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Hulston CancerCenterPatient Orientation Class
Class ObjectivesBuilding OverviewCare TeamChemotherapyRadiation TherapyAccessing SupportServices & ResourcesFinancial InformationHealthy Coping Skills
Building OverviewParkingAvailable around HCC and 3 floors of parkinggarageDisabled parking available on 1st and 3rd levelsof parking garage, as well as around buildingLoading and unloading zone only availableunder overhang in front of building –wheelchairs are usually accessible here
Building OverviewFood/VendingVending machines are located on ground floorof building, down hallway leading to parkinggarageLimited sandwiches, salads, fruit parfaits anddrinks are available in the Allenbrand ResourceCenter on ground floor (8 a.m. – 4 p.m.)Hospital cafeteria can be accessed by taking the3rd floor skywalk across National Avenue
Building OverviewGround FloorAllenbrand Resource Center, Ste. 120: 269-5257, option 5Radiation Center, Ste. 100: 269-6115Main Lobby/Volunteer AmbassadorsConference RoomSecond FloorOutpatient Chemotherapy (OPC), Ste. 240: 269-6588Cancer Research for the Ozarks, Ste. 230: 269-4845Healing Garden, Ste. 200HCC Support Services, Ste. 200Chapel, Ste. 200
Building OverviewThird FloorBreast Care Clinic, Ste. 300The Urology Group, Ste. 320 – Drs. Farber & PearsonWalkway to Hospital & Wheeler CenterFourth FloorMeeting Rooms – Dogwood, Magnolia, RedbudFifth FloorCoxHealth Medical Oncology Office, Ste. 520: 875-2607Sixth FloorOncology Hematology Associates, Ste. 600: 882-4880Seventh FloorDentist – Dr. MartensDermatologist – Dr. Swann
Identification of Care TeamYou – the captain of your care teamYour Caregiver(s) – help you deal with the emotional,physical and financial impact of your cancerOncologist – a doctor who is specialized in treatment andmanagement of cancerMedical Oncologists: ChemotherapyDrs. Lobins & Nannapaneni (CoxHealth)Radiation Oncologists: Radiation TherapyDrs. Abdalla, Albritton, ClouseSurgical Oncologists: Surgeons who specialize inoncology
Identification of Care TeamOncology Nurse – usually the person incharge of implementing the treatment yourdoctor prescribes for you; assesses yoursymptoms, gives medications & helpsmanage side effectsOncology Pharmacist – specializes in cancertreatment drugs
CHEMOTHERAPY - COXHEALTHMEDICAL ONCOLOGY5TH FLOOR, Ste. 520Check in at front desk upon arrival.
CHEMOTHERAPY - COXHEALTHHave a seat in the waiting room.
CHEMOTHERAPY - COXHEALTHYour nurse will come andescort you to the examroom.
CHEMOTHERAPY - COXHEALTHIf you are getting an infusion/chemo after your appointment,stop at the registration area.
CHEMOTHERAPY - COXHEALTHWhen your visit with the office has concluded, you will stop at the frontscheduling office to confirm your next appointment and schedule anynecessary tests. After, proceed to the 2nd floor Outpatient Chemotherapyunit if you are receiving infusions/chemo that day.
Centralized RegistrationIf you are receiving treatment atOutpatient Chemotherapy (2ndfloor) or the Radiation Center,you will need to completeregistration in the AllenbrandResource Center & Library on theground floor (Ste. 120). Beprepared to bring your insurancecards, photo id, and copay (asnecessary) at this time.
Chemotherapy –Outpatient Oncology (OPC)2nd Floor, Ste. 240After you have completed registration on the groundfloor, you will check in at the counter in OPC(2nd floor, Ste. 240).
Chemotherapy - OPCAfter checking in, you will be taken to a recliner chair orbed (as needed). The pharmacist must prepare yourmedications and lab results must be received beforechemotherapy can be administered, so there is a typicallya period of waiting at this point.
Chemotherapy - OPCWhile waiting for your chemotherapy meds, thenurse will start your IV or access your port.
Outpatient Oncology FAQsIf you arrive between 11 a.m. – 12 p.m., a cold boxlunch may be available, or you may bring yourown lunch.You may use cell phones in this area.You may bring your laptop computer. There isInternet Wi-Fi available.
Outpatient Oncology FAQsThe length of time you can expect for treatmentwill vary, depending on your treatment plan.If you are on oxygen, you must bring your ownsupply to last while you are receiving treatment.Dress comfortably. Warm blankets and pillows areavailable.DVD players and movies are available for yourviewing, or you may bring your own DVD movies.
Chemotherapy - GeneralIf you have a port, you might want to considerwearing a button down shirt to your chemotherapyappointments for easier access.If you do not have a port, please wear a loosesleeved shirt so access to arm is easier.Please remember that the treatment offices are notgeared for children. For your protection and theirs,please keep children at home if at all possible.Children will not be allowed in the treatmentareas.
Radiation TherapyFirst visit after simulation – “dry run”*Check in at the front desk whereyou will receive a swipe card (tocheck yourself in each day after),and will be shown how to use itYour radiation therapist will comeout and meet you in the waitingroom and will escort you to thetreatment machineThe therapist will explain what toexpect and will show you thechanging area, bathroom andtreatment areaThe therapist will explain what willhappen each day during treatment*Before your first visit to the Radiation Center, you will need to complete registrationin the Allenbrand Resource Center & Library, Ste. 120 (ground floor).
Radiation TherapyWhen you arrive at theradiation department,you will check yourselfin by using your swipecard.
