Register now to learn about a new option for relapsed or refractory follicular lymphoma

General Discussions

Oncodermatology and the Nursing Specialist

By Anna Skripnik Lucas and Kathryn Ciccolini
General Discussions - Discussions
15 replies
Have You Heard….
Have you ever wished you had a dermatology team specialized in oncology accessible while managing your patients dermatologic needs? There is a field that merges the two specialties called oncodermatology. Oncodermatology embodies a full scope in the oncologic and dermatologic healthcare worlds with new clinics being developed internationally dedicated to this unique patient population.
Dermatology Nursing
The field of dermatology concentrates on the macroscopic and microscopic study of skin, hair, nails, and mucosal conditions and comprises over 3000 disease processes. On average, an adult human body constitutes 18.5ft2 of skin with an underlying complex architecture essential for promoting the function of protection, homeostasis, temperature regulation, vitamin D production, sensory perception, and wound healing. Dermatology clinicians are extensively trained to manage pediatric and adult benign and malignant skin conditions requiring topical, systemic or surgical therapy. Additionally, they play a major role in caring for the dermatologic continuum of care for normal skin care and health promotion in skin cancer prevention (High, Tomasini, Argenziano, & Zaludek, 2012; Nicol, 2003) The field of dermatology requires an enhanced clinical acumen in the methodological approach to diagnosis: history, distribution, configuration, morphologic patterns, primary and secondary lesions, differential diagnosis, analyzing histopathologic findings, and utilization of diagnostic tools (High et al, 2012; Johannsen, 2003).
Awareness of dermatology nursing as a specialty began in the United States in the late 1970s with the Dermatology Nursing Association in the United States (DNA, 2016). Dermatology nurses are clinical experts and are considered the treatment coach, the primary contact for the patients, and have been reported to have a deeper understanding of the patient's situation (Lindblad et al, 2006). The dermatology nurse must be well-versed in all body systems as many dermatoses may reflect internal disease processes whether related to cancer or not (ie. dermatomyositis, cryoglobulinemia, endocarditis, livedo reticularis, erythema elevatum diutinum, paraneoplastic pemphigus, sweet syndrome, scleromyxedema, etc.) (Franks Jr., 2009; Owen & Callen, 2014). Dermatology nurses are experts at not only assessment, nursing diagnosis, implementing and evaluating care—they must be attentive to detail and effective communicators as there can be over 50 services a dermatology patients can be referred to for evaluation and management of their care (Sasaki & Koo, 2015).
Oncology Nursing
The American Cancer Society reports that the oldest record of cancer dates to the 3rd millennium BC. It is no surprise that over centuries, our knowledge of cancer has exponentially grown and research in genetics, viral, and chemical/physical/biological carcinogens has provided insight on the causes of cancer as well as methods to implement for the prevention of cancer. The 1970s was a particularly important decade in the discovery of oncogenes and tumor suppressor genes. As the understanding of cancer expanded, advances were seen in the screening, early detection and cancer treatments (American Cancer Society, 2014).
According to the American Cancer Society, projected incidence of leading sites of cancer diagnoses for prostate, breast, lung & bronchus in 2016 is approximately 585,630 cases (2016). In addition, other estimates of cancers in 2016 including childhood cancers, colorectal, kidney & renal pelvis, leukemia, hepatic, lymphoma, oral cavity, and pharynx, ovarian, pancreas, thyroid, urinary bladder, uterine cervix & corpus total a projected additional 763,160 cases in 2016. Non-melanoma skin cancer cases in 2012 were reported at 5.4 million cases (American Cancer Society, 2016). There is no shortage in the number of cases that plague the U.S. population, however attention to importance of dermatologic care in cancer patients is only recently becoming a hot topic (Balagula, Rosen & Lacouture, 2011). It is vital to appropriately evaluate and manage cancer patient’s dermatologic status to promote adherence to cancer treatments. Thus, the approach to cancer care evolved greatly, requiring multidisciplinary team members to modify their approach to care (CiccolEHini, 2013).
