Palliative Care Promotion: Embrace the Development of Healthy Aging

November 30th, 2021 in International News

Author: Yongyi Chen, Renli Deng, Yang Liu

Institutions: Hunan Cancer Hospital, Palliative Care Committee of Chinese Nursing Association; Nursing School of ZunYi Medical University; Auckland University of Technology Pacific Health Research Centre

The online education session entitled “Embracing ageing in the Western Pacific: Fostering connections of older Pacific adults and promoting Advance Care Planning for older Chinese People” was held by WHO Collaborating Centre for Community Health Services (WHOCC), School of Nursing, The Hong Kong Polytechnic University on November 19th 2021. There were 63 delegates and experts participated in this webinar from Western Pacific countries.

Associate Professor EI-Shadan Tautolo reported a project on how Pacific older people from New Zealand participated in health care and its impact on healthy ageing. The project was conducive to the establishment of partnerships among community stakeholder institutions and co-researchers, as well as how the community could effectively intervene in the health of the elderly.

The presentation of professor Deng mainly focused on the promotion and significance of the advance care planning in China. She emphasized the independent decision-making rights of patients and the importance of family members in decision-making. The realization of ACP requires us to make joint efforts to establish a correct concept of life and death through education and specialist training, vigorously improve public participation and its legalization process to standardize its application in clinical practice.

Professor Yongyi Chen, the Director of the Palliative Care Committee of CNA, was invited by the WHOCC as the Discussant of this webinar. Professor Chen finally reiterated the concept of palliative care and the importance of human health. She pointed out that palliative care was our common mission and the better quality of life was our common goal. She emphasized the necessity of Pacific community elderly as partners in healthy aging and the great significance to promote advance care planning in China. As the discussant, Professor Yongyi held the discussion on topics with respect to the challenges of palliative care for communities in the context of COVID-19, as well as facilitating and hindering factors for advance care planning in China.

International Conference on Cancer Nursing 2022 – SAVE THE DATE

The ISNCC is excited to announce the International Conference on Cancer Nursing 2022 (ICCN2022) to be held virtually from February 23rd through February 25th, 2022. The conference will include plenaries, instructional sessions, at least one educational workshop, and industry-supported educational sessions. A virtual library of oral and poster abstracts will also be included.

Theme and Objectives

The conference theme is “Building Sustainability & Resilience: Global Perspectives on Cancer Nursing,” with the following objectives:

  1. Define the evolving challenges facing oncology nurses as they provide care across diverse cultures
  2. Examine the emerging evidence demonstrating the impact of cancer nursing on equitable cancer control worldwide
  3. Describe innovative approaches to nursing education, practice, research, and policy
  4. Evaluate the current status, barriers and solutions of the health sector’s impact on the environment
  5. Identify the influence oncology nursing practices have on the global burden of cancer

ICCN2022 Website

The ICCN2022 website, ICCN2022.com, is currently under development and will be available in early to mid-October. An announcement will be sent once it is available.

Abstract/Instructional Sessions

The abstract submission process will begin in mid-October and remain open for approximately 6 weeks, ending in early December. Oral and poster abstract submissions will be accepted for the virtual library and instructional session abstracts for the virtual conference.

Abstract Categories

  • Administration/Management/Leadership
  • Advanced Practice
  • Education
  • General Practice
  • Health Policy & Advocacy
  • Research

Abstract Topics

  • Cancer across the Lifespan
  • Cancer Continuum
  • Disparities/Equity/Culture
  • Environmental Issues
  • Family & Caregivers
  • Health Care Crises
  • Health Systems/Models of Care/Workforce
  • Innovations in Practice, Education & Technology
  • Palliative Care
  • Professional Issues
  • Psychosocial/QOL
  • Research Issues/ Methods
  • Survivorship
  • Symptom Management

Watch our website for more details as we launch the ICCN2022.org website and announce the call for abstract submissions!

We look forward to welcoming you to ICCN2022!!

Promotion, Integration, and Innovation to Promote Development of Palliative Care

September 16th, 2021 in International News

Author: Yongyi Chen, Xiangyu Liu, Haixia Xiao, Yang Liu
Institutions: Hunan Cancer Hospital, Palliative Care Committee of Chinese Nursing Association

In order to promote the integration of multidisciplinary cooperation and enhance the innovation of palliative care, National Conference of Palliative Care of China was held on August 27th to August 31st, 2021 online. More than 1,800 delegates and experts from all over the country participated in the conference.

