KELLOGG CANCER CENTER - SPECIALIZED CARE. PERSONALIZED TREATMENT - NORTHSHORE UNIVERSITY HEALTHSYSTEM
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Table of Contents Introduction Kellogg Cancer Center Tab 1 General Information Tab 4 Taking Care of Yourself About Our Team .......................................... 1 Nutritional Information .................................. 1 Phone Directory ........................................... 5 Dental Information ........................................ 4 Billing Information.......................................... 6 Psychosocial Support ................................... 5 Hospital Maps............................................... 8 Integrative Medicine ..................................... 6 Frequently Asked Questions........................ 12 Living in the Future (LIFE) Cancer Survivorship Program ................................... 7 Community Resources ................................. 8 Tab 2 Your Treatment Information About My Treatment ................. 1 Pharmacy Information .................................. 2 Tab 5 Additional Resources Your First Day of Treatment ......................... 4 Patient Rights and Responsibilities ............... 1 Symptom Management Log ......................... 5 Tobacco Cessation Program ........................ 9 Treatment Precautions ................................. 7 Palliative Care ............................................. 10 Neutropenic Precautions ........................... 7 Hospice Services ........................................ 11 Platelet Precautions .................................. 8 Home Health Services ................................ 12 Anemia Precautions .................................. 8 Living Wills ................................................. 14 Scheduling Diagnostic Tests ....................... 9 Charitable Donations .................................. 15 Cancer Registry............................................16 Glossary of Terms ...................................... 18 Tab 3 After Visit Summaries Discharge Instructions .................................. 1 Questions for My Doctor and Team ............. 2 Tab 6 Research and Clinical Trials To Do List .................................................... 3 Research and Clinical Trials .......................... 1 09/2021
About Our Team Phone Directory Billing Information Hospital Maps Frequently Asked Questions General Information
About Our Team General Information Kellogg Cancer Center During this journey, you will meet several key members of our team who will help guide and assist you along the way. A brief overview and description of Kellogg Cancer Center’s team members is provided below. Patient Support Associate (PSA), Patient Account Representative (PAR) and Coordinators Our PSAs are the first to greet you at the front desk upon your arrival. They are specially trained in patient registration to make the registration process as smooth and quick as possible. During this process, PSAs will obtain and update your insurance and applicable personal demographic information. They may present you with a list of your current medications, as noted in your electronic medical record. You should verify the accuracy of this information with your nurse or physician during your visit. Additionally, NorthShore now routinely includes patient photos in the medical record for patients 18 years and older as a way to improve patient safety and prevent medical identity theft or fraud. The PSAs will also provide you with a patient identification wristband, which is an additional safety protocol. When you call Kellogg Cancer Center, the PARs are the team members answering our phones and they will communicate your request to the proper individual. They are also able to schedule appointments. If your call requires immediate medical attention, they will direct you to a clinical team member. As you check out at Kellogg Cancer Center, you may ask the PSA or coordinator to assist you in scheduling future appointments. Our PSA will also ensure that you have received a copy of your After Visit Summary. Phlebotomist Many Kellogg Cancer Center patients require the service of our certified phlebotomist located