Tailored care helps breast cancer survivors reduce swelling, pain

 January 31, 2022

Original article posted at showme.missouri.edu can be found Here

Written by Brian Consiglio, 573-882-9144, consigliob@missouri.edu
MU News Bureau


MU study examines breast cancer survivors’ experiences managing lymphedema.

As a two-time breast cancer survivor, Allison Anbari knows that the combination of chemotherapy, radiation, and surgeries that she endured during cancer treatment puts her at greater risk for developing lymphedema, a chronic condition of swelling caused by disruptions to the body’s lymphatic system. This usually occurs after the surgical removal of lymph nodes or radiation to the lymph nodes – common treatments for breast cancer.

With her own experience in mind, Anbari, an assistant professor in the University of Missouri Sinclair School of Nursing, conducted a study to better understand how rural Missourians are managing their lymphedema after surviving breast cancer. While rural and small-town survivors emphasized feelings of resiliency and self-reliance, they also reported a willingness to meet with therapists and implement personalized self-management strategies to help reduce swelling, while also going about their daily activities. When implemented, Anbari found that these strategies helped improve these survivors’ quality of life.

“If left untreated, excessive swelling from lymphedema can lead to mobility issues, pain and possible infections,” Anbari said. “Various treatment techniques include massaging affected areas of the body or wearing compression bandages. The goal of these self-management strategies is to move fluid from areas of the body with lymphatic damage to higher-functioning lymphatic areas, which can help reduce swelling.”

While interviewing study participants about their experiences managing this chronic condition, Anbari said many of the women with lymphedema became aware of particular daily activities that might trigger swelling or discomfort, such as lifting boxes at work or performing various chores and leisurely activities around the house. In response, the women would either delegate those tasks to colleagues or significant others to avoid discomfort, or wear their compression garments and massage affected areas before completing these tasks to reduce swelling.

“The more we hear from patients about their various experiences, the more we can learn about best approaches for self-management strategies,” Anbari said. “This research can increase awareness and education that provides breast cancer survivors with the tools they need to make lymphedema the least of their worries.”

This is a photo of Allison Anbari.

Allison Anbari is an assistant professor in the MU Sinclair School of Nursing.

Anbari added that as cancer treatments continue to improve, there will be a growing number of cancer survivors who are at an increased risk of developing lymphedema going forward.

“As this population of at-risk breast cancer survivors continues to increase, we can learn from survivors’ experiences to better tailor personalized care,” Anbari said. “One of my favorite responses I heard from a study participant was, ‘Breast cancer didn’t own me, and neither will my lymphedema’.”

“The impact of breast cancer-related lymphedema on rural and small-town survivors’ return-to-work and quality of life: A multiple-case study” was published in Cancer Treatment and Research Communications. Yuanlu Sun of University of Missouri-St. Louis was the co-principal investigator on the study and co-authors include Sarah McCaffrey, Jamie Morton, and Jane Armer of the MU Sinclair School of Nursing. Funding for the study was provided by Sigma, an international nursing honor society.

MizzouThon Helps Miracles Happen in the NICU

Written by Joe Walljasper, MU Health Care

On one of her first days on campus as a freshman, Shelbie Mays heard about MizzouThon from her Kappa Delta sorority sisters. They told her that the University of Missouri student organization is dedicated to raising money for kids at Children’s Hospital, with a particular focus on the neonatal ICU.

That was all she needed to hear.

Just before coming to MU, Mays had watched her aunt’s premature twins fight for their lives in a NICU in St. Louis, so she knew about the miracles that happen in NICUs.

“There are so many premature babies being born every day, and I think it’s awesome we can put our focus on the Children’s Hospital NICU,” Mays said.

Since it started in 2008, MizzouThon has become the largest studentrun philanthropy at MU, with an average of 725 members over the past three years. Throughout the year, students get to know and lift the spirits of Miracle Kids, the patients who participate in the program through the Children’s Miracle Network. Columbia residents are used to seeing their signature volunteer work of “canning” — filling cans with cash donations — near storefronts and intersections. MizzouThon members host multiple fundraisers leading up to the annual Main Event, a dance marathon for students and Miracle Kids that lasts more than 13 hours.

The organization has raised more than $2 million for Children’s To support MizzouThon with a donation, open the camera on your smartphone, point it at the QR code and follow the instructions. University of Missouri senior Shelbie Mays has been an active member of MizzouThon since her freshman year. The organization supports Children’s Hospital. Hospital, which has funded the renovation and enhancement of the NICU — renamed the MizzouThon NICU in 2018 — and supported other services, such as the music therapy program. All of the money raised stays local.

