I always think about you at the beginning of each semester. I love reading about your experiences on Twitter, Facebook, and blogs. It takes me back to my own similar experiences – wearing a stethoscope but having no clue how to use it, trembling while giving my first injection while pretending I’d done it a million times, choking back tears realizing my first mistake, watching intimate moments in amazement and reverence.
Ambulatory nurses at Memorial Sloan-Kettering (MSK) Cancer Center use the Ambulatory Care Telephone Triage and Symptom Management Protocol Manual as a guide to manage calls.
I once had to lead a project team meeting completely over the phone. By the end of the two calls, I was frustrated and exhausted. I was reminded of that long-ago planning meeting as I read this month’s feature article on telephone triage. These nurses must rely on their ability to discern the severity and significance of what is being reported. In addition, they must develop astute skills to ferret out all of the details needed to fully assess the situation and determine next steps.
Telling a patient bad news is never easy. Whether sharing information about an initial cancer diagnosis, disease recurrence, evidence of metastatic disease, or a move to hospice care, the healthcare team needs to be sure patients are prepared for the news and understand what it means for them.
Patients who received ipilimumab lived nearly four months longer than those who received an alternative experimental vaccine that previously showed activity against melanoma. The median survival was 10.1 months for ipilimumab versus 6.4 months for the vaccine.