NAVIGATING THE ONCOLOGY PATIENT Ensuring Patient Centered Care: Collaboration Within The Medical Community Introduce self and Danielle

The presenters have nothing to disclose or conflicts of interest Danielle E. Aldrich-Chellappoo, MSN, NP-C, AOCNP Hematology Oncology Associates Fredericksburg dchellappoo@hoafredericksburg.com 540-371-0079 Regina V. Kenner, RN Mary Washington Healthcare Regional Cancer Center regina.kenner@mwhc.com 540-741-1769 The presenters have nothing to disclose or conflicts of interest

Let’s Make a Word Cloud What is the first word that comes to mind when you hear the word, “Cancer”?

Patient Centered Care Holistic Shared Decision Making Ongoing Needs Assessment Educational Supportive Services Survivorship Six major components of Patient Centered Care

Holistic Physical Intellectual Psycho-social Spiritual The diagnosis, the treatment plan: surgery, chemo tx, radiation tx, side effects, Education on level of patient understanding, Patient must be emotionally available to hear, diverse cultures of spirituality Emotional response to dx, family, employment, finances Immortality, life threatening,

Shared Decision Making Cancer Care Team Treatment Options Clinical Trial Genetic Testing Patient’s Rights Advanced Directives Treatment options based on standards of care, offer clinical trials, genetic testing can open new avenue of treatment, patient’s rights are paramount, long-term prognosis advanced directive, medical power of attorney

On Going Needs Assessment Oncology Nurse Navigator Frequent and “As Needed” Distress Screening Tool Overcoming Barriers to Care Dynamic process, change is constant, needs will change. How often and what tool to use.

Educational Oncology Nurse Navigator Informed Consent Level of Learning, Language Literature, Web-based, Evidenced Based Dispel Myths and Assumptions Always informed consent in the patient’s level or understanding, language. Direct patient to appropriate resources for more information, evidenced based info, overcome strong assumptions, misinformation, media, friends, family experiences.

Supportive Services Oncology Nurse Navigator Dedicated Oncology Dietitian Financial Counseling Image Enhancement Support Groups Integrative Therapies Oncology Rehabilitation Dedicated oncology nurse navigators, social workers. Yoga, massage, pet and music therapy, spiritual and psycho-social counseling, palliative care,

Survivorship Oncology Nurse Navigator Follow up Care Plan Treatment Summary Continuation of Supportive Care Recurrence Life after cancer treatment, what if there is a recurrence?

Collaboration Oncology Treatment Center Model Commission on Cancer Accreditation Cancer Committee Governance Multidisciplinary Treatment Planning Technology Clinical Trial

Oncology Treatment Center Teaching Tertiary Center Community Based Program Urban or Rural Oncology Nurse Navigator

Commission on Cancer Accreditation Standard of Care Evaluation of Goals Measure Outcomes Credibility Oncology Nurse Navigator

Cancer Committee Program Leadership Program Evaluation Program Goals Adherence to COC Oncology Nurse Navigator

Multidisciplinary Treatment Planning Numerous Specialists Collaborative approach Care Planning Unified Plan Oncology Nurse Navigator

Technology State of the Art Equipment Genome Analysis Surgical Technique Board Certified Physician Oncology Nurse Navigator

Clinical Trials Increased Treatment Options Active Participation in Care Access to treatment otherwise not available Oncology Nurse Navigator

Case Presentation 61yo male T3 N2 M1 stage IV Squamous Cell Carcinoma of the Supraglottic larynx, involving the Laryngeal surface of the Epiglottis bilaterally with extension to the left AE fold

What Cancer Support Resources would you recommend to you patients? Integrative Therapies Oncology Dietitian Genetic Counseling Oncology Nurse Navigator Financial Counseling Image Enhancement Psycho-Social Counseling Cancer Rehabilitation Support Group All of the Above None of the Above

What cancer support resources would you recommend to your patients ? Please pick the appropriate answer: Integrative Therapies Oncology Dietitian Genetic Counseling Oncology Nurse Navigator Financial Counselor Image enhancement Psycho-Social Counseling Cancer Rehabilitation Support Group   All of the Above None of the Above

QUESTIONS?

References American College of Surgeons Commission on Cancer Association of Community Cancer Centers Academy of Oncology Nurse Navigators