May 2016 VOL 7, NO 4
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Evidence into Practice
Continuum of Care and Care Transitions: A Combined Conclusion from Novice and Seasoned Navigators
Cheryl Bellomo, RN, MSN, OCN, CN-BN, and Pamela Goetz, BA
The role of the navigator along the continuum of care is bidimensional in nature with a patient-centered (empowerment with education and knowledge) and health system (multidisciplinary) orientation to deliver timely, seamless care. Within the multidisciplinary team, the navigator works as an advocate, care provider, educator, counselor, and facilitator to ensure that every patient receives comprehensive, timely, and quality healthcare services. In building collaboration among the multidisciplinary team members, coordinating execution of the treatment plan, and empowering patients, the navigator guides patients through the complicated steps along the cancer care continuum and through transitions of care with the goal of achieving the best possible outcomes.
Along with the diagnosis of breast cancer comes many decisions regarding treatment options. Oncotype DX, a genomic/gene expression assay, provides quantitative assessment of chemotherapy benefit and risk of distant recurrence [ Read More ]
The case study for this discussion highlights the complexities of care coordination when patients arrive unprepared physically or mentally for the recommended medical treatments as determined by guidelines. It also [ Read More ]