Life after Breast cancer treatment in Australia

Transcription

1 Life after Breast cancer treatment in Australia MEDICAL SCHOOL OF SEONAM UNIVERSITY, MYONGJI HOSPITAL DIRECTOR OF BREAST AND THYROID CARE CENTER HYUKJAI SHIN

2 Contents 1. The life after breast cancer through cancer Australia web page. : include Australian Cancer Care Survivorship Program(Shared Care Plan) 2. Review of article about Follow-up practices of Australian health professionals and attitudes to a survivorship care plan. 3. What is breast care nurse or Breast physicians? 4. About The follow-up of Korean Breast Cancer Survivors 5. How do we need the Cancer Survivorship care system. ( Government or KBCS )

3 Web site : Cancer Australia

4 Life after breast cancer

5 Life after breast cancer Many women look forward to finishing their breast cancer treatment and getting on with life. However, for some women, the end of treatment can be a confusing or worrying time. Some people feel nervous or upset at the thought of no longer seeing members of their health care team regularly. Others feel worried about what the future holds.

6 Follow-up after breast cancer Follow-up is recommended after treatment for breast cancer to check whether breast cancer has come back, to monitor side effects of treatment and to provide practical and emotional support.

7 Health after breast cancer Staying healthy is an important priority for women after treatment for breast cancer. Once treatment is over, you won t be seeing health professionals as regularly as you were during treatment. This doesn t mean you can t seek advice or ask for help when you need it. No health problem is too small or too large to ask about. Usually something can be done to lessen side effects and improve your wellbeing. See your GP if you have side effects that are concerning you.

8 Health after breast cancer Find more information on: 1. Fatigue 2. Insomnia and disrupted sleep 3. Lymphedema 4. Menopause 5. Pain 6. Diet 7. Exercise

9 Intervention for consequences of cancer survivors 1. Late effects of breast treatment 2. Further information related to late effects

10 Feeling after breast cancer

11 Relationships after breast cancer

12 Practical issues after breast cancer

13 Why? They need a shared follow-up care for breast cancer patients. Shared follow-up care for EBS or DCIS

14 The benefits of Shared follow-up Care

15 Shared Care Plan A

16 Shared Care Plan B Recommended f/u Schedule

17 Shared Care Plan C Follow-up visits and Outcomes

18 Shared Care Plan D Outcome of consultations with other health providers

19 Review of article about Follow-up practices of Australian health professionals and attitudes to a survivorship care plan.

20 Professional characteristics

21 Attitudes to f/u care

22 Feelings of burnout among oncology specialists

23 Willingness to share f/u care with other health professionals with or without SCP

24 Feelings about f/u load of clinical practice

25 What differences? Survivorship care plan program Health care system 1. General practitioners (GP) 2. Specialist and Breast Physicians 3. Breast care nurse

26 Breast Care Nurse Special trained nurse for breast care 1. This course is designed to develop an understanding of breast cancer nursing with a strong clinical focus. It enables students to: 2. Demonstrate specialist knowledge that informs evidence based breast cancer nursing practice for the provision and coordination of patient care 3. Develop specialist clinical practice and advance their clinical decision making skills for the assessment and management of patients with breast cancer 4. Engage in and maintain effective therapeutic relationships with patients, their significant others and other members of the multidisciplinary care team 5. Develop professional and educational leadership skills to provide support for other clinicians and provide an overall contribution to the multi-disciplinary breast cancer care team 6. Critically analyse current literature and nursing practice to provide evidence based contemporary care for patients diagnosed with breast cancer 7. Examine their ability to reflect on personal and professional values and attitudes in relation to the care of patients with breast cancer and their families and carers.

27 Breast Physician

28 Breast Physician

29 The follow-up of Korean Breast Cancer Survivors

30 The follow-up of Korean Breast Cancer Survivors

31 In conclusion A majority of respondents have performed intensive follow-up modalities in comparison with present guidelines and screenings for secondary malignancy less frequently in the survey with KBCS members on followup modality that is conducted after primary treatment of breast cancer patients. it is necessary to suggest some measures for adequate delivery system for breast cancer survivors, which is not established in the current clinical environment.

32 How do we make Korean breast Cancer Survivorship Care Plan? 1. Survey about Survivorship care after breast cancer: Follow-up practices of Korean health professionals and attitudes to a survivorship care plan. 2. The follow-up guideline indigenous to Korean breast cancer survivors through prospective clinical trials on clinical efficacy of each follow-up strategy in the future. 3. Korean breast Cancer Survivorship Care Plan.

33 Take home massage 1. 암생존자에대한전인적인관리체계가부족하다. 2. 심리적, 정신적지지를받을수없으며, 5년이후의건강관리에대한 follow-up plan이없어너무많은영상학적검사들이시행되고있으며, 이차암발생에대한관리나프로그램이없음. 3. 암치료이후암생존자의사회로복귀를지원하거나보장할수있는제도적지원이없음. 4. 유방암생존자가정보를얻을수있는곳이거의없음. ( 공인된기관혹은협회정부사이트어디에서도찾을수없음. ) 정부주도의 Survivorship care plan이필요함. 5. 의료기관상호간에환자 ( 유방암생존자 ) 의정보공유를위한 shared care plan이반드시필요하다.

34 Thank you for your attention