Cancer Care Services

Regional and Satellite Oncology Clinics: The Regional Cancer Clinic is located in Fredericton at the Dr. Everett Chalmers Regional Hospital. River Valley Health residents can receive chemotherapy closer to home through satellite oncology clinics. Satellite oncology clinics are located in Perth-Andover.
Hospitals where chemotherapy is given:

Dr. Everett Chalmers Regional Hospital, Fredericton                                  452-5026
Carleton Memorial Hospital, Woodstock                                                     325-6700
Upper River Valley Hospital                                                                        375-5900
Hotel-Dieu of Saint-Joseph, Perth-Andover                                                273-7100

Cancer Screening, Prevention and Education: Health centres offer a variety of programs and/or information sessions on health promotion, prevention of cancer and early detection. The Breast Cancer Screening Program offers women aged 50-69 the opportunity to have mammography on a regular basis and teaches breast self-examination (BSE) and breast health. The Breast Cancer Screening Program is located at hospitals in Oromocto, Waterville, and Perth-Andover.

Health Centres:
Doaktown                      365-6100
Boiestown                     369-2700
Harvey                          366-6400
McAdam                       784-6300
Nackawic                      575-6600
Fredericton Junction       368-6501
Stanley                         367-7730
Chipman                       339-7650

Extra-Mural Home Care: River Valley Health’s Extra-Mural Program makes it possible for many patients who have cancer to receive care in their own home. EMP's professional staff provides close monitoring and management of side effects while undergoing treatment.

The Oncology Team and You
Who is part of the cancer care team?
Your cancer care team may include doctors, nurses, social workers, psychologists, pharmacists, dietitians, pastoral care personnel, as well as Extra-Mural, Palliative Care and Health Centre staff.

Let’s talk more about who might be part of your team.

Doctor
Although you may have more than one doctor involved in your care, your family doctor will coordinate your care. 

While there are many surgeons providing cancer care in River Valley Health, there is only one oncologist, Dr. Ghafoor. We do not have any radiation specialists (called “Radiation Oncologist”). You will have to travel outside our region (Saint John or Moncton) for radiotherapy.

Once a month, Dr. Ghafoor or one of the Clinical Associates sees patients in Waterville, and Perth-Andover by Telehealth. These are patients who may have cancer, who are taking treatment for cancer, or are being followed after treatment for cancer. People who need chemotherapy may receive it at hospitals in Fredericton, Waterville, Perth-Andover. The location depends on where one lives and the type of chemotherapy needed.

Registered Nurse
Specially trained nurses give the chemotherapy treatments. In addition, these nurses co-ordinate your care, offer guidance, provide counseling, and give information which may be useful to you during your cancer experience.

We also have a Clinical Nurse Specialist (CNS). She may help by guiding and supporting you and your family, helping you learn more about the cancer and its treatment, coordinating your care, and offering suggestions about how to manage treatment side effects, especially those difficult to get under control. Not everyone needs the service of the CNS, but at some point during your experience you or your family may wish to involve her.

Social Worker
The Social Worker’s role is varied. Social Workers offer emotional support throughout illness and various treatments, as this can be a stressful time for the person with cancer and their loved ones. They can provide counseling to individuals, couples, or families to help reduce stress, increase coping skills, and to help family members communicate and talk openly with one another.

As well, they can assist with practical issues, such as locating resources needed at this time (for example  information regarding medication costs, income, home help, places to stay if treatments are out of town). They are also involved in support groups offered to patients and/or their loved ones, and can provide bereavement follow up.

Psychologist
Patients experience many different emotions during the diagnosis and treatment of cancer. While some patients have little difficulty dealing with the emotional aspects of their illness, for others their emotional responses can be difficult to handle and interfere with their recovery.

The psychologist can help people cope with their emotions during each stage of illness, identify emotional responses to the cancer diagnosis and treatment (such as fear, sadness, loss, or anger), explore their feelings and thoughts about their illness, and teach them ways to improve their quality of life by decreasing negative thinking.

