role of the clinical nurse specialist in breast cancer
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Role of the Clinical Nurse Specialist in Breast Cancer
Angela Oakley
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Role of the CNS
• Experts our clinical field
• Never stop learning
• Advanced communication skills
• Ability to deal with emotionally difficult and challenging situations
• Quickly assimilate information and explain complex treatment options in understandable terms
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Role of the CNS
• Widely acknowledged that the CNS plays a crucial role impacting of the quality of patient care
• What do we do?
• How do we do it?
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Job Purpose
To provide
• high quality holistic care
• emotional support
• education and information
• signposting
• health promotion and well being
to patients with breast cancer and their families
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Job Purpose
To act as a role model for nursing practice across the speciality and Trust, providing clinical nursing advice and education Act as a source of advice and knowledge for patients, carers and healthcare professionals within breast services and oncology To work within the MDT in the provision of optimal care throughout the patient pathway
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National Cancer Action Team: Quality in Nursing Excellence in Cancer Care: The contribution of the Clinical Nurse Specialist, 2010
Key Contributions that CNS’s make to cancer care
Clinical Nurse Specialist
Excellent Decision making abilities
Empathy for patients and their families
Advanced communication and advocacy skills
Ability to assess patients’ holistic needs
In-depth knowledge of a tumour area
Advanced clinical / diagnostic skills
Acting as a key worker across the whole care pathway
Innovation, project management and change management
Leadership within the MDT and wider cancer team
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Acting as a key worker across the whole care pathway
• Pre diagnosis
In fast track assessment clinic
In breast screening recall clinic
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Acting as a key worker across the whole care pathway
• At diagnosis
NICE guidelines and ABS standards
Listen to patient
Reiterate and repeat
Summarise
Check
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Acting as a key worker across the whole care pathway
• After diagnosis, before treatment starts
• Holistic needs assessment
• Discussion of treatment options
• Pre op information
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Acting as a key worker across the whole care pathway
Post- op phone call
- Assessing adjustment
- Body image issues
- Advice and information
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Acting as a key worker across the whole care pathway
• Post op MDT
• Patient advocate
• Results clinic
• Explain pathology report
• Explain rationale for adjuvant treatments
• Assessing adjustment
• Provide written information
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Acting as a key worker across the whole care pathway
• Telephone support throughout adjuvant treatments
• Face to face meeting
• Further HNA
• Prosthesis fitting if required
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Acting as a key worker across the whole care pathway
• End of treatment holistic needs assessment
• Meaningful conversation
• Care plan
• Moving forward health and well being event
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Case Study
• Julie
• 44 yrs old
• Married
• 2 teenage daughters
• Works in supermarket