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Implementing Cancer Survivorship Care Planning

Implementing Cancer Survivorship Care Planning
Author: The National Cancer Institute
Publisher: National Academies Press
Total Pages: 320
Release: 2007-01-14
Genre: Medical
ISBN: 0309103185
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One of the key recommendations of the joint IOM and NRC book, From Cancer Patient to Cancer Survivor: Lost in Transition, is that patients completing their primary treatment for cancer be given a summary of their treatment and a comprehensive plan for follow-up. This book answers practical questions about how this "Survivorship Care Plan," including what exactly it should contain, who will be responsible for creating and discussing it, implementation strategies, and anticipated barriers and challenges.

Advancing the Science of Implementation Across the Cancer Continuum

Advancing the Science of Implementation Across the Cancer Continuum
Author: David A. Chambers
Publisher: Oxford University Press, USA
Total Pages: 441
Release: 2018
Genre: Medical
ISBN: 0190647426
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While many effective interventions have been developed with the potential to significantly reduce morbidity and mortality from cancer, they are of no benefit to the health of populations if they cannot be delivered. In response to this challenge, Advancing the Science of Implementation across the Cancer Continuum provides an overview of research that can improve the delivery of evidence-based interventions in cancer prevention, early detection, treatment, and survivorship. Chapters explore the field of implementation science and its application to practice, a broad synthesis of relevant research and case studies illustrating each cancer-focused topic area, and emerging issues at the intersection of research and practice in cancer. Both comprehensive and accessible, this book is an ideal resource for researchers, clinical and public health practitioners, medical and public health students, and health policymakers.

Long-Term Survivorship Care After Cancer Treatment

Long-Term Survivorship Care After Cancer Treatment
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 161
Release: 2018-08-09
Genre: Medical
ISBN: 0309472989
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The 2006 Institute of Medicine (IOM) consensus study report From Cancer Patient to Cancer Survivor: Lost in Transition made recommendations to improve the quality of care that cancer survivors receive, in recognition that cancer survivors are at risk for significant physical, psychosocial, and financial repercussions from cancer and its treatment. Since then, efforts to recognize and address the unique needs of cancer survivors have increased, including an emphasis on improving the evidence base for cancer survivorship care and identifying best practices in the delivery of high-quality cancer survivorship care. To examine progress in cancer survivorship care since the Lost in Transition report, the National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine held a workshop in July 2017, in Washington, DC. Workshop participants highlighted potential opportunities to improve the planning, management, and delivery of cancer survivorship care. This publication summarizes the presentations and discussions from the workshop.

Cancer Care for the Whole Patient

Cancer Care for the Whole Patient
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 455
Release: 2008-03-19
Genre: Medical
ISBN: 0309134161
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Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. This failure can compromise the effectiveness of health care and thereby adversely affect the health of cancer patients. Psychological and social problems created or exacerbated by cancer-including depression and other emotional problems; lack of information or skills needed to manage the illness; lack of transportation or other resources; and disruptions in work, school, and family life-cause additional suffering, weaken adherence to prescribed treatments, and threaten patients' return to health. Today, it is not possible to deliver high-quality cancer care without using existing approaches, tools, and resources to address patients' psychosocial health needs. All patients with cancer and their families should expect and receive cancer care that ensures the provision of appropriate psychosocial health services. Cancer Care for the Whole Patient recommends actions that oncology providers, health policy makers, educators, health insurers, health planners, researchers and research sponsors, and consumer advocates should undertake to ensure that this standard is met.