The psychologist can teach people relaxation skills that can help them identify and control their mental and physical responses to stress and their illness. Psychologists can also help patients increase their sense of control over their health by improving their problem-solving skills and making lifestyle changes.

The psychologist will continue to help patients who have completed their cancer treatment if they still need help dealing with their emotional reactions.

Pharmacist
Pharmacy services are available throughout the region. Pharmacists working in oncology receive special training. They carefully review prescriptions and chemotherapy orders that are then prepared by our specially trained technicians.

It is helpful for you to bring all your medications (prescription and non-prescription, vitamins and other therapies) to your first clinic visit so an accurate medication history can be completed. Pharmacists are available for questions you may have concerning your medications.

Dietitian
Cancer and the various forms of treatment can affect a person’s nutritional needs and their ability to eat. Good nutrition can help maintain strength and rebuild normal tissues that have been affected by treatment. Good nutrition nourishes your body and can help you feel better.

A dietitian is a person who specializes in nutrition. Her role in a cancer treatment program is to assess the nutritional status of the patient and develop a nutrition care plan. She can offer advice dealing with many eating problems such as loss of appetite, sore mouth, sore throat, nausea, taste changes, weight loss, weight gain, and diarrhea/constipation.

A dietitian can offer nutrition suggestions to the patient and family about healthy eating, therapeutic diets and high calorie/high protein supplements.

Some patients receive various nutrition tips from friends, relatives, merchants, books and other sources. A dietitian can help sort out what information is right for you during your treatment program.

Pastoral Care
A visit to the hospital can be a source of anxiety and distress. It is important during this time to look after your spiritual needs. Access to this part of the service can be by direct contact with your own clergy or pastoral care giver or any of the cancer team members.

Extra-Mural Program
Extra-Mural is a home care program which includes nursing, social work, respiratory therapy, occupational therapy, physiotherapy, speech-language pathology, as well as dietetics. A nurse is available 24 hours a day, seven days a week. These professionals work with the other services in the region when necessary to provide the care you may need during your cancer experience.

Extra-Mural units are located in:
Fredericton - with satellite offices in Harvey and Boiestown
Oromocto - with satellite office in Minto
Woodstock - with sub unit in Perth

Palliative Care
Palliative care is the care of patients whose disease is no longer responding to treatment. It is aimed at improving the quality of remaining life by focusing on the physical, emotional, and spiritual needs of the patient and family.

Palliative care is offered throughout River Valley Health. Some people requiring palliative care may be admitted to the palliative care beds at the Dr. Everett Chalmers Regional Hospital or the Oromocto Public Hospital, to their local hospital, or to the Extra-Mural Program.

Health Centres
Nurses and physicians in the health centres can help you and your family deal with cancer by providing accurate and reliable information on various types of cancer. They also provide emotional support, guidance and counseling to help you deal with cancer and its impact on your life. Some health centres also provide palliative care.

What if I want to talk with the psychologist, the dietitian or any other member of the cancer care team?

Ask one of the doctors or nurses to put you in touch with the person you want. 

Are there any cancer support groups in River Valley Health?

Yes. Support groups and other resources are found in the Cancer Resource Directory

If you more want information about support groups, call your local branch of the Canadian Cancer Society or talk with one of the doctors or nurses.

Do you want to know more about cancer?

Call the Canadian Cancer Society’s Cancer Information Service toll-free at
1-888-939-3333.

The service can provide information about:
All types of cancer
Prevention and early detection
Cancer treatment
Drugs and clinical trials
Dealing with side effects
Complementary therapies
Nutrition
And more.  

  
The Oncology Corner (News Letter)   


River Valley Health Cancer Care Resource Directory – Looking for local cancer support groups?  This section provides you with information about local support groups plus other resources.


Look Good Feel Better
– Find out more about the Look Good Feel Better (LGFB) program in this section.  This section will also give you information about the dates, times, and locations of upcoming LGFB workshops in River Valley Health.  

 

For more information, please contact Kim.Chapman@rvh.nb.ca

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