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

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Oct 29, 2022 172 likes •331 views

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

SLIDE 1

Navigating patients through lung cancer treatment

Kirsten Mooney -Thoracic Cancer Nurse Coordinators Caitlin Broderick

SLIDE 2

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

SLIDE 3

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

SLIDE 4

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

SLIDE 5

Rural stats 2013

Kimberley – 130
Pilbara – 118
Midwest – 357*
Wheatbelt – 495*
Goldfields – 254*
Great Southern – 373*
South West – 974*

TOTAL – 2,701 new cancers

SLIDE 6

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.

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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

SLIDE 8

19 August 2015 Slide 8

DIAGNOSTICS TREATMENT PLANNING TREATMENT

Surgery
Radiotherapy
Chemotherapy

POST TREATMENT

(And follow up)

HOSPITAL

SUPPORTIVE & PALLIATIVE CARE

COMMUNITY HOSPICE SUPPORTIVE & PALLIATIVE CARE

Practice Nurse GP

Results Discharge

DIAGNOSTICS

THE PATIENT JOURNEY

Appointments Specialist Results

TREATMENT

Surgery
Radiotherapy
Chemotherapy

Pharmaci st

Appointments Appointments Appointments Appointments Appointments Appointments

HOME

START

Cancer Nurse Coordinator The Cancer Council

Social & Communit y Services

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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

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Role of CNC (Continued)

CNC’s are not case managers
Flexible and able to cross departments,

hospitals and private/public sector

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Comprehensive/holistic assessment of needs

Physical Psychosocial Information and support needs

SLIDE 12

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)

SLIDE 13

Rural patients

Rural CNC
Genesis (Bunbury)
http://www.genesiscancercarewa.com.au/l
cations/south-west-radiation-oncology-

service-bunbury-wa PATS/accommodation/transport (outer metro also)

SLIDE 14

Gaps /challenges

Many patients, some complex are missed
Communication with Primary care- MDT

decisions

Increased metro cancer services

SLIDE 15

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