From Cancer Patient to Cancer Survivor: Lost in Transition

From Cancer Patient to Cancer Survivor: Lost in Transition
Author: National Research Council
Publisher: National Academies Press
Total Pages: 196
Release: 2006-03-27
Genre: Medical
ISBN: 0309180295
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This report of the proceedings of a symposium held in conjunction with the release of the IOM report, From Cancer Patient to Cancer Survivor: Lost in Transition, represents an effort on the part of the American Society of Clinical Oncology (ASCO), the National Coalition for Cancer Survivorship (NCCS), and the Institute of Medicine (IOM) to further disseminate the findings and recommendations of the IOM report and to take the next step toward implementation of those recommendations. The symposium and this report serve as important vehicles to raise awareness, fill gaps that have existed in cancer patients' long-term care, and chart a course for quality care for cancer survivors and their families. More than 100 stakeholders in the cancer community, including survivors, advocates, healthcare providers, government officials, insurers and payers, and researchers participated in the symposium. This report culminates a series of work at the IOM focused on cancer survivorship. The idea to embark on a major study of cancer survivorship within the National Academies originated with the National Cancer Policy Board (NCPB). The NCPB was established in 1997 in the IOM and the National Research Council's Division of Earth and Life Studies at the request of the National Cancer Institute (NCI), the National Institutes of Health, and the President's Cancer Panel. The NCPB identified emerging policy issues in the nation's effort to combat cancer, and prepared reports that address those issues, including a series of reports on topics ranging from cancer prevention to end-of-life care.

The Perceptions, Beliefs, and Practices of Cancer Center Program Administrators Regarding Cancer Survivorship Care Plans

The Perceptions, Beliefs, and Practices of Cancer Center Program Administrators Regarding Cancer Survivorship Care Plans
Author: F. Jeannine Everhart
Publisher:
Total Pages: 224
Release: 2017
Genre: Cancer
ISBN:
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Background: A "cancer survivor" is a person who has been diagnosed with cancer, regardless of when the diagnosis took place. The number of cancer survivors in the US exceeds 14 million and will continue to increase due to improvements in early detection, diagnostic methods, and treatment. The growing number and longer life spans of cancer survivors are placing increasing demands on the US health care system. To help cancer patients make a successful transition to cancer survivorship, the Institute of Medicine in 2005 recommended that all cancer patients should receive a Survivorship Care Plan (SCP). To facilitate implementation of SCP's across the United States, the American College of Surgeons Commission on Cancer (CoC) provided timelines, guidelines and standards regarding SCPs. However, many CoC accredited cancer programs continue to struggle with implementing SCPs per these standards. Purpose: To identify and assess the perceptions, beliefs and practices of program administrators from CoC accredited cancer care programs regarding SCPs. Methods: The study was an observational, cross-sectional study that utilized best practices in survey research. Subjects included all administrators of CoC accredited cancer program as of June 2016 (n = 1,118). A total of 575 administrators completed the survey for a response rate of 51.4%. Results: Although administrators felt positive about SCPs (67% of SCP outcomes were rated "likely" or "highly likely" to benefit patients), only 11.3% (n=65) of programs fully implement SCPs. One barrier is that nearly 60% of oncologists, cancer surgeons and PCP are not directly employed by the facility. In addition, 64.3% (n=370) of respondents indicated they needed more time to fully implement SCPs. Other factors that affected a program's ability to implement SCPs included the number of new cancer cases per year, the type of cancer program, the role of the person who created and/or delivered SCPs, and the amount of time SCPs had been in place in the organization. Conclusion: Cancer programs are quite varied in size, structure, and staffing practices. Overall, cancer program administrators view SCPs as helpful to cancer patients, and support the use of SCPs. Previous studies regarding implementation have focused on barriers such as time to implement, lack of staff, and the need for more monetary resources. This study reinforces those concepts, and supplies additional insights. Implementation has been difficult, and continues to face challenges, especially with regards to staffing and the automation of SCP's into an electronic medical record system. For full implementation of SCPs, these barriers need to be reduced. The CoC's leadership on SCPs has been effective, and many facilities are now in the process of creating SCPs for every cancer patient.

Handbook of Cancer Survivorship

Handbook of Cancer Survivorship
Author: Michael Feuerstein
Publisher: Springer
Total Pages: 419
Release: 2018-10-31
Genre: Medical
ISBN: 3319774328
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This timely revision of the authoritative handbook gives a wide range of providers practical insights and strategies for treating cancer survivors’ long-term physical and mental health issues. Details of new and emerging trends in research and practice enhance readers’ awareness of cancer survivor problems so they may better detect, monitor, intervene in, and if possible prevent disturbing conditions and potentially harmful outcomes. Of particular emphasis in this model of care are recognizing each patient’s uniqueness within the survivor population and being a co-pilot as survivors navigate their self-management. New or updated chapters cover major challenges to survivors’ quality of life and options for service delivery across key life domains, including: Adaptation and coping post-treatment. Problems of aging in survivorship, disparities and financial hardship. Well-being concerns including physical activity, weight loss, nutrition, and smoking cessation. Core functional areas such as work, sleep, relationships, and cognition. Large-scale symptoms including pain, distress, and fatigue. Models of care including primary care and comprehensive cancer center. International perspectives PLUS, insights about lessons learned and challenges ahead. With survivorship and its care becoming an ever more important part of the clinical landscape, the Second Edition of the Handbook of Cancer Survivorship is an essential reference for oncologists, rehabilitation professionals, public health, health promotion and disease prevention specialists, and epidemiologists.

