National Native Network Native Cancer Wellness Native Cancer - - PowerPoint PPT Presentation

National Native Network

Native Cancer Wellness

Native Cancer Wellness

Eiko Klimant, MD, FACP Medical Director Salish Cancer Center Prior to joining Salish Cancer Center, Dr. Klimant was appointed as the Director of Integrative Oncology at Cancer Treatment Centers of America in Philadelphia, PA. He has also served as Medical Director and later as Chairman, of the Department of Oncology/Hematology at the Marshfield Clinic in Weston/Wausau, Wisconsin. At Marshfield Clinic, Dr. Klimant was a coinvestigator in multiple oncology clinical research

• trials. He was also a member of the IRB for some time. In addition, Dr. Klimant was a

member of the faculty at the University of Wisconsin. At Salish Cancer Center, Dr. Klimant works within a multidisciplinary team to provide patient-centered cancer care. “The integrative care model puts the patient at the center. Patients’ needs are addressed on multiple levels, including innovative scientific cancer treatment, spiritual and psychological support, naturopathic medicine, and an individualized nutritional program,” he says.

Native Cancer Wellness

Krisstina Gowin Salish Cancer Center 2016, Mayo Clinic Arizona, DO, Hematology Oncology 2012, University of Southern California, Internal Medicine 2009, Chicago College of Osteopathic Medicine, Osteopathic Medicine

• Dr. Gowin graudated from Chicago College of Osteopathic Medicine in 2009, where she received a merit scholarship and

recognition from the American Women’s Medical Association for outstanding academic achievement. She completed her internal medicine residency at University of Southern California, where she was dedicated to serving the underserved of Los Angeles County. She then received her hematology and medical oncology training at Mayo Clinic in Arizona where she delivered state of the art cancer therapy to patients within a multidisciplinary team. With several peer reviewed publications and research protocols, Dr. Gowin is a dedicated researcher with ongoing clinical trials in Yoga, Tai Chi, and novel therapeutic combinations in a type of chronic leukemia, myeloproliferative neoplasms. She is regarded as a national expert in the field of myeloproliferative disease, but provides care for the spectrum of hematology and oncology patients. She maintains active academic research and mentoring positions within Mayo Clinic Arizona and Arizona State University.

• Dr. Gowin is passionate about integrative medicine and is committed to supporting patients through their journey. In 2015,

she accepted the first of an inaugural award entitled the “Emerging Leader of the Year” from Cancercare for her work supporting patients and caregivers of patients afflicted with myeloproliferative neoplasms. She bagan specialized training in integrative medicine in 2015 at Andrew Weil’s Fellowship Program within the University of Arizona. “The future of oncology is integrative oncology,” says Dr. Gowin. “A philosophy employing evidence-based modern

• ncology in conjuction with the best of alternative and complementary therapies. I am passionate about research and

education to move the field forward and I am convinced that this wellness-based approach will lead to better disease

• utcomes and happier, healthier patients overall.”

Native Cancer Wellness

Roberta Basch Native Outreach Coordinator Salish Cancer Center 2011, The Evergreen State College, B.A., Native Healing Practices 1996, University of Washington, M.A., Public Administration 1994, University of Washington, B.A., Business Administration Roberta Basch is a Puyallup Tribal Member with close familiar ties to the Skokomish, Yakama, Kootenai-Cree and Coeur d’ Alene Indian Tribes. In addition to being taken under the wings of Northwest Native cultural carriers, Roberta also learned from the Huichol Indians of the Sierra Madres of Mexico who in their language are Viaricha, healers. She’s also earned a B.A. degree in Native Healing Practices, and has a B.A. in Business Administration, and a M.A. in Public Administration. At Salish Cancer Center she provides a soft-culturally sensitive-landing for Native patients, and coordinates traditional healing services for all patients seeking cancer care at Salish Cancer Center.