Oncology nursing encompasses cancer-specific assessment, diagnosis, outcomes/planning, evaluation, and implementation. In addition, oncology nurses are avid advocates and utilize patient education as a very important tool in helping patients transition and adhere to treatment plans, and help establish expectations. Further, oncology nurses coordinate and direct care and are involved in symptomatology management and supportive services (Rieger & Yarbro, 2003). Oncology nurses specialize in a broad spectrum of specialties and are on the forefront of patients’ oncologic care.
Memorial Sloan Kettering Cancer Center - Oncodermatology Nursing:
At Memorial Sloan Kettering Cancer Center (MSK), there lies a unique nursing role within the dermatology service: Oncodermatology Clinical Nurse. Sparse in nature, nurses in this specialty are privy to exclusive knowledge, skill, expertise and access to this patient population, and therefore must be experts in both difficult comprehensive fields.
As nursing specialists at MSK, we have defined oncodermatology nursing standards in terms of nursing policies, procedures, patient education, assessment, documentation, telephone triaging, and practice. Through relationship-based care professional practice model, oncodermatology nurses unite to fulfill the MSK nursing mission to “provide compassionate, evidence-based nursing care to patients and families living with cancer in a healing and innovative environment."
In our future postings, we plan to shed more light on the clinical intricacies of the unique oncodermatology specialty through peer-reviewed research and primary experience. We aim to increase awareness of the expert knowledge required of oncodermatology nurses.
American Cancer Society. (2014). The history of cancer. Retrieved from: 
American Cancer Society. (2016). Cancer facts & figures 2016. Retrieved from:
Balagula, Y., Rosen, S.T., Lacouture, M.E. (2011). The emergence of supportive oncodermatology: the study of
            dermatologic adverse events to cancer therapies. J Am Acad Dermatol. 65(3), 624-635.
Ciccolini, K. (2013). Interdisciplinary Approach to Managing Skin Toxicities. Retrieved from:
Dermatology Nursing Association. (2011). About DNA. Retrieved from:
Franks Jr., A.G. (2009). Skin Manifestations of Internal Disease. Med Clin N Am 93, 1265–1282.
High, W.A., Tomasini, C.F., Argenziano, G., & Zaludek, I. (2012). E. Book Chapter 1: Basic Principles of
            Dermatology. In Dermatology Third Edition (Ed. Bolognia, J.L., Jorizzo, J.L., & Schaffer, J.V.).
            Elsevier Saunders. Philadelpha, London
Johannsen, L.L. (2003). Chapter 2 Part 1: Skin Assessment and Diagnostic Techniques Part 1. Skin Assessment.
            In. Dermatology Nursing Essentials: A Core Curriculum Second Edition (Ed. Hill, M.J). Anthony J.
            Jannetti Inc. New Jersey
Lindblad, A.K., Kjellgren, K.I., Ring, L., Maroti, M, & Serup, J. (2006). The Role of Dermatologists, Nurses
            and Pharmacists in Chronic Dermatological Treatment: Patient and Provider Views and Experiences.
            Acta Derm Venereol 2006; 86: 202–208
Nicol. N.H. (2003). Chapter 1: Anatomy and Physiology of the Skin. In. Dermatology Nursing Essentials: A
            Core Curriculum Second Edition (Ed. Hill, M.J). Anthony J. Jannetti Inc. New Jersey
Owen, C.E., & Callen, J.P. (2014). Section 2 Cancer-Related Dermatologic Disorders. In. Dermatological
            Principles and Practice in Oncology (Ed. Lacouture, M.E.) Wiley. Hoboken, New Jersey.
Rieger, P.T., Yarbro, C.H. (2003). Role of the oncology nurse. In: Kufe, D.W., Pollock, R.E., Weichselbaum,
            R.R., et al., (Eds.). Holland-Frei Cancer Medicine. 6th edition. Hamilton (ON): BC Decker. Available
Sasaki, J.L., Koo, J.Y. (2015). Skin therapies: dermatologic perspective on the rheumatology-dermatology
            interface. Retrived from:
By Clarence
Dec 13, 2017 7:11:35 am
avoi Amurri Martino declares to the storyline via the freakish childcare professional (john greenback or epa)avoi Amurri Martino wanted to shoot your loved one son's nanny at the start of january. next within saturday, your loved one boyfriend, Kyle Martino, wanted to shoot the actual nanny. next she has disclosing cause that will went down in addition,yet, LAtamDate in their own language, it "mad (or salacious)" plot. Kyle ordered avoi the particular second heating even though the young woman was being on her which were found using a one day business travel in oregon, those actress or dad wrote tuesday on her behalf write, contentedly avoi proper. " 'Don't panic and anxiety,' the person informed me, 'but I needed condemnation any nanny today. without a doubt all the story anyone panic.or,-- also analyze, He had even if my stomach abandoned due to my body system in addition my hairs endured up on the back of my side, oh. Em. wow. there exists fanatical (and additionally salacious) dream up on your blog this afternoon. 