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Cancer Survivorship Care Plan www.ohiocancercontrol.org This Survivorship Care Plan is a summary of the basic information about your cancer diagnosis, treatment and followup care. You can use this
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How to fill out cancer survivorship care plan
How to fill out a cancer survivorship care plan:
01
Begin by gathering all relevant medical records and treatment summaries from your healthcare provider.
02
Review these documents carefully and make note of any lingering symptoms, side effects, or concerns related to your cancer diagnosis and treatment.
03
Consult with your healthcare team, including your oncologist and primary care physician, to discuss your survivorship care plan and any specific recommendations they may have for you.
04
Take the time to understand the purpose and components of a survivorship care plan, which typically includes information about your cancer diagnosis, treatment received, potential long-term side effects, recommended screenings, and follow-up care.
05
Work with your healthcare team to document any necessary lifestyle modifications, such as changes in diet and exercise habits, to promote overall health and reduce the risk of cancer recurrence.
06
Make note of any emotional or psychological support services that may be beneficial to you as a cancer survivor, such as counseling or support groups.
07
Ensure that your survivorship care plan includes a comprehensive list of all medications you are currently taking, including dosage instructions and any potential interactions or side effects to be aware of.
08
Discuss any fertility or sexual health concerns with your healthcare team, and ensure that your survivorship care plan addresses these topics if relevant to your situation.
09
Take an active role in setting and prioritizing your own goals for survivorship, and consider including these goals in your care plan to guide your future care and decision-making.
10
Don't hesitate to ask questions or seek clarification from your healthcare team if something is unclear or if you need additional support or resources.
Who needs a cancer survivorship care plan:
01
Cancer survivors who have completed their initial treatment and are transitioning into the post-treatment phase of their cancer journey.
02
Individuals who have been diagnosed with any type or stage of cancer, regardless of age or prognosis.
03
Patients who may experience long-term side effects or complications related to their cancer diagnosis or treatment and require ongoing care and monitoring for their health and well-being.
04
Those who wish to have a comprehensive, personalized roadmap for their future healthcare needs and goals as a cancer survivor.
05
Caregivers and loved ones who are involved in the survivor's care and want to be informed and engaged in the survivorship journey.
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What is cancer survivorship care plan?
A cancer survivorship care plan is a document created for cancer survivors to summarize their medical history, treatment received, and recommendations for ongoing care and follow-up.
Who is required to file cancer survivorship care plan?
Cancer survivors are required to file a cancer survivorship care plan.
How to fill out cancer survivorship care plan?
Cancer survivors can work with their healthcare provider to fill out a cancer survivorship care plan.
What is the purpose of cancer survivorship care plan?
The purpose of a cancer survivorship care plan is to provide a roadmap for ongoing care and support for cancer survivors.
What information must be reported on cancer survivorship care plan?
The cancer survivorship care plan should include the survivor's medical history, treatment received, and recommendations for follow-up care.
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