Mary D. Naylor, PhD, FAAN, RN, is Duke-Carolina Visiting Professor in Geriatric Nursing

On Wednesday, May 5, you are invited to join us for the annual Duke-Carolina Visiting Professorship in Geriatric Nursing.  This year features the theme  “Care Transitions” Research, Realities, and Reform.”

3:00 – 4:00 p.m.

2010 Carol Hogue Distinguished Lectureship
Mary D Naylor, PhD, FAAN, RN
Marian S. Ware Professor in Gerontology;
Director of NewCourtland Center for Transitions and Health
University of Pennsylvania

4:00 – 4:45 p.m.

Panel Discussion

  • Mary Naylor
  • William A. Dombi, Esq. Director, Center for Health Care Law,  National HomeCare and Hospice Association, Washington,  D.C.
  • Peggy Dilworth-Anderson, Professor, Dept. of Health Policy and Management, UNC; President, Gerontological Society of America
  • Ken Schmader, MD, Professor, Dept. of Medicine; Director, Geriatric Research, Education and Clinical                 Center, Veteran’s Administration Medical Center

Reception will follow.

This year, the program will be held at *Duke University School of Nursing*, 307 Trent Drive, Durham.  Parking is available in the parking garage across the street.

Admission is free, however registration is required. Please RSVP to M.Mitchell@duke.edu or 919-668-2347

The goals of the program are to:

1. Enhance the collective number, quality and visibility of geriatric initiatives at UNC-Chapel Hill and Duke Schools of Nursing
2. Provide acess to unique expertise in gerontology to faculty, students, nurses, and physicians in the respective health care systems and local long term/continuing care communities, the nursing community at Blue Cross Blue Shield and the public
3. Provide exciting role models to health professional students that will attract them to practice, teaching and research careers in geriatric health care and gerontology
4. Garner media attention to issues of importance in geriatric health care

The Duke-Carolina Visiting Professorship was created through a generous grant from Blue Cross Blue Shield of North Carolina.

National League for Nursing CEO Malone to Speak in Chapel Hill on the State of Admissions, Diversity

New York, NY — March 3, 2008 — The National League for Nursing’s much anticipated annual Nursing Data Review Academic Year 2005-06 has been released, and this year’s is a decidedly good news/bad news report. It casts a wide lens on all types of pre-licensure nursing programs, including those offering diploma, associate and baccalaureate degrees, to determine rates of application, enrollment and graduation. The review also provides a comprehensive demographic profile of the current student population, documenting ethnic-racial identity, gender, and age. On the positive front, the survey shows a marked increase in the percentage of graduating pre-licensure students who are members of racial or ethnic minority groups, with the increase distributed across all racial and ethnic categories: Asians, African Americans, Hispanics, and American Indians.

“Because research increasingly links minority health disparities to a lack of cultural competence on the part of health care providers, who often differ from their patients with respect to racial-ethnic background, this is a promising finding,” observed NLN CEO Beverly Malone, RN, PhD, FAAN.

Rumay Alexander, EdD, RN, director of multicultural affairs at the UNC Chapel Hill School of Nursing, served on the NLN Think Tank on Diversity.

Malone will speak to the nurse educator shortage and other issues on Wednesday, March 19, 2008, 3:00 p.m. at the Carolina Club on the University of North Carolina at Chapel Hill campus.

The NLN reports that applications to RN programs fell a notable 8.7 percent in 2005-06, down from a peak in applications a year earlier. The drop is suspected to be the result of widespread awareness of the difficulty of gaining entry to nursing school, fueled by the continuing crippling shortage of nurse educators. By all indications, unmet demand for placement persists, with 88,000 qualified applications — one in three of all applications submitted — denied. Baccalaureate degree programs turned away 20 percent of its applications, while associate degree programs turned away 32.7 percent.

A PDF of the Executive Summary of Nursing Data Review Academic Year 2005-06

9,120 Pieces of Trident Chewing Gum Gifted for Breast Cancer Research Study

Cadbury Adams, the manufacturers of Trident Gum, made a gift of 31 boxes of Trident Original flavor — that’s 9,120 pieces of gum — to help nursing researchers at the University of North Carolina at Chapel Hill School of Nursing understand more about managing uncertainty in younger breast cancer survivors. “The chewing gum is necessary for the cortisol collection part of the study,” said Merle Mishel, PhD, RN, FAAN, the principal investigator for the National Institute of Nursing Research study. “Chewing gum helps subjects produce saliva for the samples.”

Why are samples of cortisol needed? Individuals under chronic stress have been shown to have decreased cortisol reactivity which is related to adverse health outcomes. The Carolina SON research team is studying how the fear of recurrence for younger breast cancer survivors results in a pervasive sense of a less controllable world, thereby, potentially increasing their uncertainty about cancer recurrence, which may constitute a form of chronic stress.  Chronic stress is known to weaken the immune system.

About 178,500 women in the United States were diagnosed with breast cancer in 2007; of this group, approximately 25 percent will be under 50 years of age. In the first four years following treatment, pre-menopausal women under 50 have a high recurrence rate and an increased likelihood of a second primary tumor. Uncertainty about how to interpret and handle symptoms leads to excessive worry, avoidance of symptoms or somatic vigilance. There has been little research on young survivors during the period of extended survival. Therefore, it is important to test interventions to help these women control their symptoms and manage the uncertainty about recurrence, and improve their quality of life.

There is some evidence that the impact of a breast cancer diagnosis is greater on African-American survivors and they experience more energy loss, sensory and sleep problems, pain and mental distress. African-American breast cancer survivors have rarely been included in intervention studies. This study, however, includes a significant sample of this group.

The Managing Uncertainty in Cancer Patients (MUIC) team has designed and tested a succesful intervention for older breast cancer survivors (mean 64 years of age) who were 5-9 years post treatment. This is currently being distributed by the National Cancer Institute as a model intervention program. The link is: http://rtips.cancer.gov/rtips/rtips_details.do?programid=82&topicid=12&co=n&cg=

The link will go to “RTIPs Program Use Agreement.” Please click accept button below to continue. Click on the “Product” image to download documents or to order a CD.

Most pre-menopausal women also experience an intense reponse to treatment induced premature menopause, including debilitating hot flashes, mood and sleep impairment, memory impairment, sexual dysfunction, and fatigue, yet little information from physicians is offered to help them with these treatment issues. The nursing intervention developed by MUIC places a greater focus on calming self-statements and cognitive restructuring to enhance the benefits of the intervention, which can be practiced by women on their own at home, with a self-help guide manual that can be used on as as-needed basis.

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