Patient Care Pathways

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Breast Cancer

  • Patient visits GP - GP questons patient on family history and symptoms via a medical interview - GP feels the patient's breats to look for a noticeable lump - if a lump is found or the GP is unsure there will be a proffesional refferal to the hospital.
  • Patient will have a mammogram and an appointment with a consultant to identify whether the patient has breast cancer.
  • If breast cancer is confirmed by pathologist: CT or MRI scan, Ultrasound, Chest X-Ray (by radiologist), blood tests - patient noe treated by oncologist, further tests will be performed to stage and grade cancer.
  • Patient will be offrerd psychological help with a psychologist: CBT, refer to a counselllor, reffered to cancer support groups - help them cope with treatment and having cancer in general.
  • Hospital doctor/ specialist nurse may refer them to a physiotherapist, occupational therapist and dietician.
  • Patients treatment based on stage and grade of cancer, if spread and overall health and wellbeing - likely to receive a mixture of following possible treatments : Radiation therapy (radiograpger/radiologist), chemotherapy (oncologist), breast conserving surgery, masectomy - if patient has surgical treatment it will be performed by a specialist cancer surgeon and they will be offered breast reconstruction surgery.
  • If patient's treatment fails to cure them and the cancer spreads they will be provided with end of life care by a specialist nurse (for example Macmillan nurses).
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Bowel Cancer

  • Patient visits GP - GP questions patient on medical history and symptoms via a medical interview - GP performs a digital rectal examination of patient by placing their fnger in the **** and pushes up to the ****** to look for a noticeable lump - if a lump is found or GP is unsure there will be a proffesional referal to the hospital.
  • 2 possible tests will be performed at the hospital - examination of ****** and part of large bowel or examination of entire large bowel
  • If bowel cancer is confirmed by pathologist further tests performed to determine best course of treatment  an dif the cancer has spread: CT or MRI scan, Ultrasound scan, Chest X-ray (performed by radiologist) and blood tests - stage and grade of cancer determined - patient now treated by oncologist
  • Patient will be offrerd psychological help with a psychologist: CBT, refer to a counselllor, reffered to cancer support groups - help them cope with treatment and having cancer in general.
  • Hospital doctor/ specialist nurse may refer them to a physiotherapist, occupational therapist and dietician.
  • Patients treatment based on stage and grade of cancer, if spread and overall health and wellbeing - likely to receive a mixture of following possible treatments : Radiation therapy (radiograpger/radiologist), chemotherapy (oncologist), biological treatment (oncologist), local exision (specialist cancer surgeon), colectomy if spread to muscles surrounding colon (specialist cancer surgeon).
  • If treatment fails and cancer spread patient will be provided with end of life care by specialist nurses. 
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Testicular Cancer

  • Patient visits GP - GP questions patient on family history and symptoms via a medical interview - GP looks for possible signs of testicular cancer e.g. sudden collection of fluid in the scrotum - if signs are found or GP is unsure then there will be a proffesional refferal to the hospital.
  • Patient will have an appointment with a consultant at the hospital to identify if they have testiclar cancer - consultant may perform - ultrasound, orchidectomy.
  • If testicular cancer is confirmed by pathologist further tests performed to determine best course of treatment  an dif the cancer has spread: CT or MRI scan, Ultrasound scan, Chest X-ray (performed by radiologist) and blood tests - stage and grade of cancer determined - patient now treated by oncologist
  • Patient will be offrerd psychological help with a psychologist: CBT, refer to a counselllor, reffered to cancer support groups - help them cope with treatment and having cancer in general.
  • Hospital doctor/ specialist nurse may refer them to a physiotherapist, occupational therapist and dietician.
  •  Patients treatment based on stage and grade of cancer, if spread and overall health and wellbeing - likely to receive a mixture of following possible treatments : Radiation therapy (radiograpger/radiologist), chemotherapy (oncologist), orchiectomy (specialist cancer surgeon), if cancer is more advanced may need lymph nodes surgery (specialist cancer surgeon).
  • If treatment fails and cancer spreads patient will be provided with end of life care by soecialist nurse (e.g Macmillan nurse).
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Leukaemia

  • Patient visits GP - GP questions patient on family history and symptoms via a medical interview, GP looks for signs of leukemia on patient - if signs are found or GP is uncertain then there will be a profesional refferal to the hospital for tests.
  • Patient will have an appointment with a consultant to identify whether the patient has leukemia - consultant will perform a: blood test.
  • If leukemia is confirmed by a pathologist then further tests will be performed to determine the best cause of treatment and if the leukemia has spred: Bone marrow tests - stage and grade of leukemia can be determined - patient now treated by an oncologist.
  • Patient will be offrerd psychological help with a psychologist: CBT, refer to a counselllor, reffered to leukemia support groups - help them cope with treatment and having leukaemia in general.
  • Hospital doctor/ specialist nurse may refer them to a physiotherapist, occupational therapist and dietician.
  • Patients treatment based on stage and grade of leukaemia, if spread and overall health and wellbeing - likely to receive a mixture of following possible treatments : Radiation therapy (radiograpger/radiologist), chemotherapy (oncologist), biological treatment (oncologist), targeted therapy (oncologist), stem cell transplant (oncologist), blood transfusion (oncologist).
  • if treatment fails and cancer spreads patient will be provided with end of life care by a specialist nurse (e.g. Macmillan nurse).
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Comments

Tbaggs

It's acceptable

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