Multisite Tumor Navigators

This document discusses the challenges of being a multisite tumor navigator and provides case studies to illustrate these challenges. It notes that while small cancer programs may only be able to support one navigator, that navigator is then tasked with providing navigation across multiple sites. Case studies are presented of patients with various cancer types, and attendees are asked to consider navigation concerns and priorities for each patient. The document advocates for navigator specialization and identifies AONN as a potential platform for supporting multisite navigators through information sharing and networking.

Health & Medicine

Multisite Tumor Navigators Jay Swanson, RN, BSN, OCN Saint Elizabeth Cancer Institute Shanna Gillming, RN, BSN Good Samaritan Hospital Cancer Center

Objectives Discuss concerns with navigation Identify potential best practices Review case study highlighting the strengths and difficulties of multisite navigation

Why Navigate Multiple Sites? Small amount of cancer for service area Program can only support 1 navigator Referral systems not in place “Don’t want to leave anyone out”

Brainstorming Time Take 5 minutes to think about… Why are you/do you have a multisite navigator? What are the benefits? What are the concerns? Would you want to be or wish you were specialized? Do you have a preferred disease site to navigate?

J.M. 75-year-old woman with stage IV lung cancer Navigated at time of diagnosis through treatment Including 2 different cycles of chemotherapy WB XRT Cyberknife to left rib cage Now on PO TKI for therapy

Thoughts What are some thoughts about… How often to follow up with this patient? What are the main areas of focus for her care?

Next Patient E.L., 28-year-old woman with gastric cancer Navigated for financial assistance through treatment and beyond Patient had minimal side effects to chemotherapy Always acted like it was not a big deal to be on treatment Always had 12-year-old daughter in room Admitted over weekend for anxiety and nausea

Thoughts What are your thoughts about… Her care, and what concerns should be addressed with her? How does she differ from the patient you saw before her? How often should we follow up with her?

Then… J.C., plasmacytoma - spine 44-year-old man, lives with significant other Uninsured, has worked as a truck driver Unable to work as a result of tumor Undergoing radiation Tolerated radiation treatment fairly well Has applied for public assistance

Thoughts What are your thoughts… Regarding his care? How does he differ from everyone else today?

GYN Patient J.N., 56-year-old patient with advanced cervical cancer Waitress, uninsured Was symptomatic for 2 years with spotting, pain, and weight loss. Waited to see an MD Has a sister from California here to care for her Borrowing a car from patient’s ex-husband to get back and forth to treatment Hospitalized for several weeks with side effects from concurrent chemo/XRT

Thoughts What are your thoughts… What are the barriers here? How can a navigator assist this patient?

H&N Patient S.S., 56-year-old life-long smoker/drinker Receiving radiation for 6 weeks Using American Cancer Society for rides Wife calls daily about concerns Pain meds Swallowing Eating Patient never has any concerns; rates distress level 0 on numerous occasions

Thoughts on This Case… What can we do for this gentleman? Is his score concerning? What can we do for his wife? How is this different from other cancer navigation?

Final Thoughts on Case Study The purpose of specialization is to be able to provide a more focused knowledge base for care How to specialize the following morning? Stage IV lung Gastric Plasmacytoma GYN H&N

Resources Utilized by Navigators American Cancer Society Med companies Local resources (food, lodging) National resources – Healthwell, Chronic Disease Fund, Cancer Care, Patient Advocate Foundation, LLS Cleaning for a Reason Centers for Medicare & Medicaid Services

Next Steps Within AONN we have a network We have an ability to provide a safe place for multisite navigators Certification for Navigation is happening on some level and will only become more prevalent in the coming year

Next Steps What are your thoughts about… Building a place on the AONN site for multisite navigation What would we include on the site? Any tools that we use that would be helpful? Contact information? Resources? Networking throughout the year to help address concerns, maybe as a teleconference or webinar?

This document discusses the role of nurse navigators in managing cancer care programs. It outlines the responsibilities of nurse navigators in identifying barriers to care, educating patients, maintaining communication, and linking patients to resources. It also evaluates the impact of navigation programs through measures of patient and physician satisfaction surveys, patient volume, and qualitative feedback from patients and physicians. Navigation programs aim to improve care coordination and help patients cope with their cancer diagnosis and treatment.

