CHRONIC DISEASE- BREAST CANCER

CHRONIC DISEASE- BREAST CANCER

ADOLESCENCE

LIFESTYLE RISK FACTORS

SYMPTOMS BEGIN TO APPEAR

INVESTIGATIONS

ACUTE HOSPITALISATIONS

TREATMENT UNIT

(CHEMOTEHERAPY, MASTECTOMY, RADIATION UNIT)

REHABILITATION UNIT

AT HOME

GP OFFICE

PALLIATIVE CARE

DEATH

Client

· The client should opt for an early inspection of the cancer by consulting the GP

· Fixing doctor appointment

· Discussion of concerns with the healthcare professional

· Assessing the risk factors related to obesity or menstrual age

· Reading articles and health portals about the different signs and symptoms

· Taking self-care management efforts such as, aerobic exercise, and dietary modifications

· Consulting the doctor and undergoing a mammogram

· Other diagnostic procedures are breast ultrasound, breast examination and removing sample of the breast to perform biopsy.

· Seek help from the healthcare professionals regarding the best possible treatment option among chemotherapy, lumpectomy, mastectomy, or radiation therapy

· Adhering to medication management strategies like hormone blocking therapy, and monoclonal antibodies.

· Peer support

· Shows compliance to different schedules of hormonal therapy

· Receives education about the different side effects of hormonal therapy

· Consuming proper doses of tamoxifen and/or aromatase inhibitors

· Joining rehabilitation programs

· Learning different coping strategies

· Performing physical therapy

· Learning different strategies of self-management

· Performing physical therapy at least thrice a week

· Going for follow-up to  the clinics

· Seeking immediate help from the GP for sudden adverse reactions or deterioration in health conditions

· Planning a living will

· Formulation of a power of attorney after consultation with the lawyer

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Family/ Primary Caregiver

· Providing necessary support and helping the patient through the course of screening and treatment

· So compassion and adopt an empathetic approach towards the conditionon

· Provides physical, emotional, psychosocial, spiritual and financial assistance

· Encourage activities of daily living

· Provides physical, emotional, psychosocial, spiritual and financial assistance

· Provide the much needed fiscal support for conduction of different diagnostic tests

· Engage in a discussion with interdisciplinary team members for the different concerns related to the patient during his/her stay in the hospital

· Keep a check on health status

· Induce all forms of emotional, physical, and financial assistance

· Take into account all possible adverse effects of issues that might arise in the patient during the course of the treatment

· Provide necessary physical, fiscal, spiritual, and emotional support

· Hold meetings and consultations with members of the rehabilitative team regarding progress of the patient health

· Motivate and boost the patient on different ways by which a meaningful and purposeful life can be lead

· Provide ongoing support in the form of emotional and psychological support in leading a normal life and carrying out the activities of daily living

· Immediately reports any sudden symptoms or side effects to the concerned GP and oncologist

· Adequate monetary, emotional, spiritual, and psychological support is provided

· Establishes contact with different support groups for relating the story of the patient

Community

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· Motivates the person to adhere to healthy community lifestyle activities that are beneficial for preventing cancer progression

· Provide assistance to the patient in dealing with the diagnosis of the condition

· Adopt an empathetic approach

· Provides help and much needed support to the family members of the patient at times of their distress

· Encourage the patient in all ways during their stay at rehabilitation units

· Provide encouragement for performing BSE at regular intervals with the help of the support groups

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· Play an important role in providing the necessary social, emotional, and psychological assistance

· Create provision for pastoral care services and spiritual counselling

Breast Care Nurse

· Ensuring care continuity and enhancing the services that are provided

· Educate the patients for achieving best health outcome

· Provide psychological and emotional all through the course of diagnosis and cancer treatment

· Hold counselling sessions to explain about the wide range of coping mechanism

· Address the patient concerns

· Provide valuable information that will facilitate assessment of the selected treatment strategy

· Take efforts to inform patient and family members about different referrals and team members

· Conduct exhaustive and comprehensive physical examination and note down necessary information regarding the cancer sign & symptoms

· Suggest referral to other professionals for staging the breast cancer and performing breast reconstruction

· Thoroughly checks the wounds of the patient at the site of cancer

· Helps in administration of medication

· Provides assistance in conducting activities of daily living

· Provides much needed help and support to the patient upon being diagnosed with breast cancer reaction to the diagnosis and how to cope with cancer

· Provide health teaching on self-care strategies

· Medication administration

· Pain and symptom management

· Encouraging patient to perform breast self-examination on a monthly basis using assistance from the support groups

· Provide emotional, physical, and psychological support

· Provide assistance to the GP and the patient while holding consultation sessions

