Volume 14, Issue 2, June 2006 Coordinator's Message What's Inside . . . Coordinator's Message Welcome Our New Coordinator Gwen Wyatt, RN, PhD East Lansing, MI gwyatt@msu.edu Coordinator-Elect's Message Editor's Message Integrated Therapies An Intervention Will Study Reflexology Benefits for Women With Advanced Breast Cancer Conference Highlights Elevator Introduction Check Out These Books of Interest Congress Was A Success Membership Benefits SIG Officers I hope that you were as excited about Congress in Boston, MA, as I was. What a wonderful time to reconnect and learn about the latest information in oncology care. Our SIG meeting was held on Thursday, May 4, from 5:15–6:30 pm. Great news! Our SIG name change has been approved, and we now are the Complementary and Integrative Therapies SIG. Our Congress poster featured the new name. I'd like to welcome our new coordinator, Charlene "Gayle" Pattillo, BSN, RN, OCN®. (Charlene says her friends call her Gayle.) Gayle is from Johnson City, TN. Congratulations, Gayle! I'd like to thank Mary Revak, RN, OCN®, for her wonderful job of continually updating our Virtual Community (VC) page. When you have information to add to our VC, please send it to me and I'll have it approved by ONS and sent to Mary for posting. This is a great way to communicate. Finally, I would like to mention my new National Cancer Institute–funded research project. The purpose of the study is to enhance the quality of life of women with late-stage breast cancer (stages III and IV). We will be offering reflexology to the intervention group. Please take a look at "An Intervention Will Study Reflexology Benefits for Women With Advanced Breast Cancer" in this issue. As always, please let me know if you have ideas for our SIG. The Complementary & Integrative Therapies SIG Newsletter is produced by members of the Complementary & Integrative Therapies SIG and ONS staff and is not a peer-reviewed publication. 1 Special Interest Group Newsletter June 2006 Coordinator-Elect’s Message Laugh for the Health of it Charlene “Gayle” Pattillo, BSN, RN, OCN®, CLL (Certified Laughter Leader) Johnson City, TN Patillocg@msha.com What if I told you I had something that could relieve anxiety, anger, and depression and ease pain, facilitate sleep, improve relationships, reduce stress, decrease blood pressure, boost immunity, help control fear, enhance learning, foster hope, and help lose weight (not a great selling point for all cancer patients, but for some and staff)? What would you pay? What if I told you it's free, or nearly so? From the Great Physician, we have been given a prescription in the Bible in Proverbs 17:22 (New International Version). "A cheerful heart is good medicine, but a crushed spirit dries up the bones." "Laughter is the best medicine" is a popular notion and one that has a lot of truth to it. The physician Galen noted nearly 2,000 years ago that cheerful women were less prone to develop cancer than gloomy ones. Studies since then have shown laughter to have the benefits I mentioned in addition to the pleasure of laughing. Humor as therapy began with Norman Cousin's discovery that laughter helped in his recovery from a painful illness. It evolved into the science of psychoneuroimmunology, the study of the relationship between the mind and body. A holistic approach recognizes that a person has not just a physical but an emotional and spiritual self as well. All parts of the whole should be well to live and not just survive. An integrative approach incorporates laughter into medicine. For those who enjoy a good sense of humor, all that may be needed is permission to indulge in it. Adults often take life too seriously. When asked, "How are you?" Common answers include, "You don't want to know!" or "Tired and busy." The Secret Society of Happy People at www.sohp.com observes that being happy has become politically incorrect. Fun and happiness have become equivalent to lazy and stupid. Some people say that you would not be happy if you knew what was going on or ask how you could possibly laugh if you have cancer or are an oncology nurse? Sometimes we squash our childlike nature because we are afraid that we will be mistaken for being childish. We are concerned about being serious and acting professional and mature, and we squelch our lighter side. But even among the terminally ill, humor and laughter play a vital role in cancer care. In a study of patients with cancer, Bennett and Lengacher (1999) found that 87% of clients used at least one complementary therapy. Humor ranked as the 2 second most popular after prayer, with 100% of respondents rating it as very helpful. Laughter clubs are led by a certified laughter leader from the World Laughter Tour (www.worldlaughtertour.com) and serve to promote laughter as an exercise without relying on the use of jokes or comedy. Your body benefits from simulated laughter, which often leads to stimulated laughter. That is, you can "fake it 'til you make it." The World Laughter Tour currently is working on a project to facilitate