Pre-Conference: The Navigator Matrix

This document outlines a navigation matrix that provides a framework for standardizing and assessing cancer patient navigation programs. The matrix covers key areas like stakeholders, community partnerships, risk factors, metrics, marketing, navigator responsibilities, clinical trials involvement, and disparities focus. It also provides an example application of the matrix to the navigation program at Billings Clinic, describing their program evolution and how they meet various areas of the matrix. The overall goal of the matrix is to help cancer centers standardize, evaluate, and advance their navigation programs over time.

Best Practices: Needs Assessment Process, Data/Metric Tracking, and Survivors...

Patient Navigation Across the Continuum

The document discusses patient navigation across the care continuum. It describes the roles of various types of navigators in integrating both community and nurse navigators. Strategies are presented to identify and address barriers across the entire care process. The institutional structures and resources that support the navigation model are described, including how implementation and sustainability are achieved.

Setting Up for Survivorship Success

This document summarizes key points from a presentation on establishing survivorship programs. It discusses the need for navigation and survivorship care due to issues cancer survivors face. New CoC standards require navigation programs, survivorship care plans, and distress screening. A multi-disciplinary survivorship clinic example integrates navigation, medical, mental health and lifestyle support for survivors. Barriers include financial sustainability and changing provider mindsets. Success comes from collaboration, tailored care, and improving survivor well-being and care coordination.

Survivorship Program Examples

Patient Navigation Initiative 2016

KomenNYC

This document outlines Susan G. Komen Greater NYC's patient navigation initiative to address disparities in breast cancer care. The initiative will begin with a conference bringing together navigation experts, practitioners, and leaders. The conference will examine navigation strategies and identify policies that support navigation and reimbursement. Following the conference, regional summits will convene in surrounding counties to address local needs. A white paper with recommendations will then be published. The goal is to make patient navigation, a critical part of overcoming barriers to care, available to all through ongoing dialogue and action.

Patient Navigation: A Program to Enhance the Patient Experience and the Botto...

Wellbe

In the eyes of a patient, especially one with a chronic or complex illness, the healthcare system can feel overwhelming. Compound the inherent complexities of the system with a variety of barriers patients can face – transportation, language, and many others – and patients can have difficulty following the care plan developed by their team of providers. Founded and pioneered in 1990 by Dr. Harold P. Freeman, patient navigation originally focused on the critical window of opportunity to save lives from cancer by eliminating barriers to timely care between the point of suspicious finding and resolution by diagnosis and treatment. Since its inception as a community-based intervention program, patient navigation has expanded and transformed into a nationally recognized model that extends well beyond cancer care to include the timely movement of an individual across the entire healthcare continuum. While patients clearly benefit from the guidance of a patient navigator, a growing body of evidence suggests that patient navigation increases both patient satisfaction and hospital revenue. Nationally, patient navigation is becoming well-recognized for being a cost-effective strategy to address several healthcare priorities. An attractive career choice for those looking to make a difference in healthcare, patient navigation also provides economic development opportunities in communities throughout the United States. About the Speaker: Carol Santalucia, Vice President, of CHAMPS Patient Experience, LLC is a seasoned healthcare leader with a passion and commitment to enhancing the patient experience. After 28 years in various service excellence and leadership roles at Cleveland Clinic, where she played a pivotal role in the design, creation and implementation of Cleveland Clinic’s service recovery model Respond with H.E.A.R.T., and the development of their patient navigation program and Service Excellence and Patient Advocacy Department, Carol began her own healthcare consulting practice, Santalucia Group, LLC.

The document discusses gastrointestinal (GI) cancer navigation programs at two cancer centers, The Lacks Cancer Center and Fletcher Allen Health Care. It describes how both centers have established multidisciplinary GI cancer clinics and dedicated GI nurse navigators to improve patient care. The roles of the navigators include expediting diagnosis, treatment, and coordinating care through the navigation process. Keys to successful navigation programs are discussed, including clear role definition, communication, quality guidelines, and measuring outcomes.

Metrics in Navigation

flasco_org

The document discusses metrics for evaluating cancer patient navigation programs. It defines metrics as methods to measure performance in order to improve patient care. The summary outlines three key metric outcomes for navigation programs: patient experience, clinical outcomes, and business performance. Patient experience metrics include patient satisfaction surveys and measuring reductions in patient distress. Clinical metrics focus on timeliness of care and adherence to treatment guidelines. Business metrics examine patient retention and emergency department admissions. The document provides examples for how to set SMART goals for various navigation metrics.

