily clinic.
Q: How long have you been in oncology?
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A: Prior to my years at MOHA, I worked at
Iowa Lutheran Hospital for 20 years where I
was “exposed” to oncology, first caring for
post-surgical cancer patients and later on the
oncology unit that opened at ILH in the late
1970’s. I also worked part time at Kavanagh
House when it first opened on 56th street in
1993 for about three years
are flooding the market I find the most
challenging to keep current on.
Q: What is the biggest change you have seen
in oncology care since you started working in
oncology?
A: Since I’m so old, it’s all been a big change.
Most of the drugs used today have been
introduced since I began working oncology.
Most recently though, the oral agents that
Q: Tell us one fun fact about yourself
A: I have 5 ½ grandchildren (6th is due in
October) and my 3 yr. old granddaughter
likes to dress like me, much to my daughters
dismay.
Q: What do you like to do in your free time?
A: I spend most of my free time horseback
riding and of course attending or watching
ISU football and basketball (GO
CYCLONES!).
THE PULSE
Art of Caring…
As I sat contemplating on what to write about
for the fall newsletter I came across this picture
and it reminded me of my kids’ hands after
completing several art “projects” at the DSM
art fest this summer. Their “masterpieces”,
while priceless to me, would be of little interest
to anyone else I’m sure. In watching them
create their projects and how much thought
and care went into each drawing, painting and
picture; I think how our hands, as nurses, are
tools in creating our own “art”.
AWARDS/SCHOLARSHIPS
Many opportunities are available thru ONS
for awards, grants and scholarships. If you
are interested in finding out more, you can
follow the link:
http://www.ong.org/Awards and apply for
any one of the more than 70 opportunities
totaling over $500,000. These
opportunities are free, so don’t pass up
your chance to receive one of them!!!
SUPPORT SERVICES
Many support services are offered at both
Mercy Cancer Center and John Stoddard
Cancer Center. For a current and up to
date list, please go to the CIONS website.
https://cions.shutterfly.com
BOARD REPORT/MEETING MINUTES
There were no meetings held this summer.
Future meetings are scheduled for: 9/15,
10/16 and 11/13.
FALL 2014
Artists need their hands to create their
beautiful works of art that cost hundreds to
thousands of dollars, but can you put a price on
our “art”? What would you charge for holding
a patients’ hand when they are scared or when
they cry about the uncertainty of their future?
What is our art worth as we rub our patients’
back during a procedure or while they throw up
for the umpteenth time? What is the going
rate for sitting and listening to our patients
share a story or memory with us? Can we truly
put a price on our “art”?
Is our “art” more than just the tenderness of
our touch? What about the masterful way we
assess skin integrity, palpate a pulse, check for
swelling and warmth, wash a face, start an IV
or access a central line? How impossible would
it be to do our jobs if we didn’t’ have our
hands?
I leave you with Florence Nightingale’s poem”
“Nursing is an art”.
Nursing is an art: and if it is to be made
an art, it requires an exclusive devotion as hard a
preparation, as any painter’s or sculptor’s work;
for what is the having to do with dead canvas or
dead marble, compared with having to do with
the living body, the temple of God’s spirit? It is
one of the Fine Arts: I had almost said; the finest
of Fine Arts.
Pati… Editor.
LEGISLATION IN IOWA
Iowa Campaign
By American Cancer Society
There are currently no upcoming events on
the calendar. The 2013 legislative session
is over; however work for the 2014 session
is underway.
TRIVIA QUESTION
Summer Trivia Q & A:
Q: How many positions on the CIONS
board are elected positions?
A: 5 (President, President Elect, Secretary,
Treasurer and Membership Chair).
Program chair, nominating chair and
publication chair positions are non-elected
roles.
Fall Trivia Q & A:
Q: ONS was originally incorporated in what
state?
A: Missouri, New York, Pennsylvania or
Illinois?
COMMUNITY EVENTS
Getting involved with cancer events in your
community is easy. There are plenty of
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Our “art” does not come with a price tag; it is
priceless to our patients. It contributes to a
hope for a cure and provides a sense of peace
and well-being for them and their loved ones.
opportunities to take advantage of. Here is
just a short list of some of the activities
going on in the Des Moines area this
fall/winter.
September:

18th – Girls Night in the Village

27th – Purple Stride Iowa
(Pancreatic Cancer)

27th – Relay for Life, Northern
Dallas Co.
October:

3rd – Crush Colon Cancer
Fundraising event

4th – Race for the Cure

11th – Central IA Free to Breath 5k

17th-19th – Casting for Recovery

18th – Light the Night

21st-22nd – Iowa Cancer
Consortium Summit
November:

8th - Bras for the Cause Gala.

