{"id":2263,"date":"2023-05-13T02:05:31","date_gmt":"2023-05-13T02:05:31","guid":{"rendered":"https:\/\/magazines.uthscsa.edu\/cancer-center\/?p=2263"},"modified":"2023-05-19T08:37:32","modified_gmt":"2023-05-19T08:37:32","slug":"the-provision-of-patient-centered-care","status":"publish","type":"post","link":"https:\/\/magazines.uthscsa.edu\/cancer-center\/2023\/05\/13\/the-provision-of-patient-centered-care\/","title":{"rendered":"The provision of patient-centered care"},"content":{"rendered":"

\u201cCaregivers provide the physical and emotional support essential to treatment. Patients get through the tough times knowing they have someone who cares at their side.\u201d<\/em><\/h3>\n
\u2014 Gwendolyn Tate, MBA, MSN, RN, NEA-BC<\/strong>, Chief Nursing Officer<\/h5>\n

 <\/p>\n

Cancer care needs a care team approach<\/strong><\/h2>\n

Total cancer care encompasses far more than the provision of today\u2019s leading treatments. The mission of the Mays Cancer Center \u2014 to decrease the burden of cancer in San Antonio, South Texas and beyond \u2014 includes a range of wellness and support services that comfort patients and their loved ones. The focus on comprehensive, evidence-based patient care centers on a care team structure to meet the needs of all patients at each stage of treatment.<\/p>\n

The center\u2019s patient and family services department coordinates services that make healing easier. The care team structure includes everything from nutrition counseling with a registered dietitian to emotional support with a licensed clinical psychologist to physical therapy to help patients regain strength and mobility. Cancer support groups, wellness programs, classes and survivorship services likewise contribute to the center\u2019s comprehensive focus on health and healing.<\/p>\n

Focus on prevention<\/strong><\/p>\n

An area of growing interest is genetic testing and counseling services available through the center\u2019s Cancer Genetics Program and high-risk screening clinic.<\/p>\n

\u201cWhile genetic testing has been around for quite a few years, its use in analysis for increased risk represents a newer front in the fight against cancer,\u201d said Lauren Mills, MS, CGC, a certified genetic counselor for the Mays Cancer Center.<\/p>\n

Genetic testing to determine if someone is predisposed to cancer can be beneficial in an area like South Texas where there are higher rates of certain cancers like liver cancer, said Mills.<\/p>\n

\u201cEspecially for breast and ovarian cancer, or colon, prostate or uterine cancer \u2014 if you have had cancer at a young age, generally under 50, or if there is a family history of cancer under 50 \u2014 finding out if you are at a higher risk than the general population can allow you to be as proactive as possible,\u201d said Mills. \u201cEarlier screening can allow early prevention measures including frequent monitoring for development of any tumors.\u201d<\/p>\n

Oncology rehabilitation<\/strong><\/p>\n

Another service area of significant growth at the Mays Cancer Center is its oncology rehabilitation program, providing therapy services and pain and symptom management to help patients prepare for treatment, decreasing the burden of long-term side effects after cancer treatment.<\/p>\n

\u201cOncology rehabilitation at Mays Cancer Center is a medical subspecialty out of physical medicine and rehabilitation, and our focus is on working with cancer patients and bringing foundational rehab principles to those patients,\u201d said Brian Fricke, MD, director of oncology rehabilitation.<\/p>\n

\u201cMany of the common side effects or symptoms that patients with cancer can face after treatment include things like chemotherapy-related neuropathy that can cause a lot of pain or decrease in sensation of the limbs,\u201d he said. \u201cOther symptoms include radiation fibrosis syndrome, where people lose range of motion in certain joints as a result of the scarring that happens within the muscle tissue, and lymphedema, where patients will have abnormal swelling of the limb as the result of damage to the lymphatic system.\u201d<\/p>\n

\n

\u201cIt\u2019s my goal to empower those battling cancer to take control of their cancer journey \u2014 through physical activity, nutritional support and mindfulness techniques \u2014 to live a life not defined by their cancer diagnosis.\u201d<\/em><\/p>\n<\/blockquote>\n

\u2014 Brian Fricke, MD,<\/strong> Assistant Professor, Director of Oncology Rehabilitation<\/h5>\n

 <\/p>\n

Four stages of rehabilitation<\/strong><\/p>\n

Fricke outlines four stages of oncology rehabilitation that are the focus of the center\u2019s program:<\/p>\n

Preventive: Improving baseline function and identifying where intervention can improve exercise and overall nutrition level to help build a functional cushion as patients prepare for cancer treatments.
\nRestorative: Restoring as much function as possible and identifying any barriers to a patient\u2019s engagement in therapy.
\nSupportive: Preserving function and slowing a patient\u2019s decline.
\nPalliative: Optimizing a patient\u2019s quality of life to allow patients to engage with loved ones for as long as possible. Social function is a top priority, including training family members to take care of their loved ones and transport them safely.
\n\u201cIt\u2019s appropriate to start rehabilitation in any phase, from the time of diagnosis all the way through to end of life,\u201d said Fricke. \u201cThere are many things we can do as rehabilitation specialists and experts to support someone\u2019s physical function, mental function and their overall quality of life.\u201d<\/p>\n

For Fricke, the uptick in the need for oncology rehabilitation services is a positive development.<\/p>\n

\u201cAdvancements in cancer research and treatments have largely contributed to the challenges we now face in the world of oncologic rehab,\u201d said Fricke. \u201cHow do we help survivors return to their prior level of function and quality of life? We\u2019re now asking this question because of the successes of newer cancer treatments prolonging lives and, in many cases, beating cancer.\u201d<\/p>\n

 <\/p>\n

\"Breast
Breast cancer survivor Cynthia Orr
meets first lady Jill Biden.<\/figcaption><\/figure>\n

The value of ongoing care and therapy<\/strong><\/h3>\n

San Antonio lawyer Cynthia Orr was diagnosed with breast cancer in 2013. Her treatment included the removal of lymph nodes in her armpit. Nine years later, in 2020, she developed lymphedema after a single cut on her hand. Anton Fries, MD, PhD, a reconstructive microsurgeon at UT Health San Antonio, transplanted lymph nodes from Orr\u2019s stomach to help restore her circulation. Orr has since been a patient of Brian Fricke, MD, Mays Cancer Center director of oncology rehabilitation, for her ongoing therapy.<\/p>\n

<\/h6>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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