A nurse is working in a cancer facility that follows the Institute of Medicine's (IOM) recommendations for essential components of survivorship care. Which recommendations will be the nurse's focus? (Select all that apply.)
a. Cessation of noncancer follow-up and care
b. Prevention and detection of new and recurrent cancers
c. Intervention for consequences of cancer and its treatment
d. Coordination between specialists and primary care providers
e. Surveillance for cancer spread, recurrence, or second cancers
ANS: B, C, D, E
The Institute of Medicine (IOM) recommends four essential components of survivorship care: (1) Prevention and detection of new cancers and recurrent cancer; (2) surveillance for cancer spread, recurrence, or second cancers; (3) intervention for consequences of cancer and its treatment (e.g., medical problems, symptoms, psychological distress); and (4) coordination between specialists and primary care providers. The patient should continue with noncancer follow-up and care.
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