on-site to save you a trip to the lab. This lab technician will draw your blood. Medical Assistant Medical assistants support the team with patient care. They may assist with obtaining vital signs, height and weight during a visit, and enter this information in your electronic medical record, which is held confidential. They may also escort you to your exam or treatment room. Medical Oncologist You will be seen by specialized medical oncologist physicians who are MDs offering expertise in your specific type of cancer. They work with other members of the interdisciplinary team to coordinate your care and ensure state-of-the-art treatment. (continued) 09/2021 General Information 1
About Our Team General Information Kellogg Cancer Center Nurse Practitioners (NPs) or Physician Assistants (PAs) Established Kellogg Cancer Center patients may see a nurse practitioner or physician assistant in between their regularly scheduled appointments with their physician or if immediate medical attention is necessary and a physician is not available. Our nurse practitioners and physician assistants work closely with Kellogg Cancer Center physicians and are recognized as expert heathcare providers. They may perform physical examinations and procedures, obtain a medical history, order and interpret diagnostic tests, diagnose and treat acute and chronic health problems, provide patient education and counseling, prescribe and administer medications, and order or perform therapeutic treatments. Collaborative Nurse or Nurse Navigator The collaborative nurse or nurse navigator is a nurse specially trained in oncology. Each medical oncologist has a specialized nurse who practices with him or her in the clinic. They assist patients in care coordination, diagnosis and treatment education, and are a primary resource throughout your journey. As the diagnosis of cancer is often overwhelming, the collaborative nurse or nurse navigator will: • Navigate you through the entire medical experience, including diagnosis, treatment plan, appointments, billing, and all tests and procedures. • Coordinate your care to ensure that tests and procedures are conveniently scheduled. • Facilitate referrals to surgeons and other cancer specialists, such as radiation oncologists, dietitians, psychosocial professionals, dentists and other medical specialists. • Along with the the physician, promptly communicate your laboratory and test results. • Offer one-on-one informational instruction about cancer, definitions of treatment, and information about cancer services available at Kellogg Cancer Center and throughout NorthShore. • Provide educational materials on cancer that are meant to empower you throughout the treatment process. At the end of each of your physician visits, your nurse or physician will review your After Visit Summary with you to make sure you understand all of your instructions. • Serve as a contact throughout your care to help you and your family connect with existing community resources. (continued) 09/2021 General Information 2
About Our Team General Information Kellogg Cancer Center Treatment Nurse The treatment nurse is a nurse who collaborates with the entire care team to administer medications and therapies ordered by the medical oncologist. Nurses at Kellogg Cancer Center have a special competency in the administration of chemotherapy. The treatment nurses partner with you to set goals, provide ongoing education and support, and ensure that the best possible care is provided during each treatment visit. They work together as a team to provide care for all the patients at Kellogg Cancer Center. At the end of each of your treatment visits, your nurse will review your After Visit Summary to make sure you understand the side effects you may anticipate, the medications that have been prescribed and when to alert your physician to symptoms you experience. Pharmacist The Kellogg Cancer Center pharmacy team consists of specially trained and nationally certified oncology pharmacists. Our pharmacists partner with physicians and nurses to develop an individualized plan of care for you based on national standards and guidelines as well as your unique needs. The pharmacist is a resource to assist with your