Coleman Supportive Oncology Collaborative Symposium

Jennifer Amdur Spitz

Rehab a.o'rourke

This document discusses core components of cancer survivorship care plans, which include a treatment summary and follow-up care plan. It outlines key elements of the treatment summary, such as demographics, disease details, and specific treatments received. The follow-up care plan includes schedules for cancer surveillance, managing late effects, referrals, and health promotion recommendations. Guidelines for survivorship care and models of care delivery are also reviewed. The importance of comprehensive survivorship clinics to address the complex needs of the growing cancer survivor population is emphasized.

Treatment m.feinberg

The document discusses goals and objectives for improving pancreatic cancer care in Maine according to national standards. It aims to conduct regular outcomes studies, provide professional development opportunities, improve online resources and public outreach, and support accredited cancer programs. Barriers to guideline-directed care like financial, geographic and resource issues will be addressed. The document also presents statistics on pancreatic cancer incidence and treatment in Maine and proposes a collaborative neoadjuvant therapy protocol between institutions to standardize patient management across the state.

Building Equitable Patient Partnerships with EMPaCT – identifying goals and o...

Don't miss our upcoming webinars. Subscribe today! Join Alies, a patient partner, and Ambreen, a patient-oriented researcher as they talk about Equity-Mobilizing Partnerships in Community (EMPaCT) a patient partnership model co-designed to center the voices of diverse community members and build capacity for equitable patient-oriented partnerships. In this webinar, Alies and Ambreen describe how they engaged multiple stakeholders including institutional leadership, funding bodies, knowledge users and most importantly, the patient community to identify common goals and intersecting opportunities and channelled them to create clear health-equity oriented pathways to change. View the YouTube video: https://youtu.be/O2FKVsO0x_E Follow CCSN on social media: Twitter - https://twitter.com/survivornetca Facebook - https://www.facebook.com/CanadianSurvivorNet Instagram: https://www.instagram.com/survivornet_ca/ Pinterest - https://www.pinterest.com/survivornetwork

Let's Talk Lymphedema

Health Sciences North | Horizon Santé Nord

Dolores Steinwall, the president of the Lymphedema Association of Ontario (LAO), introduced the webinar about lymphedema. Ann DiMenna, a physiotherapist and director of LAO, then discussed the lymphatic system, signs and risks of lymphedema, and treatment methods like manual lymph drainage, compression therapy, and exercise. Over 400,000 Canadians are affected by lymphedema resulting from cancer treatment, injuries, or other causes. The LAO aims to support those living with lymphedema and raise awareness.

Cancer Survivorship: longer term issues and the role of primary care - Prof E...

Irish Cancer Society

Colorectal Cancer Disease Pathway Management, Northeast Ontario Context, Dr. ...

This document summarizes a presentation on colorectal cancer disease pathway management in North East Ontario. It provides background on the panelists and their lack of conflicts of interest. It then discusses disease pathway management and evidence-informed decision making. The presentation sequence is outlined, covering screening, diagnosis, treatment, survivorship and palliative care in separate panels. It also introduces the Regional Aboriginal Cancer Lead and their role in engaging primary care providers and championing a strategic vision for First Nations, Inuit and Métis cancer care. Statistics are presented on higher colorectal cancer rates in North East Ontario and among Ontario First Nations populations compared to provincial averages. A case example is also provided of a First Nations man who is assessed as higher

Putting it all together: Personalized care for cancer survivors

This document discusses barriers to quality cancer survivorship care and potential solutions. It notes that there are over 13 million cancer survivors in the US who face long-term effects of treatment and prevalent unmet needs. The Institute of Medicine recommends that survivors receive a comprehensive treatment summary and care plan. However, creating these plans can be time-consuming. New technologies like the On Q Health system aim to generate personalized care plans more efficiently based on patient-reported outcomes and guidelines. The system covers symptoms, surveillance, late effects and aims to improve quality and coordination of care across the cancer journey.

Cancer survivorship

Sreedhar Tirunagari

This document provides information about cancer survivorship from the American Society of Clinical Oncology. It defines survivorship as beginning at diagnosis and discusses the challenges survivors may face after treatment, both psychological and physical. It emphasizes the importance of follow-up care, lifestyle changes, asking questions, and utilizing survivorship resources to help adjust to life after cancer treatment.