Faculty Disclosure Statement

• As a provider accredited by ACCME, ANCC, and ACPE, the

IHS Clinical Support Center must ensure balance, independence, objectivity, and scientific rigor in its educational activities. Course directors/coordinators, planning committee members, faculty, reviewers and all

• thers who are in a position to control the content of this

educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in

• place. Faculty will also disclose any off-label and/or

investigational use of pharmaceuticals or instruments discussed in their presentation. All those who are in a position to control the content of this educational activity have completed the disclosure process and have indicated that they do not have any significant financial relationships

• r affiliations with any manufacturers or commercial

products to disclose.

Faculty Disclosure Statement

• Funding for this webinar was made possible by the Centers for Disease Control

and Prevention DP13-1314 Consortium of National Networks to Impact Populations Experiencing Tobacco-Related and Cancer Health Disparities grant. Webinar contents do not necessarily represent the official views of the Centers for Disease Control and Prevention.

• No commercial interest support was used to fund this activity.

Accreditation

The Indian Health Service (IHS) Clinical Support Center is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The IHS Clinical Support Center designates this live activity for 1 hour of AMA PRA Category 1 Credit™ for each hour of participation. Physicians should claim only the credit commensurate with the extent of their participation in the activity. . The Indian Health Service Clinical Support Center is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This activity is designated 1.0 contact hour for nurses.

CE Evaluation and Certificate

• Continuing Education guidelines require that the attendance of all who

participate be properly documented.

• To obtain a certificate of continuing education, you must be registered for the

course, participate in the webinar in its entirety and submit a completed post- webinar survey.

• The post-webinar survey will be emailed to you after the completion of the

course.

• Certificates will be mailed to participants within four weeks by the Indian Health

Service Clinical Support Center.

Learning Objectives

By the end of this webinar, participants will be able to:

• 1. Identify the unique challenges of the Native American cancer patient

population

• 2. Examine the integrative model of oncology care
• 3. Recognize the benefits of combining traditional healing services in the care of

Native American cancer patients.

Natio nal Native Ne two r k We binar Se r ie s:

Native Canc e r We llne ss

 Dr. E

iko K lima nt, MD, ABHI M, F ACP, Me dic a l Onc o lo g ist, Me dic a l Dire c to r

 Dr. K

risstina Go win, DO, I nte g ra tive Me dic a l Onc o lo g ist

 Ro b e rta Ba sc h, MPA, Na tive Ame ric a n Outre a c h Co o rdina to r

Disc lo sure s

 No Co nflic ts o f I

nte re st to Disc lo se

Obje c tive s

 I

de ntify the uniq ue c ha lle ng e s o f the Na tive Ame ric a n c a nc e r pa tie nt po pula tio n.

 E

xa mine the inte g ra tive mo de l o f o nc o lo g y c a re .

 Re c o g nize the b e ne fits o f c o mb ining tra ditio na l he a ling

se rvic e s in the c a re o f Na tive Ame ric a n c a nc e r pa tie nts.

T he Native Ame r ic an Population

 An e stima te d 4.5 millio n pe o ple a re c la ssifie d a s Ame ric a n I

ndia n o r Ala ska Na tive

 1.5 pe rc e nt o f the to ta l po pula tio n  Ove r 560 F

e de ra l a nd 100 Sta te -re c o g nize d trib e s na tio na lly

Ame ric a n Ind ia n/ Ala ska Na tive Pro file . CDC Offic e o f Mino rity He a lth. Upd a te d 2007 http :/ / www.c d c .g o v/ o mhd / po pula tio ns/ AIAN/ AIAN.htm T he Ame ric a n Ind ia n a nd Ala ska Na tive Po pula tio n: 2000 Ce nsus Brie f. Upd a te d 2002 http :/ / www.c e nsus.g o v/ pro d / 2002pub s/ c 2kb r01-15.pd f

Ne w Canc e r Case s pe r 100,000 - Me n (2011) Canc e r

Ame ric a n Indian Me n No n-Hispanic White Me n Ame ric a n Indian/ No n-Hispanic White Ra tio

All Site s

393.4 518.1 0.8

Colon and Re c tum

63.3 43.4 1.5

L ung

52.3 63.5 0.8

Panc r e as

17.4 14.4 1.2

Pr

• state

63.9 134.0 0.5

Stomac h

20.0 8.4 2.4

Ne w Canc e r Case s pe r 100,000 – Wome n (2011) Canc e r

Ame ric a n Indian Wo me n No n-Hispanic White Wo me n Ame ric a n Indian/ No n-Hispanic White Ra tio

