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Medical oncologist Richard J. LoCicero, MD, believes navigators fill in the patient care blanks offering their value as coordinators, shoulders of support, and negotiators.
In the second installment of her series, AONN+ Program Director Lillie D. Shockney, RN, BS, MAS, talks about transforming patients' survivorship plans from unused medical documents into life plans that they will actively use to refer to for setting behavioral and lifestyle goals.
In the first of a 2-part series, AONN+ Program Director Lillie D. Shockney, RN, BS, MAS, addresses the importance of analyzing survivorship programs and some of the inherent challenges to do so, including a lack of clinical research and data implementation.
The scope of navigation has evolved from the Freeman model of community outreach and prevention to spanning the entire continuum of care for oncology patients. Navigators help individuals overcome barriers to care and navigate through the screening/diagnostic, treatment, survivorship, and end-of-life care continuum.
The case study for this discussion highlights the complexities of care coordination when patients arrive unprepared physically or mentally for the recommended medical treatments as determined by guidelines. It also shows how navigators can assemble needed care team players to efficiently guide the patient through prehabilitation and preparation for medical treatment.
Along with the diagnosis of breast cancer comes many decisions regarding treatment options. Oncotype DX, a genomic/gene expression assay, provides quantitative assessment of chemotherapy benefit and risk of distant recurrence in early-stage estrogen receptor–positive (ER+), HER2/neu-negative breast cancer to assist in developing individualized treatment plans.
The Academy of Oncology Nurse & Patient Navigators (AONN+) is pleased to introduce the Oncology Patient Navigator–Certified Generalist (OPN-CG) credential. This credential is important for anyone who provides cancer navigation services and is not a nurse. For nurses, AONN+ is providing the Oncology Nurse Navigator – Certified Generalist credential (ONN-CG).
As navigators you are well aware of the financial burden a diagnosis of cancer can have on a patient and his or her family. Deductibles, copayments, missed time from work, and uncovered ancillary care by their insurance company all add up to huge out-of-pocket costs. Did you know that cancer costs continue for years even as a cancer survivor?
In 1990, Harold P. Freeman, MD, noticed that African American women in the Harlem community had a higher incidence of breast cancer mortality.
The authors present a case demonstrating the unique and complex challenges facing patients with head and neck cancers, public health interventions to reduce risk, and available screening to promote early detection.
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