Macmillan All Wales Patient Information - Lung Canc er Information Pathway – Draft

Investigations

•••• X-Ray •••• Bronchoscopy •••• CT scan •••• PET-CT scan •••• Biopsy •••• Transbronchial

biopsy •••• Pleural biopsy •••• CT Guided lung

biospy

Recurrence/ Secondary

Cancer

Trials - Patient Information regarding specific trial may be given at any time during the patient journey – Research team Wales Cancer Bank information

Supportive and Palliative Care – refer to generic pathway

All Stages - supplementary and supportive information (as appropriate) – from diagnosis onwards • Psychological support • Nutritional screening and dietary advice • Emotions, communications, sex and relationships • Finance and employment • Social services • Healthy living/lifestyle • Complementary therapies • Fertility issues • Breathlessness

• Signposting to information for local and national support groups

Rehabilitation Care Pathway – Support from Diagnosis onwards Fatigue, Pain management, Dysphagia, Anorexia/Cachexia/Nutrition, Mobility and loss of function

Follow Up

Individual

Follow-up plan

Diagnosis/Staging

• Thoracoscopy • Mediastinoscopy • Liver biopsy

• Isotope bone scan

• MRI Scan

• Kidney function test

• Lung Cancer – diagnosis

and treatment options

• Core patient information • Contact details for Specialist

Nurse/Key Worker

Treatment Surgery

•••• Admissions letter and details of surgical procedure

•••• Post-Operative Information Chemotherapy

•••• General and specific drug information including side effects, temperature monitoring, PICC/Central lines

Radiotherapy Radiofrequency ablation

•••• General information and specific treatment information including

side effects

Photodynamic therapy/ Growth inhibitors

•••• General information and specific treatment information including side-effects

Referral

Clinic appointment letter to include

directions, hospital/clinic details

End of

Treatment

Further support and information on survivorship and

rehabilitation