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It’s Starting Again

Some Notes on Pink Ribbons and the Primacy of Breast Cancer Advocacy

By Karen Roush, MS, RN, FNP-C, AJN clinical managing editor

Breast cancer awareness cornucopia/Wikipedia Commons

It’s starting again. October is less than a week away and already they’re everywhere. But then again, they never really go away. Those darn pink ribbons.

Breast cancer is a terrible disease. My family has experienced its share and I know the anxious—it’s going to be fine, oh my god what will happen to my kids if I die—feeling of waiting for a path report after a lumpectomy.

But there are other terrible things that happen to women—and happen more frequently. And we don’t pay anywhere near the same attention to them. Take heart disease, for example. Heart disease is the number one killer of women. In 1999, according to the CDC, 24% of deaths in women were from heart disease, while 22% were from ALL types of cancer combined. Or consider domestic violence, experienced by one in four women during their lifetime while one in eight women will experience breast cancer.

So why is it that breast cancer garners so much of the public’s attention, and along with that, a disproportionate amount of its resources? It collects more funding than any other type of cancer. For example, lung […]

Guest Author2017-04-21T22:20:27-04:00September 25th, 2013|nursing perspective|6 Comments

Angelina, Florence, End-of-Life Care, Nursing History, Postpartum Depression: A Web Roundup

By Jacob Molyneux, AJN senior editor/blog editor

In the news today we have an op-ed piece in the New York Times by Angelina Jolie about her rationale for getting a double mastectomy. There are sure to be many reactions to this disclosure, with many offering praise for her frankness about her decision. There may also be some who disagree with her decision to take this preventive step because she has the BRCA1 gene, which sharply increases her risk of getting breast cancer. Jolie’s perspective seems to be one of empowerment for women rather than a sense of helplessness or sorrow. Though Jolie’s circumstances are hardly universal in terms of the cushion provided by her great wealth, it’s hard not to admire the strength it takes to see things in such a positive light: “Life comes with many challenges,” she writes. “The ones that should not scare us are the ones we can take on and take control of.”

It’s come to our attention that, in honor of Nurses Week, the American Antiquarian Society blog, PastIsPresent.org, put together an interesting collection of items related to nursing from its mid-19th century archives, leading their post with a mention of AJN‘s March cover, which featured a vintage illustration, “A Map of the Open Country of Woman’s Heart.”

A recent post we ran about the fading away of certain nursing blogs gets a mention from PixelRN, who has […]

Jacob Molyneux, senior editor/blog editor2016-11-21T13:07:36-05:00May 14th, 2013|nursing perspective|0 Comments

Web Pickings: 2013 Predictions, Good Fat, Mammograms, Moderation, Nurse Wisdom, More

By Jacob Molyneux, senior editor

Cartoon showing baby representing New Year 1905 chasing old man 1904 into history/ Wikipedia

Ah, another new year starts (not 1905, despite the illustration) and received wisdom is overturned. Sort of. Consider the widely reported news that a JAMA study has found that being overweight doesn’t seem to increase your risk of dying, or, as the Kaiser Health News headline puts it, “A Little Extra Fat Could Be Protective.”

Many news summaries do point out that severely obese people had a higher risk of dying than did people of normal weight. What the study does and does not mean is being debated, with some pointing out that the study didn’t look at whether being overweight increased consumption of health care resources, number of prescribed medications, etc. We’re sure to hear more on this.

To continue with the theme of questioning long-term assumptions, NPR’s story “Breast Cancer: What We Learned in 2012” gives a nice summary of updated guidelines for who should and shouldn’t get mammograms, including pro and con arguments, the latest research, and so on.

Some pretty cynical journalism can be found in an opinion piece in the Palm Beach (Fl.) Post, which suggests that Hillary Clinton’s blood clot is a hoax.

A New York Times piece, in giving a tidy summary of important exercise-related research from the […]

Jacob Molyneux, senior editor/blog editor2016-11-21T13:08:38-05:00January 2nd, 2013|nursing perspective|0 Comments

BRCA Gene Mutations: Knowing You’re At High Risk for Cancer

‘Autumn Washed Away,’ Diane Hammond/ via Flickr

By Shawn Kennedy, MA, RN, AJN editor-in-chief

October is Breast Cancer Awareness month. We thought we’d do our part with a feature article to help increase nurses’ awareness of some of the issues faced by women who find they are at high risk for breast cancer.

In the October issue, author Rebekah Hamilton describes her research with young women who learn they have a BRCA gene mutation that puts them at greater risk for cancer, especially breast and ovarian cancers. “Breast cancer risk ranges from 50% to 85% by age 50 in women with the mutation and is 12% in women without it.” Her study explores the consequences this knowledge has on decisions these women make about their future, especially those related to prophylactic surgery, relationships, and childbearing, and offers some recommendations for practice. The abstract is below, but I urge you to read the study, especially if your patients include young women.

Objective: Women who carry a BRCA1 or BRCA2 gene mutation face a risk of developing breast or ovarian cancer at an earlier age than women without such a mutation. Relatively little is known about the psychosocial consequences—especially regarding marriage and childbearing—in young women who test positive for one of these mutations.

Methods: In 2006, participants were recruited from Web sites for women with breast cancer or BRCA gene mutations. Forty-four women ages 18 to 39 from 22 states and Canada […]

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Jacob Molyneux, senior editor/blog editor2016-11-21T13:09:06-05:00October 15th, 2012|nursing perspective, nursing research|0 Comments

Year-End Take: A Hopeful Trend in U.S. Health Care?

Less Is Sometimes More
A hopeful trend that’s gained some serious momentum this year—and may be connected to both the recession and some provisions of the Affordable Care Act—is that we’re beginning to question whether we really need quite so many tests and drugs. By ‘we’ I mean researchers, some journalists, some nurses and physicians, and of course patients. The answers aren’t always clear, and there’s plenty of room for disagreement on many such issues, but at least we’re asking the right questions more often, rather than retreating in fear and simply hurling around the word “rationing”:

Who really benefits from prostate and breast cancer screening and who is more likely to be harmed, and why? When are you too young or too old to be likely to benefit from a certain type of screening? When does aggressive care at the end of life cease to make sense? Are we confusing a risk factor with a disease, an association with causation, relative risk with absolute risk?

Does that drug you see relentlessly marketed in advertisements during breaks in the network news actually help you? Which physicians are being paid as consultants in support of various drugs, tests, or treatments, and does this compromise their objectivity? And so on. The latest example of this kind of analysis I’ve stumbled across can be found here: “Disease Creep: How We’re Fooled Into Using More Medicine Than We Need.”

The Many Faces of Nursing
So, that’s […]

Jacob Molyneux, senior editor/blog editor2016-11-21T13:11:06-05:00December 27th, 2011|health care policy, nursing perspective|3 Comments