Sturdy Memorial Hospital Oncology Program. Brochure. Public Reporting of Outcomes. design

Transcription

1 Sturdy Memorial Hospital Oncology Program Brochure Public Reporting of Outcomes 2017

2 Melanoma & Skin Cancer Prevention Brochure Skin cancer remains one of the top 10 cancer sites for people living in Massachusetts. Skin cancer is clearly a growing health problem for children because of the persistent reports of sunburns and the rising rates of pediatric melanoma s (Maguire-Eisen, 2014). Ultraviolet light has been a proven human carcinogen since The National Institute of Health reported that exposure to ultraviolet radiation from either sunlight or artificial tanning sources was associated with skin cancer, cancer of the lip and melanoma of the eye (10 th report on Carcinogens, 2002). Sunburns in childhood, are a known acquired risk factor for melanoma (Tsao et al., 2004). Reports that half of all American children experience one summer sunburn and 12% of adolescents experience at least 5 sunburns is a clear sign of inadequate knowledge (Davis, 2002). In addition, the popularity of indoor tanning is increasing among teenagers with rates of indoor tanning doubling between and years of age (Geller, 2002). On April 27, 2017, Sturdy Memorial Hospital Oncology nurse Katharine Donohue BSN, RN, OCN, in collaboration with SunAWARE Educator and Advocacy Coordinator of the Children s Melanoma Prevention Foundation, Maura Flynn, RN, MA, DNC, coordinated a skin cancer prevention program at Attleboro High School. The target audience for this prevention program was Attleboro High School students, grades The program included a PowerPoint presentation which outlined content related to UV radiation, skin sensitivity, proven methods of skin protection, skin cancer detection, and the SunAWARE steps to sun protection and early detection. Following each of the 5 presentations, students were allowed to ask questions and see first-hand sun damage and effects of sunscreen via the UV camera. The total number of students that attended the program was 455. See examples of the SunAWARE presentation on the 2 next pages. Although melanoma is not common among children, 72% of melanoma cases do occur in teenage girls between the ages of (Maguire-Eisen, 2013). In addition, melanoma is now the most common cancer diagnosed in white females, ages and the 4 th most common in young males of the same age. There will be 9,940 deaths from melanoma this year with twice as many men dying of the disease than women. With one person dying every hour from melanoma, we must all work together to educate the public about this preventable and easily recognizable disease. csr/

3 RAW ELEMENTS ECO30 UVB SPF - 15 High Be Safe! Be SunAWARE! SunAWARE Avoid unprotected exposure to sunlight, seek A shade, and never indoor tan. PROTECT YOUR SKIN TODAY AND EVERY DAY! Use the UV Index everyday to plan sun protection, especially during peak hours from 10 am to 4 pm. Remember UV rays can penetrate clouds and reflect off water, snow, sand and pavement. Register for EnviroFlash at for a daily UV index alert. Remember tanning is never healthy and does not provide a safe base tan W A Wear sun protective clothing, including a long-sleeved shirt, pants, a wide-brimmed hat, and sunglasses year-round. Apply recommended amounts of BROAD SPECTRUM sunscreen with a sunburn protection factor (SPF) 30 to all exposed skin and reapply every two hours, or as needed. Cover up by wearing wide brimmed hats, sunglasses, long sleeves, pants, or protective clothing. Remember to look for the Ultraviolet Protection Factor (UPF) on clothing and UV protection sticker on sunglasses. Apply a handful of BROAD SPECTRUM sunscreen to all exposed skin from head to toe. Read the label for water resistant claims that indicate how long a sunscreen is effective while swimming or perspiring. Remember not to apply sunscreen to broken skin. RAW ELEMENTS ECO30 R E Routinely examine your whole body for changes in your skin and report concerns to a parent or healthcare provider. Educate your family and community about the need to be SunAWARE. Check your skin regularly for signs of sun damage including freckles and moles. Remember that we are not born with freckles but develop them from overexposure to UV rays. Check your skin for moles. Make sure that they are similar in appearance, color and size. Look for changes and report anything suspicious to your parent. Everyone needs to know how to be safe from skin cancer. Go to for more information, as well as free tools and resources to use in your own community. We are available to assist you with special projects and programming. Be SunAWARE! Preventing Skin Cancer One Child at a Time melanoma Prevention Foundation Association of Dermatology Administrators & Managers BCCNS Life Support Network Blue Hills Community Health Alliance Boston Medical Center Dermatology Nurses Association National Council on Skin Cancer Prevention South Shore Skin Center and Spa Women s Dermatologic Society Children s Melanoma Prevention Foundation. 75 Washington Street. Norwell, MA SPF (1773)

4 Melanoma USA SunAWARE Actions 1/50 Lifetime Risk Invasive MM 1/71 1/250 1/150 1/100 Projected 1/1500 1/ Rigel et al, NYU Melanoma Cooperative Group, 2001 Ultraviolet (UV) Rays Indoor tanning

