November 2018 Vol 9, NO 11


Patients diagnosed with cancer and going through treatment often experience significant changes to their appearance and consequently struggle with their body image.

The Hoag Family Cancer Institute (HFCI) provides robust services including diagnosis-specific oncology nurse navigation (ONN), social workers, chaplains, support groups, dietitians, and other programmatic features for patients and families.



Recently, the American Society of Clinical Oncology (ASCO) and the National Comprehensive Cancer Network (NCCN) published practice guidelines advocating that all cancer patients be asked about sexual concerns during treatment planning and follow-up.




To integrate advanced nursing knowledge on how to prevent and treat job stress for nurses by analyzing, developing, implementing, and evaluating an education program on awareness and prevention related to job stress.

A navigator’s interventions with a patient throughout treatment include disease-specific education packet, referrals to specialists, resources and supportive care team members, providing timely appointments, presentation at Breast Tumor Board, chemotherapy education, and performing a treatment summary.










Patient navigation has been shown to improve patient engagement and enrollment in clinical trials and increase supportive cancer care.


Offering patients access to oncology navigation is not only recommended, it is also a requirement for certification of oncology programs endorsed by 2 national organizations.


There is extensive literature in change and transition management in leadership but limited literature from a non-managerial or navigator’s point of view.



A recent needs assessment for Camden County, NJ, shows that residents’ compliance with cancer screening recommendations for colon (65%), breast (73%), and cervical (74%) cancers does not meet Healthy People 2020 guidelines.

Palliative care is a collaborative approach that improves quality of life for patients and families but is often provided too late.

The Academy of Oncology Nurse & Patient Navigators (AONN+) promotes the goal to share best practices for survivorship and to address the question “Does the Survivorship Care Plan (SCP) meet patient goals?” (Staci Oertle, RN, MSN, APN, AOCNP, AONN+ Survivorship Committee).

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Journal of Oncology Navigation & Survivorship
JONS

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