laughter in cancer support groups. In laughter clubs, we prevent hardening of our attitudes by doing simple daily practices, called Good Hearted Living, which I hope to share more about in the coming months Mondays are for paying compliments. Tuesdays are for flexibility. Wednesdays are for gratitude. Thursdays are for acts of kindness. Fridays are for forgiveness. And the weekends are for chocolate! References Bennett, M., & Lengacher, C. (1999). Use of complementary therapies in a rural cancer population. Oncology Nursing Forum, 26, 1287–1294. Bibliography Lengacher, C.A., Bennett, M.P., Kip, K.E., Keller, R., LaVance, M.S., Smith, L.S., et al. (2002). Frequency of use of complementary and alternative medicine in women with breast cancer. Oncology Nursing Forum, 29, 1445– 1452. Pattillo, C.G., & Itano, J. (2001). Laughter is the best medicine: And it's a great adjunct in the treatment of patients with cancer. American Journal of Nursing, 40–43. Wilson, S. (2003). Good-hearted living. Columbus, OH: Steve Wilson and Company. Wooten, P. (2002). Compassionate laughter. Salt Lake City, UT: Jest Press. Back to SIG Newsletter front page Special Interest Group Newsletter June 2006 3 Editor’s Message This Newsletter is Chock-Full of Great Information Pamela Potter, ARNP, DNSc Seattle, WA potterpj@u.washington.edu When I embarked on organizing this newsletter, uncertainty prevailed. Would I have enough interesting material to share with readers? Would I be begging for material? Alas, interesting content prevails. I did go begging—at my university—and found a student who was happy to turn one of her papers into an informative article for our newsletter. I e-mailed our OrgaNIC (Organization of Nurses in Integrative Care) student group asking for contributions. I imagine this organization is not the only well for drawing upon writing resources. Wherever you are affiliated—hospital, clinic, or academic institution—please share this newsletter with colleagues and students and ask them if they would like to write about integrative cancer care. Of course, you, too, can contribute to content. Expand on a practice idea, describe an ideal use of CAM in an integrated healthcare setting, or send an abstract describing your research. Also, your feedback on newsletter content is greatly appreciated. In this issue, our coordinator, Gwen Wyatt, RN, PhD, announces our official new SIG name, Complementary and Integrative Therapies, and happily passes leadership to Gayle Pattillo, BSN, RN, OCN®, in the Coordinator's Message. Coordinator-elect Gayle Pattillo describes laughter as truly "the best medicine" to complement conventional care in "Laugh for the Health of It". Pauline Osborne, RN, BSN, OCN®, a master's student at the University of Washington, reviews the research literature and invites us to "Learn About Nia," a fitness technique and lifestyle program that may benefit people with cancer. Gwen Wyatt, principle investigator, provides an executive summary for a longitudinal randomized clinical trial funded by the National Cancer Institute. Susan Bauer-Wu, DNSc, RN, reports on two conferences recently held by organizations of interest to SIG members, the Society for Integrative Oncology and the American Psychosocial Oncology Society. Pauline Osborne tells us about herself in an "Elevator Introduction," followed by two short reviews of books of interest. Back to SIG Newsletter front page Special Interest Group Newsletter June 2006 4 Integrative Therapies Learn About Nia Pauline Osborne, RN, BSN, OCN® Seattle, WA posborne@u.washington.edu The American Cancer Society estimated that 1,372,910 men and women would be diagnosed with cancer in 2005 (National Cancer Institute, 2005), and more than nine million would be alive with a cancer in the United States (Schwartz, 2004). New advances in early detection, treatment of disease, and management of side effects has increased the number of cancer survivors and survival time (Drake, Falzer, Xistris, Robinson, & Roberge, 2004); however, the significant morbidities from cancer and its treatment often undermine the quality of life (QOL) of cancer survivors. The current research suggests that physical exercise may be one strategy to enhance QOL during and after cancer treatments (Courneya et al., 2003). The Nia Technique is a fitness and lifestyle program currently incorporated in a variety of cancer settings, including Camp Bluebird (www.campbluebirdmi.com) (Hardee, 2002) and the Cancer Well-Fit (www.cancerwellfit.com) Program at Santa Barbara Athletic Club (Cancer Well-Fit, 2005). Nia was first developed by Debbie and Carlos Rosas in 1983 as a safer and gentler approach to high impact aerobics. Nia is a multidimensional program incorporating a variety of modalities addressing body, mind, spirit (one's own uniqueness), and emotions. Nia is based on the "body's way" (the way the body was designed to move) and incorporates movement energies from the dance arts (modern, jazz, Duncan), the martial arts (Tae Kwan Doe, Tai Chi, Aikido), and the healing arts (yoga, the work of Moshe Feldenkrais, the Alexendar Technique). Nia consists of 52 basic moves, 13 main principles, and five different sensations of fitness (stability, mobility, flexibility, strength, and agility). Nia has three main levels: low intensity (e.g., arm movements kept closer to the core, stances less deep), moderate intensity (e.g., arm movements further away from core, stances deeper), and high intensity (e.g., large arm movements, deep stances). During class, music is played and participants move through seven main cycles (set a focus and intent, step in, warm up, get moving, cool down, floor play, and step out). The lifestyle component of Nia occurs by taking what is learned in class and applying it to one's daily life; for example, noticing one's emotions throughout the day (Rosas, 2004). Two studies on the Nia Technique have been published. One studied its use in patients with cancer (Kern & Baker, 1997); the other examined physical and emotional recovery in women with breast cancer (Lopez, Bensen, Guillen, Kurker, & Johnson, 2001). 5 Kern and Baker compared Nia with a conventional approach of aerobic dance in female college students. The purpose was to evaluate two different teaching methods in aerobic dance classes on general self-esteem, physical self-esteem, and state-trait anxiety. Thirty-seven students participated in a conventional aerobic class, and 40 students participated in a Nia class. No significant changes were found in general self-esteem, physical self-esteem, and state anxiety in the seven-week program. However, the trait anxiety in conventional aerobics increased while the Nia group score decreased. Because trait anxiety is considered a relatively stable trait, the meaning of this change is unclear and may be an artifact of study design. Comments presented by healthy participants in the study by Kern & Baker (1997) revealed differences between the two fitness programs and may be relevant when considering a fitness program for cancer survivors. Reporting how they felt after class, 71% of students in the conventional aerobic class referred to physical conditions such as being out of breath, tired, or hungry. However, 87% of students in the Nia group referred to emotional conditions, such as feeling awake, less stressed, relaxed, calm, uplifted, and light. The Nia group also said they had more energy and strength and felt more energized. When reporting feelings experienced during class, 44% of the conventional group mentioned frustration. Their comments included confusion, "frustrated because I couldn't keep up," "stressed to keep up with everyone in class," incompetent, uncoordinated, and struggling. By contrast, the comments in the Nia group included joy, hope, "appreciation for my body," moving freely, rejuvenation, power, and grace. These differences suggest that Nia could be more beneficial as a fitness program in cancer survivors. The study also showed that positive psychological affects might differ depending on the teaching approach used in aerobic activity. Lopez et al. (2001) conducted a pilot study examining the emotional and physical recovery of women with a history of breast cancer. The purpose was to test the hypothesis that an internally directed physical activity (Nia) would be more effective in supporting the emotional and physical recovery of women with a history of breast cancer. The secondary objectives were to evaluate the effects of an internally directed fitness program versus an externally directed fitness program on depression, anxiety, and immune function. Nineteen women were randomized to an intervention of Nia (internally directed) or a prescribed walking program (externally directed). Measures were taken prior to the intervention, immediately postintervention, and three and six months after the intervention. Beck Depression Inventory scores showed greater improvement in the Nia group during the intervention. However, no significant results regarding depression were found in the three- and six-month follow-ups. Analysis of the State-Trait Anxiety Inventory showed statistically significant improvement in the Nia group (p = 0.02). Natural killer (NK) cells were increased postintervention and at follow-up in the Nia group, whereas NK cells decreased in the prescribed walking group. In conclusion, the pilot study suggested a benefit to an internally directed physical activity in the emotional and physical recovery of women with a history of breast cancer. However, the researchers concluded that a larger randomized study was needed to clarify the significance of the results for breast cancer survivors. Anecdotal evidence provided by a breast cancer survivor describe her perceptions of how Nia affected her life. Sarah (pseudonym) was first introduced to Nia in the fall of 1999. By the end of the year, she noticed a breast lump. She also was experiencing stress in her marriage and with her parents. "Having those two hours a 6 week where I could surrender to the music and learn the routines kept me sane." Once the lump