Pancreatic-Effective-Practices-in-Pancreatic-Cancer-Programs

This document summarizes the key findings from a 2013 ACCC survey on pancreatic cancer programs. The survey identified best practices and gaps. It found that strong programs have a multidisciplinary team including medical oncologists, radiation oncologists, nurses, and pathologists. Respondents sought more education on treatment planning, neoadjuvant options, financial assistance, and end-of-life care. The document profiles five centers serving as resources for pancreatic cancer including Winthrop-University Hospital and its multidisciplinary approach and nurse navigation.

Survivorship Care and Care Plans: Transforming Challenges into Opportunities

Rolguens Saturne abstract.

Rolguens Saturne

This internship abstract summarizes Rolguens Saturne's work analyzing patient satisfaction with the S.A.V.E. Women & Men Cancer Screening Program mobile cancer screening services. The purpose was to evaluate patient satisfaction and formulate recommendations to improve services for patients. A survey of 100 patients found high satisfaction levels overall, especially with cleanliness, staff friendliness and courtesy, access, and education quality. However, satisfaction was lower for registration and exam speed, suggesting the screening process time could be reduced. Additional recommendations will be presented on improving the program based on patient feedback.

Value Frameworks in Cancer Care - a Patient Perspective

Janet Freeman-Daily

This keynote speech was delivered by Janet Freeman-Daily to the IASLC 2017 Chicago Multidisciplinary Symposium in Thoracic Oncology on September 14, 2017. Existing value frameworks for cancer care omit a key component: patient-defined value. This presentation looks at some patient perspectives on value found in patient-driven research, discusses the importance of shared decision making and goals of care discussions, and shares resources to help clinicians incorporate patient-defined value in cancer care.

Gastric-Effective-Practices-in-Gastric-Cancer-Programs

The document discusses effective practices in gastric cancer programs based on a survey conducted by the Association of Community Cancer Centers (ACCC). Key findings from the survey show that strong gastric cancer programs include a multidisciplinary team approach with tumor boards, support staff such as nutritionists and social workers, expert physicians, and access to clinical trials and financial assistance. Four member programs were identified as having experience treating gastric cancer patients and could serve as community resource centers: Curtis & Elizabeth Anderson Cancer Institute, Massachusetts General Hospital Cancer Center, Stanford Cancer Center, and University of Colorado Hospital/Cancer Center.

Listening and Learning with EMPaCT - Exploring ways to partner with those who...

National Association For Continence

Don't miss our upcoming webinars! Subscribe today! In this webinar: Join Alies, a patient partner, and Ambreen, a patient-oriented researcher, as they explore ways to listen and learn from seldom heard patient populations. Both speakers share their experiences in the world of patient engagement, discuss the need to include patient-identified priorities in the delivery of healthcare and reflect on the current structure of patient partnerships which can be exclusionary. As a way forward, Alies and Ambreen introduce Equity-Mobilizing Partnerships in Community (EMPaCT) as an approach which strives to centre diverse patient voices, create a culture of listening and learning from the experiences of patient partners and develop a learning healthcare system ecosystem which is responsive to the needs of all patients in order to improve health outcomes, in particular health equity. View the YouTube video: https://youtu.be/Yx762mVjML8 Follow CCSN on social media: Twitter - https://twitter.com/survivornetca Facebook - https://www.facebook.com/CanadianSurvivorNet Instagram: https://www.instagram.com/survivornet_ca/ Pinterest - https://www.pinterest.com/survivornetwork

Centers of Excellence

Scripps 35th Annual Conference: Clinical Hematology & Oncology Brochure 2015

Scripps Conference Services and CME

CCSN's Ontario Virtual Action Week: COVID-19 and Cancer Care - Wave 2

Don't miss our upcoming webinars! Subscribe today! In April, CCSN virtually met with MPPs throughout Ontario to discuss our COVID-19 and Cancer Care - Wave 2 Survey. During these meetings, we discussed the difficulty cancer patients and pre-diagnosis patients have had with accessing cancer services during the pandemic and the importance of ensuring the cancer patients receive their 1st and 2nd vaccine doses in a timely manner. In this webinar, CCSN's Public Policy Analyst Conrad will begin by sharing some of the highlights from our meetings with Ontario MPPs. He will then turn things over to our patient advocates and they will share some of their reflections from our meetings as well as their own experiences with accessing cancer care during the pandemic. Lastly, Conrad will take a closer look at the Ontario data from our survey. View the YouTube video: https://youtu.be/05u4i89WFfQ Follow CCSN on social media: Twitter - https://twitter.com/survivornetca Facebook - https://www.facebook.com/CanadianSurvivorNet Instagram: https://www.instagram.com/survivornet_ca/ Pinterest - https://www.pinterest.com/survivornetwork

