November 2018 Vol 9, NO 11

A navigator’s interventions with a patient throughout treatment include disease-specific education packet, referrals to specialists, resources and supportive care team members, providing timely appointments, presentation at Breast Tumor Board, chemotherapy education, and performing a treatment summary.
Kenyatta National Hospital (KNH) is the only public hospital in Kenya delivering comprehensive cancer care and receives patients from throughout the country.
Genetic testing has become an important component to determining treatment options.
According to the American Cancer Society Facts & Figures 2018, lung cancer is the leading cause of death in men and women in the United States.
Oncology navigation is a patient-focused, time-intensive process.
Patient navigation has been shown to improve patient engagement and enrollment in clinical trials and increase supportive cancer care.
Offering patients access to oncology navigation is not only recommended, it is also a requirement for certification of oncology programs endorsed by 2 national organizations.
The orientation/onboarding process is neither standardized nor well understood across the oncology navigation industry.
There is extensive literature in change and transition management in leadership but limited literature from a non-managerial or navigator’s point of view.
Advance care planning (ACP) is central to patient-centered care and improves alignment between patient preferences and care received at end-of-life.
A recent needs assessment for Camden County, NJ, shows that residents’ compliance with cancer screening recommendations for colon (65%), breast (73%), and cervical (74%) cancers does not meet Healthy People 2020 guidelines.
Palliative care is a collaborative approach that improves quality of life for patients and families but is often provided too late.
The Academy of Oncology Nurse & Patient Navigators (AONN+) promotes the goal to share best practices for survivorship and to address the question “Does the Survivorship Care Plan (SCP) meet patient goals?” (Staci Oertle, RN, MSN, APN, AOCNP, AONN+ Survivorship Committee).
With the increasing cancer survivor population comes the need to develop recommendations about how to optimally care for these survivors.
Survivorship care recommendations exist to support a large and growing population of cancer survivors, yet little is known about survivors’ ongoing unmet needs.
In 2005, the Institute of Medicine published “From Cancer Patient to Cancer Survivor: Lost in Transition.” The report highlights the long-term medical and psychosocial consequences of cancer treatment and provides a foundation for survivorship programs today.
Thoracic surgeons remain involved with the long-term care of their cancer patients, usually in surveilling for recurrence. However, with an increasing survivor population, little is known on their other supportive needs.
Women diagnosed with breast cancer before age 45 face unique survivorship challenges, including early menopause, late effects of treatment, psychosocial distress, and sex and intimacy changes.
The phosphatidylinositol 3-kinase (PI3K)/AKT/mammalian target of rapamycin (mTOR) signaling pathway is frequently activated in breast cancer and can promote tumor growth, progression, and resistance to anticancer therapies such as endocrine therapy (ET).
Multiple tyrosine kinase inhibitors (TKIs) that target the BCR-ABL1 ATP-binding site are available for treating chronic myeloid leukemia (CML).
The COMBI-AD trial demonstrated that adjuvant treatment with dabrafenib + trametinib (D+T) in patients (pts) with resected stage III BRAF-mutant melanoma significantly reduced the risk of melanoma recurrence vs placebo (PBO).
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