University of Arizona Medical Center. Survivorship. Mary Reid, PhD February 1, 2018

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1 University of Arizona Medical Center Survivorship Mary Reid, PhD February 1, 2018

2 Defining Survivorship The NCI defines cancer survivors as one who remains alive and continues to function from the time of diagnosis until the end of life Survivorship covers the physical consequences of treatment, to the psychological stressors that accompany life threatening illness, to the challenges of finances and families and the forced redefinition of normal life.

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7 Slide 3 Presented By Amy MacKenzie at Cancer Survivorship Symposium 2017

8 Symptoms among survivors Presented By Amy MacKenzie at Cancer Survivorship Symposium 2017

9 Slide 19 Presented By Amy MacKenzie at Cancer Survivorship Symposium 2017

10 Percentage of Cancer Patients with UnMet Need Survivors Educational Needs Side Effects and Symptom Management Percentage Reporting Needs Unmet 75.8% Tests and Treatments 71.5% Health Promotion 64.5% Interpersonal and Emotional 60.2% Psychosocial Support 55% The Advisory Board.com

11 Caregivers Unmet Needs across Cancer Trajectory months post-dx 2 Years post- DX 5 Years Post- DX Psychosocial Medical Daily Activity Financial

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18 Philosophy of the Survivorship Program at RPCI To Support through patient and familyoriented care To Individualize a survivorship care plan that will provide a map for the future To Maximize the level of health and wellness for every survivor and their support system through education, experiences, therapies To Improve the quality of life for survivors and their support networks

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25 Clinical Team Cancer Screening Survivorship Program -Nutrition -PT/OT -Psych/SW Integrated Therapies

26 Survivorship Clinic Activities Annual/Semi-annual cancer surveillance visits for the primary cancer Assessments regarding ongoing symptoms, physical, mental and emotional health management and an assessment of life style, Provide referrals to support services including educational and support activities Support communication to Primary Care Physician Provide comprehensive cancer screening Provide an opportunity to participate in research to improve efficacy of care

27 Supportive Services Physical, occupational, lymphedema therapy Rehabilitation (before and after treatment) Nutrition support Pain control Specialties such as Dermatology and Dental Psychology/Psychiatry/Social work Smoking cessation Pastoral Care Wellness and integrated medicine Palliative medicine Cancer screening for second cancers

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29 Expanding Integrated Medicine at RPCI To assist with managing symptoms associated with cancer and its treatment and promote wellness. To assists patients in the integration of these therapies with conventional medical treatments To enhances a sense of well-being and control for our patients To gives the patients more options for relieving symptoms To supports evidence-based integrated medicine and research to optimize treatment outcomes

30 The Future Wellness Program at RPCI Expanded Rehabilitation, Physical and Occupation Therapies Exercise classes to condition patients before and after treatment Nutrition classes on healthy eating, cooking and weight control Space for support groups, mindfulness training, integrated medicine therapies Free classes on yoga, mindfullness, healing touch, meditation, massage Educational classes on genetics, prevention, life style changes Spiritual healing programs An empowerment zone for patients, survivors and caregivers

31 Survivorship Support has Arrived at Roswell Park The Survivorship Program is now integrated in our comprehensive Oncology Care Model We have pulled together the resources within Roswell Park and identified community providers from many disciplines to address the needs of our cancer survivors and their caregivers The measure of our success will be the improvements in quality of life, the level of wellness and health outcomes among our survivors

32 The Survivorship Team

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