was checked, Sarah had surgery and was back to Nia a month later. She states, "Family members tended to be very protective. Going to Nia without their watchful eyes was a release, and with Nia's three levels, I could let my body go or not as energy allowed. I'm not a person that enjoys repetition (too much in daily living); the variety of the routines were a pleasure and allowed me to stretch my surgery side. It was commented by the oncology nurse on follow-up visits that my flexibility returned more quickly than expected." Prior to Nia, Sarah's normal reaction to pain and stress was to crawl into bed and hibernate. Nia allowed her the space to change this habit. "As a person who tends toward depression, the joy from Nia lasts through the rest of my days. Sometimes I have to force myself to go but always, even with routines I'm not particularly fond of, afterwards is a lightness that wasn't there before." Additional benefits Sarah has experienced include weight loss, decreased blood pressure, increased flexibility, and improved posture. "The moves we do in Nia can take over at unexpected times. The number of times I tripped and was able to catch myself (even recognizing the routine the steps came from) have been frequent. It certainly saved me from a nasty fall down a mountain." Sarah also shares, "With all the research on the benefits of exercise and cancer prevention, finding a program to fit is vital. For me at least, Nia is it." For more information and class lists, visit the Nia Web site at www.nia-nia.com. References Cancer Well-Fit. (2006). The year 2006 schedule for the Cancer Well-fit Program class. Retrieved May 11, 2006, from http://www.cancerwellfit.com/sbacschedule.html Courneya, K.S., Friedenreich, C.M., Sela, R.A., Quinney, H.A., Rhodes, R.E., & Handman, M. (2003). The group psychotherapy and home-based physical exercise (group-hope) trial in cancer survivors: Physical fitness and quality-of-life outcomes. Psycho-Oncology, 12, 357–374. Drake, D., Falzer, P., Xistris, D., Robinson, G., & Roberge, M. (2004). Physical fitness training: Outcomes for adult oncology patients. Clinical Nursing Research, 13, 245–264. Hardee, A.D. (2002). Using the Nia technique for oncology rehabilitation. Advance for Physical Therapists and PT Assistants, 49–50. Kern, D., & Baker, J. (1997). A comparison of a mind/body approach versus a conventional approach to aerobic dance. Women's Health Issues, 7, 30–37. Lopez, A.M., Bensen, B., Guillen, J., Kurker, S.F., & Johnson, M.E. (2001). The effect of physical activity on the emotional and physical recovery of women with a history of breast cancer [Abstract]. Paper presented at the American Society of Clinical Oncology Annual Meeting. Retrieved November 27, 2005, from http://www.asco.org/ac/1,1003,_12-002636-00_18-0010-00_19-002990,00.asp National Cancer Institute. (2005). Surveillance epidemiology and end results. Retrieved November 27, 2005, from http://seer.cancer.gov/statfacts/html/all.html Rosas, D.C. (2004). The Nia technique: The high-powered energizing workout that gives you a new body and a new life. New York: Broadway Books. Schwartz, A.L. (2004). Physical activity after a cancer diagnosis: Psychosocial outcomes. Cancer Invest, 22(1), 82–92. 7 Back to SIG Newsletter front page Special Interest Group Newsletter June 2006 Research in Progress An Intervention Will Study Reflexology Benefits for Women With Advanced Breast Cancer Gwen Wyatt, RN, PhD East Lansing, MI gwyatt@msu.edu The following is an executive summary for the project titled Reflexology: An Intervention for Advanced Breast Cancer. Gwen Wyatt, RN, PhD, is the principal investigator. This research project is a collaborative effort involving the College of Nursing at Michigan State University and West Michigan Cancer Center. It is funded by the National Cancer Institute (No. 1 RO1 CA104883-01A1). Background During the past 15 years, several national studies in the United States and Canada have been conducted on the use of complementary therapies by the general public for relief of a wide variety of symptoms. These surveys pointed out that not only do large numbers of patients with cancer use complementary therapies, but they often do so without their doctors' knowledge or approval. Therefore, we conducted a pilot study at West Michigan Cancer Center to determine which therapies were the most desirable and to evaluate beneficial outcomes. We found that women with breast cancer expressed the largest interest and that the therapy most often maintained over the course of the study was reflexology (a specialized foot therapy). Therefore, 8 we now plan to explore the effectiveness of reflexology more rigorously within the formal oncology care setting. We will evaluate the quality of life of patients with breast cancer and examine the influence of reflexology on their physical and psychological well-being. Complementary Therapy Intervention The goal of this study is to test a complementary therapy intervention (reflexology) that will assist in improving quality of life (QOL) for women undergoing chemotherapy within the context of conventional medical care for late-stage (stages III and IV) breast cancer. This longitudinal randomized clinical trial will test a three-group design in which participants will continue to receive conventional care. Two groups of the study will involve a single-blinded four-week protocol. Group A will receive reflexology from a certified reflexologist, group B will receive placebo sessions from a research aide, and the Group C (the control group) will receive conventional medical care alone. The specific aims include Determining whether women who receive reflexology or placebo (groups A or B) of an experimental protocol report significantly better QOL outcomes (total and subscales) at 7 weeks, 13 weeks, and longitudinally over time relative to women receiving conventional care alone (group C) Determining whether women who receive reflexology (group A) of an experimental protocol report significantly better QOL outcomes (total and subscales) at 7 weeks, 13 weeks, and longitudinally over time, relative to women receiving placebo (group B). Back to SIG Newsletter front page Special Interest Group Newsletter June 2006 9 Conference Highlights Consider Attending Upcoming Meetings of the Society for Integrative Oncology and American Psychosocial Oncology Society Susan Bauer-Wu, DNSc, RN Boston, MA susan_bauer_wu@dfci.harvard.edu Two multidisciplinary professional organizations, the Society for Integrative Oncology (SIO) and the American Psychosocial Oncology Society (APOS), have annual conferences that cover topics and provide valuable networking for members of our SIG. Although nursing's presence and contributions at these forums are important, few nurses actually attend. I've had the opportunity to attend the latest conferences for both of these organizations and would like to share with you some highlights of each and encourage your participation in these organizations and their upcoming conferences. SIO was founded in 2003 for health professionals committed to the study and application of complementary therapies and botanicals for patients with cancer. The focus is on peer-reviewed research and evidence-based treatment modalities. To date, much of the society's emphasis has been on basic science and translational research of herbal products, nutrition, and acupuncture. SIO's second annual conference took place November 10–12, 2005, in San Diego, CA. Approximately 200 people attended from around the world, of which just a handful were nurses, including Pamela Potter, APRN-BC, DNSc, and myself. Pamela presented a poster on the design of her pilot study, Orange Versus Orange Aromatherapy for Addressing Taste and Smell Sensations Associated With Dimethyl Sulfoxide During Stem Cell Reinfusion. I had an opportunity to comoderate a session with Jim Gordon, MD, on research challenges in integrative oncology, which also included some discussion of mind-body therapies and clinical programs. Planning of SIO's Third International Conference is well underway and promises to be even better and larger, with more clinicians attending. It will take place in Boston, MA, November 9–11, 2006. Judah Folkman, MD, pioneer of antiangiogenesis medicine, will be the keynote speaker. I'm thrilled that Betty Ferrell, PhD, RN, FAAN, an ONS distinguished researcher, will be a plenary speaker of a special session on qualitative research for integrative oncology. Additional sessions will include massage and music therapy for cancer symptom management. A call for abstracts is forthcoming, so please consider submitting an abstract. Visit the Web site at www.integrativeonc.org for more information. APOS provides a forum for professionals interested in the areas of psychological, social, behavioral, and spiritual aspects of cancer to come together and advance the science and practice of psychosocial care for people with cancer. Given the holistic core of nursing practice and how oncology nurses in our SIG appreciate the mind- 10 body connection and embrace the use of mind-body-spirit interventions in their clinical practice of patients with cancer, involvement in this organization is a natural fit. The APOS Third Annual Conference was held earlier this year in Amelia Island, FL, from February 16–19. Two keynote sessions were devoted to psychoneuroimmunology. Barbara Anderson, PhD, spoke about her research on stress and immunity in breast cancer in her presentation titled "Capturing Meaning and Improving Health for Cancer Patients with Psychological Intervention"; David Spiegel, MD, spoke on innovations in biopsychosocial interventions, endocrine and immune function; and a nurse from the University of Pennsylvania, Linda Jacobs, PhD, RN, received the Outstanding Clinical Care Award for her contributions in the development of a clinic devoted to cancer survivorship. The APOS Fourth Annual Conference will be held in Austin, TX, from March 1–3, 2007. Ruth McCorkle, PhD, RN, FAAN, is chair of the conference committee. It promises to be another great