Radiation TherapyAfter checking in, you will sit in the waiting roomuntil you hear your name called overhead.
Radiation TherapyWhen your name is paged overhead, you will walk back tothe treatment area.
Radiation TherapyEach week, you will visit with the doctor. For dailytreatments, most patients are usually in and out in lessthan 30 minutes (unless it is a doctor visit day).
Accessing SupportServicesThe support services department is located in theAllenbrand Resource Center & Library on the groundfloor.
Accessing SupportServicesAllenbrand Resource CenterFree lending library withbooks on various cancertopicsFree brochures andpamphletsWigs, Hats, TurbansPort pillowsGift ShopFoodQueasy Pops/DropsCentralized Registration forOutpatient Chemotherapy,Radiation Center & GeneticCounselorEnsure Program
Accessing SupportServicesGenetic Counselor – Mary Owen (269-2110)Information on genetics and cancerDetermines if genetic testing is appropriate for you and/or yourfamilyRequires physician referralFinancial Navigator – Christina Kindred (269-5149)Help understanding your billsAssistance with insurance verificationConnecting you with the Patient Financial Assistance Program
Accessing SupportServicesNurse NavigatorsLung, Head/Neck Cancer Navigator: Karen Hahn (269-5153)GI Cancer Navigator: Joan Ramsey (269-5288)Breast Cancer Navigator: Deanna Gunnett (269-6253)Clinical Research – Cancer Research for the OzarksTrials on many different types of cancersTests new medications in addition to the standard of careEligibility requirements
Accessing SupportServicesPatient Advocates: Genise Davis (269-5748), Ara Schnelle(269-5250)Financial assistanceFind support groups/psychological servicesTransportation and/or lodgingMedication expenses and co-paysCounselor: Sue Brown (269-6891)One-on-one interventionMeet with patient and/or family membersAddress anxiety/depression, etc. related to cancer and treatment
Support GroupsREACH Together Breast Cancer GroupSecond Thursday each month at 7 p.m. (Breast Care Clinic)New Hope (GYN Cancers) GroupThird Thursday each month at 6 p.m. (Library Center)Look Good Feel Better (ACS)Fourth Monday each month at 10 a.m.Call 417-269-5257 for more information.
ResourcesHulston website: www.coxhealth.comHulston Facebook page:www.facebook.com/hulstoncancercenterAmerican Cancer Society: www.cancer.orgNational Cancer Institute: www.cancer.govCancer Care: www.cancercare.org
Basic FinancialInformationRadiation Physicians: Physicians in radiation arepart of the Ferrell Duncan Clinic, so billing fortheir visits will be from the Ferrell Duncan Clinic;you will only receive a bill when a physician visit isrecordedRadiation Therapy Services: Includes dailytreatment, nursing visits; contact CoxHealthPatient Financial Services; payment plans areavailable
Basic FinancialInformationPatient Financial Assistance Program: Forbills through CoxHealth; patients who areuninsured or underinsured and unable topay for medically necessary services mayqualify for a reduction in their bill, based onfinancial status (269-3117); setting up ofpayment plansFinancial Navigator: understandingbills/insurancePatient Advocates: community resources
Healthy Coping SkillsDiagnosis brings about many feelings. Ups and downsare completely normal and are to be expected.Shock: no one is ever ready to hear they havecancer; why did it happen; disbelief – especially ifyou don’t feel sickFear: cancer itself; treatment; how you will getthrough; pain and sufferingGuilt: wonder what you’ve done to cause this;could have noticed symptoms earlier; other familymembers
Healthy Coping SkillsHopelessness/Sadness: roadblock to health andhappiness; hard to feel positive and upbeat withuncertain futureGrief: changes in your sense of self, how youthink of your body, yourself, your future; normalresponse as you give up old ideas of yourself andbegin to develop ways to cope with new,unwanted changes in lifeAnger: may be directed toward family members,friends, health care professionals
Healthy Coping SkillsSeek out reliable, up-to-date information –Allenbrand Resource Center is a good place tostart; Hulston website: ww.coxhealth.com/cancerFocus on what you can change to get a greatersense of controlAsk for support from family, friends, health careprofessionalsPay attention to physical needs for rest, nutritionand other self-care measures
Healthy Coping SkillsFind ways to express your feelings – talkingor journalingAllow yourself private time and spaceMeet with psychologistWalk or exerciseAccept help from othersGet support from pastor and/or churchfamily
ReviewPlease ask your healthcare team any questions thatyou may have.If we have left something out, or if you are unclearabout anything, please ask.Any medical questions should be directed to yourphysician and/or nurse.Support Services department (i.e. patientadvocates, genetic counselor, education) is locatedon ground floor in Allenbrand Resource Center.
FeedbackWe want to make this as positive an experience aspossible and appreciate any feedback you mayhave.Comments and concerns can be directed to thefollowing people:Radiation Therapy (Ste. 100): Jeff Robinson, 269-6115Outpatient Oncology (2nd Floor, Ste. 240): MichelleJackson, 269-6588CoxHealth Medical Oncology (5th Floor, Ste. 520):875-2635Administrative Director: June Johnson, 269-5257
Questions?
Allenbrand Resource Center, Ste. 120: 269-5257, option 5 Radiation Center, Ste. 100: 269-6115 Main Lobby/Volunteer Ambassadors Conference Room Second Floor Outpatient Chemotherapy (OPC), Ste. 240: 269-6588 Cancer Research for the Ozarks, Ste. 230: 269-4845 Healing Garden, Ste. 200 HCC Support Services, Ste. 200 Chapel, Ste. 200
