Breast Cancer Nurse Navigation - Breast Health Global Initiative
Breast Cancer Nurse Navigation - Breast Health Global Initiative
Breast Cancer Nurse Navigation - Breast Health Global Initiative
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<strong>Breast</strong> <strong>Cancer</strong> <strong>Nurse</strong> <strong>Navigation</strong>Rosemary Clement MSN, APRN-BC,Certified <strong>Breast</strong> Care Navigator
<strong>Breast</strong> Care and the Role of theNavigator• <strong>Breast</strong> <strong>Cancer</strong> has become a special field ofcancer care• Unlike other diseases, there is usually manykinds of doctors and treatments involved• The model of patient navigation has beenshown to be successful in helping patientsnavigate through the cancer trajectory and tohelp save lives
Harlem Hospital Studies• Data was collected on the outcomes ofthe program and compared five yearsurvival rates1964-1986 vs 1995-200039% 70%“We believe that this survivalimprovement was primarily a result ofpatient navigation.” H. P. Freeman, MD
Patient <strong>Navigation</strong> Act• On June 29, 2005, President George W.Bush signed into law the:“Patient Navigator, Outreach, andChronic Disease Prevention Act”-provides funding to create patientnavigation services
The Patient Navigator• One person who guides the patientthrough the health care system andfollows the patient from diagnosisthrough treatment• Addresses and anticipates obstacles tocare
Goals of Patient <strong>Navigation</strong>• To Save Lives from <strong>Cancer</strong>-timely diagnosis and treatment-educate populations on cancerprevention and early detection
Goals of Patient <strong>Navigation</strong>• To Eliminate Barriers to Care-make sure patients are aware of andcan access available services-make sure patients are not “lost” inthe follow up
Navigator Role and Responsibility• Outreach-expand availability of screening services-community education of early detectionand cancer prevention• Patient <strong>Navigation</strong>-provide navigation from suspiciousfinding to resolution
Navigator Role and Responsibility• Rehabilitation-provide education/support for issuesrelated to surviving cancer-lymphedema specialist-support groups-financial help
Navigator Resoures• Financial support services• Language and translation services• Rehabilitative services• Palliative care services• Community outreach educationalservices• Family and support services• Local advocacy and support services
Navigator Tasks• Bridging cultural and linguistic barriers• Finding financial resources• Tracking appointments• Coordinating transportation• Referring patients, families andcaregivers to appropriate services
Initial Needs of the <strong>Breast</strong> <strong>Cancer</strong>Patient• Timely Diagnosis• Disease Education• Financial Needs Assessment• Family and Social Assessment• Family Genetic Assessment• Nutritional Assessment
Needs of the <strong>Breast</strong> <strong>Cancer</strong> Patient• Prosthesis and mastectomy bras• JP holder or camisole• Wigs, scarves, hats• Eyeglasses• Walkers• Wheelchairs• childcare
<strong>Nurse</strong> Navigator Qualities• Confidentiality• Respectfulness• Compassionate• Mindful of the patient’s safety
Good Patient Communication• Empathy• Sincerity• Engagement/Connection with patient• Clarification of Patient’s concerns, andknowledge of disease• Enlistment of partnership in care
Benefit to Organizations• Better sharing of resources• Improved patient care• Cost savings• Enhanced quality of services• Increased patient satisfaction• Greater community partnership
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