All Site s

359.1 433.5 0.8

Br e ast

104.0 137.0 0.8

Ce r vic al

9.5 6.5 1.5

Colon and Re c tum

45.7 34.2 1.3

L ung

41.5 50.2 0.8

Panc r e as (2010)

12.9 11.0 1.2

Stomac h (2010)

13.0 3.6 3.6

So urc e : CDC, 2015. He a lth Unite d Sta te s, 2014. T a b le 40. http:/ / www.c d c .g o v/ nc hs/ da ta / hus/ hus14.pdf

Native Canc e r Inc ide nc e

Canc e r Site s AI/ AN MIR (95% CI) White MIR (95% CI) AI/ AN:White Ratio a

All c a nc e rs 0.49 (0.48, 0.50) 0.39 (0.39, 0.39) 1.26 Bla dde r 0.24 (0.20, 0.27) 0.20 (0.20, 0.20) 1.19 Bre a st (fe ma le ) 0.22 (0.21, 0.24) 0.18 (0.18, 0.19) 1.22 Ce rvic a l (fe ma le ) 0.38 (0.33, 0.44) 0.28 (0.27, 0.29) 1.36 Co lo re c ta l 0.42 (0.40, 0.44) 0.36 (0.36, 0.36) 1.16 Ho dg kin dise a se 0.21 (0.14, 0.30) 0.15 (0.14, 0.15) 1.40 K idne y a nd re na l pe lvis 0.35 (0.32, 0.38) 0.30 (0.29, 0.30) 1.18 L e uke mia 0.60 (0.55, 0.67) 0.58 (0.57, 0.58) 1.05 L ive r/ intra he pa tic b ile duc t 0.91 (0.83, 0.99) 0.91 (0.90, 0.93) 1.00 L ung a nd b ro nc hus 0.83 (0.80, 0.86) 0.77 (0.77, 0.78) 1.07 Ova ry (fe ma le ) 0.68 (0.61, 0.77) 0.66 (0.65, 0.67) 1.03 Pa nc re a s 0.96 (0.88, 1.05) 0.95 (0.94, 0.96) 1.02 Pro sta te (ma le ) 0.23 (0.21, 0.25) 0.17 (0.17, 0.17) 1.40 Sto ma c h 0.70 (0.64, 0.78) 0.56 (0.55, 0.57) 1.27 Ute rus (fe ma le ) 0.18 (0.16, 0.21) 0.16 (0.16, 0.16) 1.14

Am J Pub lic He a lth. 2014 June ; 104(Suppl 3): S377–S387.

Highe r Native Canc e r Mor tality

Native Canc e r Risk F ac tor s

 T

• b a c c o use a nd e xpo sure

 Alc o ho l use  Die ts hig h in sa tura te d fa t a nd lo w in fib e r, fre sh fruit a nd

ve g e ta b le s

 L

a c k o f re g ula r physic a l a c tivity

 Ob e sity  Ge o g ra phic fa c to rs: e nviro nme nta l e xpo sure s (c a ttle fa rming

run o ff, a g ric ulture c he mic a ls)

Ame ric a n I ndia n Ca nc e r F

• unda tio n

Supple me nt to Ca nc e r (2008): Divisio n o f Ca nc e r Pre ve ntio n a nd Co ntro l, Ce nte rs fo r Dise a se Co ntro l a nd Pre ve ntio n

Bar r ie r s to Pr e ve ntion and Car e

 L

a c k o f a wa re ne ss o f c a nc e r risks

 L

a c k o f a wa re ne ss o f sc re e ning o ptio ns

 Distrust o f me dic a l syste ms a nd re se a rc h  F

e a r o f sc re e ning te sts o r re sults

 He a lth b e lie fs tha t ma y c o nflic t with pre ve ntio n

pra c tic e s

 Ge o g ra phic a l b a rrie rs to pre ve ntio n a nd spe c ia lty

se rvic e s

 F

ina nc ia l b urde n

Ame ric a n I ndia n Ca nc e r F

• unda tio n

Supple me nt to Ca nc e r (2008): Divisio n o f Ca nc e r Pre ve ntio n a nd Co ntro l, Ce nte rs fo r Dise a se Co ntro l a nd Pre ve ntio n

