survivorship care


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survivorship care

A plan for patient follow-up that links the treatments a patient has received from an oncologist and the needs of the patient after intensive cancer treatments have been completed. With about 10 million cancer survivors in the U.S., and that number rising, survivors are living longer and receiving more fragmented care. A follow-up care plan helps communicate to the patient and his or her future health care providers details of cancer staging, treatment, and disease surveillance that may otherwise be misunderstood or neglected. According to the Institute of Medicine, such a plan should include the following elements: 1. a clear, concisely written statement of the patient's diagnosis, the methods used in treatment (such as what specific chemotherapeutic drugs and what doses of radiation), and the expected or potential effects of that treatment; 2. detailed information about the need for specific follow-up services and a timetable specifying when such services should be delivered; 3. information about secondary disease prevention (including the detection of cancer recurrence and the need for monitoring for secondary cancers); 4. information about the availability of support services and agencies in the patient's community; 5. information for the patient about legal protections after diagnosis, including employment and insurance.

Survivor care plans are often drawn up and given to patients by oncologists or advanced practice nurses. They should address concerns about nutrition, physical activity, exercise, and mobility; elimination; cognition and perception; pain and discomfort; sleep, and rest; self-perception; relationships with spouse, parents, children, other family members, and friends; and sexuality and reproductive issues.

See also: care
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References in periodicals archive ?
Survivorship Care Plan and Care Plan Track: Automated system for tracking Follow-Up Care (Clinical Care Routines, Surveillance and Screenings) will post alerts for up to 5 years on the New Survivorship and Care Plan Calendar.
Nurse practitioner-led survivorship clinics are frequently being favoured overseas as survivorship care models start to mature.
The award comes from the Massachusetts-based Oncology Rehab Partners, an organization that leads experts in the field of survivorship care. STAR Program Certification uniquely qualifies facilities like Spectrum Health Regional Cancer Center to offer premium cancer rehabilitation and survivorship services to people who suffer from debilitating side effects caused by treatments.
New guidelines from NCCN address Cancer Survivorship Care, and are aimed at guiding this process.
Survivorship care plans help patients as they make the shift from their oncologist to a primary care provider.
Oncologists need to provide a survivorship care plan directly to the patient, she said, so that survivors and their physicians can keep track of "what has been done and what needs to be done in the future."
Omoya added that prevention through early detection, treatment, palliative care and survivorship care would greatly help patients.
While construction on the center nears completion, nurse navigators are seeing patients and have already conducted more than 600 face-to-face meetings, more than 250 Survivorship Care Plans, completed nearly 3,000 referrals to social workers, held more than 30 gynecology and breast cancer support group meetings and nine caregiver support group meetings.
Instead, it recommends how best to deliver patient-centered care in the areas of assessment, treatment planning, care management, interprofessional collaboration, and survivorship care.
The new facility also will offer new and expanded services such as clinical research trials, psychiatry, nutritional counseling, rehabilitation, survivorship care and support, and St.
11215, the National Integrated Cancer Control Act, aims to scale up programs and investments for the prevention and treatment of cancer, timely and effective survivorship care through the creation of a National Integrated Cancer Control Council, a Philippine Cancer Center, and Cancer Assistance Fund.
It also aims to provide palliative care and pain management, effective survivorship care and late effects management and rehabilitation.