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A Guide to Implementing Best Practices in Person ... - cancerview.ca

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Navigation: A <strong>Guide</strong> <strong>to</strong> <strong>Implement<strong>in</strong>g</strong> <strong>Person</strong>-Centred Care September 2012Appendix A: Navigation Grid (Cancer Journey Action Group, 2010)General Def<strong>in</strong>ition of FunctionNavigation is a proactive, <strong>in</strong>tentional process of collaborat<strong>in</strong>g with a person and his or her family <strong>to</strong> provide guidance as they negotiate the maze oftreatments, services and potential barriers throughout the <strong>ca</strong>ncer journey.Vision for Cancer Patient NavigationCancer Patient Navigation is part of an <strong>in</strong>tegrated system of <strong>ca</strong>ncer service delivery. Naviga<strong>to</strong>rs work with the patient and family and their <strong>in</strong>terdiscipl<strong>in</strong>aryteam <strong>to</strong> assess needs, provide supportive <strong>ca</strong>re, answer questions, identify and address any barriers <strong>to</strong> quality <strong>ca</strong>re, and facilitate access <strong>to</strong> neededresources and services. Navigation aims <strong>to</strong> improve both coord<strong>in</strong>ation <strong>in</strong> services and cont<strong>in</strong>uity throughout <strong>ca</strong>ncer <strong>ca</strong>re, as well as quality of life for thepatient and family throughout the <strong>ca</strong>ncer journey.Overarch<strong>in</strong>g Goal of Navigation ProgramsNavigation programs aim <strong>to</strong> improve a person’s <strong>ca</strong>ncer journey by:• <strong>in</strong>creas<strong>in</strong>g <strong>ca</strong>pacity for knowledge and support• <strong>in</strong>creas<strong>in</strong>g <strong>ca</strong>pacity <strong>to</strong> meet identified needs• reduc<strong>in</strong>g anxiety• overcom<strong>in</strong>g barriers and <strong>in</strong>creas<strong>in</strong>g <strong>ca</strong>pacity <strong>to</strong> access cl<strong>in</strong>i<strong>ca</strong>l and psychosocial services• improv<strong>in</strong>g coord<strong>in</strong>ation among <strong>in</strong>dividual services at various po<strong>in</strong>ts and ensur<strong>in</strong>g cont<strong>in</strong>uity across all servicesRole Descriptions Professional Naviga<strong>to</strong>r Peer/Lay Naviga<strong>to</strong>rCharacteristics• is a health professional with specialized knowledge ofoncology• is part of an <strong>in</strong>terprofessional team;provides an effective cl<strong>in</strong>i<strong>ca</strong>l function• performs formal, standardized cl<strong>in</strong>i<strong>ca</strong>l assessmentand <strong>in</strong>tervention• provides person-centred <strong>ca</strong>re; ensures <strong>ca</strong>re team isaware of need for and mean<strong>in</strong>g of a person-centredapproach• creates and follows a <strong>ca</strong>re plan at certa<strong>in</strong> po<strong>in</strong>ts orthroughout <strong>ca</strong>ncer journey <strong>in</strong> consultation with teamand person/family• is familiar with and collaborates with peer/laynaviga<strong>to</strong>rs where appli<strong>ca</strong>ble• engages <strong>in</strong> a pro-active, <strong>in</strong>tentional process• coord<strong>in</strong>ates <strong>ca</strong>re and services• actively moni<strong>to</strong>rs <strong>ca</strong>re at certa<strong>in</strong> po<strong>in</strong>ts or throughout<strong>ca</strong>ncer journey• is a tra<strong>in</strong>ed peer/lay person, sometimes paid• is often a person with a <strong>ca</strong>ncer experience• provides person-centred <strong>ca</strong>re• provides general <strong>in</strong>formation about <strong>ca</strong>ncerjourney• focuses on support, empowerment and self<strong>ca</strong>refor patient• is familiar with and collaborates with professionalnaviga<strong>to</strong>rs where appli<strong>ca</strong>ble• engages <strong>in</strong> a proactive, <strong>in</strong>tentional process• acts <strong>in</strong> response <strong>to</strong> concerns identified bypatient and family with<strong>in</strong> scope of role• provides l<strong>in</strong>ks or facilitates referrals <strong>to</strong>community agencies and service providers• may facilitate referrals <strong>to</strong> health <strong>ca</strong>reprofessionals as needed and with<strong>in</strong> scope of role• provides emotional support and/or sharespersonal experience with<strong>in</strong> role guidel<strong>in</strong>es59

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