Download MultiD and the Nurse Navigator Role

Multidisciplinary Approach to
Oral Cancer
Cancer Symposium
for Medical and Dental Professionals
The Inn at St. John’s
September 9, 2016
Multi D Head and Neck Cancer
at St. Joseph Mercy
Jan Akervall, MD, PhD
Deb Young, RN, BSN
September 9, 2016
Thanks
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Beth LaVasseur
Lauren Smoker
Sarah Sabol
Lori Morelli
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Paula Wallace
Phil Stella
Rita Vershum
Deb Young
Disclosures
Dr. Paul Hoff has identified the following potential conflicts
of interest:
Case Observation Proctoring for Intuitive Surgical.
All other persons involved in this CME do not have any
financial relationships with any commercial interest related
to the content of this activity. This activity has not received
any commercial support.
©2015
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Background
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HN cancer treatment is complex:
• Radical surgery
• Radiation of sensitive areas
• Chemotherapy
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HN cancer treatment affects:
• Speech
• Swallowing
• Cosmesis
• Social and financial situation
This is why…
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Management should be done in a
multidisciplinary setting
• All specialties represented
• Right decision at the right pace
• Coordination is key
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All aspects need to be considered all the time
• Prognosis
• Complications/side affects
MultiD at St Joe
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Prepare patients for the Tumor board
• Path report
• Radiologic work-up completed
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Treatment decision at Tumor Board
• Discuss best treatment w regards to prognosis AND functional
outcome
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Appointment at The Multidisciplinary clinic same
day
• Give consistent information to patient and family
• One stop shop
St Joe’s Tumor Board
ENT
Rad Onc
Med Onc
Neuro-radiology
Pathology
Research – Clinical Trials
Speech
Nutrition
Social Work
Nurse Navigator
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The day of TB and MultiD
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New referrals are presented
Patient appointment to meet members of the
care team
Patients leave with a plan
Coordinating Care Through Treatment
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Speech Pathologist
Nutritionists
Spiritual Care Leader
Clinical Research
Team
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Financial Counselors
Genetic Counselors
Palliative Care
Social Work
MultiD care after treatment
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Coordinate appointments
Ancillary services
• Nutrition
• Speech and swallow
• Social work
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Radiologic follow-up
How to refer a Patient to the MDC
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Deb Young, Nurse Navigator 734-712-4987
Call 734-712-HOPE
Fax to 734-712-5001
Send patients name, DOB, and office notes
We will take if from there!
Mr. Ron Harte
A Patient’s Perspective