NOCR Annual Meeting 2013

BREAST CANCER SURVIVORSHIPPANEL DISCUSSION

The Institute of Medicine in its 2005 report: Lost in Transition:

From Cancer Patient to Cancer Survivor

The Four Components of Survivorship Care recommended include:

1. Prevention and Detection of New Cancers2. Surveillance for cancer recurrence or new cancers

and interventions for consequences of cancer and its treatment.

The 2005 Institute of Medicine Report3. Psychological Distress Management4. Coordination between Specialists and Primary

Care Providers to Ensure that Survivors’ Health Care Needs are Met

To address these components of care it was recommended that Cancer Care Specialists provide patients, care givers and PCPs with a Survivorship Care Plan.

SURVIVORSHIP CARE PLANSWhat are they?

When Should SCPs be Provided?To Whom Should SCPs be Given?

What Should be Included in the SCP?Do you or your institution have standard SCPs

or do you use an online source:such as ASCO’s Cancer.net

or Journey Forward or ACS Guidelines?

Management of Premature Menopause in Breast Cancer Survivors <50 years of age

How common does this occur after chemotherapy or hormonal therapy?

Is Premature menopause always a Bad Thing?What can be safely & effectively done to

ameliorate symptoms?

Nutrition, Weight Control and FatigueFoods to Eat?

Foods to Avoid?What about Vitamins?

Is alcohol a No-No?Does achieving and maintaining a BMI well

under 30 really matter?How important is regular physical exercise?

Anxiety, Depression & Fear of Recurrence

Allaying Fear without False Hope?The Role of Support Groups

-Do they help?-Are they beneficial for everyone?

When to Call In the Psych TeamChemo Brain – The gift that keeps on giving

Issues in Breast Cancer Survivorship

Any Questions for the Panel?