Urological Oncology Clinical Nurse Specialist & Hon Lecturer
Past President European Association of Urology Nurses
The role of the Nurse in
the Prostate Cancer
Prostate Cancer and treatment significantly impacts
on Quality of Life, irrespective of care boundaries!
Fear of the
Gater A, et al. Health Qual Life Outcomes 2011;12;88.
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
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
Pivotal role of the Urology Nurse in Prostate
Educate patients and
benefits and risks
Point of contact/liaison
with other clinical
monitor blood results
Survivorship – supporting
in living with or beyond
medical services Patient
EAUN symposium (2016) The pivotal role of the nurse in managing Prostate Cancer: collaborating to improve patient care
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……
Specialist and general nursing staff
Palliative care and pain specialists
Psychological support team
Practice & community nurses
Social care services
EAUN elearning bone health course 2013
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
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
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-
And in addition……….
As a multi-professional approach to Prostate Cancer Care has
therefore become of paramount importance to deliver effective
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