  “As we look to the future and the construction of our new Children’s Hospital, we will be building a 60-bed NICU with 100% private patient rooms. This continued growth and improvement is so important to our patients and families and would not be possible without the generous support of MizzouThon.” — KERI SIMON, CHIEF HOSPITAL OPERATIONS OFFICER  


“We are so grateful for the support of MizzouThon and the help it provides in taking care of our tiniest patients,” said Keri Simon, MU Health Care’s chief hospital operations officer. “Donations have allowed us to expand the number of babies we care for, as well as help us provide state-of-the-art equipment to meet their needs. As we look to the future and the construction of our new Children’s Hospital, we will be building a 60-bed NICU with 100% private patient rooms. This continued growth and improvement is so important to our patients and families and would not be possible without the generous support of MizzouThon.”

Mays, who is now a senior and a member of MizzouThon’s general leadership board, will attend MU’s Sinclair School of Nursing after completing her undergraduate degree. She plans to become a pediatric nurse. Seeing MizzouThon’s impact firsthand while shadowing nurses in the NICU has reinforced that she is devoting her energy to the right cause and entering the right profession.

“I remember one time there was a little boy who had a lot of things going on who had been in the NICU over a year,” Mays said. “The nurses, every time they walked by, would stop by and talk to him before continuing to their next round. Seeing that connection, and knowing MizzouThon contributes to those moments, was awesome.”


NOW HIRING! Verna Adwell Rhodes Endowed Chair in Nursing

Be the first to hold the inaugural Verna Adwell Rhodes Endowed Chair in Nursing. Dr. Rhodes is recognized as a pioneer in oncology nursing research and she is referred to as the “mother of oncology nursing symptom management and assessment.” Her work led to the development of 3 oncology assessment tools that are used in 23 countries around the world.


If you are interested in applying for this position or would like more information about it


2021 Sinclair School of Nursing Dean’s List



Andersen, Emily Kathleen

Anderson, Ruth M

Annen, Olivia

Ashley, Chloe Grace

Astrup, Jessie

Bajor, Erin Christine

Barr, Kimberly Jeanine

Barrientos, Rachael Elizabeth

Bartels, Ellen Teigen

Bartels, Megan D

Bass, Shelby

Bauer, Lauren Danielle

Beckman, Elena Michele

Beebe, Kate

Bellew, Charlie

Berkbuegler, Elizabeth Mary

Bertrand, Aliya J

Bhangu, Jasmine Kaur

Bibbs, Cara Alis

Bickmeyer, Korinna Marie

Blakemore, Breanne Joy

Blevins, Katie Michelle

Blodgett, Katie G

Boehm, Brittany N

Bohler, Lydia Marie

Bond, Gaby

Boswell, Lauren Elaine

Bozeman, Mya Danielle

Brousseau, Kristin Paige

Brown, Suzanne Lawton

Brunnert, Christine Elizabeth

Bruske, Kate

Bryning, Bridget H

Buesse, Morgan M

Burgess, Kate R

Cable, Georgia Uneda

Cain, Hailey Dawn

Calabrese, Bella

Calvin, Lanie N.

Campos, Christian L.