questions about medications and symptom management. Research Department Research nurses, clinical trial data managers and certified research associates will assist if you are interested in enrolling in clinical research studies. Nutrition and Dietary Services Registered dietitians are available for consultation if you are experiencing difficulty with your nutritional intake, including loss of weight and appetite. They will work with you and your family to outline strategies and set nutritional goals throughout therapy. Psychosocial Support Services Social workers are available not only for emotional support and referrals to programs and resources, but also to offer their help in navigating the assistance programs offered by government or nonprofit groups for those facing cancer. (continued) 09/2021 General Information 3
About Our Team General Information Kellogg Cancer Center Patient Financial Advocates Patient financial advocates are available to meet with patients throughout their journey. The team includes precertification specialists who work to have your treatment plans preauthorized for payment by your insurance company and can answer questions about your bills. For patients who demonstrate significant financial need, they will coordinate reduced-cost care through state programs, the hospital’s charity care program or pharmaceutical companies’ programs. Integrative Medicine Integrative medicine uses a humanistic approach, caring for the “whole persons.” The integrative medicine physician or practitioner combines conventional Western medicine with safe, evidence- based complementary or alternative medicine approaches, for a holistic approach to care, treatment and healing. For additional information, call (847) 657-3540 or visit northshore.org/integrative. 09/2021 General Information 4
Phone Directory General Information Kellogg Cancer Center General Numbers Dietitian/Nutritionist Kellogg Cancer Center (847) 570-2112 Evanston Hospital Kellogg (847) 570-4089 Evanston Hospital Kellogg Cancer Center: Glenbrook Hospital Kellogg (847) 503-1193 Fax (847) 570-1041 Highland Park Hospital Kellogg (847) 480-3867 Glenbrook Hospital Kellogg Cancer Center: Fax (847) 503-1100 Hospital Outpatient Pharmacy Highland Park Hospital Kellogg Cancer Center: Evanston Hospital (847) 570-2210 Fax (847) 480-3805 Glenbrook Hospital (847) 657-1785 Highland Park Hospital (847) 433-9808 Kellogg Cancer Center Outpatient Pharmacy Billing Information Kellogg Outpatient Pharmacy—Evanston: NorthShore Financial Services Phone (847) 570-1130 Department (847) 570-5000 Fax (847) 733-5320 Patient Financial Advocate Kellogg Outpatient Pharmacy—Glenbrook: Evanston Hospital (847) 570-1825 Phone (847) 503-1206 Glenbrook Hospital (847) 503-1181 Fax (847) 503-1220 Highland Park Hospital (847) 926-4724 Kellogg Outpatient Pharmacy—Highland Park: Phone (847) 926-6560 Fax (847) 926-5390 Test Scheduling Radiology (888) 364-6400 Nurse Managers Mammography (888) 364-6400 Evanston Hospital Kellogg (847) 570-3609 Nuclear Medicine Glenbrook Hospital Kellogg (847) 503-1171 Evanston Hospital (847) 570-2584 Highland Park Hospital Kellogg (847) 480-3870 Glenbrook Hospital (847) 657-5674 Highland Park Hospital (847) 480-3782 Interventional Radiology (847) 570-2638 09/2021 General Information 5
Billing Information General Information Kellogg Cancer Center General Billing Kellogg Cancer Center offers the unique service of having dedicated financial advocates help explain your bills. Bills for services and procedures, and physician services completed at Kellogg Cancer Center come from NorthShore University HealthSystem. These bills will reflect procedures, laboratory tests, pharmacy charges and chemotherapy administration. Reimbursement for these charges varies. We ask that you confirm your coverage with your insurance company to identify services covered and not covered. For example, some insurance policies do not cover the cost of drugs that are self-administered. Please inform us of any special requests or exclusions made by your insurance plan. Visit the billing section of our website at northshore.org to pay a hospital or NorthShore Medical Group physician bill online. You may also use the following phone numbers for billing questions: NorthShore Financial Services Department (847) 570-5000 Patient Financial Advocate Evanston Hospital................................................