5 Skin Cancer: Early Detection through Screening The melanoma cancer mortality rate in the Attleboro area (age-adjusted) is higher than the state age adjusted rate. On June 27, 2017, Sturdy Memorial Hospital Oncology sponsored a skin cancer screening program. This program offered a free full body (or area as specified by the individual) skin screen by a board certified dermatologist according to AAD (American Academy of Dermatology) guidelines and documented on the SPOTme Report form. All participants were given a copy of their report which noted whether a biopsy, referral for follow-up, or both were recommended. In the event of a positive presumptive diagnosis, individuals were counseled as to the need for following through and were offered assistance in locating a dermatologist of their choice. A total of 29 men and women participated in this program. Ten participants (34.5%) were referred to dermatology for a biopsy. Melanoma Cancer Mortality: Attleboro Copyright 2013 Massachusetts Department of Public Health - All Rights Reserved, Printed: 6/4/2013, 13:13:30 Area 3 year Count Males Females Area Age-adjusted Rate (a) State Age-adjusted Rate (a) Males Females Males Females Total Melanoma Cancer Deaths White, non-hispanic Black, non-hispanic Asian, non-hispanic Hispanic

6 Mammography State-of-the-art technology remains a priority in the cancer care offered at Sturdy. Since 2015, 3D mammography (or tomosynthesis) Brochure has been offered in the Mammography Department. 3D mammography converts digital breast images into a stack of very thin layers or slices, building what is essentially a 3-dimensional mammogram. This allows radiologists to look at the breast tissue in far greater detail than traditional mammograms. 3D mammography provides doctors with a cleaner, more detailed view of breast tissue and can lead to easier and earlier breast cancer detection. In 2017, 12,888 screening and diagnostic mammograms were performed, and 71 new breast cancer cases were diagnosed in The following reflects diagnosis by stage: Analyses of these data reflect the majority of breast cancer diagnoses (78.9%) were identified at an early stage (0-2B). National Comprehensive Cancer Network (NCCN) Breast Cancer Screening & Diagnosis Guidelines: Age 25 but <40: clinical breast exam every 1-3 years and breast awareness (i.e. women should be familiar with their breasts and promptly report changes to their health care provider). Age 40: annual clinical breast exam, annual screening mammogram, and breast awareness. The NCCN panel believes that the benefits of yearly mammography outweight the risk of the procedure, as breast cancer mortality is lower with annual compared to biennial screening mammograms.

7 Cancer Rehabilitation at Sturdy Memorial Hospital The Oncology Program at Sturdy offers our patients a hospital-wide, multidisciplinary, cancer rehabilitation program that supports patients living with cancer or for those in remission. It involves services such as physical therapy; occupational therapy, including lymphedema treatments; speech therapy; nutrition; mental health counseling; wellness, pulmonary, and cardiac rehabilitation programs; and social services. These services help improve cancer treatment side effects including fatigue, malignant and nonmalignant pain, deconditioning, loss of range of motion, reduced physical strength, and lymphedema (which is swelling of a part of the body due to lymph node removal as a part of cancer surgery and treatment) to restore quality of life. In 2017, a Breast Cancer Wellness Program was established with multiple components including: Weight Management Wellness through Supervised Exercise Lymphedema Prevention & Management Smoking Cessation Healthy Steps (Therapeutic Dance) Nutrition Counseling LIVESTRONG

8 Lymphedema Therapy The lymphatic system is a transport system within our bodies that removes fluid from tissues and returns it to blood circulation. Brochure Lymphedema is a life-long condition, but it can be managed. At the Lymphedema Clinic, we perform Complete Decongestive Therapy, which consists of: Manual Lymph Drainage (MLD) Compression Therapy Exercise Skin & Nail Care Instructions in Self Care MLD is a gentle manual technique that involves re-routing the fluid to lymph nodes that are functioning. After MLD, compression bandaging is applied to further reduce the swelling. Upon completion of therapy, compression garments are worn to prevent future swelling. In 2017, 60 patients were treated for lymphedema by Certified Lymphedema Therapists at Sturdy. There were 8 breast cancer patients that participated in the Strength After Breast Cancer program. This program was ed specifically for patients recovering from a breast cancer diagnosis. For more information on any programs available to patients with or recovering from a cancer diagnosis, call The Lymphedema Support Group is facilitated by Nancy Hardy, Occupational Therapist, certified by the Lymphology Association of North America. For support group dates and times, call Lymphedema Support Group A support group for people with lymphedema, and their family members and caregivers. Treatment and management strategies will be discussed. Lymphedema Services Include: Complete Decongestive Therapy Manual Lymph Drainage Compression Bandaging Follow-up with Lymphedema Therapist after 6 Months Skin & Nail Care Education Instructions in Self Care Fitting for Proper Compression Garment