Posts tagged ‘supportive care’
Cancer patients should get more than medical treatment. They should get comprehensive, evidence-based care that addresses their full range of needs. That kind of patient-focused care is City of Hope’s specialty.
Under the guidance of Dawn Gross, M.D., Ph.D., the new Arthur M. Coppola Family Chair in Supportive Care Medicine and chair of the Department of Supportive Care Medicine, City of Hope is taking such care to new levels, starting with an interdisciplinary team model that focuses on patients as the complex individuals they are.
Following this approach, a team of practitioners that includes social workers, chaplains, psychologists, palliative care physicians, psychiatrists and nurse specialists gather at the start of the day to discuss the most complicated patient and family situations. From this discussion, they agree on next steps and the most appropriate practitioner to carry out these steps, based on information such as the patient’s needs and relationships to practitioners on the supportive care team. » Continue Reading
Even the most loving and secure relationship can be rattled by a life-threatening illness.
When a woman is diagnosed with breast cancer, research shows one of the most important factors in helping her cope is having a supportive partner. But that partner can struggle with knowing what to say or how to best support their loved one.
Through research and clinical experience with breast cancer and relationships, City of Hope has found that specific skills and behaviors can help a couple grow closer despite the stress of cancer. That’s why City of Hope created the Couples Coping with Cancer Together program, which is solely funded by private donations.
“We are the only program of our kind,” said Courtney Bitz, L.C.S.W., a social worker in the Sheri & Les Biller Patient and Family Resource Center and head of the Couples Coping with Cancer Together program. “We make this support and counseling a standard part of the care. We normalize it, and take away the stigma. Even the healthiest of couples can struggle – it’s not only couples who were already having difficulties who struggle with a cancer diagnosis.” » Continue Reading
With more advanced cancer treatments and therapies saving lives every day, it’s safe to say cancer is “Not beyond us,” the official tagline for this year’s World Cancer Day.
This year’s World Cancer Day observance takes place on Wednesday, Feb. 4, and focuses on cancer prevention, detection and treatments. The awareness campaign highlights four key areas: healthy lifestyle, early detection, treatment for all and maximizing quality of life.
To explain the importance of quality of life, including pain management and palliative care, Betty Ferrell, Ph.D., R.N., director of the Division of Nursing Research and Education at City of Hope, answers questions about how providers, caregivers and patients can maximize the quality of life for themselves and loved ones.
Why is it important to incorporate palliative care at Day 1 of cancer treatment?
Palliative care is intended to address quality of life concerns from the time of diagnosis. There is strong recognition that attending to symptoms and psychosocial concerns and focusing on goals of care for each patient is vital throughout the course of the disease.
Age is the single greatest risk factor overall for cancer; our chances of developing the disease rise steeply after age 50. For geriatric oncology nurse Peggy Burhenn, the meaning is clear: Cancer is primarily a geriatric condition. That’s why she is forging inroads in the care of older adults with cancer.
Burhenn, M.S., C.N.S., A.O.C.N.S., is a professional practice leader in geriatric oncology in the Department of Clinical Practice and Professional Education at City of Hope. She focuses on the needs of older adults with cancer, researching better treatments for them and teaching other clinicians the best approach to caring for this important population.
Her innovative work and excellence in clinical care recently earned her the Advanced Oncology Certified Nurse of the Year Award from the Greater Los Angeles Oncology Nursing Society. The honor adds to a list of accolades and achievements that includes the Margo McCaffery Excellence in Pain Management Award and leadership roles on the National Comprehensive Cancer Center’s Older Adult Oncology Expert Panel and the International Society for Geriatric Oncology.
Burhenn earned both bachelor’s and master’s degrees in nursing from the University of Illinois in Chicago. She joined City of Hope in 2011 after nearly a decade as a nurse educator in the biotechnology industry and as a nurse oncologist at a private hematology-oncology practice. She said her work with older patients began early in her career, sparked to some degree by her own parents’ experience with aging. » Continue Reading
Patients faced with a cancer diagnosis have a lot to take in. It’s no surprise that many need help airing their concerns to their care teams. That’s why a City of Hope team developed SupportScreen, to enable patients to communicate their needs better.
Last week, the tablet-based app hit an important milestone, screening its 10,000th patient.
The achievement comes at an important time, as new accreditation standards go into effect in January 2015 from two important organizations charged with evaluating cancer care providers — the American College of Surgeons Commission on Cancer and the American Society of Clinical Oncology. The standards focus on screening for psychosocial distress, unmet needs and other psychosocial barriers to care, which SupportScreen was designed to address.
One person receives the breast cancer diagnosis, but the cancer affects the entire family.
Couples, in particular, can find the diagnosis and treatment challenging, especially if they have traditional male/female communication styles.
“Though every individual is unique, men and women often respond differently during times of stress,” said Courtney Bitz, L.C.S.W., a social worker in the Sheri & Les Biller Patient and Family Resource Center at City of Hope. “This is where men and women can learn from and build upon the strengths of their partner and work together as a team. For many couples, the cancer experience can be an opportunity to grow closer to one another.”
Bitz offers these specific and practical behavior tips. They’ve emerged from the wisdom of past patients and partners, from research and from clinical experience: » Continue Reading
Appetite loss may be common during cancer treatment, lasting throughout your therapy or only occasionally, but it can be managed.
Below are tips from the National Cancer Institute (NCI) that can help you keep your weight up and, in doing so, keep your body well-nourished. (See the end of this article for a delicious chocolate-avocado smoothie recipe that’s perfectly in line with these recommendations.) » Continue Reading
Cancer is hard enough on the immune system, and chemotherapy takes an additional toll. This double blow to the immune system means cancer patients are more likely to develop infections than people not fighting cancer.
The federal Centers for Disease Control and Prevention reports that one out of every 10 cancer patients receiving chemotherapy develops an infection that requires a hospital visit.
Sometimes, infections come from foods that people without cancer could consume with few concerns. For that reason, cancer patients or the people preparing food for them should take extra precautions when handling food. » Continue Reading
The best measure of success in the fight against cancer is in lives saved and families intact, in extra days made special simply because they exist.
Yuman Fong, M.D., chair of the Department of Surgery at City of Hope, understands what precedes that special awareness. When cancer strikes, one minute a person may feel healthy and young, he says, and in the next, they’re wondering how many years they have left.
In those situations, expertise matters. Commitment to research, knowledge of new therapies, unrelenting dedication to quality and improvement all play a role in the best possible cancer care. City of Hope has those factors. But the best measure of cancer care is cancer outcomes – and City of Hope has those, too.