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Magda Boels,Verpleegkundig coördinator Borstkliniek UZ Brussel
The role of the breast nurse in the
multidisciplinary team
Belgian Breast Meeting, 03-10-2008
Co-ordinator
Breast care nurse
Genetic counseling
Services to organise preoperative and check-
up investigations and admission
Physiotherapist
Woundcare/seromapunctions
Psychologist
Breast surgeonsSenoradiologists
Anatomopathologists
Social nurse
Plastic reconstructive surgeons
Self support group (RTR)organisations (VLK,
stichting tegen kanker)
Oncological centreRadiotherapists
Medical oncologists
Belgian Breast Meeting, 03-10-2008
MOC (= multidisciplinary oncological consult)
• weekly discussion
• multidisciplinary team•oncological and gynecological surgeons•senoradiologists•pathologists•radiotherapists•medical oncologists•psychologist•headnurses (hospitalisation ward, breastclinic)•family doctors can attend the meeting
Belgian Breast Meeting, 03-10-2008
Information Supply
• procedure investigations for diagnosis (FNA/trucut/mammotome)
• course of the check-up exams
• information about: operation prosthesis - bra's - swimming suits reconstruction follow-up postoperatively risks and prevention of lymphedema physiotherapy radiotherapy chemotherapy revalidationprograms…
Belgian Breast Meeting, 03-10-2008
Support and Counselling
Keywords• Empathy
• Listening
• Haptonomy
• Hollistic
Supporting, counselling, giving information from the first moment that the patient has contact with the breastclinic until the aftercare:
patient feels support patient knows being understood
• reduces stress• increases quality of life
Belgian Breast Meeting, 03-10-2008
Visit of the patients during hospitalisation
•daily
•in co-operation with the medical and paramedical staff
optimize the support
Belgian Breast Meeting, 03-10-2008
Referral by general practioner or specialist
• making an appointment
• giving results about diagnosis, check-up, …
• organisation of an hospitalisation if necessary
! Those contacts don't replace in any way the contacts between the doctors of the breastclinic and the referring doctors.
Belgian Breast Meeting, 03-10-2008
Conclusion
• good multidisciplinary team
• good cooperation
effective functioning:
obtain a correct diagnosis in a short delay
Belgian Breast Meeting, 03-10-2008
The breast care nurse is linking the different diagnostical and treating teams into one great all-human enveloping
= hollistic unit!
Belgian Breast Meeting, 03-10-2008
Vlaamse BorstverpleegkundigenWerkgroep VVRO