Effects of an Integrative Day-care Clinic Program for Breast Cancer Patients During Chemotherapy

180 Background: Prior research has identified barriers to provision of quality survivorship care in primary care settings such as lack of expert knowledge and training, primary care burden and insufficient communication with oncologists. We implemented a survivorship clinic at an academic medical center in the primary care division with the goal of defining the elements required for a seamless transition and co-management. Methods: The primary care physician received training in cancer survivorship based on the ASCO Curriculum, shadowing of 3 breast medical oncologists and 1 gynecologic oncologist, attendance at the 2018 Cancer Survivorship Symposium and NCCN’s Cancer Survivorship Advocacy Meeting. Patients with breast and gynecologic cancers were referred by their oncologists or APP (PA or NP) at various points in their cancer trajectory. Clinical characteristics of patients were abstracted from the electronic medical record and in-depth interviews were conducted with 2 patients. Results: 41 patients attended the survivorship clinic. The majority (88%) were breast (63%) or gynecologic (24%) cancer survivors. Patient age was evenly distributed with 8 age < 46, 11 age 46-59, and 7 age > = 60. 23 (56%) patients had stage < 3 at diagnosis. 21 (51%) had been cancer-free for five years + and 4 were referred by their oncologist to help with patient co-management during cancer treatment. Of the 8 breast cancer patients < 46 years old, 6 had a genetic mutation and 7 were interested in fertility. 15/26 breast cancer patients are currently on endocrine therapy. Interviewed patients expressed appreciation for receiving whole-person care and knowing there is bidirectional communication between clinicians. Conclusions: Cancer survivors are open to and interested in a survivorship visit based in a primary care clinic; this includes both patients who have been cancer-free > 5 years as well as those recently treated with curative intent. Greater efforts are needed to train primary care physicians to deliver survivorship visits that are customized to meet the needs of cancer survivors.

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Mind-body medicine and lifestyle modification in supportive cancer care: A cohort study on a day care clinic program for cancer patients

Psycho-Oncology ◽

10.1002/pon.4433 ◽

2017 ◽

Vol 26 (12) ◽

pp. 2127-2134 ◽

Cited By ~ 9

Author(s):

Michael Jeitler ◽

Jessica Jaspers ◽

Christel von Scheidt ◽

Barbara Koch ◽

Andreas Michalsen ◽

...

Keyword(s):

Cohort Study ◽

Cancer Patients ◽

Cancer Care ◽

Day Care ◽

Lifestyle Modification ◽

Care Clinic ◽

Supportive Cancer Care ◽

Mind Body Medicine ◽

Clinic Program

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The Relationship Between Level Anxiety And Sleeping Quality Of Breast Cancer Patients In One Day Care Chemotherapy Room

Jurnal Keperawatan Muhammadiyah ◽

10.30651/jkm.v6i1.6014 ◽

2021 ◽

Vol 6 (1) ◽

Author(s):

Lucilla Suparmi ◽

Fransisca Anjar Rina Setyani

Keyword(s):

Breast Cancer ◽

Side Effects ◽

Cancer Patients ◽

Day Care ◽

P Value ◽

Breast Cancer Patients ◽

The Relationship ◽

Purposive Sample ◽

Severe Anxiety

Objective: Chemotheraphy is one of theraphy managements for breast cancer patients. Chemotherapy has some side effects like nausea, gag, alpoesia, etc. Those can increase patients’ anxiety. Then, this anxiety will give impact on sleeping quality disoeder. This research aims to identify the anxiety level of breast cancer patients in chemotheraphy ODC room.Methods: This research used crossectional design. There are 32 respondents as research sample choosen by purposive sample technic.Results: The result shows that most repondents (68,75 %) didnot feel anxiety, 15,63% got mild anxiety, 9,38% got moderate and severe anxiety, and no one got panic anxiety. Most respondents (71,87) had good sleeping quality and 28,13% had poor sleeping quality. There is no relationship between level anxiety and sleeping quality of cancer patients with P value = 0,182.Conclusion: There is no relationship between level anxiety and sleeping quality of cancer patients. Nurse should do persoal approach to patients who are still having severe anxiety and poor sleeping qualitiy.

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