15th – Chocolatier Stam Run/Walk
THE PULSE
FEATURED PICTURE
A few of the MOHA chemo nurses take
time out of a crazy Monday to smile for a
picture. We are not able to feature them
all as some are enrolled in the “witness
protection program” which could put their
life in danger; or so I was told…
EDUCATIONAL ARTICLE
Priorities for the Primary Prevention of
Breast Cancer
Submitted by Tracey Jurgensmeier, ARNP,
Katzmann Breast Center
There are more than 234,000 new
breast cancer cases diagnosed each year in
the United States. Efforts to increase
treatment and early detection are
continuous in the medical and research
setting. Primary prevention receives less
attention however holds increasing
promise in medical care. Primary
prevention strategies are applicable to all
women and often overlooked. Established
modifiable risk factors include radiation
exposure, alcohol consumption, obesity,
the use of chemoprevention in high risk
clients, and diet and exercise.
Clients who are at augmented
risk for breast cancer in the pre and
postmenopausal setting are often
overlooked for the use of
chemoprevention. “High risk” features
include strong family history or other
characteristics such as atypical hyperplasia
(ductal or lobular) found on tissue biopsy.
Risk of breast cancer may be calculated
using the GAIL risk assessment or the
Tyrer-Cuzick model. The use of selective
estrogen receptor modulators (SERMs)
reduces the risk of estrogen receptor
positive, invasive breast cancer. Tamoxifen
may be used in women 35 years of age or
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FALL 2014
older, pre or postmenopausal status and is
taken for 5 years (20 mg. per day).
Raloxifene (60 mg. per day for 5 years) may
only be used in women 35 years of age or
older and in the postmenopausal setting.
Exemestane could be used as an
alternative to tamoxifen or raloxifene in
postmenopausal women age 35 and older
for breast cancer risk reduction however
the FDA has made no official
recommendation for the use in risk
reduction; only in the treatment of early
and later stage breast cancer. Currently
there is insufficient evidence to use
anastrazole for risk reduction. The risk
reduction with tamoxifen and raloxifene
show roughly 50% reduction as noted in
the randomized trials. Furthermore,
protection persists for several years after
treatment cessation. The risk versus
benefit rational should be held by the
clinician and the patient and all side effects
should be presented.
Priorities for prevention are
applicable to all women. Regular physical
activity and maintenance of a healthy body
weight are key components to prevention
efforts. More than two thirds of the adults
in the United States are overweight or
obese and more than half do not engage in
regular recommended levels of aerobic
physical activity. In the Nurses’ Health
Study, the propensity of weight gain from
age 18 showed a strong and significant
trend towards postmenopausal breast
cancer directly related to the amount of
weight gained. Conversely, sustained
weight loss in the postmenopausal setting
was strongly associated with breast cancer
risk. Avoiding weight gain through the
adult years is a top prevention. Regular
physical activity could prevent an
estimated 10% of breast cancers
throughout the world. Vigorous activity
provides the greatest protection however
moderate activity, such as brisk walking,
provides benefit. In the Nurses’ Health
Study, postmenopausal women engaging
in approximately 1 hour per day of walking
had a 15% reduction in breast cancer risk
relative to women who had the lowest
levels of physical activity. Sustained
activity throughout life may provide the
greatest benefit of protection.
Alcohol intake (beverage
consumption) may cause cancers in the
breast, oral cavity, esophagus, larynx, liver
and colon and rectum. Breast cancer was
found to be increased in women who
consumed an average of three to six drinks
per week by 15% as compared to women
who consumed alcoholic drinks. Women
with the highest levels of alcohol intake (at
least 2 drinks per day) were 51% more
likely than non-drinkers to be diagnosed
with breast cancer.
Prevention strategies should
begin in young women to expand the
benefits into adulthood. Ongoing research
addressing early life, childhood, and
adolescent exposure points to the
importance of this period when the breast
has not yet passed through terminal
differentiation of cells. The Institute of
Medicine (IOM) report on breast cancer
and the environment calls for priority to
include childhood and the critical window
from menarche to the first pregnancy to
help guide future primary prevention
strategies.
Research demonstrates that
breast cancer is not a single disease.
Molecular subtypes have been identified
and differ greatly in prognosis. The impact
of prevention strategies, such as the effect
of breast feeding or dietary consumption of
fruits and vegetables, should be studied to
assess impact of prevention strategies on
the various subtypes of breast cancer.
Health care providers are
essential to discuss prevention messages or
strategies to help promote evidenced
based concepts and behavioral strategies
into women’s everyday lives. Other
measures of implementation include action
by community actions and/or leaders,
policy makers, schools, and families to
implement and sustain prevention
strategies to help decrease the burden of
breast cancer.
Prevention is possible. While we
do not have all of the answers, prevention
actions such as weight control, diet and
exercise and alcohol consumption should
be addressed as much as mammography
screening habits at healthcare check-ups.
The added benefit is substantial and
extends well beyond breast cancer.
Colditz, G. and Bohlke, K. (2014). Priorities
for the primary prevention of breast
cancer.
CA: A Cancer Journal for
Clinicians, 64, 186-194.