1 / 15

Cancer Survivorship Overview

Cancer Survivorship Overview. Objectives. The learner will be able to: Identify the challenges related to survivorship care. Discuss the nursing roles related to caring for cancer survivors in various healthcare settings. US Cancer Survivor Estimates: Site.

stuart-hinton
Télécharger la présentation

Cancer Survivorship Overview

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. Cancer Survivorship Overview

  2. Objectives The learner will be able to: • Identify the challenges related to survivorship care. • Discuss the nursing roles related to caring for cancer survivors in various healthcare settings.

  3. US Cancer Survivor Estimates: Site Data source: Ries LAG, Melbert D, Krapcho M, Mariotto A, Miller BA, Feuer EJ, Clegg L, Horner MJ, Howlader N, Eisner MP, Reichman M, Edwards BK (eds). SEER Cancer Statistics Review, 1975-2004, National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2004/, based on November 2006 SEER data submission, posted to the SEER web site, 2007.

  4. US Cancer Survivor Estimates: Age Data source: Ries LAG, Melbert D, Krapcho M, Mariotto A, Miller BA, Feuer EJ, Clegg L, Horner MJ, Howlader N, Eisner MP, Reichman M, Edwards BK (eds). SEER Cancer Statistics Review, 1975-2004, National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2004/, based on November 2006 SEER data submission, posted to the SEER web site, 2007.

  5. Survivorship Defined • Ideal • Individuals who are 5 or more years beyond diagnosis • Anyone who has been diagnosed with cancer through the balance of his or her life (NCCS) • Including friends, family members and caregivers • Pragmatic • Period in which patients treated with curative intent have completed their initial therapy and require follow-up care • Period until recurrence, second cancer, or death and may include some ongoing treatment, such as hormonal therapy

  6. Current Focus on Survivorship • Rapidly growing population of survivors due to advances in diagnosis and treatment • Greater emphasis on patient-centered issues by the medical community- quantity AND quantity of life • Increasing expectations by patients for good quality of life • Rapid increase in the number of elderly Americans • Cancer as a chronic disease • Economy - individuals working longer • Health care reform • Reassessment of our care delivery models in general • Focus on cost as it relates to quality

  7. Affordable Health Care Act • Accountable Care Organizations • The ability to provide, and manage with patients, the continuum of care across different institutional settings, including at least ambulatory and inpatient hospital care and possibly post acute care; • The capability of prospectively planning budgets and resource needs; and • Sufficient size to support comprehensive, valid, and reliable performance measurement.

  8. The Future of Nursing Report • Remove scope of practice barriers • Expand opportunities for nurses to lead and diffuse collaborative improvement efforts • Prepare and enable nurses to lead change to advance health • Full partners with physicians in redesigning health care

  9. Cancer and its TreatmentDomains of Concern Related to Survivorship • Physical/medical • Organ toxicity and second cancers • Psychological • Fear of recurrence, anxiety and depression • Social • Changes in relationships, economic and education issues • Existential and spiritual • Loss or deepened meaning in life • Informational • Need for ongoing, comprehensive information

  10. The Cancer Control Continuum Source: From Cancer Patient to Cancer Survivor: Lost in Transition; page 24, Box 2-2.

  11. Institute of Medicine Report • Establish survivorship as a distinct phase of care • Implement survivorship care plans • Build bridges between oncology and primary care • Develop and test models of care • Develop and evaluate clinical practice guidelines • Institute quality of survivorship measures • Strengthen professional education • Expand use of psychosocial and community support services • Invest in survivorship research Executive Summary From Cancer Patient to Cancer Survivor: Lost in Transition. Washington, D.C.: The National Academies Press; 2006.

  12. Listening to Survivors • 53% reported secondary health problems • Chronic pain • Sexual dysfunction • Relationship difficulties • Fertility issues • Fear of recurrence • Depression • Financial & job related concerns • 49% reported • Non-medical cancer related needs not met Wolff SN, Hichols C, Ulman D, et al. Survivorship: an unmet need of the patient with cancer – implications of a Survey of the Lance Armstrong Foundation (LAF) [abstract]. Proc Am Soc Clin Oncolo 2005; 23(suppl):6032.

  13. Nurses and Survivorship Nursing Roles Survivorship Care Clinical care Education Counseling Advocacy • Care provider • Educator • Counselor • Advocate

  14. Nursing Roles in Survivorship • Care provider • Educator • Counselor • Advocate

More Related