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&mesothelioma lung cancer Holistic care is personalised patient care Abnormal CXR Lung cancer suspicion Symptoms Referral under TWR to Respiratory Team Empathy, respect and humanity for Clinical examination and history CT scan Diagnosis Treatment pathway Active review Patient Centred Care Clinical Nurse Specialist Symptoms Dyspnoea Holistic approach MDT Advanced communication skills Facilitating best practise – National Pathway compliance End of life choices Facial swelling Keyworker (NICE, 2004, 2011) Haemoptysis Finger clubbing 44,488 new lung cancer cases in 2012 35,371 deaths from lung cancer in 2012 Our services 2,570 mesothelioma cases in 2011 Bronchoscopy Mesothelioma deaths in GB are expected to peak in 2017/18 Lung function tests PleurX drain service It is the 2 most common cancer in the UK (2012) New radiotherapy unit at BNHH Smoking is the main avoidable risk factor for lung cancer Wessex Cancer network Accountable and responsible Care co-ordination Symptom advice and management Hoarse voice Unexplained or > 3 weeks nd Advice and support Stridor Chest signs Statistics Specialist training and experience Weight loss Chest/ shoulder pain Cough Inpatient care Compassion Diagnostic test and staging Signposting to welfare and benefit agency Patient support group Smoking cessation Patient needs Impact of family as a whole Psychological, spiritual, physical, and social needs Holistic Needs Assessment offered Family & carer focus – support given EBUS service (coming soon) Hampshire CNS network Respect for all Encouraging and challenging each other