July 2018 Vol 9, No 7

Promoting and enhancing survivorship are cornerstones of our mission as navigators. From community outreach efforts to improving quality of life, from managing efficiency throughout the cancer care continuum to implementing strategies to extend life, navigation efforts are primarily intended to improve the patient experience across the continuum of care.
In 2005 the Institute of Medicine (IOM) issued a report recommending that every cancer patient receive an individualized survivorship care plan that includes guidelines for monitoring and maintaining their health. We discussed this topic with our Editor-in-Chief, Lillie D. Shockney, RN, BS, MAS, ONN-CG, to understand their purpose and contents, and the role of oncology professionals in their creation and dissemination.
For over 10 years, The Mesothelioma Center has provided quality resources and information for patients and their family members coping with mesothelioma. The publisher of JONS had the pleasure of meeting with Medical Outreach Director Missy Miller to talk about the mission of The Mesothelioma Center and the services it offers to patients.
The Commission on Cancer (CoC) announced that effective December 11, 2017, the percentage of delivered survivorship care plans (SCPs) to eligible patients required for CoC compliance with Standard 3.3 has been lowered to 50% for 2018. This is sure to bring a welcome sigh of relief for many navigators and survivorship nurses.
As the oldest survivor-led cancer advocacy organization, NCCS sought to change the image of a person with cancer from “victim” to “survivor.” To help change this perception, NCCS identified the skills needed to navigate a cancer diagnosis and developed patient resources to teach these skills.
Survivorship guidelines have begun to address the premise that every patient deserves high-quality, individualized, and risk-based follow-up care.
Primary care providers (PCPs) are interested in receiving survivorship care plans (SCPs), but all too often they either do not receive them, don’t know that they did, or don’t have easy access to them.
Existing research provides minimal evidence that survivorship care plans (SCPs) improve quality of life in cancer survivors, but according to Paul B. Jacobsen, PhD, from the National Cancer Institute (NCI), this lack of evidence might actually be due to heterogeneity across SCPs and the low likelihood that SCP delivery alone will influence health outcomes down the line.
Survivorship care plans (SCPs) have been in the realm of cancer care for years now, but the research around the benefit of SCPs is inconclusive, and providers still struggle with their implementation.
A group in Ontario, Canada, designed and implemented a model of care for breast cancer survivors to transition from oncology-led care to primary care in a publicly funded healthcare environment.

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