- Complete physical exam, including any labs, x-rays or other
tests that may be indicated
- Medical evaluation and referral to specialists as needed
- Assessment of nutrition status by dietitian
- Collaboration with other specialists
- Endocrinologist available in clinic monthly to see survivors
- Clinical social work assessment
- Therapeutic interventions with patients and families
- Referrals to community agencies to assist with patients'
emotional and educational needs
- Resources/education for emotional wellness
- Summary including diagnosis, treatment details, complications and late effects
- Individualized recommendations for follow up based on patient’s cancer history
- Recommendations for maintaining a healthy lifestyle
Transition of Care
The Survive & Thrive team assists survivors by assessing readiness to transition and barriers to transition. Preparation for transition begins when survivors are 15-16 years old. The team works with each survivor to develop a plan for transition of care once they are 21 years old. The treatment summary and recommendations for follow up are shared with the primary care provider.
The team is collaborating with KU Internal Medicine and the Midwest Cancer Alliance to develop an Adult Survivor Program for survivors to transition to once they are 21 years old. This program will have a nurse navigator to serve as a guide for survivors moving from pediatric care to adult care. The team is also involved in educating community providers about the unique needs of childhood cancer survivors.