Oncology Call Points & Disease State August 2009 For Internal Purposes Only * Do Not Copy * Do Not Distribute

Oncology Call Points & Disease State

August 2009

For Internal Purposes Only * Do Not Copy * Do Not Distribute

Onc. Call Points & Disease States2


Rev. Date: 8.10.2009, Ver. #: 1

Module 3 Goal

• Understand the oncology call points

• Know which cancer patients have VCFs & why

End result:• comfort calling on oncology referral market• Focus cancer center targeting• Educate spine specialists on patients



Rev. Date: 8.10.2009, Ver. #: 1

Beth Faiman, RN MSN, APRN-BC, AOCN

Nurse Practitioner, Multiple Myeloma ProgramCleveland Clinic Foundation Pre-Doctoral Research Fellow at Case Western Reserve UniversityCleveland, Ohio

Beth is an Adult Nurse Practitioner at the Cleveland Clinic in Cleveland, Ohio, where she has worked since 1994. She is also a full-time pre-doctoral research fellow at the Frances Payne Bolton School of Nursing at Case Western Reserve in Cleveland, Ohio, pursuing a PhD in research.

Beth is an active author, presenter, and educator on the topic of Multiple Myeloma, general cancer diagnosis and treatment, as well as management of skeletal and other cancer complications. She is an appointed delegate on the International Myeloma Foundation Nurse Leadership Board.

Overview of Oncology Market

Beth Faiman MSN, APRN-BC, AOCNNurse Practitioner, Multiple Myeloma at Cleveland ClinicPre-Doctoral Fellow, Case Western Reserve University eMail to: [email protected]

mailto:[email protected]



Rev. Date: 8.10.2009, Ver. #: 1

Objectives

• Focus on educating the Oncology community: Who are the key players, stakeholders, their role, interest and best way to access.

• Specific cancers that cause fractures• Case study • Call points and ways to target key players • Q&A disease state



Rev. Date: 8.10.2009, Ver. #: 1

Epidemiology

• Approximately 1.4 million Americans will be diagnosed in 2009

• 565,000 will die• Even metastatic cancer is now a chronic disease

American Cancer Society 2009



Rev. Date: 8.10.2009, Ver. #: 1

Oncology & Hematology: What are the roles?

Treating Physicians• Hematology – Myeloma, lymphoma, leukemia• Medical Oncology - Breast, Lung, Prostate,

Melanoma• Palliative medicine – All tumor types• Pain management – All tumor types• Surgical oncology - Solid tumors • Radiation oncology - All tumor types Other key parts of the team• Advanced Practice Nurses/Physician Assistants• Nurses, nursing assistants, technicians



Rev. Date: 8.10.2009, Ver. #: 1

Specific Cancers that have VCFs

Multiple Myeloma(All Stages have VCFs)

• 20,000 diagnosed annually• chronic

Breast Cancer(Late Stages)

• 174,000 diagnosed annually• chronic

Lung Cancer

(Late Stages)

• 170,000 diagnosed annually• Shortened survival

Prostate Cancer(Late Stages; 18-36 mos. after ADT)

• Most common male cancer• Blastic lesions harder to move



Rev. Date: 8.10.2009, Ver. #: 1

Case Study: Before BK

• 63-year old Multiple Myeloma patientcomplaining of fatigue and lower back pain

NP discovers

pain

NP did

physical exam/sent

for labs

NP refers for X-ray &

STIR MRI

NP/Hem. Onc.

refers to Rad. Onc.

Tx. plandeveloped



Rev. Date: 8.10.2009, Ver. #: 1

Oncology Treatment Team

Medical Oncologist/

HematologistOncology Midlevels

(Onc. Nurses)

RadiationOncologist

OncologyPharmacist

CaseWorker

Family Patient

= Key Call Points

PalliativeCare

Pain Management

/IR/INR



Rev. Date: 8.10.2009, Ver. #: 1

Your Key Messages

• Fixate fracture, reduce pain, increase QOL• Minimally invasive with rapid recovery • Radiation alone will not correct the deformity

• Don’t forget the data (CAFÉ)

• Increase treatment compliance• Safe and effective

Remember: Cancer in the US is a chronic disease and patients are living longer than ever.

Question and Answer

Thank you!



Rev. Date: 8.10.2009, Ver. #: 1

Presenter’s Biography

Nurse Practitioner, Multiple Myeloma ProgramCleveland Clinic Foundation Pre-Doctoral Research Fellow at Case Western Reserve UniversityCleveland, Ohio

Beth Faiman received a bachelor of science in nursing and registered nurse certification at Ursuline College in Pepper Pike, Ohio, in 1996. She received a master of science in nursing and certification as an adult nurse practitioner at Kent State University in Kent, Ohio in 2002. She holds an advanced oncology nurse certification through ONCC.

Beth is currently employed as an Adult Nurse Practitioner at the Cleveland Clinic in Cleveland, Ohio where she has worked since 1994. She is also a full-time pre-doctoral research fellow at the Frances Payne Bolton School of Nursing at Case Western Reserve in Cleveland, Ohio.pursuing a PhD in research.

Beth is an active author, presenter, and educator on the topic of multiple Myeloma, general cancer diagnosis and treatment, as well as management of skeletal and other cancer complications. She is an appointed delegate on the International Myeloma Foundation Nurse Leadership Board. She is currently Editor-in-Chief of The Oncology Nurse. Beth has recently authored a chapter in Cancer Nursing: Principles and Practice, and Site specific cancer series: Myeloma, and authored many articles relating to the treatment of refractory and relapsing myeloma treatment.

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Oncology Call Points & Disease State August 2009 For Internal Purposes Only * Do Not Copy * Do Not Distribute