Navigating Breast Cancer Patients  By: Jennifer Campos RN, BSN, OCN, CBPN-IC.

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Presentation transcript:

Navigating Breast Cancer Patients  By: Jennifer Campos RN, BSN, OCN, CBPN-IC

Navigation began…..  In 1990 by Dr. Harold P Freeman in Harlem.  Why?  Because of obstacles faced in accessing care:  Financial barriers (lack of insurance, underinsured)  Logistic barriers (lack of transportation, living far from healthcare providers, lack of follow-up care, lack of understandable cancer information.  Sociocultural barriers (limited support, unable to understand information).

Patient Population  Referred from: Family physicians, Obgyn, surgeons, urgent care centers, NP’s, area outreach (Amarillo Area of Breast Health Coalition)  Ages from 24 to late 90s.  Women and men

Great Efforts for Detection What do we do when Breast Cancer is diagnosed???

Once Diagnosed Obtain medical history and family history Additional diagnostic tests evaluated Referrals made: Medical Oncologist Radiation Oncologist Surgeon Cardiologist (at times)

Demands on the Healthcare System  Timely information  Treatments  Available resources  Better communication  Emotional support

Bridge Community Partner  We serve to be “supportive guides”  We hold their hands  Encourage their steps  At times we wipe their tears

Navigation Purpose  Break through the barriers.  Identify individual needs  Reduce delays in accessing care  Comprehensive assessment (mental, medical, and social)  Provide-support and education  Advocate  Provide community resources  Address survivorship- there is life after cancer.  Coordinator

Navigation is to Close the Gap “What is my purpose?”  Not to redirect care  Reduce fear and anxiety with education  Gain trust by being truthful  Address the elephant in the room “death”  Allow any emotion  Comfort with time, touch, and eye contact.

Breaking Through Barriers  Listen without judgment (brainstorm out loud)  Encourage them to stay involved  Never give false hope  Truth with compassion  Give them hope (medical advancement)

Our Area’s Breakthroughs  Women Events  Wise Women  Hablando  Walmart  Pink Event- Hereford  County Extention – Health fairs  Additional Fundings for detection:  CPRIT Grant  Komen  BCCS  Small local hospital contribution

Reach out further  Medical Assistance:  Hospital/clinic payment plans  Co-pay assistance  Drug assistance  oncologyRX (oral and IV chemo therapies)  Drug companies  Foundations  Panhandle Cancer Cure Foundation  211  League House  ACS  Living Beyond Cancer

Future  By 2015 patient navigation will become the standard of care for all cancer programs accredited by the Commission on Cancer (CoC) –Swanson, Jay. Oncology Issues. “Growing a Navigation Program”. July-August 2012.