Topics for Educational Presentations

Peter Bjerkerot, RN, OCN

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Cellular: (404) 754-5952

 

 

 

1) Update on Taxane Therapy in Breast Cancer: Nursing Implications and Interventions

OBJECTIVES

CONTENT (Topics)

METHODS

Discuss 3 facts regarding the incidence of Breast Cancer in the USA

•  Number of new cases/deaths/survival based on American Cancer Society data

•  Natural history of Metastatic Breast Cancer (MBC)

Didactic with handouts and A.V. presentation.

Group Q/A PRN throughout presentation.

Assess the key challenges associtated with solvents used in the formulation of taxanes

•  Clinical trial data from recent studies

•  Albumin based taxanes vs solvent based taxanes

•  SAE's associated with solvents used in conventional taxanes

Didactic with handouts and A.V. presentation.

Group Q/A PRN throughout presentation.

List 3 nursing considerations when caring for patients treated with albumin based taxanes and 3 nursing interventions for each.

•  Solvent based paclitaxel (Taxol)(SAE and interventions)

•  Docetaxel (Taxotere)(SAE and interventions)

•  Albumin based paclitaxel (Abraxane)(SAE and interventions)

•  Anti-hypersensitivity agents (SAE and interventions)

Didactic with handouts and A.V. presentation.

Group Q/A PRN throughout presentation.

 2) Update on Multiple Targeted Agents in Oncology: Nursing Implications and Interventions

OBJECTIVES

CONTENT (Topics)

METHODS

Discuss the role of signal transduction pathways.

Identify 3 abnormal functions that are characteristic of cancer cells.

  • How ligands bind to and activate receptors.
  • How an activated receptor internalizes the signal and can activate a protien within the cell.
  • How this communication network leads to regualtion of cell division, programmed cell death and expression of certain growth factors.
  • How mutations in cancer cells cause them differ from these normal functions

Didactic with handouts and A.V. presentation.

Group Q/A PRN throughout presentation.

Describe 2 goals of multiple targeted agents and their effect on halting cancer cell growth and proliferation

  • Blocking specific signals in cancer cells and its effects that lead to the arrest of tumor cell proliferation and spare normal cells.
  • When tumors caused by a single mutation are able to again mutate over time, single target agents effectiveness diminishes.
  • Using agents that have target multiple receptors, cancer patients with most cancers may still find benefit

Didactic with handouts and A.V. presentation.

Group Q/A PRN throughout presentation.

List 2 specific cancer types that are being treated with multiple targeted agents and 3 side effects that may be seen in patients undergoing treatment with this type of therapy.

  • Renal Cell Carcinoma
  • Gastrointestinal Stromal Tumors

Didactic with handouts and A.V. presentation.

Group Q/A PRN throughout presentation.

3) Update on Endocrine Manipulation in Breast Cancer: Nursing Implications and Interventions

OBJECTIVES

CONTENT (Topics)

METHODS

Discuss 3 facts regarding the history of hormonal manipulation in Breast Cancer.

•  Natural history of Breast Cancer

•  Background of non-chemotherapeutic approaches in the treatment of breast cancer

Didactic with handouts and A.V. presentation.

Group Q/A PRN throughout presentation.

Outline 2 treatment options for the patient undergoing endocrine manipulation for Breast Cancer

•  Clinical trial data from recent studies

•  Single agent vs combination

•  Options for relapsed patients

Didactic with handouts and A.V. presentation.

Group Q/A PRN throughout presentation.

Describe 3 hormonal agents used in Brest Cancer and 3 side effects and nursing interventions for each.

•  Agonist/antagonist therapies (SAE and interventions)

•  Pure antagonist therapies (SAE and interventions)

•  Aromatase inhibitor containing therapies (SAE and interventions)

Didactic with handouts and A.V. presentation.

Group Q/A PRN throughout presentation.

 

4) Infusion Reactions in Colorectal Cancer Treatment with Targeted Therapies: Nursing Implications and Interventions

OBJECTIVES

CONTENT (Topics)

METHODS

Describe 2 types of monoclonal antibodies used in the treatment of the Oncology Patient

•  Presentation of targeted therapies aimed at cancer cells or their supporting mechanisms

•  Rules for naming monoclonal antibodies and the impact it has on nursing care

Didactic with handouts and A.V. presentation.

Group Q/A PRN throughout presentation.

Outline 3 common types of infusion reactions seen in patients undergoing treatment with monoclonal antibodies.

•  Human Antibodies against Mouse Antibodies (HAMA)

•  Human Antibodies against Chimeric Antibodies (HACA)

•  Human Antibodies against Humanized Antibodies (HAHA)

Didactic with handouts and A.V. presentation.

Group Q/A PRN throughout presentation.

Describe 3 common side effects associated with Infusion reactions in monoclonal antibodies.

•  Acute side effects seen while antibody is being infused

•  Intermediate side effects shortly after infusion

•  Long term side effects

Didactic with handouts and A.V. presentation.

Group Q/A PRN throughout presentation.

5) Update on Renal Cell Cancer: Nursing Implications and Interventions

OBJECTIVES

CONTENT (Topics)

METHODS

1) Discuss 3 facts regarding the incidence of Renal Cell Cancer (RCC) in the USA.

•  Epidemiology, natural history, and etiological data regarding RCC in USA

Didactic with time for ongoing Q/A

2) Describe 2 treatment options for RCC patients.

•  Multiple Tyrosine Kinase Inhibitor therapy

•  Cytokine Therapy

Didactic with time for ongoing Q/A

3) Describe 3 Therapeutic Agents used in RCC and 3 side effects and nursing interventions common to each agent.

• 

•  Sunitinib

•  Sorafinib

•  Interferon

•  Temsirolimus

Didactic with time for ongoing Q/A

6) Living with Cancer: Helping the Wounded Healer

OBJECTIVES

CONTENT (Topics)

METHODS

1) Describe 4 common phases used by the patient at time of crisis

•  Healthy vs. unhealthy defense mechanisms used by patients

Didactic with handouts and A.V. presentation.

Group Q/A PRN throughout presentation.

2) Examine 2 ways how these phases mirror the grief experience of the family and others left behind

•  Healthy vs. unhealthy grief behavior

Didactic with handouts and A.V. presentation.

Group Q/A PRN throughout presentation.

3) Detail 3 ways that nurses are perceived by the public vs. the reality of the profession and its impact on nurses who work with patients at end of life.

•  Comparison of perceived role of the RN vs. the reality

•  Multiple loss syndrome and how it leads to burnout.

•  Ways to utilize behavioral and cognitive models in dealing with multiple loss syndrome

Didactic with handouts and A.V. presentation.

Group Q/A PRN throughout presentation.

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