(847) 570-1825 Glenbrook Hospital..............................................(847) 503-1181 Highland Park Hospital........................................(847) 926-4724 Diagnostic Tests Please schedule all diagnostic tests ordered by your physician, such as CAT scans, MRIs and PET scans, within one or two days before your next visit with your medical oncologist. This allows your physicians to give you the results for your test in the timeliest manner possible. NorthShore Scheduling number (888) 364-6400 Your insurance policy may require preauthorization for diagnostic testing. The Kellogg Cancer Center Preauthorization Team will assist you in completing this authorization and may contact you with questions. NorthShore Pre Certification Team (847) 982-4666 09/2021 General Information 6
Billing Information General Information Kellogg Cancer Center Cancer Treatment Financial Information Cancer treatment is constantly evolving and new chemotherapies and drugs are frequently being released for use and approved by the Federal Drug Administration. Prior to initiating treatment, it is important to address and acknowledge several relevant issues regarding these treatment approaches. 1. Treatment recommendations are evidence-based (treatment backed by scientific evidence) and take into consideration possible benefits as well as toxicities. 2. We will need to verify your insurance information to ensure that we have the most recent data in our system. Please immediately notify us of any changes in your insurance coverage. 3. Please note that your health insurance may not cover the cost of the recommended treatment or drug, therefore we recommend that you contact your insurance provider to determine eligibility and in-network status. 4. Kellogg Cancer Center Patient Financial Advocates will contact your insurance carrier to review coverage. If this treatment is not covered by your insurance, we will review other options to help with the financial burden and appeals will be submitted when prior authorization is denied. 5. Kellogg pharmacy staff will work with industry foundations to determine available resources includ- ing free or reduced cost drug and financial support. 6. When applicable, efforts will also be made to obtain drug for compassionate use (use of an investi- gational product not approved by the FDA) basis. 7. Confirmation of treatment schedules will be reliant upon approval status and/or drug availability. If you have any questions or concerns regarding this information, please contact a member of your care team or the Kellogg Patient Financial Advocates listed below. Evanston Glenbrook Highland Park Kellogg Cancer Center Kellogg Cancer Center Kellogg Cancer Center Marrissa Wiley Nin Ewan Kendall Chaney-Ward 847-570-1825 847-503-1181 847-926-4724 09/2021 General Information 7
Evanston Hospital Map General Information Kellogg Cancer Center Evanston Hospital Ground Floor 2650 Ridge Avenue Evanston, IL 60201 (847) 570-2000 AMBULANCE ENTRANCE CHARLES R. WALGREEN, JR. BURCH BUILDING HALL EMERGENCY EMERGENCY DEPT. DEPT. WALK-IN ENTRANCE CONCIERGE DESK NUCLEAR SCHOOL OF MEDICINE ANESTHESIA AND G603C RADIOLOGY RADIATION VASCULAR IMAGING THERAPY OUTPATIENT LAB G945 WAITING ROOM ATM CENTRAL REGISTRATION LABOR & WARM DELIVERY DOCTOR’S WISHES OUTPATIENT DINING ROOM INTERVENTIONAL RADIATION NUCLEAR MEDICINE GIFT PHARMACY RADIOLOGY ONCOLOGY G-311 SHOP MEETING ROOMS G-351 G-355 CONCIERGE DESK AND CONCIERGE SERVICES ATRIUM CAFE ESCALATOR ATM PUBLIC PHONES & DENTAL DEPT. OF CARDIAC CAB PHONES CENTER NURSING IMAGING KELLOGG G-200 G-208 G-234 CANCER CENTER VOLUNTEER HEALTH R R RESOURCES INFORMATION G221 RECORD SERVICES G225 CARDIAC KELLOGG COMMUNITY CATH LAB CANCER CENTER HEALTH CENTER G-436 ENTRANCE G-155 Elev. Floor Patient Care Units Elev. Floor Patient Care Units Elev. Floor Patient Care Units B 1R Fetal Diagnostics/ C 4 4 South Searle G 4 North Neurophysiology Colposcopy 5 5 North Searle (EEG Lab) 1R Gastroenterology/ 5 5 South Searle J 1 Breastfeeding GI Lab E 2 South Rehabilitation Resource Center 3 Ambulatory Surgery 3 Center Hemodialysis 1 Infant Special 4 ICU Care Unit 4 4 South Searle F2 North CCU 2 Women’s Hospital 5 5 North Searle 3 Center Hemodialysis 3 Women’s Hospital 5 5 South Searle 3 North Pediatrics 5 Infusion Center 4 East Louis Med/Surg Unit Observation Unit 4 North IV Therapy 6 Cardiopulmonary Rehabilitation 09/2021 General Information 8
