HEAD AND NECK CANCERS

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HEAD AND NECK CANCERS QUALITY OF LIFE RELATIONSHIP DURING TREATMENT:

HEAD AND NECK CANCERS QUALITY OF LIFE RELATIONSHIP DURING TREATMENT LLOYDETTE H. BREWAH BRANDMAN UNIVERSITY

HEAD AND NECK CANCERS:

HEAD AND NECK CANCERS Eye cancer Melanoma Oral cancer Throat cancer Parathyroid disease Retinoblastoma Skull base tumors Thyroid cancer

INTRODUCTION:

INTRODUCTION INNOVATION STAKEHOLDERS PHYSICAL AND PSYCHOSOCIAL IMPLICATIONS THEORETICAL FRAMEWORK STUDY GROUP QUALITY OF LIFE CANCER TOOL

QUALITY OF LIFE ISSUES:

QUALITY OF LIFE ISSUES Combined treatments (binary), age, living situation. Previous treatment, diseased site, overall staging. Pain, swallowing, senses, speech, social contact, sexuality, teeth. Opening mouth, dry mouth, sticky saliva. coughing, felt ill, painkillers. Nutrition , weight loss. Kinnane et al (2007)

THEORETICAL FOUNDATION :

THEORETICAL FOUNDATION Human Becoming (Parse 1998) Humanbecoming is freely choosing personal meaning in situations, intersubjectively living value priorities. Humanbecoming is configuring rhythmical patterns of relating with human universe Humanbecoming is contrascending illimitably with emerging possibilities (Parse1998)

STAKE HOLDERS:

STAKE HOLDERS Patients Medical oncologist, surgical oncologist, radiation oncologist. Dental Oncologist Oncology Nurses, medical assistants, pharmacists, Research team, Audiologist, Physical Therapists, Speech Therapist, Respiratory Therapist Diagnostic team – Lab technicians, Radiology technicians Drug companies, Insurance Companies, Cancer foundations Family, Friends, Support Groups Home health/Hospice

PATIENTS :

PATIENTS EMPOWER Take control EDUCATE Learn about the disease and treatment process ROLE Manage your treatment

Medical Oncologist :

Medical Oncologist EMPOWER Encourage patient to take responsibility EDUCATE Encourage patient to learn and save time, become cost efficient and increase efficiency ROLE Refer patients for needed evaluation and follow- up early in the treatment

Surgical Oncologists:

Surgical Oncologists EMPOWER Encourage patients to take responsibility EDUCATE Teach patients about the disease and the anatomy ROLE Keep patients comfortable

RADIATION ONCOLOGISTS:

RADIATION ONCOLOGISTS EMPOWER Encourage to communicate and take responsibility EDUCATE Teach about radiation treatments and side effects ROLE Communicate effectively with medical oncologist Make referrals as needed

DENTAL ONCOLOGISTS:

DENTAL ONCOLOGISTS EMPOWER Encourage patients to To take responsibilty of their dental health EDUCATE Teach patients about dental health as it relates to cancer ROLE Correct all decay issues prior to start of treatment

AUDIOLOGISTS:

AUDIOLOGISTS Hearing Examination Voice Restoration

SPEECH/SWALLOWING PATHOLOGISTS:

SPEECH/SWALLOWING PATHOLOGISTS

RESPIRATORY THERAPISTS:

RESPIRATORY THERAPISTS EMPOWER Encourage responsibility EDUCATE Teach respiratory aspects ROLE Help breathe better

DIETITIANS:

DIETITIANS EMPOWER Encourage responsibility EDUCATE Teach all GI concepts ROLE Maintain nutrition

PHYSICAL THERAPY:

PHYSICAL THERAPY

MEDICAL SETTING STAFF:

MEDICAL SETTING STAFF Oncology Nurses Medical Assistant Pharmacists Pharmacy Technicians

Diagnostic Team:

Diagnostic Team Laboratory Technicians Radiology Technicians

PAYORS:

PAYORS Drug Companies Insurance Entities Cancer Foundations Public Agenda(2012)

CLINICAL TRIALS:

CLINICAL TRIALS Pharmaceutical organizations with blinded studies of approved medications and trial Medications/placebo to determine medication effectiveness to certain diseases. Patients have to meet study criteria to qualify for clinical trial drugs.

Family, Friends, Support Groups :

Family, Friends, Support Groups

HOMEHEALTH/HOSPICE :

HOMEHEALTH/HOSPICE HomeHealth Cost effective assistance for clinical help, assessment and monitoring in the privacy of their own home Hospice Care Need for palliative treatment

INTERVENTIONAL PLAN:

INTERVENTIONAL PLAN Control group Non control group Session 1 ( initial 2 parts) Initial and focus education Session 2 (30days) Treatment Question and answer by phone Session 3 (60 days) Treatment Question and answer by phone Session 4 ( 90 days) optional face to face/phone Session 1 ( initial 2 parts) Continue with treatment as usual Session 4 (90 days)analysis optional face to face/phone

REFERENCES:

REFERENCES Blog Retrieved from http://www.cancercompass.com/message-board/message/all,69163,0.htm On 12/15/12 Butts, B. B.,& Rich, K.L., (2011). Philosophies and Theories for advanced Nursing Practice: Jones and Bartlett LEARNING Lagrosa,D ( Aug 2010) Launching the Navigation Program that is Best for You. Part 1: Defining Your Program. Journal of Oncology, vol 1, No 3 Emerson,E ., Leight,P ., Moonan,S ., Schinazi,T ., (2005) Finding the “Can” in Cancer, compliments of Bristol Myers Squibb Kuznar , W,.Get Ready for the New Era of “Genomic Chaos” in Cancer Care Retrieved from 12/15/12 http://www.ahdbonline.com/feature/medicare-coverage- erythropoiesis -stimulating-agents-perfect-storm

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