Capalungan, Mya Makayla

Caponi, Lucy Elizabeth

Carlson, Brynn Haley

Cervera, Hailey Jordan

Cervera, Taylor A

Chismarich, Maggie

Church, Jenny M

Clancy, Zoe R

Cleeton, Kim

Clevenger, Lauren Elizabeth

Cline,Jenna  Leigh

Clynes, Samantha M

Coleman, Hannah Gabrielle

Collens, Nicole Marie

Conley, Alexis Erin

Cool, Katie

Corich, Taylor Marie

Corrigan, Sarah Elizabeth

Cory, Addison Scott

Creason, Kathryn M

Crowder, Cole G

Cuda, Sophia Elizabeth Ann

Cullen, Emma Conrath

Cummings, Mindy

Cunningham, Tiana Christine

Dasbach, Madison G

Dean, Alyvia Sydelle

Denny, Brittney Lynn

Dexter, Bria Louise

Dickey, Faith Ranae

Diekroeger, Mark Patrick

Dimmock, Kinsey Ann

Divers, Emma Royce

Donaldson, Mariama

Doran, Brooke

Duffield, Megan Danielle

Earnheart, Kristin Nicole

Edwards, Morgan A

Elem, Kayla

Elliott, Aubrey Dowd

Ericson, Katy

Evans, MiKayla Ranae

Ewing, Sabrea Fay

Fessler, Holly Theresa

Fischer, Chloe Camille

Flynn, Daylen Skye Anneliese

Fontcha, Alex

Foy, Cj

French, Christie

Gammon, Sarah Brooke

Garlock, Tanna M

Geha, Abby

Gereau, Megan M

Gersack, Caroline Alexis

Gerstenkorn, Anna E

Gibson, Camryn Elizabeth

Glaub, McKenna Ann

Glover, MacKenzie Diane

Godbey, Hannah N

Goltl, Shannon Kelly

Gordon, Cade

Goss, Lauren M

Graham, Aly Nichole

Greaser, Sierra Ann

Greaves, Jenna Bailey

Green, Rachel Lauren

Grider, Audrey Mae

Griffith, Hannah M

Hall, Abbey Shawn

Hardin, Allison Ann

Harris, Dezarray Nycole

Hartung, Callie Harrison

Hayes, Brittany Ann Marie

Heerhold, Bridget Rose

Henzel, Gabby

Herweck, Madison Elizabeth

Herzog, Emily C

Heskett, Abby

Hickey, Brianna Kathleen

Hinkle, Kayley A

Hochstedler, Kennedy Elise

Hoerschgen, Lauren F

Howard, Ellie

Howard, Hailee Renae

Howe, Amanda Elizabeth

Huang, YiaSi

Hubbard, Bailee Ann

Huff, Jacob

Huitt, Brooke L

Hunter, Katelyn D

Hutchinson, Megan Rose

Ingberg, Stephanie Lee

Ipsarides, Sean E

Ismaili, Albana

Jacobson, Chloe Elizabeth

Jalil, Lauren Elizabeth

Jansberg, Lilly

Jeans, Chelsey Ann

Jetel, Holly Morgan

Johns, Destiny Nicole

Johnson, Ava E

Johnston, Chloe Sofia

Jones, Annie

Kaczmarek, Jordyn Celyne

Kalou, Nina Marie

Kamudzandu, Rosie

Kantouth, Kailey Bree

Kenney, Brooke J

Kessell, Ria Harper

Kielp, Kayla Rose

Kimery, Taylor Belle

Kline, Katie

Klint, Katie

Knipp, Hannah M

Kotsis, Emma Rose

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Larocco, Lizzy

Ledford, Emma Brooke

Leist, RaeAnn Angelica

Lemen, Brooke Elizabeth

Lescher, Brianna Nicole

Lewis, Courtney S.

Lewis, Grace Elizabeth

Lindstrom, Lexi

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Lucas, Sara M

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Neff, Jaylen K

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Nowacki, Nikky Iza

Obi, Stephanie C

Oden, Brooke

O’Donnell, Caroline M

O’Keefe, Kendall J

Olsen, Briana Josephine

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Otto, Emily

Oxler, Kylee Madison

Parrott, Kaelyn R

Patel, Kajol R

Patterson, Emma Ann

Peiffer, Julia A

Peluso, Julia N

Perez, Avery R

Perryman, Elizabeth Kathryn

Peters, Hannah C

Peterson, Sage C

Pfitzinger, Luke

Phelps, Rachel  Nicole

Polley, Kenzie  Mae

Porter, Samantha Johanna

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Pulliam, Brooke  Lindsey

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Qualls, Savanna F

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Roither, Lauren Michelle

Rood, Jenna Michele

Russell, Lauren Marie

Salas, Pamela Whitney

Sanders, Emme

Sass, Hannah V

Schanzmeyer, Makayla Lynn

Schindler, Morgan O

Schlosser, Ragan Grace

Schnetzler, Jalyn Nicole

Schram, Ellie A

Schroeder, Kelsi M

Schroeder, Lauren Jessica

Schulte, Gracie

Schupp, Emily Brooke

Schwabauer, Molly J

Scroggins, Emma J

Selva, Jennifer Erin

Serritella, Sydney Elyse

Setera, Nalie E

Shader, Madisyn Paige

Shanahan, Mabry E

Shaw, Nevaeh Chantee’

