Navigating patients through lung cancer treatment Kirsten Mooney - PowerPoint PPT Presentation

Navigating patients through lung cancer treatment Kirsten Mooney -Thoracic Cancer Nurse Coordinators Caitlin Broderick

Lung Cancer an overview  Most recent stats from WA Cancer Registry (2013) – Incidence – 1000 cases, Death 788  Lung cancer kills 1 in 43 males and 1 in 51 females  Accounts for approx 9% cancer incidence in men and women  Accounts for 20% mortality

Background  2003 WA Cancer services review (Health Reform Committee)  2004 Bishop Review  2005 WA Cancer Taskforce  2005 WA Cancer Services Framework  45 Initiatives for 2005-2010  WA Cancer Plan 2012 -2017

Findings of Bishops report  Fragmented  Lack of continuity  ‘silos of care’  Difficulty getting access and information  Gaps in Psychosocial support  Gaps in Rural and Aboriginal cancer patients care

Rural stats 2013  Kimberley – 130  Pilbara – 118  Midwest – 357*  Wheatbelt – 495*  Goldfields – 254*  Great Southern – 373*  South West – 974* TOTAL – 2,701 new cancers

WA Cancer and Palliative Care Network (WACPCN)  WACPCN formed in 2006  CNC for most tumour streams (9)  Early discussions around CNCs for Indigenous cancer patients and rare tumour/metastatic breast/sarcoma.

What are lung cancer patients needs?  Information and support  Continuity of care  Communication and coordinated pathways  Patient centred care  Symptom management  Financial/work support  Social and psychological support

Cancer DIAGNOSTICS TREATMENT TREATMENT PLANNING Nurse GP • Surgery Coordinator • Radiotherapy Results Specialist • Chemotherapy Practice Appointments Discharge Nurse Appointments POST TREATMENT Pharmaci (And follow up) Appointments st THE PATIENT Social & DIAGNOSTICS START JOURNEY Communit Appointments Results y Services HOME TREATMENT The Appointments • Surgery Appointments Cancer Council • Radiotherapy • Chemotherapy Appointments COMMUNITY HOSPICE HOSPITAL SUPPORTIVE & PALLIATIVE CARE SUPPORTIVE & PALLIATIVE CARE 19 August Slide 8 2015

Role of the CNC  Identifying patients with complex needs  Assess  Signpost  Refer  Advocate  Point of contact  Early and quick referrals into clinicians  Triage and avoid ED admissions or facilitate admissions

Role of CNC (Continued)  CNC’s are not case managers  Flexible and able to cross departments, hospitals and private/public sector

Comprehensive/holistic assessment of needs Physical Psychosocial Information and support needs

Useful Resources Aboriginal and TSI: Lets yarn about lung cancer  Written information/DVD/Websites  WA Psycho oncology service (WAPOS)  CCWA 131120 phone line  Lung Foundation Australia  Asbestos Disease Society Australia  CoNeCT (case management)

Rural patients  Rural CNC  Genesis (Bunbury)  http://www.genesiscancercarewa.com.au/l ocations/south-west-radiation-oncology- service-bunbury-wa PATS/accommodation/transport (outer metro also)

Gaps /challenges  Many patients, some complex are missed  Communication with Primary care- MDT decisions  Increased metro cancer services

 kirsten.mooney@health.wa.gov.au  caitlin.broderick@health.wa.gov.au