Dr. Patsy Yates, the president of International Society of Nurses in Cancer Care (ISNCC) delivered a keynote address titled “The Progress of Global Palliative Care Development”. She emphasized that with the need of palliative care been growing, the demand being increasing, we were facing complex and challenging task to develop palliative care. As a basic human right, palliative care had become a matter of urgency. She introduced clinical guideline recommendations relating to early referral to palliative care and patient centred communication and shared decision making. She also highlighted the critical role of nurses in palliative care that nursing leadership in palliative care is very essential to high quality care.

Dr. Patsy Yates, President, International Society of Nurses in Cancer Care (ISNCC)

Dr. Xinjuan Wu, the chairman of Chinese Nursing Association, congratulated the convening of this conference. She emphasized that Chinese Nursing Association as well as the Palliative Care Committee would continue to work together to promote the academic development of palliative care, which aiming to improve the physical, psychological, social, and spiritual status of terminally ill patients. Her presentation highly inspired the nurses which were expertise at palliative care.

Dr. Xinjuan Wu, Chairman of Chinese Nursing Association

Dr. Yongyi Chen, chairman of the Palliative Care Committee of Chinese Nursing Association, expressed her sincere gratitude to the tremendous support of Chinese Nursing Association, and warmly welcomed all attendants of this conference. She summarized four words to highlight the characteristics of this conference. Firstly, “high”: both policy advocacy and standards interpretation was involved which reflected high standard. Secondly, “diversity”, the exhibition of palliative care training base and the demonstration of excellent cases were of good diversity. Thirdly, “practicability”: not only clinical difficulties, but also the introduction of practical experience was practicability. Fourth, “cutting-edge”, the content was in line with international standards and adapted to Chinese characteristics.

Dr. Yongyi Chen, Chairman of the Palliative Care Committee, Chinese Nursing Association

Nine sections were set in this conference: the development of nursing and palliative care, the humanistic communication of palliative care, the quality improvement of palliative care, the scientific research of palliative care, the training base construction and experience exchange of palliative care, the symptom management of palliative care, the clinical nursing skills of palliative care, the case show of “love in palliative care”, and the video show of cancer pain management in the night of blue ribbon. This high-standard academic feast was a strong engine to launch the professional talents cultivation of palliative care.

Do Adult Survivors of Cancer Benefit from Increasing Their Physical Activity?

May 20th, 2021 in Hot Topics, International News

Author: Karen Kane McDonnell PhD, RN, Associate Professor, Co-Director, Cancer Survivorship Center, College of Nursing, University of South California, United States

Survivors of cancer should avoid inactivity and be as physically active as possible (Campbell et al., 2019); however, exercise remains underutilized in cancer care programs.

Physical activity (PA) is an important behavior for the prevention and management of numerous acute and chronic diseases (Courneya & Friedenreich, 2010). The number of cancer survivors is rising worldwide, propelled by advances in early detection and treatment and the aging of the population. The predicted global cancer burden is expected to exceed 27 million new cancer cases per year by 2040, a 50% increase in the estimated number of new cancer cases in 2018 (Wild, Weiderpass, & Stewart, 2020). Many cancer survivors are motivated to seek information and advice about PA to improve their response to treatment, facilitate recovery, reduce their risk of recurrence, and improve their quality of life (QOL) (Rock et al., 2012).

Exercise is defined as “a physical activity causing an increase in energy expenditure and involving a planned or structured movement of the body performed in a systematic manner in terms of frequency, intensity, and duration, and designed to maintain or enhance health-related outcomes” (Campbell et al., 2019). For over five decades, PA has been tested as an intervention strategy to help survivors with cancer prepare for, manage side effects of, and recover after treatments. The field that considers PA and cancer survivorship together—exercise oncology—has exploded. The literature now contains thousands of studies about the effects of PA in survivors of cancer; these studies have, in turn, generated dozens of systematic reviews, several sets of international guidelines, and calls for the integration of PA programs into clinical and community cancer care (Courneya, 2017).

PA recommendations vary across the cancer continuum and remain an important area of research. PA interventions have been shown effective in treating both the physical and psychological impairments associated with some cancers and their treatments, with potential for improving overall outcomes. Despite mounting evidence of its benefits, PA is still underutilized due to lack of awareness and knowledge among health-care providers, survivors of cancer, and survivors’ family members (who are often also caregivers) (Maddocks, 2020).

