Transcript Breast Cancer Nurse Navigation

Breast Cancer Nurse Navigation
Rosemary Clement MSN, APRN-BC,
Certified Breast Care Navigator
Breast Care and the Role of the
Navigator
• Breast Cancer has become a special field of
cancer care
• Unlike other diseases, there is usually many
kinds of doctors and treatments involved
• The model of patient navigation has been
shown to be successful in helping patients
navigate through the cancer trajectory and to
help save lives
History of Patient Navigation
• In 1989, Dr. Harold P. Freeman, as
president of the ACS, held nationwide
hearings that determined that poor
patients face enormous barriers when
attempting to obtain cancer care
• In 1990, he established the U.S.’s first
patient navigation program at Harlem
Hospital in New York
Harlem Hospital Studies
• Data was collected on the outcomes of
the program and compared five year
survival rates
1964-1986 vs
1995-2000
39%
70%
“We believe that this survival
improvement was primarily a result of
patient navigation.” H. P. Freeman, MD
Patient Navigation Act
• On June 29, 2005, President George W.
Bush signed into law the:
“Patient Navigator, Outreach, and
Chronic Disease Prevention Act”
-provides funding to create patient
navigation services
The Patient Navigator
• One person who guides the patient
through the health care system and
follows the patient from diagnosis
through treatment
• Addresses and anticipates obstacles to
care
Goals of Patient Navigation
• To Save Lives from Cancer
-timely diagnosis and treatment
-educate populations on cancer
prevention and early detection
Goals of Patient Navigation
• To Eliminate Barriers to Care
-make sure patients are aware of and
can access available services
-make sure patients are not “lost” in
the follow up
Navigator Role and Responsibility
• Outreach
-expand availability of screening services
-community education of early detection
and cancer prevention
• Patient Navigation
-provide navigation from suspicious
finding to resolution
Navigator Role and Responsibility
• Rehabilitation
-provide education/support for issues
related to surviving cancer
-lymphedema specialist
-support groups
-financial help
Navigator Resoures
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Financial support services
Language and translation services
Rehabilitative services
Palliative care services
Community outreach educational
services
• Family and support services
• Local advocacy and support services
Navigator Tasks
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Bridging cultural and linguistic barriers
Finding financial resources
Tracking appointments
Coordinating transportation
Referring patients, families and
caregivers to appropriate services
Initial Needs of the Breast Cancer
Patient
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Timely Diagnosis
Disease Education
Financial Needs Assessment
Family and Social Assessment
Family Genetic Assessment
Nutritional Assessment
Needs of the Breast Cancer Patient
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Prosthesis and mastectomy bras
JP holder or camisole
Wigs, scarves, hats
Eyeglasses
Walkers
Wheelchairs
childcare
Nurse Navigator Qualities
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Confidentiality
Respectfulness
Compassionate
Mindful of the patient’s safety
Good Patient Communication
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Empathy
Sincerity
Engagement/Connection with patient
Clarification of Patient’s concerns, and
knowledge of disease
• Enlistment of partnership in care
Benefit to Organizations
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Better sharing of resources
Improved patient care
Cost savings
Enhanced quality of services
Increased patient satisfaction
Greater community partnership