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EPAD 2017 - Lawrence Drudge-Coates


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The role of the nurse in the Prostate Cancer patient journey Lawrence Drudge-Coates, European Association of Urology Nurses (EAUN)

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EPAD 2017 - Lawrence Drudge-Coates

  1. 1. Lawrence Drudge-Coates Urological Oncology Clinical Nurse Specialist & Hon Lecturer Past President European Association of Urology Nurses EAUN The role of the Nurse in the Prostate Cancer Patient Journey
  2. 2. Prostate Cancer and treatment significantly impacts on Quality of Life, irrespective of care boundaries! Emotional Depression Worry/ anxiety Stress Fear of the future Physical Mobility Exercise Social activities Body image Sleep Sleep quality Energy during the day Mood Social activities Energy Lack of vitality Impact on self-care and activities of living Sexual function Diminished sex life Relation- ship and intimacy Sense of manhood Role function Social life Relation- ships Self-care Effect on work Effect on activities of living Gater A, et al. Health Qual Life Outcomes 2011;12;88.
  3. 3. *Clinical Nurse Specialist * “A Patient’s Perspective”
  4. 4. Nurses have been recognised as fulfilling essential roles related specifically to patient-centred care, patient safety and enhancement of the quality of care: Responding effectively to patients' complex needs by promoting holistic and person-centred approaches to care and referring on to specialised care when needed (e.g. psycho-oncology services). Developing and leading innovative supportive care services to meet the holistic needs of cancer. Ensuring patient-centred quality and safety of care in relation to technologies and increasingly sophisticated treatment modalities. EONS (2012) the role of nurses in cancer care. NHS England (2014) Cancer Patient Experience NHS England and Macmillan Cancer Support (2010) Excellence in Cancer Care
  5. 5. Pivotal role of the Urology Nurse in Prostate Cancer  Educate patients and caregivers about treatment options, benefits and risks  Monitor treatment response  Patient advocate  Care coordination  Point of contact/liaison with other clinical services  Arrange follow-up appointments and monitor blood results  Survivorship – supporting in living with or beyond cancer Urologist Oncologist Pathologist Palliative care and pain specialist Nuclear medicine specialist Others Psychological support team, physiotherapists, pharmacists, community medical services Patient Nurse Specialist and general Radiologist/ radiographer Orthopaedic surgeon Coordinating nurse EAUN symposium (2016) The pivotal role of the nurse in managing Prostate Cancer: collaborating to improve patient care
  6. 6. Nurses – an essential contributor to high quality cancer care through multidisciplinarity………  A wide range of multi-professional disciplines must work together to manage disease and improve quality of life……  Oncologists  Urologists  Orthopaedic surgeons  Specialist and general nursing staff  Palliative care and pain specialists  Psychological support team  Sexologists  Radiographers  Physiotherapists  Pharmacists  General practitioners  Practice & community nurses  Social care services EAUN elearning bone health course 2013
  7. 7. Primary care investment is crucial…. Primary Care is defined by the WHO as “first contact, accessible, continued, comprehensive and coordinated care, however widespread inequalities exist. Cancer and its consequences will be an increasingly prominent part of the primary care workload in the future, while the breadth of involvement of health care professionals in primary care will also increase. The strengths of primary care are particularly evident in prevention and diagnosis but also in shared follow-up, survivorship care and in end of life care. Community nurses have a central role in proactively planning and organising a person-centred care plan for the person with cancer in the home by working together in an MDT approach. Integrated Cancer Care: Bringing Primary Care and Secondary Care Together ECCO Position Statement May 2017
  8. 8. Take home musts!!  With more than 417,000 men diagnosed and more than 92,000 men recorded dying from Prostate cancer, European institutions and Member States need to ensure that individuals receive care that : Focuses and ensures a patient-centred multidisciplinary approach. Is high quality & evidence based. Standardised – including re-defined coordination of the total care process. Clearly defined roles and responsibilities. Integrated across all spectrums of care -Adequate education, clear guidelines/protocols on management/follow- up care.
  9. 9. And in addition………. As a multi-professional approach to Prostate Cancer Care has therefore become of paramount importance to deliver effective patient care…..  Urgent attention now needs to be directed towards strategic workforce planning to address a landscape with continually growing financial pressure to deliver timely and effective healthcare.  Integral to develop appropriate expertise and ensure that the workforce is a sustainable one and meets the individuals needs.  Be supported by education, recognition and role developments. Clearly defined roles and responsibilities.  Must support and provide optimal care for individuals living with or beyond cancer!