Shearer, Evan J

Shumake, Johanna Clare

Siciliano, Anna Elizabeth

Simms, Mishell R

Simon, Elizabeth

Skorcz, Madison

Slusher, Erin E

Smith, Olivia Claire

Snyder, Kennedy Rae

Sonksen, Brooke N

Sorce, Marissa Caitlin

Sparks, Grace Elizabeth

Staley, Christopher W

Stewart, Madeline Marie

Stiebel, Brian

Stock, Maddie

Suits, Ally

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Taylor, Kyra Ariel

Terry, Grace Marie

Thein, Miranda L

Thevel, Autumn Elizabeth

Thomas, Marisa Kay

Thrift, Sidney Michaelyn

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Tobias, Cristina Erica

Tojo, Jenna Rose

Tonumailau, Pulemalie Si’imatu’u

Tran, Loan

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Van Deven, Emily T.

Vandervoort, Caroline R

Varney, Sierra Makenzie

Vessell, Breelyn Hanna

Vierling, Stephanie M.

Walker, Alexis Nikole

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Weiss, Kara Marie

Wemple, Abby

Wendt, Paige Marie

White, Amelia E

White,Takyra Keyshaun

White, Zane Michael

Whitehead, Aleiya R

Wicks, Melissa

Wildeisen, Jackie

Williams, Arianna Lashaun

Williams, Dylan Stephan

Williams, Jaelah Elizabeth

Willis, Kyara M

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Woods, Ali

Woodward, Josie L

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Yarbrough, Jayden M

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Ahrens, Ashley M

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Alfrey, Taylor Nicole

Allen,Jordan T

Alonso, Jamalon Nicole

Amick, Emily Margaret

Anderson,Brooke M

Anderson, Izzie

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Barber,Macy Gail

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Barnes, Ava F

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Barth,Julia Leigh

Basile, Hannah M

Bates,Brooke R

Bauerly, Anna Elizabeth

Baugus, Abby

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Becking, Adelaide Elizabeth

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Belanger, Savannah Catherine

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Bishop,Grace R

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Breeding,Paige Marie

Breese, Megan Ann

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Cottle, Katie

Coughlin, Kailee Marie

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Cox,Jordan Ashleigh

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Drake,Kaitlin Elizabeth

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Espindola Chavarria, Sara Lisset

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Giwa, MaryRose

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Gough, Millie

Gouldsmith, Sydney Leeann

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Henley, Dylann M

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Herz, Tilson M

Hill, Jordan Marie

Hisle, Diana Marian

Hoffman, Julia Marie

Hoppe, Ally Marie

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Huber, Meghan H

Hueste, Amber SueEllen

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Jackson, Brooke Amelia

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Jacobs, Lauren K

James, Cassidy J

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Jonas, Aidan Jason

Kalmon, Lauren Isabella

Kaune, Lauren Louise

Kaup, Tatum Alexis

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Kellner, Hannah Raine

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Kern, Sammie

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Kim,Jasmin Yeram

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Knittig, Anna Susan

Koenigsfeld, Claire E

Koller, Erin Marie

Kopp, Alayna Grace

Kramm, Elayna M

Kruse, Kane Frederick

Laffee, Ethan Bernard

Lafrentz, Lizzie

Lamons, Rachel Joann

Lampe, Audrey Claire

Landolt, Lexi

Langle, Haley Marie

Lanzotti, Marisa Danielle

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Loftin, Hannah J

Logsdon, Maddi

Luong, Vy Thao

Lutz, Emma

Lycke, Madeline Ann

Lynn, Claire Marie

Madden, Chelsea

Maher, Austin James

Majors, Em

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Malek, Gianna Sofia

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March, Abby Lee

Marteeny, Camryn Renee

Massey, Amina Vivian

Matthews, Sophia Lynn

Maturo, Marissa Marie

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McCombs, Tess

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McGlone, Meghan Elizabeth

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Meine, Tiffany Fay

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Michel, Allison Mary

Michel, Anna Kate

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Miller, Audrey M

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Milli, Adrianna Marie

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Monninger, Sydney M

Morano, Mikayla Gabrielle

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Morrow, Emma Leigh

Mosher, Claire E

Mott, Marissa J

Moy, Tiffany San

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Pack, Caroline L

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Ray, Katie

Rayle, Emma Darlene

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Redlinger, Katie

Reece, Jesse Loren

Rice, Hailey M

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Turner, Kylie Florence

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Wall, Makayla Sue

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