The Importance of Cancer Rehabilitation

Ovarian Cancer Research Fund Alliance

Don’t miss our upcoming webinars. Subscribe today! About this webinar:The importance of Cancer Rehabilitation The diagnosis and treatment of cancer can result in chronic side effects which interfere with a person’s ability to work, engage socially, and do daily activities. Awareness and understanding of cancer rehabilitation have increased greatly over the past decade. However, access to rehabilitation services remains limited across Canada. There is an urgent call to action to invest in systems and services that can promote the recovery and well-being of cancer survivors. This includes the early identification of physical side effects and the development of effective cancer rehabilitation treatments that can be supported and maintained by our health care system.About This Presenter:Jennifer M. Jones, PhDDr. Jennifer Jones is the Butterfield Drew Chair in Cancer Survivorship Research and the Director of the Cancer Rehabilitation and Survivorship Program at the Princess Margaret Cancer Centre. In addition, she is a Senior Scientist at the Princess Margaret Research Institute and an Associate Professor in the Department of Psychiatry (primary) and the Dalla Lana School of Public Health (cross-appointment) at University of Toronto.Dr. Jones’ most recent scholarly and professional activities have clustered around Translational research to inform clinical survivorship care. This clinical research platform specifically focuses on examining new approaches to predict, prevent and manage long-term adverse effects of cancer and its treatment and evaluating innovative models of follow-up care and support for the growing number of cancer survivors. View the Video: https://bit.ly/importanceofcancerrehabyoutube Follow CCSN on social media: Twitter - https://twitter.com/survivornetca Facebook - https://www.facebook.com/CanadianSurvivorNet Instagram: https://www.instagram.com/survivornet_ca/ Pinterest - https://www.pinterest.com/survivornetwork

Annie Ellis Patient Perspective from Ovarian Cancer Endpoints Workshop hosted...

On September 3, 2015, Ovarian cancer survivors and FDA Patient Representatives Peg Ford, Susan Leighton and Annie Ellis were invited to provide the patient perspective at the recent Ovarian Cancer Endpoints Workshop hosted by the Food and Drug Administration (FDA). This meeting was co-sponsored by the Society of Gynecologic Oncology (SGO), the American Association for Cancer Research (AACR) and the American Society of Clinical Oncology (ASCO). Many important topics to the ovarian cancer community were discussed, including novel clinical trial designs, biomarkers, and new classes of agents such as immunotherapies.

What's hot

Gastrointestinal Cancer Navigation

Metrics in Navigation

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Coleman Supportive Oncology Collaborative Symposium

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Let's Talk Lymphedema

Health Sciences North | Horizon Santé Nord

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Irish Cancer Society

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Putting it all together: Personalized care for cancer survivors

Cancer survivorship

Sreedhar Tirunagari

Pancreatic-Effective-Practices-in-Pancreatic-Cancer-Programs

Survivorship Care and Care Plans: Transforming Challenges into Opportunities

Rolguens Saturne abstract.

Rolguens Saturne

Value Frameworks in Cancer Care - a Patient Perspective

Janet Freeman-Daily

Gastric-Effective-Practices-in-Gastric-Cancer-Programs

Listening and Learning with EMPaCT - Exploring ways to partner with those who...

National Association For Continence

Centers of Excellence

Scripps 35th Annual Conference: Clinical Hematology & Oncology Brochure 2015

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What's hot (20)

Gastrointestinal Cancer Navigation

Metrics in Navigation

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Rehab a.o'rourke

Treatment m.feinberg

Building Equitable Patient Partnerships with EMPaCT – identifying goals and o...

Let's Talk Lymphedema

Cancer Survivorship: longer term issues and the role of primary care - Prof E...

Colorectal Cancer Disease Pathway Management, Northeast Ontario Context, Dr. ...