Evanston Hospital Map General Information Kellogg Cancer Center Evanston Hospital First Floor 2650 Ridge Avenue Evanston, IL 60201 (847) 570-2000 CENTER FOR BREAST HEALTH 1155 ESCALATOR SPIRITUAL MEDICAL CARE/ PATIENT ADMITTING/ EDUC. MUSIC THERAPY FINANCIAL SERVICES 1218 1220 1222 CHAPEL ROOM 1711 GASTROENTEROLOGY G.I. LAB DEVELOPMENT CLINIC Phone Number Extensions 1134 1233 FRANK Admitting/Financial AUDITORIUM Services 2130 CENTER FOR MATERNAL CENTER FETAL HEALTH/ FOR Cardiac Catheterization 2216 FETAL WOMEN’S DIAGNOSTICS HEALTH Cardiac Graphics 2065 1420 1414 Center for Maternal and Fetal Health/Fetal Diagnostics 2860 Concierge Services Internal: Dial 4-YOU (4968) External: Dial (224) 364-4-YOU or (224) 364-4968 Dental Center 2380 EEG/Sleep Center 2575 Mezzanine Emergency Dept. 2111 Gastroenterology/GI Lab 2236 BLOOD BANK DONOR CENTER 1957B Kellogg Cancer Center 2112 Labor and Delivery 2222 Nuclear Medicine 2591 BUSINESS CENTER Observation Unit 2844 ESCALATOR Outpatient Pharmacy 2210 Outpatient Clinic/CAC 2700 Outpatient Lab 3903 Pastoral Care/Healing Arts 2330 Preadmission Testing Service 4710 Radiology 2528 Well Wishes Gift Shop 2717 09/2021 General Information 9
Glenbrook Hospital Map Glenbrook Hospital General Information Kellogg Cancer Center 2100 Pfingsten Road Glenview, IL 60026 (847) 657-5800 John and Carol Walter Ambulatory Care Center First Floor Department: Use Elevator: To Floor: John and Carol Walter Center for Urological Health G 3 Kellogg NorthShore Neurological Cancer Center Institute (NNI) G 2 Kellogg Occupational Therapy, Physical Admitting Outpatient Pharmacy G G G Therapy and Speech Therapy G LL Central Registration Concierge Desk Gift Shop Outpatient Pharmacy LANDWEHR ENTRANCE TO GLENBROOK HOSPITAL Susan Barney Atrium Cafe Glenbrook Hospital Department: Use Elevator: To Floor: Conference Room A1, A2 B 2 ICU Rooms 1 – 17 A 4 Meditation Room A 3 Patient Rooms: 3 South Rooms 3002 – 3048 A 3 3 North Rooms 3050 – 3094 A 3 NORTH MEDICAL 3 East Rooms 3100 – 3146 A 3 OFFICE BUILDING 2150 Pfingsten 4 South Rooms 4002 – 4046 A 4 4 North Rooms 4050 – 4096 A 4 EMERGENCY F F ENTRANCE Emergency Children’s Optical Shop Surgery Gift Shop Reception Outpatient Reception Pharmacy Outpatient Lab Diabetic Educ. Dietician TO JOHN AND CAROL WALTER Blood Donation Reception AMBULATORY CARE CENTER Radiation Oncology Nuclear Medicine Susan Barney Anti- Radiology Atrium Coagulation Reception Cafe Clinic Cath Lab Interventional Radiology Vascular/Ultrasound Pulmonary Function Cardiac Conference CT/MRI Registration Rooms B, C, D Fetal Diagnositics Imaging GI Reception E PFINGSTEN ENTRANCE E Center for Breast Surgical Health Specialty Mammography Suite Bone Density SOUTH MEDICAL OFFICE BUILDING 06/2021 2050 Pfingsten General Information 10
Highland Park Hospital Map General Information Kellogg Cancer Center Highland Park Hospital First Floor 777 Park Avenue West Highland Park, IL 60035 (847) 432-8000 EMPLOYEE HEALTH PT WOUND CLINIC 1245 DIABETES EDUCATION 1247 HPH SPECIALTY CARE SUITES 1241 NUTRITIONAL RADIOLOGY COUNSELING Vascular Lab 1433 Interventional Radiology CAT Scan X-ray EP LAB FINANCIAL 1111 COUNSELOR 1151 1163 1145 RADIOLOGY MRI RECEPTION 1421 1205 CONCIERGE 1262 ELEVATOR 8 TO DESK ELLEN MARKS AMBULATORY CARE HEALTH INFORMATION (Medical Records) CENTER AND MEDICAL RECORD SERVICES 1260 OFFICE BUILDING CARDIAC IMAGING 1200 FINANCIAL COUNSELOR 1415 ARAMARK 1303 1308 Elevator Floor HUMAN RESOURCES 1 B AV Lecture Hall CONCIERGE OFFICE B Cafeteria 1302 B Meeting Rooms 1, 2 LACTATION 1305 2 ICU SERVICES 2 North Patient Rooms 1311 3 North Patient Rooms 4 North Patient Rooms 6 LL EMT – B309 LL Simulation Lab – B302 2 Ambulatory Surgery 2 Surgery BIRTHING CENTER 7 3 Chapman 3322 WOMEN’S SERVICES 1349 8 B Ambulatory Care Center Medical Office Building 2 South Patient Rooms 3 Dialysis 9 2 Patient Rooms 3 EDU 10 LL Meeting Rooms 3, 4 ML EEG – 326 ML EMG – 326 ML Outpatient Physical and Occupational Therapy – B400 ML GI Lab 09/2021 General Information 11
