Survivorship after Breast Cancer

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Survivorship after Breast Cancer. Michelle Derbyshire Macmillan Breast Care Nurse Sunderland Royal Hospital February 2012. What is Survivorship. A patient that has completed their initial cancer treatment and has no apparent evidence of disease. UK Survivorship Statistics . - PowerPoint PPT Presentation


<p>Survivorship in breast cancer</p> <p>Survivorship after Breast CancerMichelle DerbyshireMacmillan Breast Care NurseSunderland Royal HospitalFebruary 2012</p> <p>What is SurvivorshipA patient that has completed their initial cancer treatment and has no apparent evidence of disease.</p> <p>UK Survivorship Statistics 2 million cancer survivors in the UK at the end of 200828% of survivors are recovering from breast cancer30-50% of the cancer survivor population will require some form of intervention to enable them to effectively manage the consequences of treatment. (Macmillan 2008)</p> <p>Survivorship in SunderlandPockets of good practice everywhereShare the work we have undertaken in SunderlandDeveloping and End of Treatment Workshop Started the programme in 2008Now well established but constantly changing!</p> <p>Historical PracticeBreast Care Nurse supported patients throughout their cancer journey but terminated contact at the end of adjuvant therapiesExpectation for patients to self refer for prosthetic fitting, extra support or symptom management.</p> <p>Drivers for ChangeThrough intuition and qualitative data it became evident that many women were struggling following treatment for breast cancerFeelings of abandonmentIsolationFear of the future / recurrenceIncreased referrals to GPs health professionals for support and symptom adviceGovernment ReformCancer Reform Strategy (2007)Macmillan Cancer SupportCharitable Bodies Breast Cancer CarePatient LedCatalyst for changeFound that people with cancer often feel abandoned during the first year of completing their treatmentGrowing evidence that post primary treatment support group programmes can increase quality of life and psychological functioning</p> <p>End of Treatment WorkshopHelping to give women with breast cancer the skills and tools to manage their own care without the aid of a key workerFace the future with a positive attitudeSign post to available supportEnhance knowledge and enable patients to seek medical advice when appropriateUse of the holistic needs assessment to help shape the sessionsAreas discussedFollow upSide effects of Endocrine therapyLymphoedemaNutritionExerciseBody image/ sexuality/relationshipsProsthesis/reconstructionContd..Returning to workHolidaysDispelling the mythsSymptoms to look out forWho to contactOngoing support</p> <p>StatisticsA review of sessions July 08 January 2012</p> <p>27 sessions performed</p> <p>283 patients attended</p> <p>Of those invited 60% have attendedContd..40% did not attend 50-70% of cancer survivors will not experience psychological distress following surgery (DoH 2008 survivorship initiative think tank)Therefore we hope we have captured the patients requiring support in our serviceDemographics35% of patients in our group were aged 70+When asked the reason for not attending the workshop patients quoted the following reasons:-Not relevant, more for the younger patientsPrivate person didnt like group sessionsIve already relied too much on my family to bring me to hospital appointments for treatment Continuing to improve the Patient experienceIdentifying how women adjust to getting back to normality 1 year post adjuvant treatment by inviting ladies to a moving on after breast cancer session facilitated by the breast care nurses with a bigger emphasis on what is available within the community setting smoking cessation/ health trainers/ diet exercise/ counselling service/support groupsDrop in sessionOnce a month in the hospital setting Facilitated by the breast care nursesMainly directed towards patients currently receiving chemo or herceptin for primary breast cancer however there is a cohort of patients that continue to attend over a year on and offer support to the new patients coming alongThe FutureMany breast cancer patients are now living with their cancer for many years due to improved treatments.So our aim is to role this out to metastatic patients and to tailor make it to their needs.</p> <p>ConclusionIt is not easy changing a serviceIts about adapting to new ways of workingBetter time managementIt definitely benefits patientsLess patient referrals for symptom controlAllows the patient to take control Thank you for your timeAny questions??</p>


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