html5
1 / 34

Tribal Cancer Control Education

Tribal Cancer Control Education. Eric Vinson Northwest Tribal Comprehensive Cancer Program May 21, 2012 Risky Business Training. Supported by CDC Grant #1 U58 DP000786-4. Organizational Chart. Northwest Tribal Cancer Control Project (NTCCP). July 1998

fausto
Télécharger la présentation

Tribal Cancer Control Education

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Tribal Cancer Control Education Eric Vinson Northwest Tribal Comprehensive Cancer Program May 21, 2012 Risky Business Training Supported by CDC Grant #1 U58 DP000786-4

  2. Organizational Chart Northwest Portland Area Indian Health Board

  3. Northwest Tribal Cancer Control Project (NTCCP) July 1998 Northwest Portland Area Indian Health Board Delegates resolved to form the Northwest Tribal Cancer Coalition and the Northwest Tribal Cancer Control Project Northwest Portland Area Indian Health Board

  4. NTCCP Mission To envision and work toward cancer-free tribal communities by taking an integrated and coordinated approach to cancer control Northwest Portland Area Indian Health Board

  5. NTCCP 20 Year Plan An integrated and coordinated approach towards preventing and controlling cancer in tribal communities To reduce cancer incidence, mortality, and morbidity among American Indians and Alaskan Natives (AI/AN) in Northwest tribal communities Northwest Portland Area Indian Health Board

  6. NTCCP Goals • Facilitate a process for Northwest tribes to promote cancer risk reduction strategies. • Provide information on the most current early detection, screening and treatment practices through education and resource materials. • Provide education regarding quality of life for cancer patients, their families and caregivers. • Coordinate and collaborate with local and national cancer organizations and individuals. • Improve Indian-specific cancer control data. Northwest Portland Area Indian Health Board

  7. Cancer 101:6 Lessons to help Us Understand Cancer • Cancer among American Indians and Alaskan Natives • What is Cancer? • Screening and Early Detection • Risk Factors and Risk Reduction • Diagnosis and Treatment • Support for Patients and Caregivers Northwest Portland Area Indian Health Board

  8. What Is Cancer? • The term “cancer” refers to more than 100 different diseases that begin in the cells, the body’s basic unit of life. • Cancer develops when cells grow and form more cells without order or control. • Under normal circumstances, new cell growth and old cell death are kept in balance. • In cancer, this balance is disrupted. Northwest Portland Area Indian Health Board

  9. Normal vs Cancerous Cells Northwest Portland Area Indian Health Board

  10. Ca 101 Learning Module 1 Cancer among American Indians And Alaskan Natives Goal: Understand the growing health concern of cancer among AI/AN. Northwest Portland Area Indian Health Board

  11. Cancer Background Lifestyles : Traditional and Western • Dietary changes • Decrease in exercise • Personal vs. traditional use of tobacco Northwest Portland Area Indian Health Board

  12. Cancer Survival Rates AI/AN have the lowest five-year survival rate for all cancer sites combined of any racial group in the U.S. Northwest Portland Area Indian Health Board

  13. Cancer Survival Rates Contributing factors: • Late detection • Treatment compliance • Concurrent disease • Access to care • Barriers to care Northwest Portland Area Indian Health Board

  14. Improving Survival Rates • Reduce barriers to care • Increase participation in screening and early detection services • Chance for survival is better if cancer is found early. Northwest Portland Area Indian Health Board

  15. Breast and Cervical Cancer 101 Adapted from Modules 3&4 Risk Factors and Risk Reduction Screening and Early Detection Goals: Understand breast and cervical cancer risk factors and how to reduce risks associated with cancer. Understand breast and cervical cancer screening and early detection and why it is important. Northwest Portland Area Indian Health Board

  16. Am I at risk for breast cancer? Research has shown that these factors increase your risk: • Gender (Female) • HRT • Age •Alcohol • Family History •Personal history • Genetic alternations •Diet • Benign breast disease •Obesity • Early Menstruation •Radiation • Not Having Children •Aging Northwest Portland Area Indian Health Board

  17. Can I do anything to reduce my risk for breast cancer? • Regular exercise • Breastfeeding during pregnancy • Maintain a healthy diet • Maintain a healthy weight • Limit alcohol consumption • Consult with your clinician regarding menopausal hormone use Northwest Portland Area Indian Health Board