Cultur al Bar r ie r s for Canc e r Car e

 217 Na tive Ame ric a n la ng ua g e s spo ke n-mo st do NOT

ha ve a wo rd fo r “c a nc e r”

 I

n Na va jo la ng ua g e , Ca nc e r me a ns “a so re tha t do e s no t he a l”

 re luc ta nc e to se e k e va lua tio n fo r sympto ms due to fe a r

Community and Syste m L e ve l Bar r ie r s

 Unde rfunde d urb a n a nd trib a l he a lth syste ms  L

a c k o f a c c ura te po pula tio n-spe c ific da ta

 Hig h ra te s o f po ve rty  Po o r a c c e ss to he a lth c a re due to lo w ra te s o f he a lth

insura nc e

 L

imite d a va ila b ility o f pre ve ntio n pro g ra ms, c a nc e r sc re e ning a nd spe c ia list c a re

Ame ric a n I ndia n Ca nc e r F

• unda tio n

Supple me nt to Ca nc e r (2008): Divisio n o f Ca nc e r Pre ve ntio n a nd Co ntro l, Ce nte rs fo r Dise a se Co ntro l a nd Pre ve ntio n

“Po o r Ca nc e r Ca re F

• r Na tive Ame ric a ns mig ht

b e a T re a ty Vio la tio n” NE WSWE E K , July 19th 2016

http:/ / www.ne wswe e k.c o m/ 2016/ 07/ 29/ c o lo re c ta l-c a nc e r-india n-he a lth-se rvic e s-na tive -a me ric a ns-481524.html

Canc e r Car e in Native Population

 L

• we r o ve ra ll inc ide nc e b ut hig he r o ve ra ll c a nc e r

mo rta lity

 Cultura l b a rrie rs to pre ve ntio n a nd c a re  Co mmunity a nd syste m le ve l b a rrie rs to c a re

T he F utur e of Native Canc e r Car e

 I

mpro ve d pre ve ntio n, sc re e ning  De c re a se I nc ide nc e

 I

mpro ve d c a nc e r c a re  De c re a se mo rta lity

 Re spe c t fo r the c ulture o f na tive c a nc e r pa tie nts  Who le pe rso n a ppro a c h: Bo dy, Mind, a nd Spirit I

.e . “ A I nte g ra tive a ppro a c h”

Obje c tive s

 I

de ntify the uniq ue c ha lle ng e s o f the Na tive Ame ric a n c a nc e r pa tie nt po pula tio n.

 E

xa mine the inte g ra tive mo de l o f o nc o lo g y c a re .

 Re c o g nize the b e ne fits o f c o mb ining tra ditio na l he a ling

se rvic e s in the c a re o f Na tive Ame ric a n c a nc e r pa tie nts.

 Re c o g nize the Sa lish Ca nc e r Ce nte r, the first trib a lly o wne d

c a nc e r c e nte r in the na tio n.

What is Inte gr ative me dic ine ?

“T he pra c tic e o f me dic ine tha t re a ffirms the impo rta nc e o f the re la tio nship b e twe e n pra c titio ne r a nd pa tie nt, fo c use s o n the who le pe rso n, is info rme d b y e vide nc e , a nd ma ke s use o f a ll a ppro pria te the ra pe utic a ppro a c he s, he a lthc a re pro fe ssio na ls a nd disc ipline s to a c hie ve o ptima l he a lth a nd he a ling .”

T he Co nso rtium o f Ac a d e mic He a lth Ce nte rs fo r Inte g ra tive Me d ic ine (CAHCIM)

Inte gr ative Onc ology Car e Mode l

 Me dic a l Onc o lo g y  L

ife style c o unse ling : Die t a nd E xe rc ise e duc a tio n

 Na turo pa thy  Na tive pla nt me dic ine  Chine se Me dic ine  Ac upunc ture  Spiritua l suppo rt  Othe r e vide nc e d b a se d c o mple me nta ry o r a lte rna tive

the ra pie s: b io fe e db a c k, ma ssa g e , music the ra py, a rt the ra py, e tc .

