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THE
BRAIN TUMOR PROGRAM
(a Multi-team approach)
1-800-7NEURO7 (1-800-763-8767)
(219) 738-6661
Purpose:
To effectively manage clients with brain tumor(s) utilizing a multi-team,
holistic approach at an outpatient center in order to increase client
well being and productivity.
Procedure:
Each new patient will receive an information packet from NSIC at
the first appointment or visit (guide to stress management/NSIC
brochure, NIH Brain and Spinal Cord Tumors, American Brain Tumor
Association pamphlet). The following is the pathway for appointments:
1st Contact
— Step 1 (initial contact/plan with Nurse/MD)
• RN/NP
discussion of brain tumor (types/causes/signs and symptoms) (1/2-1
hour)
• RN/NP interviews patient (history/ROS) (1/2 hour)
Physician or Nurse Practitioner sees the patient (exam/diagnosis/plan/tests)
• RN/NP reviews the plan/medications/tests with patient and family
• RN/NP will document in chart
MD examines patient, devises plan of care, discusses medications,
test, test results, etc. with patient and family. Consults with
primary physician/neurosurgeon (continues this feedback throughout
process)
• Brain tumor team reviews at next meeting
2nd Contact — Step 2 (follow up contact with MD/NP)
Pre-Surgery:
• RN/NP assesses
patient in hospital, reinforces teaching to patient and family,
identifies needs of patient and family
• MD/Neurosurgeon sees patient/family
Post-Surgery:
• RN/NP assesses
patient for follow up needs
• RN review plan of care/medications/discharge instructions, etc.
with patient and family
• Follow up appointment scheduled for two weeks post discharge
• MD/Neurosurgeon sees patient/family
3rd Contact — Step 3 (follow up appointment with MD/NP)
• RN/NP reviews
current treatment, evaluates plan of care effectiveness
• RN/NP assesses patient, identifies needs of patient and family,
teaching reinforced
• RN/NP refers to Social Services/support group
• RN/NP schedules follow up appointment for one month
• MD performs exam, re-evaluates plan of care, discusses medication,
further tests, etc.
Follow Up Appointments — Step 4 (follow up with MD/NP/RN)
• RN/NP evaluates
plan of care effectiveness
• RN/NP performs assessment, teaching reinforced, identifies needs
of patient and family
• RN/NP schedules follow up appointment for three months, six months
and one year and monitors patient and family needs through monthly
phone calls the first three months, then quarterly phone calls made
to the home for the first year.
• MD examines and evaluates patient, orders further testing, medications,
etc. as needed.
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The Neuroscience Institute Programs List
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