The Oncology Nurse Navigator As "Gate Opener" to Interdisciplinary Supportive and Palliative Care for People with Head and Neck Cancer

Overview

Journal J Oncol Navig Surviv

Specialty Oncology

Date 2020 Aug 11

PMID 32775043

Citations 1

Authors

Sarah H Kagan

Brianna Morgan

Teresa Smink

Debra DeMille

Christine Huntzinger

Meredith Pauly

Mary Pat Lynch

Affiliations

Soon will be listed here.

Abstract

Background: People living with head and neck cancer frequently encounter challenges in their treatment with multimodality therapy and risk of side effects. Ensuring access to and use of interdisciplinary supportive and palliative care is often challenging given the complex needs and unfamiliar treatment experiences.

Objectives: Describe the as an approach to enhance access to and utilization of interdisciplinary supportive and palliative care for people living with head and neck cancer.

Discussion: The Cancer Appetite and Rehabilitation (CARE) Clinic model offers interdisciplinary supportive and palliative care to patients at risk, including those living with head and neck cancer. The oncology nurse navigator (ONN) serves as gate opener, ensuring that those individuals receive appropriate assessment with personalized education and referrals for timely prehabilitation, rehabilitation, and palliation.

Conclusions: The ONN, as a gate opener for people living with head and neck cancer, offers an innovative approach to elevate the patient experience and improve clinical outcomes through interdisciplinary supportive and palliative care when working in collaboration with the CARE Clinic. Guidance for other centers to adapt our model to meet their patient and family needs concludes our discussion.

Citing Articles

The Role of Nurse in the Multidisciplinary Management of Cancer Cachexia.

Zhao Y, Pang D, Lu Y Asia Pac J Oncol Nurs. 2021; 8(5):487-497.

PMID: 34527778 PMC: 8420922. DOI: 10.4103/apjon.apjon-2123.

References

Ullgren H, Kirkpatrick L, Kilpelainen S, Sharp L . Working in silos? - Head & Neck cancer patients during and after treatment with or without early palliative care referral. Eur J Oncol Nurs. 2017; 26:56-62. DOI: 10.1016/j.ejon.2016.12.003. View

Cocks H, Ah-See K, Capel M, Taylor P . Palliative and supportive care in head and neck cancer: United Kingdom National Multidisciplinary Guidelines. J Laryngol Otol. 2016; 130(S2):S198-S207. PMC: 4873917. DOI: 10.1017/S0022215116000633. View

Silver J . Cancer prehabilitation and its role in improving health outcomes and reducing health care costs. Semin Oncol Nurs. 2015; 31(1):13-30. DOI: 10.1016/j.soncn.2014.11.003. View

Ferrell B, Temel J, Temin S, Alesi E, Balboni T, Basch E . Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update. J Clin Oncol. 2016; 35(1):96-112. DOI: 10.1200/JCO.2016.70.1474. View

Shockney L . The evolution of breast cancer navigation and survivorship care. Breast J. 2014; 21(1):104-10. DOI: 10.1111/tbj.12353. View

Talwar B, Donnelly R, Skelly R, Donaldson M . Nutritional management in head and neck cancer: United Kingdom National Multidisciplinary Guidelines. J Laryngol Otol. 2016; 130(S2):S32-S40. PMC: 4873913. DOI: 10.1017/S0022215116000402. View

Abbott J, Teleni L, McKavanagh D, Watson J, McCarthy A, Isenring E . Patient-Generated Subjective Global Assessment Short Form (PG-SGA SF) is a valid screening tool in chemotherapy outpatients. Support Care Cancer. 2016; 24(9):3883-7. DOI: 10.1007/s00520-016-3196-0. View

Cohen N, Fedewa S, Chen A . Epidemiology and Demographics of the Head and Neck Cancer Population. Oral Maxillofac Surg Clin North Am. 2018; 30(4):381-395. DOI: 10.1016/j.coms.2018.06.001. View

Shun S . Cancer Prehabilitation for Patients Starting from Active Treatment to Surveillance. Asia Pac J Oncol Nurs. 2016; 3(1):37-40. PMC: 5123542. DOI: 10.4103/2347-5625.178169. View

10.

de Vries E, Fransen L, van den Aker M, Meijboom B . Preventing gatekeeping delays in the diagnosis of rare diseases. Br J Gen Pract. 2018; 68(668):145-146. PMC: 5819975. DOI: 10.3399/bjgp18X695225. View

11.

Granda-Cameron C, DeMille D, Lynch M, Huntzinger C, Alcorn T, Levicoff J . An interdisciplinary approach to manage cancer cachexia. Clin J Oncol Nurs. 2010; 14(1):72-80. DOI: 10.1188/10.CJON.72-80. View

12.

Martin L, de van der Schueren M, Blauwhoff-Buskermolen S, Baracos V, Gramlich L . Identifying the Barriers and Enablers to Nutrition Care in Head and Neck and Esophageal Cancers: An International Qualitative Study. JPEN J Parenter Enteral Nutr. 2014; 40(3):355-66. DOI: 10.1177/0148607114552847. View

13.

Greenfield G, Foley K, Majeed A . Rethinking primary care's gatekeeper role. BMJ. 2016; 354:i4803. DOI: 10.1136/bmj.i4803. View

14.

Murphy B, Deng J . Advances in Supportive Care for Late Effects of Head and Neck Cancer. J Clin Oncol. 2015; 33(29):3314-21. DOI: 10.1200/JCO.2015.61.3836. View

15.

Buga S, Banerjee C, Salman J, Cangin M, Zachariah F, Freeman B . Supportive Care for the Head and Neck Cancer Patient. Cancer Treat Res. 2018; 174:249-270. DOI: 10.1007/978-3-319-65421-8_15. View

16.

Schenker Y, Arnold R, Bauman J, Heron D, Johnson J . An enhanced role for palliative care in the multidisciplinary approach to high-risk head and neck cancer. Cancer. 2015; 122(3):340-3. DOI: 10.1002/cncr.29754. View