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Macmillan Clinical Nurse Specialist in Skin Cancer - The Royal ...

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This leaflet has been provided to<br />

answer some of the questions<br />

you may have about the role of<br />

the <strong>Cl<strong>in</strong>ical</strong> <strong>Nurse</strong> <strong>Specialist</strong> and<br />

Key Worker with<strong>in</strong> the <strong>Royal</strong><br />

Berkshire NHS Foundation Trust.<br />

2. Melanoma<br />

This is a cancer that develops from<br />

pigment produc<strong>in</strong>g cells, and often<br />

presents as a new or chang<strong>in</strong>g mole.<br />

Melanomas can be cured if treated early,<br />

but will spread to other parts of the body<br />

if left untreated.<br />

What can the <strong>Cl<strong>in</strong>ical</strong> <strong>Nurse</strong><br />

<strong>Specialist</strong> offer me?<br />

−<br />

−<br />

A contact po<strong>in</strong>t for people with cancer<br />

at any stage.<br />

Advice and support for you, your<br />

relatives, carers and friends.<br />

What does the <strong>Cl<strong>in</strong>ical</strong> <strong>Nurse</strong><br />

<strong>Specialist</strong> do?<br />

She is able to offer <strong>in</strong>creased levels of<br />

support, advice and guidance to patients who<br />

have sk<strong>in</strong> cancer anywhere on their body.<br />

Sk<strong>in</strong> cancers can be put <strong>in</strong>to two groups:<br />

1. Non melanoma sk<strong>in</strong> cancer<br />

i) Basal Cell Carc<strong>in</strong>oma (BCC)<br />

This is the most common form of sk<strong>in</strong><br />

cancer. It is very slow grow<strong>in</strong>g, and<br />

rarely spreads to other parts of the body.<br />

ii) Squamous Cell Carc<strong>in</strong>oma (SCC)<br />

This is also a slow grow<strong>in</strong>g form of sk<strong>in</strong><br />

cancer, which develops <strong>in</strong> the outer layer<br />

of the sk<strong>in</strong>. If left untreated, it can spread<br />

to other parts of the body.<br />

<strong>The</strong> <strong>Cl<strong>in</strong>ical</strong> <strong>Nurse</strong> <strong>Specialist</strong> works closely<br />

with hospital nurses, doctors and other health<br />

care professionals to co-ord<strong>in</strong>ate care for<br />

people suffer<strong>in</strong>g from sk<strong>in</strong> cancer. She also<br />

l<strong>in</strong>ks with community carers and family doctors<br />

(GPs) to maximise the communication<br />

between all the <strong>in</strong>volved personnel.<br />

You may see the <strong>Cl<strong>in</strong>ical</strong> <strong>Nurse</strong> <strong>Specialist</strong><br />

when you are on the ward, whilst hav<strong>in</strong>g<br />

treatment or at your outpatient<br />

appo<strong>in</strong>tments. You can also contact your<br />

<strong>Cl<strong>in</strong>ical</strong> <strong>Nurse</strong> <strong>Specialist</strong> for support and<br />

advice when you are at home.<br />

−<br />

−<br />

−<br />

−<br />

−<br />

−<br />

−<br />

Help with physical symptoms such as<br />

pa<strong>in</strong>, fatigue or nausea.<br />

Advice about treatments such as<br />

radiotherapy and chemotherapy.<br />

Information about your illness.<br />

Advice on your cont<strong>in</strong>ued care at<br />

home.<br />

Someone to talk to about worries or<br />

problems.<br />

Advice on relationship, fertility or<br />

sexual problems.<br />

Advice and help on how to manage<br />

f<strong>in</strong>ancial problems.<br />

Also, the <strong>Cl<strong>in</strong>ical</strong> <strong>Nurse</strong> <strong>Specialist</strong> will either act<br />

as your key worker, or ensure that this role is<br />

carried out by another professional. <strong>The</strong> cl<strong>in</strong>ical<br />

nurse specialist/key worker is your ma<strong>in</strong> po<strong>in</strong>t<br />

of contact with<strong>in</strong> the hospital and will be<br />

responsible for co-ord<strong>in</strong>at<strong>in</strong>g your care.

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