I nte g ra tive Onc o lo g y Ca re

 By o ptimizing suppo rtive c a re during tre a tme nt a nd

b e yo nd: 1) E nha nc e q ua lity o f life 2) De c re a se tre a tme nt a sso c ia te d side e ffe c ts (i.e c he mo the ra py to xic ity) 1) Pro mo te we llne ss a nd o ptimize d survivo rship 2) And po te ntia lly e ve n e nha nc e re spo nse to the ra py

Obje c tive s

 I

de ntify the uniq ue c ha lle ng e s o f the Na tive Ame ric a n c a nc e r pa tie nt po pula tio n.

 E

xa mine the inte g ra tive mo de l o f o nc o lo g y c a re .

 Re c o g nize the b e ne fits o f c o mb ining tra ditio na l he a ling

se rvic e s in the c a re o f Na tive Ame ric a n c a nc e r pa tie nts.

 Re c o g nize the Sa lish Ca nc e r Ce nte r, the first trib a lly o wne d

c a nc e r c e nte r in the na tio n.

Na tive He a ling in the I nte g ra tive Mo de l

• f Ca re

 Unique tr

e atme nt goals in the Native Ame r ic an Population:

1) Ove rc o ming ne g a tive pa tie nt e xpe rie nc e s a nd g a ining trust 2)Ove rc o ming histo ric a l tra uma re la te d to he a lth c a re a nd b o a rding sc ho o ls

1) Ove rc o ming ne g a tive pa tie nt e xpe rie nc e s a nd g a ining trust

 Assist sta ff b y he lping the m to unde rsta nd Na tive

Histo ric a l T ra uma

• Histo ry o f the Na tive pe o ple in the NW
• Disre g a rd to Na tive b e lie f syste ms re g a rding he a lth a nd he a ling a nd

e duc a tio n

• Disre spe c t
• E

ffe c ts o f Histo ric a l T ra uma

• F

e a r

• Co mmunic a tio n
• Re je c tio n o f Mo de rn He a lth Ca re

Ga ining T rust – Optima l Na tive He a ling E nviro nme nt

 Sta ff a re e mpa the tic

c o mpa ssio na te

 Sta ff Unde rsta nd va rio us Na tive

c o mmunic a tio n style s

 T

he e nviro nme nt is c o nduc ive to Na tive He a ling

Re spe c t Na tive Co smo lo g y a s it re la te s to he a lth a nd we ll b e ing

 He a ling the Bo dy,

He a rt a nd Spirit within the c o nte xt o f the na tura l e nviro nme nt a nd the unive rse

Na tive tra ditio na l he a le rs fro m va rio us trib e s thro ug ho ut the US

At Salish Cancer Center, All patients are given an

• pportunity to supplement their

healing process through services

• ffered by our Native

American Traditional Healers

Me e ting the Native - Spe c ific F inanc ial Counse ling Ne e ds

 T

ra ining fo r Na tive pa tie nt fina nc ia l c o nside ra tio ns

 Na tive c ultura l spe c ia lists he lp pro vide rs to unde rsta nd Na tive Ame ric a n

he a lth c a re in te rms o f pro vide r syste ms a nd insura nc e

Obje c tive s

 I

de ntify the uniq ue c ha lle ng e s o f the Na tive Ame ric a n c a nc e r pa tie nt po pula tio n.

 E

xa mine the inte g ra tive mo de l o f o nc o lo g y c a re .

 Re c o g nize the b e ne fits o f c o mb ining tra ditio na l he a ling

se rvic e s in the c a re o f Na tive Ame ric a n c a nc e r pa tie nts.

 Re c o g nize the Sa lish Ca nc e r Ce nte r, the first trib a lly o wne d

c a nc e r c e nte r in the na tio n.

