magda boels, verpleegkundig coördinator borstkliniek uz brussel the role of the breast nurse in the...

Magda Boels,Verpleegkundig coördinator Borstkliniek UZ Brussel

The role of the breast nurse in the

multidisciplinary team

Belgian Breast Meeting, 03-10-2008

Co-ordinator

Breast care nurse

Genetic counseling

Services to organise preoperative and check-

up investigations and admission

Physiotherapist

Woundcare/seromapunctions

Psychologist

Breast surgeonsSenoradiologists

Anatomopathologists

Social nurse

Plastic reconstructive surgeons

Self support group (RTR)organisations (VLK,

stichting tegen kanker)

Oncological centreRadiotherapists

Medical oncologists

Belgian Breast Meeting, 03-10-2008

MOC (= multidisciplinary oncological consult)

• weekly discussion

• multidisciplinary team•oncological and gynecological surgeons•senoradiologists•pathologists•radiotherapists•medical oncologists•psychologist•headnurses (hospitalisation ward, breastclinic)•family doctors can attend the meeting

Belgian Breast Meeting, 03-10-2008

Information Supply

• procedure investigations for diagnosis (FNA/trucut/mammotome)

• course of the check-up exams

• information about: operation prosthesis - bra's - swimming suits reconstruction follow-up postoperatively risks and prevention of lymphedema physiotherapy radiotherapy chemotherapy revalidationprograms…

Belgian Breast Meeting, 03-10-2008

Support and Counselling

Keywords• Empathy

• Listening

• Haptonomy

• Hollistic

Supporting, counselling, giving information from the first moment that the patient has contact with the breastclinic until the aftercare:

patient feels support patient knows being understood

• reduces stress• increases quality of life

Belgian Breast Meeting, 03-10-2008

Visit of the patients during hospitalisation

•daily

•in co-operation with the medical and paramedical staff

optimize the support

Belgian Breast Meeting, 03-10-2008

Referral by general practioner or specialist

• making an appointment

• giving results about diagnosis, check-up, …

• organisation of an hospitalisation if necessary

! Those contacts don't replace in any way the contacts between the doctors of the breastclinic and the referring doctors.

Belgian Breast Meeting, 03-10-2008

Conclusion

• good multidisciplinary team

• good cooperation

effective functioning:

obtain a correct diagnosis in a short delay

Belgian Breast Meeting, 03-10-2008

The breast care nurse is linking the different diagnostical and treating teams into one great all-human enveloping

= hollistic unit!

Belgian Breast Meeting, 03-10-2008

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