· Address the emotional, physical, and psychological needs of the patient

· Efficiently manage the cancer and co-morbid symptoms

· 

· Advocate for the rights of the family

 Oncology Nurse

· Fulfil the role of caring for the cancer patient

· Provide exhaustive information on the projection and the pathophysiology of the disease

· Administering pain management medications such as, NSAID  (aspirin) and acetaminophen (Tylenol)

· Responsible for educating the patient on cancer and its symptoms

· Managing the pain related symptoms assessment

· Gaining a deeper understanding of the results obtained following conduction of biopsy, breast ultrasound and mammogram

· Coordinate the care services that are delivered to the patient

· Suggest patient referrals to members of the multidisciplinary team

· Comprehend the laboratory results gain a deeper understanding of the consequences of breast cancer

· Provide education to the patient on the benefits of the treatment provisions that are available to the patient

· Evaluation of the proposed care plan

· Management of pain by analgesics

· Coordinating care services by a collaborative approach

· Educating the patient on the potential advantages and the contraindications of the treatment

· Safely administering certain chemotherapy  and hormone blocker drugs

· Maintaining the medical records and history of the patient up to date

· Suggesting the patient to seek referralservices from multidisciplinary healthcare professionals

· Promote patient centred care services for addressing the needs

· Reducing adverse medical complications

· Making referral to other staff

·  Coordinating delivery of care services

· Provide referrals to the GP

· Advocate for patient rights

· Educate the patient

· Offer psychological and emotional support

· Provide psychological and spiritual support

GP

· Providing assistance in medication adherence

· Effectively controlling the symptom management

· Administering analgesics such as, Tylenol and ibuprofen for treating the pain felt in the breasts

· Assesses the patient condition

· Evaluates the suggested treatment options

· Detects and screens breast cancer

· Stages it

· Provide help to the patients on the different referral recommendations

· Deliver quick conclusive diagnosis on the cancer

· Evaluates and suggests referral

· Refers to breast reconstructive surgeons

· Offers education to the patient and family on  the diagnosis results

· Recommends medications

· Suggests treatment strategies

· Manages the cancer symptoms

· Refers to other staff

· Promotes consultation for second opinion

· Collaborates with breast reconstructive surgeon

· Conducts regular assessments

· Addresses cancer symptoms

· Coordinates care to the breast care specialist team

· Ongoing assessment

· Symptom management

· Supports the family

· Provides information on the effects of a positive diagnosis

· Discusses different treatment options

· Forms collaboration withend-of-life healthcare staff

· Promotes shared decision making

· Supports the family

Breast oncology/Plastic reconstructive surgeon

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· Will help in suggesting the steps for the primary treatment

· Will conduct assessment necessary for the reconstruction surgery

·  Adopt a collaborative care approach  

· Will suggest the type of reconstruction surgery that is required depending on the severity of the cancer

· Educate the patient and different coping skills

· Refer the patient to other forms of occupational therapy for allowing participation in different physical activities and improving the health status

· Ongoing assessment

· Management of complications from reconstructive surgery

· Deliver ongoing care

· Co-ordinate between the care services

· Take assistance from a palliative healthcare team

· Provide support to the family

Physiotherapist/Occupational Therapist

· Provide comprehensive interventions or improving the ability of the client to conduct activities of daily living and enhance the quality of life

· Provide education on post-operative physiotherapy strategies for breast cancer

· Conduct counselling sessions

· Conduct baseline assessment

· Train on range-of-motion exercises

· Educate on modification or elimination of different habits such as, wearing tight clothes, sun bathing routines, and heavy work

Dietician Educator

· Provide encouragement to the client for adhering to lifestyle tips

· Conduct  an exhaustive nutritional assessment

· Assess the nutritional requirements

· Optimise the nutritional status of the patient

· Suggest dietary alterations

· Dietary management

· Collaborative care

· Liaison with nurses, doctors and other professionals

· Monitor patient progress

· Arrange nutritional support

· Educate carers and patient

· Advocate healthy lifestyle

· Suggest recommendations

· Conduct follow-up assessments

Psychologist

· Advocate for the patient

· Provide psychological support

· Deliver counselling services

· Assesses the psychological and mental state of family and patient

· Provide mental and emotional assistance

· Hold status to empower the patients and carers

· Provide emotional support

· Provide counselling and bereavement support

Pharmacist

· Educate patient and family on different medicines

· Collaborate with the GP

· Talk about the adverse impacts of the interventions

· Help patient to show medication compliance

· Provide help during end of life

Social Worker (Renal)

· Provide support and resources related to the disease

· Advocate for the patient

· Refer to different community support groups that are accessible

· Address the patient’s psycho-social issues

· Provide psychosocial support

· Create provisions for counselling sessions for the patient and family members

· Provide emotional support

· Hold discussions on power of attorney or living will

· Advocate for the patient

· Refer to spiritual leaders and pastoral care