Putting it all together: Personalized care for cancer survivors

Cancer survivorship

Pancreatic-Effective-Practices-in-Pancreatic-Cancer-Programs

Survivorship Care and Care Plans: Transforming Challenges into Opportunities

Rolguens Saturne abstract.

Value Frameworks in Cancer Care - a Patient Perspective

Gastric-Effective-Practices-in-Gastric-Cancer-Programs

Listening and Learning with EMPaCT - Exploring ways to partner with those who...

Centers of Excellence

Scripps 35th Annual Conference: Clinical Hematology & Oncology Brochure 2015

CCSN's Ontario Virtual Action Week: COVID-19 and Cancer Care - Wave 2

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Williams_2015_Lived Expereince of BC Survivors

Faustine Williams

The document summarizes a qualitative study that explored the lived experiences of 15 breast cancer survivors from diagnosis through treatment and beyond. Three major themes emerged from interviews: 1) coping with the stressful diagnosis and treatment process and adjustments required, with some developing journaling techniques; 2) family support being key to providing strength through treatment; 3) feeling abandoned after treatment ended and uncertainty around what survivorship means. The study provided insight into the experiences of women diagnosed with breast cancer who have completed treatment.

Communicating hope and truth: A presentation for health care professionals

bkling

This document discusses improving cancer communication between doctors and patients. It begins with some cancer epidemiology statistics in the US. The main points are: - The language used in oncology, such as "war on cancer", can imply meanings that increase patient anxiety and imply blame. - Terms like "early detection" and "screening saves lives" may give patients a false sense of prevention or cure. - Doctors should acknowledge patient emotions, use plain language, present information in bite-sized chunks, and encourage participation in decision making. - When discussing risks, benefits, and the future, doctors should address patient concerns directly and not minimize their experiences. The goal is to provide trust and hope while still being honest.

Breast cancer medical treatment, side effects and complementary therapies 2017

mostafa hegazy

This book aims to provide breast cancer patients and their caregivers with comprehensive information about breast cancer diagnosis, treatment, side effects, and complementary therapies. It takes readers through the journey of Prema, who was diagnosed with breast cancer, and her caregiver Prem. The book covers topics like cancer diagnosis, medical treatment options, physical and psychosocial side effects of treatment, complementary therapies, and the importance of patient-centered care to improve quality of life. By presenting medical and non-medical information in simple language, the authors hope future breast cancer patients and their families will feel prepared to face the challenges of dealing with breast cancer.

Advanced cancer care_planning

Oregon Health & Science University

This document provides information about advanced cancer care planning for patients and their families. It discusses care options for advanced cancer such as standard treatment, clinical trials, palliative care, and hospice care. It explains that palliative care focuses on improving quality of life by managing symptoms and providing emotional and practical support. Hospice care is a form of palliative care for those expected to live 6 months or less and focuses on ensuring compassionate end-of-life care. The document provides guidance on exploring care options, involving family in decision making, and coping near the end of life.

Integrative oncology traci pantuso jennie crews may2016 pci conference

wwuextendeded

The document discusses integrative oncology from the perspective of local providers. It summarizes surveys of patients and physicians that show patients commonly use complementary therapies and want more collaboration between providers, while physicians underestimate usage but are open to evidence-based and integrated approaches. Opportunities for increased collaboration include identifying patient goals early, improving communication between providers and patients, navigating community resources, and setting realistic expectations about therapies.

Why screeing cancer patients for distress will increase disparities in psycho...

James Coyne

CapeCodHospitalGrandRounds: Palliative Care

Suzana Makowski, MD MMM FACP

Palliative care aims to improve quality of life for patients facing serious illness through comprehensive pain and symptom management and coordination of care across settings. While some view it as a form of rationing, studies show palliative care can help patients live longer while feeling better. It works to resolve conflicts among clinicians and between clinicians and patients/families around goals of care. Implementing a palliative care program at Cape Cod Hospital could help address frequent ER visits and readmissions at end of life through improved symptom control and advance care planning.

iOH Webinar Slide - Cancer Prehabilitation Webinar slideshow

iohwebsiteian

Cancer Prehabilitation aims to prepare patients for cancer treatment through physical activity, nutrition, and mental well-being support from the point of diagnosis. The three core elements of prehabilitation are physical activity, nutrition and eating well, and emotional and mental well-being. Engaging in prehabilitation can lead to improved outcomes including better tolerance of treatment, faster recovery times, and reduced complications. Prehabilitation supports patients' resilience and empowers them to play an active role in their cancer journey from the start.