Frequently Asked Questions (FAQs) General Information Kellogg Cancer Center Where do I schedule my appointments? Please call the Kellogg Cancer Center at (847) 570-2112. Who do I call if I am feeling any side effects from treatment? If you are experiencing side effects from your treatment, call the Kellogg Cancer Center and ask to speak to a nurse. Your concern will be communicated to the care team via electronic message. The charge nurse will be paged if it is an urgent critical matter. If you are experiencing fever, pain or severe nausea, ask to speak to a nurse immediately. Kellogg Cancer Center Immediate Care offers expert, same-day care for patients experiencing adverse symptoms related to their disease or treatment. If you are feeling any symptoms or side effects, please call us at (847) 570-2112. Who do I call about billing issues or to help me understand the bills? Please contact NorthShore’s Financial Services Department or Kellogg Cancer Center patient financial advocate for questions regarding your statements. NorthShore Financial Services Department (847) 570-5000 Patient Financial Advocate Evanston Hospital................................................(847) 570-1825 Glenbrook Hospital..............................................(847) 503-1181 Highland Park Hospital........................................(847) 926-4724 Do I need a physician referral? Patients at Kellogg Cancer Center should have a referral from either their primary care physician or a surgeon. Please be sure to check with your insurance company to verify any specific requirements. How do I find out more about the Kellogg Cancer Center physician my doctor has sent me to? See the physician bios by visiting northshore.org/cancer and clicking on “Our Team.” (continued) 09/2021 General Information 12
Frequently Asked Questions (FAQs) General Information Kellogg Cancer Center Where do I park when I come to Kellogg Cancer Center? Evanston Hospital Kellogg Cancer Center at Evanston Hospital is located on the north side of campus with a separate entrance on Ridge Avenue. Parking is discounted for patient visits lasting longer than six hours and is $4.00. Valet parking is available at Kellogg Cancer Center’s main entrance at no additional charge on the day of your appointment. Glenbrook Hospital The entrance to Kellogg Cancer Center at Glenbrook Hospital is at the Landwehr Entrance of the John and Carol Walter Ambulatory Care Center. Parking is complimentary. Valet parking is available. Highland Park Hospital Kellogg Cancer Center at Highland Park Hospital is located in the Ambulatory Care Center. Parking is complimentary. Valet parking is available. What if I need help getting around once I get to the hospital? Upon arriving at each hospital and when needed throughout each visit, caring and helpful transport staff will assist patients in need of wheelchair services. Can I get a second opinion from a physician at Kellogg Cancer Center? Many of our physicians are well known throughout Chicago, the country and even internationally. We are pleased to offer their expertise if you are seeking a second opinion. When calling to make an appointment for a second opinion, please be sure to let our staff know that your visit is for that purpose. What does my insurance cover? Every insurance plan is different and coverage can be very confusing. Cancer treatment may involve many different tests, drugs, and both inpatient and outpatient hospital visits. It is very important that you or your family understand what your insurance plan requires in order to make the billing process less complicated. Please contact your insurance provider for more information. (continued) 09/2021 General Information 13
