Multidisciplinary Approach to Oral Cancer Cancer Symposium for Medical and Dental Professionals The Inn at St. John’s September 9, 2016
Multi D Head and Neck Cancer at St. Joseph Mercy Jan Akervall, MD, PhD Deb Young, RN, BSN September 9, 2016
Thanks Beth LaVasseur Paula Wallace Lauren Smoker Phil Stella Sarah Sabol Rita Vershum Lori Morelli Deb Young
Disclosures Dr. Paul Hoff has identified the following potential conflicts of interest: Case Observation Proctoring for Intuitive Surgical. All other persons involved in this CME do not have any financial relationships with any commercial interest related to the content of this activity. This activity has not received any commercial support. ©2015
Background HN cancer treatment is complex: Radical surgery Radiation of sensitive areas Chemotherapy HN cancer treatment affects: Speech Swallowing Cosmesis Social and financial situation
This is why… Management should be done in a multidisciplinary setting All specialties represented Right decision at the right pace Coordination is key All aspects need to be considered all the time Prognosis Complications/side affects
MultiD at St Joe Prepare patients for the Tumor board Path report Radiologic work-up completed Treatment decision at Tumor Board Discuss best treatment w regards to prognosis AND functional outcome Appointment at The Multidisciplinary clinic same day Give consistent information to patient and family One stop shop
St Joe’s Tumor Board ENT Research – Clinical Trials Rad Onc Speech Med Onc Nutrition Neuro-radiology Social Work Pathology Nurse Navigator
The day of TB and MultiD New referrals are presented Patient appointment to meet members of the care team Patients leave with a plan
Coordinating Care Through Treatment Speech Pathologist Financial Counselors Nutritionists Genetic Counselors Spiritual Care Leader Palliative Care Clinical Research Team Social Work
MultiD care after treatment Coordinate appointments Ancillary services Nutrition Speech and swallow Social work Radiologic follow-up
How to refer a Patient to the MDC Deb Young, Nurse Navigator 734-712-4987 Call 734-712-HOPE Fax to 734-712-5001 Send patients name, DOB, and office notes We will take if from there!
Mr. Ron Harte A Patient’s Perspective