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

2. The presenters have nothing to disclose or conflicts of interest
Danielle E. Aldrich-Chellappoo, MSN, NP-C, AOCNP
Hematology Oncology Associates Fredericksburg
Regina V. Kenner, RN
Mary Washington Healthcare Regional Cancer Center
The presenters have nothing to disclose or conflicts of interest

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

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

5. 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,

6. 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

7. 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.

8. 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.

9. 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,

10. 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?

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

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

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

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

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

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

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

18. 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

19. 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

20. 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

21. QUESTIONS?

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