RE:Connect

A blog written by oncology nurses for oncology nurses

RE:Connect

Prevention Can Be as Glamorous as Cure

[By Crystal F. Spellman, RN, BSN, OCN®]

Last week, the CDC and NCI released a joint report on can­cer screen­ing that high­lights the effects of health­care dis­par­i­ties that exist among indi­vid­u­als with­out health insur­ance or access to a pri­mary care physi­cian. For breast can­cer screen­ing, Healthy Peo­ple 2020 rec­om­mends a national goal of 81.1%; how­ever, in 2010, the rate of screen­ing was only 72.4%. Rates of breast can­cer screen­ing for women with no reg­u­lar provider of health care and those with­out health insur­ance accounted for nearly half of that. Less severe trends are noted for cer­vi­cal can­cer screen­ing; how­ever, the dis­par­i­ties are even more pro­nounced for col­orec­tal screening.

This story made it to a few other media out­lets but prob­a­bly scored about a 1.5 on the “Big News Richter scale.” It was the kind of story health­care providers talk about with the pre-​​programmed res­ig­na­tion typ­i­cal of those immersed in the bat­tle for cure. It can be so hard to muster up the pas­sion required to make pre­ven­tion work. Look at the “Faces of Pre­ven­tion.” They are healthy. They have their entire lives ahead of them. They have choices. They have time.

Now, flip the coin and take a look at the “Faces of Cure.” They have per­fected the seem­ingly dichoto­mous act of bal­anc­ing fight and sur­ren­der. If we haven’t been touched in our per­sonal lives by one of them, surely we have in our work. We know them well. They are the faces and the sto­ries that com­pel us to do bet­ter, work faster, accom­plish more—to plant the flag and win the race.

Susan G. Komen for the Cure is unar­guably iconic among the many groups dri­ving research, pol­icy, and out­reach. Amer­ica has come to count on Komen as a reli­able source of infor­ma­tion in the fight against breast can­cer and a bea­con for sur­vivors. Only a few days after the CDC released its report on the state of can­cer screen­ing in the United States, Komen for the Cure announced its deci­sion to dis­con­tinue grant fund­ing to Planned Par­ent­hood ear­marked for breast can­cer screen­ing. The reac­tion to this story was imme­di­ate and vehe­ment. In the 48 or so hours that fol­lowed, pre­ven­tion was ele­vated to the celebrity sta­tus it deserves, and not just among health­care providers, or pol­icy mak­ers, or news out­lets, but by everyone—loudly. So loud that on Fri­day, Nancy G. Brinker, the founder of Komen for the Cure, issued a pub­lic apol­ogy revers­ing the foundation’s deci­sion. This was big news.

Where will pre­ven­tion go from here?  I hate to imag­ine that the only way to get a real con­ver­sa­tion about pre­ven­tion going is to steep it deeply within the polit­i­cal land­scape at the end of an elec­tion cycle. Pre­ven­tion should be cool with­out con­tro­versy and with­out excep­tion; how­ever, last week pre­ven­tion did the unimag­in­able. It sparked pas­sion­ate and empow­ered action, stim­u­lated a national con­ver­sa­tion, and ulti­mately, got results. Last week, pre­ven­tion was glamorous.

Crystal F. Spellman Crystal Spellman, RN, BSN, OCN®, is a research coordinator for Phase I clinical trials in hematology/oncology for the University of Cincinnati’s Experimental Therapeutics Program in Ohio and is currently pursuing her DNP in the Adult/Gerontology CNS tract at the University of Kentucky. Crystal first earned a BFA in painting from the Art Academy of Cincinnati in 2001, and brings that foundation to the art of nursing. She is a newer oncology nurse but has already found that the richness and rewards of caring for patients with cancer and their families is her passion. Read more articles by Crystal F. Spellman --

Comments

  1. Joni Watson says:

    Excel­lent post, Crystal!

  2. Crystal F. Spellman says:

    Thank you for the pos­i­tive feed­back Joni. These are excit­ing times!

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