Survivorship Care for Cancer Patients

Survivorship Care for Cancer Patients
Author: Stefan Rauh
Publisher: Springer Nature
Total Pages: 393
Release: 2021-08-10
Genre: Medical
ISBN: 303078648X
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This book is a valuable source for oncologists and all other physicians dealing with cancer survivors. It provides detailed information on the evidence-based benefits and forms of intervention, with contributions by a highly prestigious and well recognized panel of experts. Chapters deal with all features of survivorship outlining the role of the oncologist and other caregivers and discusses survivorship care in different countries and different settings. The book addresses new challenges and complex issues broader than medical issues faced by patients who are cured highlighting that cancer is no longer a death sentence. It provides evidence-based management guidance and addresses issues such as symptom management, palliative care, screening for recurrence, rehabilitation, fertility issues among others. This is an indispensable resource for oncologists, oncology nurses and other professionals dealing with cancer patients as well as patient advocacy groups and cancer leagues.

Survivorship Care Plans and Improved Quality of Care

Survivorship Care Plans and Improved Quality of Care
Author: Lorri Johnson
Publisher:
Total Pages: 0
Release: 2015
Genre: Cancer
ISBN:
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Survivorship Care Plans (SCP) provided to patients may help them as move forward from treatment to survivor. Many times patients don't understand their diagnosis, late effects of cancer and its treatment, the need to follow up or who to follow up with. Inevitably some patients feel lost and abandoned after treatment, with unmet needs. After having provided such quality care all through their treatment, it's only right that we really see them through. By providing a SCP we empower them to take charge, we provide the tools that give them direction and make them stronger survivors with a health plan moving forward. Research has shown that many primary care physicians feel overwhelmed when it comes to cancer survivor issues. By implementing a SCP patients and physicians are more confident. Studies have shown that patients who received SCP's had a higher patient satisfaction record because they had complete follow up instructions with diagnosis details and health promotion information. Nurses play a key role in the implementation and execution of the survivorship care plan, they are trusted and valued by their patients. They have built a relationship and can continue to guide their patients with the use of the survivorship care plan and facilitate communication between patient and healthcare providers. As the aspects of this paper are implemented and evaluated a determination can be made as to the effectiveness of the program. There are a variety of SCP templates available, in the end we will determine what will be most effective for our patients and our practice, any and all of which have shown to benefit the patient.

Meeting Psychosocial Needs of Women with Breast Cancer

Meeting Psychosocial Needs of Women with Breast Cancer
Author: National Research Council
Publisher: National Academies Press
Total Pages: 289
Release: 2004-04-12
Genre: Medical
ISBN: 0309091292
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In Meeting Psychosocial Needs of Women with Breast Cancer, the National Cancer Policy Board of the Institute of Medicine examines the psychosocial consequences of the cancer experience. The book focuses specifically on breast cancer in women because this group has the largest survivor population (over 2 million) and this disease is the most extensively studied cancer from the standpoint of psychosocial effects. The book characterizes the psychosocial consequences of a diagnosis of breast cancer, describes psychosocial services and how they are delivered, and evaluates their effectiveness. It assesses the status of professional education and training and applied clinical and health services research and proposes policies to improve the quality of care and quality of life for women with breast cancer and their families. Because cancer of the breast is likely a good model for cancer at other sites, recommendations for this cancer should be applicable to the psychosocial care provided generally to individuals with cancer. For breast cancer, and indeed probably for any cancer, the report finds that psychosocial services can provide significant benefits in quality of life and success in coping with serious and life-threatening disease for patients and their families.