the Roles of CHWs Chavely Conde, BHS Kyla Alsman RN, BSN - - PDF document
04/20/2018 Patient Navigation in Cancer Survivorship and the Roles of CHWs Chavely Conde, BHS Kyla Alsman RN, BSN Objectives Understand how cancer is a chronic disease and the impact cancer has on long term health Understand how CHW
NCCN: National Coalition for Cancer Survivorship http://www.canceradvocacy.org/
remainder of life
many years but experiencing one or more serious, late complications
many years, but dying after a late recurrence
first cancer is treated, but developing a second cancer
periods of active disease requiring treatment
continuously without a disease-free period
family and friends – Some are abandoned by family and friends
some are old
resume normal activity – some might benefit from physical therapy
depression, anxiety, fear
MDHHS Focus Groups, 2017
community
members regardless of race, age, gender, culture,
tailored services to address health and social needs
community members to needed resources and services
de Moor J S et al. Cancer Epidemiol Biomarkers Prev 2013;22:561-570
and/or treatment
treatment if finished
– Medical Bills – Supportive Care Services are not often a covered benefit or require specialist copays.
14
15 16
17 18
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23
week
balance, and flexibility exercises
before and after participation
adults, retinoblastoma in children) – Could increase risk of developing secondary cancer
– Example: patient has family history of heart disease and then receives cancer treatment that increases the risk for heart problems
– A survivor of a predisposition ( or increased risk) for a disease such as cancer
Physical Well Being Diet and Exercise Fatigue/ Pain Fertility Monitoring for late effects Psychological Well Being Anxiety Depression Fear of Recurrence Cognition/ Attention Survivor Guilt Social Well Being Family Distress Roles and Relationships Isolation Finances/Work Spiritual Well Being Meaning of Illness Hope Uncertainty Inner Strength Cancer Survivorship
patient outcomes once they leave the office
monitor their care plan.
barriers
Paid CHWs
time
(extensive)- per hiring
description
Volunteer CHWs
serve/work*
for retention
following: – Echocardiogram (ultrasound of heart to check function) – Education on Diet and Exercise – Sun Safety- education – Smoking cessation Education – Breast Mammogram and Breast MRI every year
insurance
Listen to needs of community members Guide to screening resources Address barriers to getting screened Help enroll eligible women into the state Breast and Cervical Cancer Program/Navigate them to the resource Show Me Healthy Women in Missouri Early Detection Works in Kansas
During Assist with medical appointments Follow-up to ensure they get to their appointment Transportation needs/ issues Find medical interpreting services when needed for diagnostics, and treatment Connect to social worker if needed Talk to family about issues and follow-up
After Follow-up with appointments Follow-up with family members to see if any issues Refer to social worker for financial assistance and psychosocial needs Guide them to appropriate resources to continue positive health behaviors
the community/family