International Guidelines on Exercise and Cancer

Several organizations have put forth guidelines that include specific PA recommendations for cancer survivors; these guidelines include the American College of Sports Medicine’s (ACSM) International Multidisciplinary Roundtable on Exercise and Cancer (Campbell et al, 2019); Exercise and Sports Science Australia’s (ESSA) exercise and cancer position statement (Hayes, Newton, Spence, & Galvão, 2019); and the American Cancer Society’s (ACS) Nutrition and Physical Activity Guidelines for Cancer Survivors, (Rock et al., 2012). See Table 1.

In 2018, the second ACSM Roundtable on Exercise and Cancer was assembled to advance their previous recommendations beyond public health guidelines and progress toward prescriptive programs specific to cancer type, treatment, and outcomes (Campbell et al., 2019). The Roundtable reaffirmed that PA, exercise testing, and training are generally safe for survivors of cancer and that every survivor should avoid inactivity. Also, the group determined that adequate evidence exists that specific doses of aerobic, resistance, or combined aerobic-plus-resistance training could improve common cancer-related health challenges, including anxiety, depression, fatigue, reduced physical functioning, and health-related QOL.

ESSA incorporated current scientific evidence, coupled with clinical experience and exercise science principles, to update its position statement on cancer-specific exercise prescriptions in 2019 (Hayes et al., 2019). ESSA recommends a process for developing targeted exercise prescriptions. The ESSA framework includes patient assessment, determination of coexisting health issues, identification of patient capacity and intervention suitability, creation of an exercise prescription according to survivor-driven exercise-related goals, and reassessment.

The ACS’s guidelines address both PA and nutrition for the full continuum of cancer survivors, including those in treatment and recovery, long-term disease-fee living, living with stable disease, and living with advanced disease (Rock et al., 2012). The ACS notes that it is important to remember that survivors across the entire cancer survivorship continuum have different PA needs and challenges, including unique motives, barriers, and preferences.

Summary: The Evidence and Implications for Practice

Overall, evidence exists supporting the implementation of an exercise prescription for survivors of cancer due to its role in reducing morbidity, improving day-to-day physical function and QOL, and improving the potential for survival—all with a low risk of harm. However, the strength of the evidence in relation to exercise safety, feasibility, and benefit depends on cancer type and outcome of interest. While for some survivors, multimodal, moderate- to high-intensity exercise will be appropriate, others will not be able to tolerate such PA levels. Because of the wide-ranging variances across the cancer continuum, there is no set prescription and total weekly dosage of PA that is considered evidence-based for all survivors. Consequently, PA prescriptions need to be targeted and individualized according to survivor- and cancer-specific considerations (Campbell et all., 2019; Hayes et al., 2019; Rock et al., 2012).

For survivors to maintain or improve physical function and possibly reduce cancer-related toxicities, oncology nurses must be prepared to discuss the short- and long-term benefits of PA (Mustian, Lin, Cole, Loh, & Magnuson, 2020). Ideally, oncology providers should partner closely with exercise professionals (like physical therapists or certified cancer exercise trainers) to help identify risks and contraindications that may affect exercise safety and tolerance, and to create individualized exercise prescriptions to meet the unique needs of survivors with various cancer types and disease stages. Lack of knowledge, resource funding, facilities, programs, qualified staff, and exercise specialists in cancer care may be barriers in many settings.

With international guidelines as a springboard, we urge oncology nurses to initiate discussion of PA recommendations for survivors with their colleagues and regularly incorporate those recommendations into their care plans. In addition, more exercise intervention studies with diverse groups of survivors in various settings, including the home, community, and hospital, are needed to grow the evidence base and gain widespread acceptance among professional and the lay communities.

References

Campbell, K. L., Winters-Stone, K. M., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., . . . Schmitz, K. H. (2019). Exercise guidelines for cancer survivors: Consensus statement from international multidisciplinary roundtable. Medicine and Science in Sports and Exercise, 51(11), 2375–2390.
Courneya, K. S. (2017). Exercise guidelines for cancer survivors: Are fitness and quality-of-life benefits enough to change practice? Current Oncology, 24(1), 8.

Courneya, K. S., & Friedenreich, C. M. (2010). Physical activity and cancer: An introduction. In K. S. Courneya & C. M. Friedenreich (Eds.), Physical Activity and Cancer (pp. 1–10). Berlin, Germany: Springer.

Hayes, S. C., Newton, R. U., Spence, R. R., & Galvão, D. A. (2019). The Exercise and Sports Science Australia position statement: Exercise medicine in cancer management. Journal of Science and Medicine in Sport, 22(11), 1175–1199.