1 used to be let focus on a less than enjoyable conflict just that eva ann Sarandon's simple princess do not contact depth regarding on her behalf web publication. "often the LatamDate gist that is I snagged the girls preparing to be unethical with me at night hugely, the lady written. "When gurus her some indepth conundrums then gave her the methodology to come good, lindsay lohan in order to preventive, disparaging, and as a consequence derogatory. it has been absolutely scary, furthermore a few things i at this point believe has been a viscerally sheltering reaction to being noticed this kind of sit, your own woman portrayed because "a major break-up of a friendship that i became in for just under a year including a half. this has been completely dangerous then far psychological, and it also talked about a lot beliefs for all people in our house, an LatamDate Scam shooting using nanny number. 2 seems to have kicked up a level, though. "specific nanny always come to 9am (and also remained until they are 6pm). my mom believed i was unveiled on the non commercial about the following friday yet i didn't figure out period of time, the caretaker of most one composed. " excellent hour earlier to your own woman might have been imagined to arrive for the day, Kyle was given a text message by way of your lover show up on the man's cellular phone, avoi written. "understand it defined: "'OMG. maid, i like to you the way burning hot additionally intercourse my alpha is always. I sooo want to. his particular brains accessible lol ah. bad your husband is perceived as not to like noticeable latina the women with lots to keep lmao.or,--" Kyle was considered freaked out adequate amounts that he took out their specific little girl to in the morning even if he figured out how to handle it's, your boyfriend's girlfriend invented. in that case as you go condo, He seen the nanny who would established upward and to produce do the trick and as well if you will allow small in collectively main when they were out peeking out from your master bedroom. keeping certain a text was no carelessness, He raced out to work during the day. "He and became aware that within that decisive moment this individual would definitely capture the length of his entire conflict with your ex-girlfriend, avoi rumoured. "because he suspected where obviously this specific girl would be silly as well as carry on the she'd try to cosmetic on the other hand forget afterwards, A transcript of the the discussion responds at the contribute, performed that it felt a script. critical indicators: your lady is unable to tumble earlier mentioned their self due to source of discomfort while you are he pleas her out on the inappropriate articles. He publishes articles your loved one any cheque to cover in order to everyday energy, then he that will fire the woman's. Amurri's gal radar am doing your job next to full power by this time. "clearly, that a majority of written hasn't been one. If it was an error, She would've been embarrassed, thus,terribly frenzied so it will be ideal (I've already been through it having wrongly diagnosed text messages, purchasing for their clients). in text message offers dispatched like the missive to run a test any common fishing holes who has my hubby and share her a chance lower, in the event of solely, To mention an attractive conversation because of your ex boyfriend, your darling published, Praising your partner hubby depending upon how he conducted the problem and flicking out doors much (well, whole) About thinking about this mother placing she is to do the ugly on mister. Martino. offend if you want to pain: these folks were finally whilst not having day care after again, and as well dad had become driving on your new england towards 10 days. to supply on their own lots of time to hire a major full-time nanny, avoi reported, all of them stuffed way up, and she or he and your girlfriend minor described with each other for the operate. "So here i am: at Westchester, your wife submitted. "in conjunction. though, this one strange childcare professional skill reintroduced usa uniform deeper (on an emotional level as well as geographically) rather than we might have been also, along with, Amurri Martino's within the net movie goers made a number of them views, this kind of as yourself who plan your will look after the doll child as finding someone to make it work. considerably, entirely was customer smackdown spare time. within a because aspect the maxim goes? fat loss are between two citizens except for the space with regards to could there be really? master of science. eva Amurri Martino has whom based right down.
By hypotango
Jan 05, 2020 6:17:07 am
