June 16, 2018
Lung most cancers therapy is in flux, with new immunotherapy brokers and focused therapies rising.
As nurses working within the oncology discipline, we must always at all times bear in mind that change is inevitable. Whether or not it’s a change in affected person standing, therapy adjustments, new improvements, or how the analysis is made and acted upon — change is fixed and steady. There have been many latest adjustments in lung most cancers and the administration of sufferers with these diagnoses, together with up to date early detection prospects and adjustments in diagnostic procedures, reporting, and therapy choices.
There isn’t a recognized lung most cancers prevention. Not smoking, getting train, and correct diet are all glorious methods to a wholesome life type. However all of us additionally know sufferers who’ve completed all of that, had no household historical past of lung most cancers, and nonetheless developed the illness. With that in thoughts, the main focus now’s actually on early detection by high-risk lung screening applications with/with out separate lung nodule observe up programming. In some areas of the nation, lung screening and nodule applications dovetail and in others ― particularly in areas the place numbers of by the way discovered nodules exist ― there are separate applications to observe these sufferers. Both manner, it is very important make the most of the prevailing nationwide requirements for affected person observe up.
The American Joint Committee on Most cancers (AJCC) staging has modified up to now 12 months. It impacts not solely our sufferers’ analysis, however what we have to train them relating to therapy choices and total survival.
Therapy choices are altering by the minute. Along with including recognized immunotherapy brokers to present chemotherapy regimens, virtually every day we add new focused therapies to the armamentarium. Even radiation adjustments, including new extra refined therapy modalities to the combination.
We also needs to keep in mind that some sufferers don’t obtain the care that they may obtain in different circumstances. Well being care disparities exist and oncology navigators should acknowledge this and take steps to beat these disparities. Whether or not it’s figuring out populations which might be underserved or discovering sufferers who seem to “fall through the cracks,” as nurse navigators and oncology caregivers, it is very important carry these points to the forefront of program directors with methods to handle the problems.
Lastly, survivorship can be an vital subject. Getting sufferers to this finish purpose is barely a part of the general accountability of the oncology navigator. We additionally want to present our sufferers the sources to maneuver past ourselves to return to the “normal” world. Survivorship letters with copies for his or her major care doctor practices that doc observe up wants is the methods to go. Typically, that is tough to perform, actually time consuming, however extremely vital.