The Survivorship Care Plan (SCP)

Radiation Oncology Survivorship Care Plan: Pages 1-2

Radiation Oncology Survivorship Care Plan: Page 3

Survivor Care Plans

Elaine Owen, APRN, AOCN,ACHPNKaren McQuesten, CRA

Central Vermont Medical Center

Goal of Suvivor Care Plans

1.) Guide the content and coordination of care

2.) Facilitate care transition

3.) Foster self-management of health activities

4 Essential Components

Details of the cancer diagnosis and treatment information (Treatment Summary)

Overview of physical and psychosocial effects of diagnosis and treatment

Detailed plan that outlines surveillance for early dx of recurrence or secondary cancers and late effects of treatment as well as recommendations for health promotion strategies

Referrals and resources for physical, psychosocial and practical needs.

SCP Templates

Several available Paper Web based Organization developed and supported Institutional

Advice for whatever SCP path is chosen that Institute of Medicine’s recommendation for content is followed.

Journey Forward

Tool created by the collaborative efforts of:National Coalition for Cancer SurvivorshipThe UCLA Cancer Survivorship CenterWellPoint IncGenentech --- Has the 4 essential components outlined by IOM--- Free online program www.journeyforward.org--- Can be downloaded to desktop and uses Cnext Info where available

CVMC/med onc Experience

Currently using in Breast cancer after the completion of adjuvant therapy

Plan to include the diagnoses of colon and lymphoma

Work in progress Demo by Karen