Salish Canc e r Ce nte r : Addre ssing the

Uniq ue Ne e ds o f Na tive Ame ric a ns

 Philosophy: T

• b le nd me dic a l o nc o lo g y with e vide nc e d-b a se d inte g ra tive

the ra pie s to tre a t the who le pe rso n — mind, b o dy, a nd spirit. T his uniq ue a ppro a c h is re c o g nize d a s “I nte g ra tive Onc o lo g y”.

 T

e am: 2 me dic a l o nc o lo g ists, 1 nurse pra c titio ne r, 1 na turo pa thic

• nc o lo g ist, 1 Chine se me dic a l do c to r a nd a c upunc turist, a nd hig hly

re spe c te d e xpe rie nc e d na tive he a le rs.

 Se r

vic e s: Sta te -o f-the -a rt me dic a l o nc o lo g y inc luding 23 c ha ir infusio n

c e nte r c o mb ine d with: na turo pa thic c a re , a c upunc ture , mo xib ustio n, c upping , Chine se me dic ine , e sse ntia l o il the ra py, vita min infusio ns, na tive he a ling , a nd survivo rship c a re pla nning .

 Patie nts: Na tive a nd No n-Na tive with a ll c a nc e r type s with e xc e ptio n o f

a c ute le uke mia .

Me dic a l Onc o lo g y Na turo pa thy Chine se Me dic ine Ac upunc ture Na tive He a ling

Salish Car e T e am

E iko K lima nt, MD K risstina Go win, DO Pa ul Re illy, ND Suna ra So te lo , DAOM, L .Ac . Sha wna Olso n-Smith, NP Na tive He a le rs

Salish Canc e r Ce nte r

Our I nitia tive s

 1) Patie nt Car

e E xc e lle nc e  De ve lo ping c o mmunity pa rtne rs a nd o ptimizing the pa tie nt c a re e xpe rie nc e .  Sta te o f the a rt E HR

 2) Sur

vivor ship  Pro g ra m de ve lo pme nt with a na tive fo c us  fo c us o n c o ntinuum o f c a re fo r the c a nc e r pa tie nt sta rting with dia g no sis a nd b e yo nd

 3) Re se ar

c h  De ve lo p c o mmunity pa rtne rs a nd re se a rc h ne two rk  Ma jo r a re a s o f fo c us

Sa lish I nitia tive : Pa tie nt Ca re E xc e lle nc e

 E

vide nc e -b a se d sta nda rd o f c a re Onc o lo g y with a dhe re nc e to g uide line s e g NCCN a nd ASCO g uide line s

 Optimize d suppo rtive c a re with a n inte g ra tive a ppro a c h  Ne w E

le c tro nic He a lth Re c o rd: hig h le ve l do c ume nta tio n to c a pture o utc o me s, a nd sho w the va lue o f c a re

 De ve lo p Co lla b o ra tio n with Co mmunity pa rtne rs suc h a s the

F ra nc isc a ns, Multic a re , a nd Gro up He a lth

Sa lish I nitia tive Survivo rship : Curre nt a nd Pro je c te d Ca nc e r Survivo rs in US

 14 millio n survivo rs ( a s o f Ja nua ry 1, 2012 )  18 millio n survivo rs ( a s o f Ja nua ry 1, 2022 )

(Sie g e l e t a l., CA Ca nc e r J Clin 2012)

Survivo rship: De finitio n

Who: Anyo ne who ha s b e e n dia g no se d with c a nc e r Whe n: F

ro m the time o f dia g no sis thro ug h the re st o f the ir live s

How: Survivo rs e mb ra c e the ir live s b e yo nd the ir illne ss Who e lse : F

a mily me mb e rs, frie nds, a nd c a re g ive rs a re a lso impa c te d b y the survivo rship e xpe rie nc e

 Co ve rs the physic a l, psyc ho so c ia l, a nd e c o no mic issue s o f c a nc e r, fro m dia g no sis until the

e nd o f life

 I

nc lude s issue s re la te d to the a b ility to g e t he a lth c a re a nd fo llo w-up tre a tme nt, la te e ffe c ts

