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Breast Cancer Nurse Navigation. Rosemary Clement MSN, APRN-BC, Certified Breast Care Navigator. Breast Care and the Role of the Navigator. Breast Cancer has become a special field of cancer care Unlike other diseases, there is usually many kinds of doctors and treatments involved

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breast cancer nurse navigation

Breast Cancer Nurse Navigation

Rosemary Clement MSN, APRN-BC, Certified Breast Care Navigator

breast care and the role of the navigator
Breast Care and the Role of the Navigator
  • Breast Cancer has become a special field of cancer care
  • Unlike other diseases, there is usually many kinds of doctors and treatments involved
  • The model of patient navigation has been shown to be successful in helping patients

navigate through the cancer trajectory and to help save lives

history of patient navigation
History of Patient Navigation
  • In 1989, Dr. Harold P. Freeman, as president of the ACS, held nationwide hearings that determined that poor patients face enormous barriers when attempting to obtain cancer care
  • In 1990, he established the U.S.’s first patient navigation program at Harlem Hospital in New York
harlem hospital studies
Harlem Hospital Studies
  • Data was collected on the outcomes of the program and compared five year survival rates

1964-1986 vs 1995-2000

39% 70%

“We believe that this survival improvement was primarily a result of patient navigation.” H. P. Freeman, MD

patient navigation act
Patient Navigation Act
  • On June 29, 2005, President George W. Bush signed into law the:

“Patient Navigator, Outreach, and Chronic Disease Prevention Act”

-provides funding to create patient

navigation services

the patient navigator
The Patient Navigator
  • One person who guides the patient through the health care system and follows the patient from diagnosis through treatment
  • Addresses and anticipates obstacles to care
goals of patient navigation
Goals of Patient Navigation
  • To Save Lives from Cancer

-timely diagnosis and treatment

-educate populations on cancer

prevention and early detection

goals of patient navigation8
Goals of Patient Navigation
  • To Eliminate Barriers to Care

-make sure patients are aware of and

can access available services

-make sure patients are not “lost” in

the follow up

navigator role and responsibility
Navigator Role and Responsibility
  • Outreach

-expand availability of screening services

-community education of early detection

and cancer prevention

  • Patient Navigation

-provide navigation from suspicious

finding to resolution

navigator role and responsibility10
Navigator Role and Responsibility
  • Rehabilitation

-provide education/support for issues

related to surviving cancer

-lymphedema specialist

-support groups

-financial help

navigator resoures
Navigator Resoures
  • Financial support services
  • Language and translation services
  • Rehabilitative services
  • Palliative care services
  • Community outreach educational services
  • Family and support services
  • Local advocacy and support services
navigator tasks
Navigator Tasks
  • Bridging cultural and linguistic barriers
  • Finding financial resources
  • Tracking appointments
  • Coordinating transportation
  • Referring patients, families and caregivers to appropriate services
initial needs of the breast cancer patient
Initial Needs of the Breast Cancer Patient
  • Timely Diagnosis
  • Disease Education
  • Financial Needs Assessment
  • Family and Social Assessment
  • Family Genetic Assessment
  • Nutritional Assessment
needs of the breast cancer patient
Needs of the Breast Cancer Patient
  • Prosthesis and mastectomy bras
  • JP holder or camisole
  • Wigs, scarves, hats
  • Eyeglasses
  • Walkers
  • Wheelchairs
  • childcare
nurse navigator qualities
Nurse Navigator Qualities
  • Confidentiality
  • Respectfulness
  • Compassionate
  • Mindful of the patient’s safety
good patient communication
Good Patient Communication
  • Empathy
  • Sincerity
  • Engagement/Connection with patient
  • Clarification of Patient’s concerns, and knowledge of disease
  • Enlistment of partnership in care
benefit to organizations
Benefit to Organizations
  • Better sharing of resources
  • Improved patient care
  • Cost savings
  • Enhanced quality of services
  • Increased patient satisfaction
  • Greater community partnership