Maddocks, M. (2020). Physical activity and exercise training in cancer patients. Clinical Nutrition ESPEN, 40, 1–6.

Mustian K., Lin, P. J., Cole, C., Loh, K. P., & Magnuson, A. (2020). Exercise and the older cancer survivor. In M. Extermann (Ed.), Geriatric Oncology (pp. 917–938). Berlin, Germany: Springer.

Rock, C. L., Doyle, C., Demark‐Wahnefried, W., Meyerhardt, J., Courneya, K. S., Schwartz, A. L., . . . Gansler, T. (2012). Nutrition and physical activity guidelines for cancer survivors. CA: A Cancer Journal for Clinicians, 62(4), 242–274.

Wild, C. P., Weiderpass, E., & Stewart, B. W. (2020). World cancer report: Cancer research for cancer prevention. Lyon, France: International Agency for Research on Cancer [IARC]. Retrieved from the IARC website: http://publications.iarc.fr/586.

Disclosure: Karen Kane McDonnell is supported by the American Cancer Society under award number MRSG-17-152-01 and the Bristol Myers Squibb Foundation. The content is solely the responsibility of the author and does not represent the official views of the American Cancer Society or the Bristol Myers Squibb Foundation.

I Am and I Will: Science Popularization for Better Cancer Care

February 23rd, 2021 in International News

Author: Xiangyu Liu, Yongyi Chen, Xianghua Xu
Institutions: Hunan Cancer Hospital, Palliative Care Committee of China Anti-Cancer Association

February 4 is the 22nd World Cancer Day. In order to spread health knowledge and create the atmosphere of scientific prevention of cancer, Hunan Cancer Hospital has initiated a series of theme events highlighting caring for cancer patients and fighting cancer together.

The channels and forms of this theme popularization of science were diversified which combined in-hospital and out-of-hospital, online and offline together. Online activities included six topics including theme publicity, in-depth interviews, expert popular science posters, expert popular science videos, expert popular science articles, and ten H5 questions regarding anti-cancer rumors. Offline activities include three major contents: cancer prevention popular science brochures, publicity columns, and electronic screen posters. This event has obtained high social attention with the online web browsing over millions.

[Theme publicity] Focusing on cancer whole course management

Dr. Yazhou Xiao, the president of Hunan Cancer Hospital, advocated a whole-course management chain for cancer patients consisting of cancer prevention, early screening, comprehensive treatment, and rehabilitation. He called upon the whole society to make concentrate efforts on caring for cancer patients.

Theme publicity of Dr. Yazhou Xiao

[In-Depth Interview] Dignity in the last journey of life

Hunan Cancer Hospital is the chairman unit of the Palliative Care Committee of the Chinese Nursing Association. In recent years, Hunan Cancer Hospital has included palliative care in the strategic plan and the national regional cancer center construction project. A three-level linkage palliative care service system of hospital-community-home has been built, and a four-in-one palliative care service model of physical-psychological-social-spiritual has been formed. Cancer patients at the end of life are cared for with love, warm, and compassion, so as to realize the good end, good farewell, and good living to end-of-life cancer patients and their families.

In-Depth Interview of Dr. Yongyi Chen

[In-Depth Interview] Psychological healing of cancer patients

The spiritual care of Hunan Cancer Hospital started in 2005. After more than ten years of development, the hospital has set up the formal spiritual care department and psychological clinics which equipped with full-time spiritual care workers. Medical humanity is expressed, understanding and sharing is shared, accompanying and comfort is delivered. Hundreds of patients have obtained mutual strength of support and realized the meaning and value of life. They have actively made changes and growth post traumatic and stressful events.

In-Depth Interview of Dr. Xiaohong Liu

[Expert popular science posters + expert popular science videos + H5] A feast of medical science popularization has been created by experts

Science Popularization of 11 types of tumors including lung cancer, breast cancer, colorectal cancer, prostate cancer, brain tumor, lymphoma, cervical cancer, liver cancer, gastric cancer, esophageal cancer and thyroid cancer were detailed explicated by 19 experts. Many health education materials on nutrition intake, medication guidance, cancer prevention and rehabilitation, etc were written by cancer nurses for cancer patients and the public.

In the fight against cancer, everyone is not alone, every cancer patient should be treated scientifically, and every healthy person should establish the consciousness of self-conscious cancer prevention and early screening. Hunan Cancer Hospital takes all patients as the center, the cancer science popularization as the fulcrum, the expert team as the support, gives full play to the specialist wisdom, warms up patients in the fight against cancer, advocates the cancer care much closer to patients and the public.