| Project Name: |
Cancer Core Competency Programs – Survivorship
|
| Domain: |
Continuum of Care |
| Sub-competencies: |
Survivorship |
| Competencies: |
Define cancer survivorship Assess that resources for cancer services and insurance coverage are consistent with current recommendations
Assist patients and families in navigating the health care system following cancer treatment
Provide ongoing health services that meet age and gender recommendations
Manage continuing and late effects of cancer and cancer treatment
Describe the surveillance recommendations for the detection of recurrence and second primary cancers
Refer survivors to rehabilitation services
Provide support for cancer survivors and their families and caregivers as they cope with daily living, including lifestyle, employment, school, sexual relationships, fertility issues, and personal intimacy
Advocate for pain and symptom management throughout the course of survivorship |
| Learner Characteristics: |
Primary care physicians and nurses
Mid-level practitioners
Genetic counselors
Parish nurses
School nurses
Gynecologists and gynecologic nurses
Psychologists
Social workers
Insurance case managers
Health educators
Rehabilitation physicians
Physical and occupational therapists
Any other health professionals who care for individuals with cancer or with an interest in cancer survivorship issues |
| Learner Preparation: |
(none) |
|
| Instructional Activities/ Speaker |
Evaluation Strategies |
Indicators/Educational Objective |
Notes to the Instructors/ Content |
|
Introduction:
Program overview
Pre-test
|
Observational and interactive
|
Define cancer survivorship |
|
Survivor Commentary
Jo Anne Boyd
Linda Evans |
Observational
|
Define cancer survivorship – a survivors view
|
|
|
Emmanuelle Taoli
|
Observational
|
List surveillance recommendations for the early detection of cancer recurrence or second primary cancers and identify appropriate referral options for management |
Genetic risk factors for family members – who is at risk and how to guide them
Issues in age, gender, and special populations
A. Risk factors for recurrence and second primaries in different groups
B. Group-specific surveillance plans
a. The elderly
b. Pregnancy
|
|
Kay Lowmaster
Ellen Ormond
|
Observational
|
List local and regional resources available for services, insurance coverage, and support for both patients and their families and be able to direct them to these resources
Have an improved comfort level in discussing intimacy and relationship issues with cancer survivors
|
Resources for survivors and their families
A. Support systems – the known and the untapped
B. Support groups – local options for referral
Financial issues in survivorship
A. Insurability – the role of the insurance case manager
B. Employability – job re-training opportunities thru BVR
C. Where to turn – aid programs for financial and medical assistance
Local resources
Effects of cancer and its treatment on personal relationships
A. Infertility issues
B. Sexuality – libido, impotence
C. Intimacy impactors – disfiguring surgeries, bowel and urinary ostomies, tracheostomies, mastectomy, limb amputation
D. Fatigue and personal relationships
|
|
Rebecca Garrett
|
Observational
|
Recognize the role and availability of rehabilitation services for these patients
|
The role of rehabilitation
A. How will your patient benefit from a rehab referral
B. Rehab options for cancer survivors in your area
|
| Aimee Kemmerer |
Observational
|
Provide health services specific to age, gender and any other special population-related variables |
A. Children as cancer survivors (special concerns for school nurses)
B. Other special populations
|
Linda Evans
John Laird |
Observational
|
Identify and be able to manage ongoing and late effects of cancer and its treatment |
Pain and other symptoms after cancer treatment
A. Residual pain after treatment
B. Issues in long-term narcotic use
C. Neurological damage – the impact of neuropathies on lifestyle and safety
D. Cognitive dysfunction or “chemo brain”
E. Nutritional deficiencies or cancer cachexia
|
Closure: Overview of Toolkit contents
Post test, Evaluation |
Interactive
|
Establish a long term cancer care plan for the patient who has concluded cancer treatment with assistance of the contents of the “toolkit” |
Resources for survivors and their families
A. Local – Regional – National resources
B. How, when and why to access resources
(guiding the patient/ family to navigate the Options)
|