  18. What are the symptoms of Breast Cancer? • A lump or thickening in or near the breast or underarm • A change in the size or shape of the breast • Nipple discharge or tenderness, or the nipple pulled back (inverted) into the breast • Ridges or pitting of the breast (the skin looks like the skin of an orange • A change in the way the skin of the breast, areola, or nipple looks or feels Northwest Portland Area Indian Health Board

  19. Screening for Breast Cancer • Breast Self Exam (BSE): • DO NOT substitute BSE for regularly scheduled mammograms and clinical breast exams. • Clinical Breast Exam (CBE): • Performed by a healthcare professional. • Mammogram: • A special kind of x-ray image of the breasts. • Women in their 40’s and older should have a mammogram regularly, every 1 to 2 years Northwest Portland Area Indian Health Board

  20. Am I at risk for Cervical Cancer? You are at risk if you… • Are a women • Sexually active before age 16 • Many sexual partners • No regular Pap tests • Weakened immune system • Over age 40 • Smoke cigarettes Northwest Portland Area Indian Health Board

  21. What causes Cervical Cancer? • Human papillomavirus (HPV) • Very common virus – over 100 types! • About 15 types cause cervical cancer • Other types cause warts, but not cancer • Other factors may work with HPV to increase your risk of developing cervical cancer: • Use of birth control pills more than 5 years • Having 7 or more children • Smoking cigarettes Northwest Portland Area Indian Health Board

  22. Prevention and Early Detection Pap Test (or Pap Smear) • Performed in a doctor’s office or clinic during a pelvic exam • Looks at cervical cells • Is used to detect cancer or changes that may lead to cancer • Can show non-cancerous conditions Northwest Portland Area Indian Health Board

  23. How often should women have Pap tests? Doctors generally recommend that women: • Should begin having Pap tests 3 years after they begin having sexual intercourse or when they turn 21 • Should have a Pap test at least once every 3 years • Who have had a total hysterectomy do not need to have cervical cancer screening, except if they had cervical cancer Northwest Portland Area Indian Health Board

  24. Questions What are the three recommended screenings for Breast Cancer? • Breast Self-Exam (BSE) • Clinical Breast Exam (CBE) • Mammography or Mammogram Northwest Portland Area Indian Health Board

  25. Tribal Cancer Action Planning Cancer Control in Northwest Tribal Communities • Prevention • Screening & Early Detection • Treatment • Survivorship • Rehabilitation • Palliation Northwest Portland Area Indian Health Board

  26. Cancer Prevention through Education and Outreach Women’s Health Example Northwest Portland Area Indian Health Board

  27. Tribal Action Plans Planning to achieve a specific objective. Includes: • Who will conduct each component of the activity • When actions are to be carried out • What resources need to be allocated • What outcomes are anticipated • What evaluation is needed to determine success Northwest Portland Area Indian Health Board

  28. Sample Tribal Action Plan

  29. Yakama ONCS Mural Walk/Ride 2005

  30. Successful Strategies for Developing Partnerships • Use partnerships to extend resources and delivery • Partner with providers and other clinical staff • Consult with other tribal programs • Partner with state programs for services and training • Use advisors to provide clinical guidance and test new ideas Northwest Portland Area Indian Health Board

  31. Partners Foundations and Non-Profits American Indian and Alaska Native Organizations State and Federal Organizations

  32. Tribal Action Plans Planning to achieve a specific objective. Includes: • Who will conduct each component of the activity • When actions are to be carried out • What resources need to be allocated • What outcomes are anticipated • What evaluation is needed to determine success Northwest Portland Area Indian Health Board

  33. Upcoming Activity June 5&6, 2013 • Northwest Tribal Cancer Coalition Tobacco Cessation Facilitation Training • Second Wind Curriculum • Portland, Oregon Online Registration: https://www.surveymonkey.com/s/June2013NWTribalTobaccoCessation Northwest Portland Area Indian Health Board

  34. Contact Information Northwest Tribal Comprehensive Cancer Program Kerri Lopez (Tolowa), Project Director Eric Vinson (Cherokee), Project Coordinator Elizabeth Viles (Siletz), Project Assistant Tom Becker, MD, PhD, Medical Epidemiologist Improving Data & Enhancing Access - NW (IDEA-NW) Project Sujata Joshi, MPH, Project Director Phone: 503-416-3301 Email: klopez@npaihb.org Northwest Portland Area Indian Health Board

More Related