navigating lung cancer · shawn perkins bsn,rn,ocn navigating lung cancer •goal: ... powerplugs...

Shawn Perkins BSN,RN,OCNNavigating Lung Cancer

•Goal:

Change the lives of the people that you work with…

“What do you do?”

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Find Patients

Track Patients

Contact

Behind the Scenes

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Navigation from my experience

• From suspicious finding to treatment start

• Present for each initial consultation and key follow up appointments

• Act as a translator

• Coordination

• Be aware of transitions

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Why Is Lung Cancer Important

60-70%

19.4%

81%American Cancer Society Cancer Facts & Figures 2019

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Screening for Lung Cancer

55-77?

30+

15 years


NSCLCSurgeryRadiationChemotherapy

Carboplatin CisplatinDocetaxel (Taxotere) Gemcitabine (Gemzar)Nab-paclitaxel (Abraxane) Paclitaxel (Taxol)Pemetrexed (Alimta)Vinorelbine (Navelbine)

Cancer.net


Targeted TherapyAnti-angiogenesis

Bevacizumab (Avastin),Ramucirumab (Cyramza)EGFR Inhibitors

Afatinib (Gilotrif), Dacomitinib (Vizimpro), Erlotinib (Tarceva), Gefitinib (Iressa), Necitumumab (Portrazza), Osimertinib(Tagrisso)

ALK InhibitorsAlectineb (Alecensa), Brigatinib (Alunbrig), Ceritinib (Zykadia), Lorlatinib (Lorbrena)

ALK or ROS 1Crizotinib (Xalkori)

BRAF V600ECombination of dabrafenib (Tafinlar) and tremetinib (Mekinist)

NTRK Gene FusionLarotrectinib (Vitrakvi)

Cancer.net


ImmunotherapyAtezolizumab (Tecentriq)Durvalumab (Imfinzi)Nivolumab (Opdivo)Pembrolizumab (Keytruda)

Cancer.net

17

SCLCSurgeryRadiationChemotherapy

Etoposide/irinotecan+ platinum

ImmunotherapyAtezolizumab (Tecentriq)Nivolumab (Opdivo)Pembrolizumab(Keytruda)

Cancer.net


Emerging TreatmentsLiquid biopsyIntraoperative brachytherapyStudies Surgery vs Stereotactic radiationMore targeted drugsMore immunotherapy drugsDifferent ways to use immunotherapyChimeric antigen receptor (CAR) T-cell therapyTherapeutic VaccinesChemoprevention

Up to Date 2019


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You Are Awesome

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Sources:American Cancer Society. Cancer Facts & Figures 2019. Atlanta: American Cancer Society; 2019

Cancer.net, editorial board. “Lung Cancer - Non-Small Cell - Types of Treatment.” Cancer.Net, 7 Mar. 2019, www.cancer.net/cancer-types/lung-cancer-non-small-cell/types-treatment.

PDQ® Screening and Prevention Editorial Board. PDQ Lung Cancer Screening. Bethesda, MD: National Cancer Institute. Available at: https://www.cancer.gov/types/lung/hp/lung-screening-pdq. Accessed <04/30/2019>. [PMID: 26389268]

Thomas, Karl W, Gould, Michael K (updated Apr 03, 2019). Overview of the initial evaluation, diagnosis, and staging of patients with suspected lung cancer. Retrieved from https://www.uptodate.com/contents/overview-of-the-initial-evaluation-diagnosis-and-staging-of-patients-with-suspected-lung-cancer?search=overview-of-the-initial-evaluation-treatment-and-prognosis-of-lung-&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1 Accessed 04/30/2019

http://www.cancer.net/cancer-types/lung-cancer-non-small-cell/types-treatment

https://www.cancer.gov/types/lung/hp/lung-screening-pdq

navigating lung cancer · shawn perkins bsn,rn,ocn navigating lung cancer •goal: ... powerplugs...

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