1. Ovarian Cancer Awareness Clinical Nurse Specialist Lorraine Cole

2. Ovarian Cancer “THE SILENT KILLER”

3. Key Symptoms Persistent pelvic / stomach pain Increased abdominal size / persistent bloating Difficulty eating and feeling full quickly

4. Emotional Effects Disbelief / Shock Fear and uncertainty Denial Anger and Blame Resentment Withdrawal and Isolation

5. CNS – Key worker “being the person who, with patient’s consent and agreement takes a key role in coordinating the patient’s care and providing continuity of care” Member of the Network Gynaecology Team (Lancashire and South Cumbria Cancer Services)

6. Main Function Autonomous Practitioner Integrating knowledge, treatments into assessment, diagnosis and treatment of patient’s problems and concerns Applies technical knowledge of cancer treatments. Oversees and coordinates services. Meet complex information / support needs

7. Main Function Keyworker Accessible First point of call Liaison with Network / Primary / Secondary care Empathy, knowledge and experience – alleviate psychological suffering Lead service redesign, improve service, responsive to patient needs

8. Improve service / Future Design Designated clinics – patient’s suspected cancer Twice weekly oncology review clinic Chemotherapy service Access to radiotherapy chemotherapy at Preston Network support Nurse Led Services Recent support group One stop paracentesis clinic

9. Cancer Journey Complex - Interventions involve various multi professionals Aim : Strive to achieve seamless care Improve quality of care and patient experience Reduce cost to the Trust

10. Remember “Silent Killer” - Myth Ovacome – ovarian cancer support group – campaign to make people aware of ovarian cancer B E A T (Acronym) B-Bloating that is persistent E-Eating less & feeling fuller A-Abdominal pain T-Tell your GP

11. Any Questions?