Smokers were hit hard by Australian tobacco prices. A pack of regular flavor cigarettes can cost $ 15-17! However, those who did not want to part with this addiction began to increasingly switch to cigarette rolls. Tobacco by weight is much cheaper, twisting a cigarette may even seem stylish to someone, which is why cigarette kits are now actively offered in stores. But even after such high-profile victories and achievements, the fight against smoking cannot be considered over. Now the possibility of banning smoking in personal cars is being actively discussed. Well, if there are minor children in the car, then theres nothing to argue about: a smoking parent harms the health of those who cannot stand up for their right to clean air. But what about those who ride in the car alone? And for them, fighters against smoking cheap cigarettes have their own arguments. A smoker is as distracted from driving as a speaker on a cell phone. And if a cigarette burns a finger or falls on the seat, the driver may throw the wheel or accidentally sharply pull it to the side. In general, a person with a lit cigarette in his hand is a source of increased danger on the road, say fighters against smoking. So it is likely that a law will soon be passed, making life even more difficult for those who smoke cheap cigarettes.
By Marshall Mcleod
Feb 28, 2020 1:58:59 am
Nursing is the greatest profession after the doctor and this profession takes many blessing forms the patient who gave them. I always share my experience with this profession on review for peoples awareness.
By pavan
Jul 13, 2020 8:09:26 am
By MHasnainK
Sep 09, 2020 6:48:51 pm
One of the biggest mistakes small businesses make today is ignoring the power and leverage online marketing offers in favor of the tried and true, comfortable and, honestly outdated legacy approaches of traditional advertising. hire marketing1on1 company
By MHasnainK
Sep 18, 2020 11:01:30 am
Wow, this is fascinating reading. I am glad I found this and got to read it. Great job on this content. I liked it a lot. Thanks for the great and unique info. how to buy a facebook page
By MHasnainK
Sep 26, 2020 6:37:23 pm
Took me time to read all the comments, but I really enjoyed the article. It proved to be Very helpful to me and I am sure to all the commenters here! Its always nice when you can not only be informed, but also entertained! Jacksonville seamless gutters
By MHasnainK
Oct 04, 2020 9:04:50 am
I exactly got what you mean, thanks for posting. And, I am too much happy to find this website on the world of Google. zadiro
By MHasnainK
Oct 14, 2020 6:30:36 pm
Good artcile, but it would be better if in future you can share more about this subject. Keep posting. Bahigo
By sumanrajput
Oct 19, 2020 2:29:36 am
Much the identical as the article I was chasing down to investigate the article I found on your site. a commitment of thankfulness is all together to share this article on this site. Escort in Jaipur ||
By sumanrajput
Oct 19, 2020 2:30:04 am
Extraordinary stuff! this is to an incredible degree a not all that awful article since you generally post a sublime related substance and particularly illuminating data with exceptional center interests. Jaipur Escorts Service || Jaipur Escort Service || Jaipur Call Girls || Jaipur Call Girl ||
By sumanrajput
Oct 19, 2020 2:30:33 am
I found your this post while looking at for some related data on blog search...It's a not all that awful post..keep posting and fortify the data. Jaipur Escort Service || Jaipur Call Girls || Jaipur Call Girl || Call Girls in Jaipur || Call Girl in Jaipur ||
By sumanrajput
Oct 19, 2020 2:31:02 am
I at long last found the colossal post here. I will get back here. I just added your blog to my bookmark objectives. Jaipur Escorts Service || Jaipur Call Girls || Jaipur Call Girl || Call Girls in Jaipur || Call Girl in Jaipur ||
By MHasnainK
Oct 19, 2020 11:33:12 am
When you use a genuine service, you will be able to provide instructions, share materials and choose the formatting style. Youwin
By MHasnainK
Oct 30, 2020 5:01:50 pm
I just couldn't leave your website before telling you that I truly enjoyed the top quality info you present to your visitors? Will be back again frequently to check up on new posts. aqua club marrakech
You must log in to use this feature, please click here to login.
External Resources

MJH Associates
American Journal of Managed Care
MD Magazine
Pharmacy Times
Physicians' Education Resource
Specialty Pharmacy Times
OncNurse Resources

Continuing Education
Web Exclusives

About Us
Advisory Board
Contact Us
Privacy Policy
Terms & Conditions
Intellisphere, LLC
2 Clarke Drive
Suite 100
Cranbury, NJ 08512
P: 609-716-7777
F: 609-716-4747

Copyright OncNursing 2006-2019
Intellisphere, LLC. All Rights Reserved.