conference. For more information, visit the Web site at www.apos-society.org. I hope to see you there! Back to SIG Newsletter front page Special Interest Group Newsletter June 2006 Elevator Introduction A Nurse Brings Nia to Patients With Cancer Pauline Osborne, RN, BSN, OCN® Seattle, WA posborne@u.washington.edu During my undergraduate nursing program, I was introduced to my two life passions, oncology nursing and Nia. I was drawn to the psychosocial aspects and pathophysiology of oncology. At the same time, I became a Nia student and found joy in the fitness program. A few years later, I started teaching Nia classes while also working as an RN on a multispecialty unit. I enjoyed the focus on health promotion in my Nia classes and soon found I wanted to bring this holistic approach to patients with cancer. I am currently in the master's of nursing program at the University of Washington (UW) to become an oncology clinical nurse specialist to integrate my two passions by focusing on health and fitness in cancer survivors. I teach Nia at the UW Intramural Activities Center. Back to SIG Newsletter front page 11 Special Interest Group Newsletter June 2006 Check Out These Books of Interest Consciousness and Healing: Integral Approaches to MindBody Medicine The Institute of Noetic Sciences (IONS) announced the launch of a new book and accompanying DVD titled Consciousness and Healing: Integral Approaches to Mind-Body Medicine. This new book, authored and edited by Marilyn Schlitz, PhD, vice president of research at IONS, Tina Amorok, MA, at IONS, and Marc Micozzi, MD, PhD, at the Thomas Jefferson Policy Institute, is a collection of 47 essays on integral medicine, consciousness, and healing that integrates mainstream medical knowledge with recent developments in the emerging areas of frontier sciences and insights from alternative healing perspectives. Integral medicine embraces the recognition that human beings possess emotional, spiritual, and relational dimensions that are essential in the diagnosis and treatment of disease and the cultivation of wellness. For more information, please visit the IONS Web site at www.noetic.org. Reiki: A Comprehensive Guide Reiki: A Comprehensive Guide (Tarcher/Penguin, http://us.penguingroup.com/) by Pamela Miles is the first mainstream book about a healing practice popular with the public and increasingly used in hospitals. Miles writes from nearly two decades of Reiki practice, 30 years of experience with natural medicine, and over 40 years studying meditation and yoga. The book addresses every aspect of the practice and is as appropriate for the complete newbie as for the seasoned practitioner. The book helps readers decide if they want treatment or want to learn to practice themselves, describes the benefits of daily Reiki self-treatment, offers strategies for finding 12 credible local practitioners and masters, details how Reiki is being used in conventional medicine, and gives an overview of the research. Back to SIG Newsletter front page Special Interest Group Newsletter June 2006 Congress Was A Success Two of our SIG members, Colleen Lee, CDR, RN, MS, AOCN®, and Georgia Decker, MS, RN, CS-ANP, AOCN®, presented a pre-Congress session on complementary and alternative (CAM) therapies on May 3, 2006, from 9 am to 6 pm. This was an outstanding opportunity to learn how to navigate through the selection of CAM therapies for your patients. The focus was on symptom management via CAM. The content also included 90 minutes of pharmacology. I hope you were able to attend this session. In addition, our SIG poster displayed our new name, the Complementary and Integrative Therapies SIG. Alan Durtsch worked hard on this project for Congress, and it was dynamite! Back to SIG Newsletter front page Special Interest Group Newsletter June 2006 13 Membership Information SIG Membership Benefits Network with colleagues in an identified subspecialty area around the country. Contribute articles for your SIG's newsletter. Participate in discussions with other SIG members. Contribute to the future path of the SIG. Share your expertise. Support and/or mentor a colleague. Receive information about the latest advancements in treatments, clinical trials, etc. Participate in ONS leadership by running for SIG coordinator-elect or join SIG work groups. Acquire information with a click of a mouse at http://sig.ons.wego.net, including o Educational opportunities for your subspecialty o Education material on practice o Calls to action o News impacting or affecting your specific SIG o Newsletters o Communiqués o Meeting minutes. Join a Virtual Community A great way to stay connected to your SIG is to join its Virtual Community. It's easy to do so. All you will need to do is Log on to the ONS Web site (www.ons.org). Select "Membership" from the tabs above. Then, click on "Chapters, SIGs & Virtual Communities." Scroll down to "Special Interest Groups (SIG) Virtual Community" and click. Now, select "Find a SIG." Locate and click on the name of your SIG from the list of all ONS SIGs