Hah

Suzana Makowski, MD MMM FACP

The document discusses palliative care, what it is, and its benefits. It provides evidence that palliative care can improve quality of life for patients with serious illnesses, help patients live longer, and reduce healthcare costs. The document proposes developing a palliative care program at HealthAlliance Hospital through a team approach and various models of consultative and inpatient palliative care services.

Palliative Care 101 Webinar

Fight Colorectal Cancer

Redesigning methods of psychosocial intervention 2 10 13

James Coyne

This document discusses redesigning psychosocial services for cancer patients. It notes that international standards for cancer care may not be practical or appropriate for all cultural contexts. When developing new services, it is important to evaluate appropriateness, involve stakeholders, and monitor implementation. Screening all patients for distress may not be feasible and could identify needs without solutions. Alternatively, all patients should have opportunities to discuss their experiences and concerns without screening. The goals of psychosocial care should be better symptom management, access to support, and specialized services for high-risk patients.

Full Public Health Program Proposal: Paper

Christina Spry

CAMPSO aims to increase breast cancer patients' and providers' knowledge and use of complementary and alternative medicine (CAM) treatments in Oregon. The program provides CAM education sessions for breast cancer providers led by CAM experts. It also establishes a partnership committee for ongoing CAM discussions between CAM and breast cancer clinicians. Additionally, CAMPSO gives patients brochures on CAM treatments to discuss with their providers. The goal is for CAM to be routinely discussed during treatment to improve patients' health outcomes and quality of life.

Breast Cancer Navigation

PVI, PeerView Institute for Medical Education

This document outlines steps for effective breast cancer navigation using the nursing process theory. It discusses the role of a navigator, identifying barriers patients face, and developing strategies to address them. A case study example illustrates how to assess an elderly patient's physical, emotional, support system, knowledge, financial, and healthcare barriers. Attendees then brainstormed ways for navigators to reduce different barriers. The presentation emphasizes that navigators cannot work alone and need a multidisciplinary team including non-clinical navigators, financial counselors, dietitians, and social workers to best support patients.

Fine-Tuning the Wave of Innovation in RCC: Personalized Management Across the...

Chair and Presenter, Sumanta Kumar Pal, MD, FASCO, Pedro C. Barata, MD, MSc, Toni K. Choueiri, MD, and Cristina Suarez, MD, PhD, prepared useful Practice Aids pertaining to renal cell carcinoma for this CME/MOC/NCPD/AAPA activity titled “Fine-Tuning the Wave of Innovation in RCC: Personalized Management Across the Disease Spectrum.” For the full presentation, downloadable Practice Aids, and complete CME/MOC/NCPD/AAPA information, and to apply for credit, please visit us at https://bit.ly/3yGnLnD. CME/MOC/NCPD/AAPA credit will be available until July 2, 2024.

Michael Porter's strategic mgt

Sheilla Ang

ROJoson PEP Talk: CANCER INCURABILITY and HOSPICE CARE

Reynaldo Joson

The document discusses cancer incurability and hospice care. It defines cancer as an uncontrolled growth of cells that can spread to other tissues. Cancer incurability means the cancer cannot be cured or there is no cure. Some cancers may be incurable but not all - early treatment and effective therapies can cure some cancers. A cancer is considered terminally incurable if it is advanced, growing rapidly, recurring and no effective treatment exists, and the patient is expected to pass away within a year. At that point, the goal shifts from curative to palliative care and hospice to improve quality of life.

Integrating Wellness Into Cancer Care

Current Oncology

Palliative vs Hospice Care

Fight Colorectal Cancer

Hospice care and palliative care: Is there a difference between the two, and if so, what? Many people still think that palliative care means hospice care. But today, hospice is only a small part of palliative care. The goal of palliative care is to prevent or treat the symptoms and side effects of a disease; and it should be part of the picture from the first day a serious illness is diagnosed. Dr. Jim Meadows, Director of Hospice and Palliative Care at Tennessee Oncology, will discuss this important topic. How does a family and a health care team best work together to guide a patient through a terminal illness? How does everyone continue to support quality, patient-centered, end-of-life care?

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8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx

Holistified Wellness

We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.

Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...

Oleg Kshivets

Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).

Osteoporosis - Definition , Evaluation and Management .pdf

Jim Jacob Roy

CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf