WHY WAIT? THE DEVELOPMENT OF AN APN-LED, SAME-DAY, RAPID DIAGNOSTIC BREAST CLINIC

2.50
Hdl Handle:
http://hdl.handle.net/10755/165047
Category:
Abstract
Type:
Presentation
Title:
WHY WAIT? THE DEVELOPMENT OF AN APN-LED, SAME-DAY, RAPID DIAGNOSTIC BREAST CLINIC
Author(s):
Lord, Bridgette
Author Details:
Bridgette Lord, RN, MN, ACNP, Acute Care Nurse Practitioner, Princess Margaret Hospital, Toronto, Ontario, Canada, email: b.lord@utoronto.ca
Abstract:
In 2006, an estimated 22,200 Canadian women were diagnosed with breast cancer. Considerable variation exists for patients from the time a breast abnormality is detected to the time of diagnosis. Many patients wait several weeks to receive a diagnosis. This delay in diagnosis leads to prolonged patient anxiety and a delay in treatment. At a large Canadian Cancer Centre, both patients and health care providers recognized the need to improve the diagnostic process for patients with breast abnormalities. In consultation with a multi-disciplinary team, an Advanced Practice Nurse (APN)-led, same-day, rapid diagnostic breast clinic was created. The goals of this clinic were two-fold: to expedite the diagnostic process for patients with suspicious breast abnormalities, and to provide a caring and supportive environment for patients throughout the diagnostic process. The APN plays a pivotal role in streamlining the diagnostic process for patients allowing for a one-stop, same-day, rapid diagnostic breast clinic. The clinic operates twice weekly for patients with suspicious physical, mammographic or sonographic breast findings. The APN triages new patients; conducts health histories and physical examinations; and arranges further imaging and core biopsies, if required. For those patients undergoing biopsy, the APN and surgeon meet with the patient to discuss the pathology results in the afternoon. On-going psychosocial support and education is provided throughout the diagnostic process. To date, the preliminary data shows that the current time to diagnosis has been decreased from several weeks to several hours, with 89% of patients receiving a same-day diagnosis in the rapid diagnostic clinic. Eighty percent of patients seen in the rapid clinic had biopsies and 85% of those patients required surgery. Patient satisfaction with the same-day, rapid diagnostic clinic is currently being evaluated. Up to date results and statistics will be provided in the poster. Oncology nurses can play an important and unique role in developing and leading new clinics to ameliorate the diagnostic process for patients and improve overall patient care. Other departments and/or hospitals may adopt this clinic model to provide superior patient care and a more timely diagnosis for patients.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleWHY WAIT? THE DEVELOPMENT OF AN APN-LED, SAME-DAY, RAPID DIAGNOSTIC BREAST CLINICen_GB
dc.contributor.authorLord, Bridgetteen_US
dc.author.detailsBridgette Lord, RN, MN, ACNP, Acute Care Nurse Practitioner, Princess Margaret Hospital, Toronto, Ontario, Canada, email: b.lord@utoronto.caen_US
dc.identifier.urihttp://hdl.handle.net/10755/165047-
dc.description.abstractIn 2006, an estimated 22,200 Canadian women were diagnosed with breast cancer. Considerable variation exists for patients from the time a breast abnormality is detected to the time of diagnosis. Many patients wait several weeks to receive a diagnosis. This delay in diagnosis leads to prolonged patient anxiety and a delay in treatment. At a large Canadian Cancer Centre, both patients and health care providers recognized the need to improve the diagnostic process for patients with breast abnormalities. In consultation with a multi-disciplinary team, an Advanced Practice Nurse (APN)-led, same-day, rapid diagnostic breast clinic was created. The goals of this clinic were two-fold: to expedite the diagnostic process for patients with suspicious breast abnormalities, and to provide a caring and supportive environment for patients throughout the diagnostic process. The APN plays a pivotal role in streamlining the diagnostic process for patients allowing for a one-stop, same-day, rapid diagnostic breast clinic. The clinic operates twice weekly for patients with suspicious physical, mammographic or sonographic breast findings. The APN triages new patients; conducts health histories and physical examinations; and arranges further imaging and core biopsies, if required. For those patients undergoing biopsy, the APN and surgeon meet with the patient to discuss the pathology results in the afternoon. On-going psychosocial support and education is provided throughout the diagnostic process. To date, the preliminary data shows that the current time to diagnosis has been decreased from several weeks to several hours, with 89% of patients receiving a same-day diagnosis in the rapid diagnostic clinic. Eighty percent of patients seen in the rapid clinic had biopsies and 85% of those patients required surgery. Patient satisfaction with the same-day, rapid diagnostic clinic is currently being evaluated. Up to date results and statistics will be provided in the poster. Oncology nurses can play an important and unique role in developing and leading new clinics to ameliorate the diagnostic process for patients and improve overall patient care. Other departments and/or hospitals may adopt this clinic model to provide superior patient care and a more timely diagnosis for patients.en_GB
dc.date.available2011-10-27T12:11:35Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:11:35Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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