displayed. Once the front page of your SIG's Virtual Community appears on screen, select "New User" from the top left. (This allows you to create log-in credentials.) Type the required information into the text fields as prompted. Click "Join Group" (at the bottom right of the text fields) when done. Special Notices If you already have log-in credentials generated from the ONS Web site, use this information instead of attempting to generate new information. If you created log-in credentials for the ONS Web site and wish to have different log-in information, you will not be able to use the same 14 e-mail address to generate your new credentials. Instead, use an alternate e-mail address. Subscribe to Your SIG's Virtual Community Discussion Forum All members are encouraged to participate in their SIG's discussion forum. This area affords the opportunity for exchange of information between members and nonmembers on topics specific to all oncology subspecialties. Once you have your log-in credentials, you are ready to subscribe to your SIG's Virtual Community discussion forum. To do so, Select "Log In," located next to "New User," and enter your information. Next, click on the "Discussion" tab on the top right of the title bar. Now, select "Featured Discussion" from the left drop-down menu. Locate and select "Subscribe to Discussion" inside the "Featured Discussion" section. Go to "Subscription Options" and select "Options." When you have selected and entered all required criteria, you will receive a confirmation message. Click "Finish." You are now ready to begin participating in your SIG's discussion forum. Participate in Your SIG's Virtual Community Discussion Forum First, log in. (This allows others to identify you and enables you to receive notification [via e-mail] each time a response or new topic is posted.) Click on "Discussion" from the top title bar. Select "Featured Discussion" from the left drop-down menu. Click on any posted topic to view contents and post responses. Sign Up to Receive Your SIG's Virtual Community Announcements As an added feature, members also are able to register to receive their SIG's announcements by e-mail. From your SIG's Virtual Community page, locate the "Sign Up Here to Receive Your SIG's Announcements" section. This appears above the posted announcements section. Select the "Click Here" feature, which will take you to a link to subscribe. Once the "For Announcement Subscription Only" page appears on screen, select how you wish to receive your announcements. o As individual e-mails each time a new announcement is posted o One e-mail per day comprised of all new daily announcements posted o Opt-out, indicating that you will frequently browse your SIG's Virtual Community page for new postings Enter your e-mail address. Click on "Next Page." Because you have already joined your SIG's Virtual Community, you will receive a security prompt with your registered user name already listed. Enter your password at this prompt and click "Finish." This will bring up a listing of your SIG's posted announcements. Click on "My SIG's Page" to view all postings in their entirety or to conclude the registration process and begin browsing. 15 Back to SIG Newsletter front page Special Interest Group Newsletter June 2006 16 Complementary & Integrative Therapies Coordinator Gwen Wyatt, RN, PhD East Lansing, MI gwyatt@msu.edu Editor Pamela Potter, ARNP, DNSc Seattle, WA potterpj@u.washington.edu Coordinator-Elect Charlene "Gayle" Pattillo, BSN, RN, OCN® Johnson City, TN pattillocg@msha.com ONS Publishing Division Staff Jacqueline Moore, BA Copy Editor jmoore@ons.org Know someone who would like to receive a print copy of this newsletter? To print a copy of this newsletter from your home or office computer, click here or on the printer icon located on the SIG Newsletter front page. Print copies of each online SIG newsletter also are available through the ONS National Office. To have a copy mailed to you or another SIG member, contact Membership/Leadership Administrative Assistant Carol DeMarco at cdemarco@ons.org or 866-257-4ONS, ext. 6230. To view past newsletters, click here. ONS Membership/Leadership Team Contact Information Angie Stengel, MS, CAE, Director of Membership/Leadership astengel@ons.org 412-859-6244 Diane Scheuring, MBA, Manager of Member Services dscheuring@ons.org 412-859-6256 Carol DeMarco, Membership/Leadership Administrative Assistant cdemarco@ons.org 412-859-6230 The Oncology Nursing Society (ONS) does not assume responsibility for the opinions expressed and information provided by authors or by Special Interest Groups (SIGs). Acceptance of advertising or corporate support does not indicate or imply endorsement of the company or its products by ONS or the SIG. Web sites listed in the SIG newsletters are provided for information only. Hosts are responsible for their own content and availability. Oncology Nursing Society 125 Enterprise Dr. Pittsburgh, PA 15275-1214 866-257-4ONS 412-859-6100 www.ons.org Back to SIG Newsletter front page 17 18 19