Diagnosis
CHEMOTHERAPY
KEY POINTS
- Diagnosis information
- Breast cancer histopathology
- Family history
- Molecular profiling
- Genomic sequencing
- Current treatment plan
- Treatment goals
- Prognosis
- Expected response to treatment
- Symptom management
- Treatment adherence and compliance
- Financial implications of treatment pathway
- Oncofertility
- Current treatment plan (consider concurrent treatments i.e. Chemo/ immunotherapy and noncancer treatments)
- Out of pocket pharmaceutical costs
- Taste change
- Dental health / oral care
- Safe sex and contraception
- MDT meeting and involvement
- Employment and financial assistance referrals
- Exercise and physical activity
- Social and emotional needs
- Clinical trial considerations
TUMOUR SPECIFIC CONSIDERATIONS
Ovarian
<any specific considerations>
Endometrial
<any specific considerations>
Vulval
<any specific considerations>
CHEMOTHERAPY
LIVING WELL
- Encourage ongoing GP contact for comorbid condition management, immunisation, screening, chronic disease, mental health care plan, and other health concerns
- Offer health promotion and lifestyle maintenance solutions
- Facilitate healthy lifestyle modifications
- Facilitate advance care planning for patients aged over 75 years of age and support patient-directed advance care planning for patients aged under 75 years
- Survivorship Care Plan
DELIVERY CONSIDERATIONS
- Need for interpreter services
- Patient’s hearing status
- Patient’s vision status
Information for Nurses
MULTIDISCIPLINARY TEAM
- Actively advocate for patient with MDT in the following ways, if appropriate:
- Discuss patient preferences for treatment
- Assess psychosocial needs
- Consider CVAD
- Consider ECOG
- Refer for genetic testing, if appropriate
- Consider if patient is on, or should be considered for, a clinical trial and consider involving a clinical trials coordinator
- Discuss fertility and oncofertility
- Patient pharmaceutical access scheme
- Oncologist contact
- Clinical trials team
- Facilitate communication with patient’s General Practitioner
- Discuss prescription of endocrine therapy
RESOURCES FOR NURSES
- Clinical supervision
- eviQ protocol
- Macmillan Cancer Support
- Clinical trials
- MDT guidelines
- Immunotherapy
- eviQ Telephone triage kit
- eviQ medical oncology resources
- Informed financial consent
- Culturally safe communication skills
- COSA exercise guidelines
ASSESSMENT TOOLS
DISTRESS THERMOMETER AND PROBLEM LIST
BRIEF FATIGUE INVENTORY
Information for Patients
MULTIDISCIPLINARY TEAM
- Actively advocate for patient with MDT in the following ways, if appropriate:
- Discuss patient preferences for treatment
- Assess psychosocial needs
- Consider CVAD
- Consider ECOG
- Refer for genetic testing, if appropriate
- Consider if patient is on, or should be considered for, a clinical trial and consider involving a clinical trials coordinator
- Discuss fertility and oncofertility
- Patient pharmaceutical access scheme
- Oncologist contact
- Clinical trials team
- Facilitate communication with patient’s General Practitioner
- Discuss prescription of endocrine therapy
RESOURCES FOR NURSES
- Clinical supervision
- eviQ protocol
- Macmillan Cancer Support
- Clinical trials
- MDT guidelines
- Immunotherapy
- eviQ Telephone triage kit
- eviQ medical oncology resources
- Informed financial consent
- Culturally safe communication skills
- COSA exercise guidelines
ASSESSMENT TOOLS
DISTRESS THERMOMETER AND PROBLEM LIST
BRIEF FATIGUE INVENTORY