• f tre a tme nt, se c o nd c a nc e rs, a nd q ua lity o f life

4 Ma jo r Are a s o f Ca nc e r Survivo rship

 Surve illa nc e , sc re e ning a nd pre ve ntio n o f re c urre nc e a nd ne w c a nc e rs  I

de ntific a tio n a nd ma na g e me nt o f la te a nd lo ng -te rm e ffe c ts

 Re c o mme nda tio n a nd pro mo tio n o f impro ve me nts o f mo difia b le he a lth

b e ha vio rs

 Co o rdina tio n o f c a re ( pro vide r-pro vide r a nd pa tie nt-pro vide r) to e nsure

tha t pa tie nt he a lth ne e ds a re me t

Survivo rship

• PRE

VE NT I ON AND SCRE E NI NG

*T RE AT ME NT *POST T RE AT ME NT CARE

• Ca re Pla ns a nd T

re a tme nt Summa rie s

• Pa tie nt “c o mpa nio n”
• Multi-Disc iplina ry We llne ss Pro mo tio n
• Die t, E

xe rc ise , Spirit, a nd Jo y Optimiza tio n

Salish Inte gr ative Sur vivor ship Pr

• gr

am

 Survivo rship me dic a l c a re pla n  Na tive drumming a nd Me dita tio n da ily  Na tive spiritua l he a ling  Ac upunc ture  Na turo pa thy  Nutritio n e duc a tio n  T

a i Chi/ Qi Go ng c la sse s

 Ma ssa g e , c o unse ling , o n-line c la sse s, na tive he a ling pra c tic e s pro g ra m a ll in

de ve lo pme nt

Sa lish I nitia tive : Re se a rc h

 4 ma in a re a s : me dic a l o nc o lo g y, inte g ra tive me dic ine , c a nna b is, a nd

Na tive Ame ric a n

 Pa rtic ipa te in c o mmunity b a se d re se a rc h ne two rks  Pro g ra m de ve lo pme nt in the 4 ma jo r a re a s

Re se a rc h

 Cur

r e nt Collabor ation with Ba styr/ Ma yo Clinic / Arizo na Sta te Unive rsity

• T

he Ca na dia n/ US I nte g ra tive Onc o lo g y Study (T he CUSI OS study)

• Clinic a l T

ria l o f Yo g a in Mye lo pro life ra tive Ne o pla sms

• Clinic a l T

ria l o f T a i Chi in Multiple Mye lo ma during Auto lo g o us SC T ra nspla nt

 Goals:

1) T

• a dva nc e inte g ra tive me dic ine a nd b uild e vide nc e -b a se fo r inte g ra tive

the ra pie s 2) De ve lo p re se a rc h q ue stio ns a nd c o lla b o ra tive pa rtne rs with na tive fo c us 3) Build re se a rc h infra struc ture : re se a rc h nurse , sta tistic a l suppo rt, e tc

• I

f inte re ste d in c o lla b o ra ting o n na tive spe c ific o r inte g ra tive re se a rc h e ma il krisstina .g o win@ sa lishc a nc e rc e nte r.c o m

Conc lusions:

 Na tive c a nc e r spe c ific mo rta lity is hig h  Na tive c a nc e r pa tie nts ha ve ma ny uniq ue ne e ds a nd

risk fa c to rs

 T

he I nte g ra tive mo de l o f c a re o ffe rs a who le pe rso n syste m o f he a ling tha t ma y a ddre ss the uniq ue ne e ds o f na tive c a nc e r pa tie nts

 Sa lish Ca nc e r Ce nte r is the first trib a lly o wne d inte g ra tive

c a nc e r c linic in the U.S. o ffe ring hig h le ve l e vide nc e - b a se d me dic ine in c o mb ina tio n with inte g ra tive se rvic e s suc h a s na tive he a ling .

Co nta c t I nfo rma tio n

 ro b e rta .b a sc h@ sa lsihc a nc e rc e nte r.c o m  krisstina .g o win@ sa lishc a nc e rc e nte r.c o m  e iko .klima nt@ sa lishc a nc e rc e nte r.c o m

T HANK YOU! Que stions?

3700 Pacific highway. E., Tacoma, WA 253-382-6300

www.sa lishc a nc e rc e nte r.c o m