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Healthcare PlexusCall: Embracing Complexity: Managing Treatment-Related Symptoms
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When: Wednesday, January 21, 2015
1-2pm ET

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Healthcare PlexusCall
Wednesday, January 21, 2015, 1:00 pm ET/10:00 am PT
Topic: Embracing Complexity: Managing Treatment-Related Symptoms During and After Cancer Treatment

Guests: Noah Zanville, Sarah Shockley and Christine Cote

MP3 File


Cancer remains a leading cause of death for individuals in the U.S., but has increasingly become a disease patients can survive, thanks to a growing arsenal of effective treatments. For patients today, this arsenal includes cutting-edge surgery, hormone therapy, chemotherapy, radiation therapy, biologics and immune-modulating drugs. Together, this collection of treatments is helping more and more patients to fight, and win, their battle against cancer. Unfortunately, many of these treatments can also lead to side-effects that can disrupt patient’s transition back to wellness and, in some cases, threaten their ability to finish their cancer treatment. This tension between treatments that heal and treatments that harm is a major theme in oncology, and is made worse by the fact that in many cases, there are no treatments for these side-effects. Social factors like an aging population, increasing pressure to stay in the workforce and spiraling healthcare costs further underscore the need to help patients, their families, and their providers to manage treatment-related symptoms during and after cancer treatment.

Noah, Sarah and Christine will join the call for a roundtable conversation about the challenges of cancer treatment and what "embracing a complexity perspective” might look like in the everyday care of cancer patients. Please bring your voice and your own experience to this important conversation.

Noah Zanville, BSN, RN, is a 4th year PhD student in Clinical Nursing Science at Indiana University School of Nursing. His research focuses on a growing problem for cancer patients – the painful nerve damage caused by chemotherapy. Measuring nerve damage is critical to managing symptoms, but simple, accurate tools for doing this remain elusive. Partnering with researchers at the Department of Pharmacology at the Indiana University of School of Medicine and the Indiana Center for Vascular Biology and Medicine, Noah is doing research on whether a method for testing nerve damage used in diabetes research can be adapted for cancer patients. Noah is a current National Cancer Institute Behavioral Oncology and Cancer Control training fellow and former National Institutes of Health Behavioral Nursing Research fellow. He is a member of Sigma Theta Tau International the Oncology Nursing Society, the National Comprehensive Cancer Network, and the Indiana University Simon Cancer Center: Cancer Prevention and Control Group.

Sarah Shockley, PharmD, BCOP, is an oncology patient care pharmacist at Thomas Jefferson University Hospital and board certified oncology pharmacist. She obtained her doctor of pharmacy degree from Duquesne University, Pittsburgh, PA. She also completed a PGY-1 and PGY-2 oncology specialty residency at the Hospital of the University of Pennsylvania in Philadelphia, PA. She has practiced at the Ohio State University Medical Center as an outpatient clinic oncology pharmacy specialist and currently works at Thomas Jefferson University Hospital primarily in the inpatient setting. Thomas Jefferson University Hospital is a large, urban teaching university hospital. She is involved with daily patient care rounds on the hematology/oncology service and solid tumor service, and providesnursing and physician education regarding chemotherapy and symptom management of oncology patients.In addition, she providespatient education, and serves as a preceptor for pharmacy residents and students.

Christine Cote, PharmD, is a clinical pharmacist specializing in Oncology. She received a Bachelor of Arts from the University of Pittsburgh and a Doctor of Pharmacy from the University of the Sciences in Philadelphia. She is a Board Certified Pharmacist in Oncology, currently working at the Kimmel Cancer Center at the Thomas Jefferson University Hospital in Philadelphia, Pennsylvania. She is involved in caring for patients in the inpatient hematology/oncology and solid tumor services, as well as the outpatient infusion center. She is a preceptor for pharmacy students as well as pharmacy residents in the specialty of oncology. She recently completed Lean Leadership training, focusing on improvement of workflow and reduction of waste.

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