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Why survivorship care?
What informed our center’s
development?
What is available?
How do you access the services?
2.9 million breast cancer survivors in the US
1.85% of the female population are breast
cancer survivors
Approximately 40% of female cancer
survivors have survived breast cancer
Patients diagnosed with cancer have an
estimated 64 percent chance of surviving
five years
Multiple short- and long-term side effects of
breast cancer and its treatment
Raise awareness of the needs of cancer survivors
Establish cancer survivorship as a distinct phase of cancer care
Act to ensure the delivery of appropriate survivorship care
Drawn from Cancer Patient to Cancer Survivor: Lost in Transition, 2006 • Institute of Medicine •
www.iom.edu
Patients completing primary treatment should be provided with a comprehensive care summary and follow-up plan that is clearly and effectively explained
Use systematically developed evidence-based clinical practice guidelines, assessment tools, and screening instruments to help identify and manage late effects of cancer and its treatment.
Drawn from Cancer Patient to Cancer Survivor: Lost in Transition, 2006 • Institute of Medicine •
www.iom.edu
Possible side effects and prevention of them
Provide diet info for during chemo
Refer to a PT to improve range of motion in arm and avoid lymphedema
Provide info on treatment associated menopause and fertility issues
Husbands need support and information too
Cancer is very hard on a marriage and marriage counseling is essential
Clinical management and life skills follow-up
A plan for and a journal to track ongoing tests, screens, scans
All body systems should be included
Diet and exercise professionals
Access to mental health professionals to help sort out the “new normal”
Better communication among treating physicians, surgeons and family practice physician
• Endocrine/metabolic and medical issues program (bone health, cardiovascular health, weight, diabetes, fertility, menopause, sexual dysfunction,
Assessment and recommendations by Internist for side-effects of cancer treatment
Further assessment and treatment as needed by Endocrinologist
Assessment and education by Registered and Licensed Dietitian
Assessment and training in physical activity by Masters and PhD-level Clinical Exercise Physiologists
Referral as needed to Palmer Physical Therapy for Women
• Psychological issues program
Assessment and counseling for emotional and
quality of life issues
Assessment and rehabilitation program for
cognitive side effects (chemobrain)
Assessment and counseling by Certified Sex
Therapist & Marriage Counselor
• Survivorship Care Plan
Multi-Disciplinary team
Discussed with survivor and provided to all care
team members
Patient Navigation
Comprehensive survivorship plan that
includes exercise, diet, emotional health
and screening and follow-up plans
• Rural Access to Care
Telephone, e-mail, or other internet resources
Nutrition counseling support,
Physical activity counseling support
Facilitated group support, psychological support
• Educational Opportunities
Public - informational sessions at the medical
school for breast cancer survivors, friends and
family
Professional - Kansas Journal of Medicine
(quarterly on line journal) and CME offerings
• Research - An overarching goal!
Chemobrain research
Nutrition research
Physical activity research
Psychological issues research
Location: 9300 East 29th Street North, Cypress Medical Park, Suite 209
316-293-2655 – Crystal will start the process for you
www.KUwichitaSURVIVORSHIP.kumc.edu
Face Book page coming soon!
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