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A. McIver



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    ORAL 43 - Enhancing Physical Wellbeing in Lung Cancer (ID 168)

    • Event: WCLC 2015
    • Type: Oral Session
    • Track: Nursing and Allied Professionals
    • Presentations: 1
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      ORAL43.06 - Improving Surviorship through Prehabiltiation for Thoracic Cancer Patients (ID 43)

      19:24 - 19:35  |  Author(s): A. McIver

      • Abstract
      • Presentation
      • Slides

      Background:
      Prognosis for lung cancer is poor, with 5 year survival of 8.8% in men and 11.1% in women. (MCS 2013) It is essential to enhance performance status and timely access to treatment. NICE recommends that patients have access to specialist services from the start of the pathway. This includes the expertise of the Lung CNS (DOH 2011). It is essential that people with a thoracic malignancy have their health and wellbeing maximised before diagnosis and treatment decision to improve outcomes and quality of lie. The Lung CNS’s management of the pathway leads to improved treatment outcomes (NLCA 2013)

      Methods:
      Lung CNS’s have a consensus that pre-diagnosis services are currently ad hoc and inequitable. The NLCFN undertook literature reviews using key words “PREHABILITATION & LUNG CANCER”; this did not identify any significant results. The search was therefore widened to include “PULMONARY DISEASE”. This showed that the most common co morbidity associated with lung cancer was COPD. To understand Lung CNS practice, a short electronic survey was devised and distributed to all NLCFN members.

      Results:
      118 Lung CNS’s responded to the questionnaire (34%). Questions covered current practice with regard to: Symptom control, health promotion, co-morbidity management Availability of assessment tools. Availability of support/pre- rehabilitation services

      Conclusion:
      Following the literature search and questionnaire, the NLCFN devised a prompt checklist. This aide memoire captures key areas of assessments at pre-diagnosis to enable effective referrals to appropriate services which will ultimately improve the patients’ health and wellbeing in preparation for treatment.

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