Frequently Asked Questions (FAQs) General Information Kellogg Cancer Center Can patients bring friends or family with them for visits? Please check with your care team for updated guidelines for visitors. Your loved ones are often very important parts of your support and recovery. Please recognize that due to many of the diseases and treatments, patients frequently have compromised immune systems. We ask that guests be sensitive to possibly exposing patients to additional viruses or other infections. Please see Visitor Guidelines in the Additional Resources section of this guide for further information. Are interpreting services available? A wide range of communication options based on individual needs are available at no cost to the patient or family. We offer these services to minimize communication barriers when providing comprehensive medical services to sensory-impaired and language-limited patients. Please notify a staff member if you are in need of services. Do you have health education materials available? The Kellogg Cancer Center Resource Center, located at Evanston Hospital Kellogg Cancer Center, and the Myra Rubenstein Weis Health Resource Center, located at Highland Park Hospital, provide educational materials and health resource tools to help you stay well-informed of medical care options and be proactive in maintaining good health. Call (847) 480-2727 or email mrwresource@northshore.org. Resource information can also be found online at northshore.org/cancerresources. Who do I need to inform if I have an advance directive? As part of our commitment to individualize each patient’s care, we ask you to inform us of any advance directive you may have prepared. It is important for all patients to have considered their goals of care; please be sure to discuss these plans with your family members. Provide copies of your Power of Attorney, Living Will or other advance directives to your Kellogg Cancer Center team. NorthShore offers a comprehensive guide to patient goals and advance directives at northshore.org/acp. (continued) 09/2021 General Information 14
Frequently Asked Questions (FAQs) General Information Kellogg Cancer Center Are there dining options available for outpatients, family members and visitors? Each Kellogg Cancer Center location has dining facilities available. Evanston Hospital offers: Atrium Café The Atrium Café offers a variety of food and beverage options and is located north of the Main Entrance Atrium, just past the escalator. The Atrium Café is open from 6 a.m. to 4 p.m. Monday through Friday and reopens for night owls from 2 a.m. to 4 a.m. Monday through Friday. Phone orders for pickup may be placed by calling (847) 570-1890. Dining Room The Employee/Visitor Dining Room is located on the lower level and is open daily from 6:30 a.m. to 7 p.m. Vending Area The vending area, open 24 hours a day, is located near the Employee/Visitor Dining Room. Glenbrook Hospital offers: Dining Room The Employee/Visitor Dining Room located in the basement of the building offers a wide variety of selections and is open for the following meals: Breakfast 6:30 a.m.–9:15 a.m. Continental Breakfast 9:15 a.m.–11 a.m. Lunch 11 a.m.–1:30 p.m. Snack, Deli and Salad Bar 1:30 a.m.–5 p.m. Full-Service Dinner 5 p.m.–6:45 p.m. Vending Area The vending area, open 24 hours a day, is located adjacent to the Employee/Visitor Dining Room. The Susan Barney Atrium Café The café is located on the main level east of the John and Carol Walter Ambulatory Care Center entrance. (continued) 09/2021 General Information 15
Frequently Asked Questions (FAQ) General Information Kellogg Cancer Center Highland Park Hospital offers: Dining Room The Employee/Visitor Dining Room is located on the lower level of the hospital. Hours of service are: Breakfast 6:30 a.m.–10 a.m. Continental Breakfast 10 a.m.–10:30 a.m. Lunch 11 a.m.–1:30 p.m. Sandwiches and Snacks 1:30 p.m.–6:30 p.m. Dinner 4:30 p.m.–6:30 p.m. Park Avenue West Café Visitors may enjoy sandwiches, snacks and assorted beverages in the Park Avenue West Café, located in the main lobby. The Park Avenue West Café is open Monday through Friday from 6:30 a.m. to 2:30 p.m. Vending Area Snacks and beverages are available in the 24-hour vending room located on the lower level next to the Employee/Visitor Dining Room. Do you have gift shops? Each hospital maintains a gift shop with a wide variety of gifts, flowers and more. All hospital gift shops hours have changed to account for patient and employee safety. Please call the number listed for availability. Gift Shop Location Phone Number Evanston Hospital (847) 570-2717 Glenbrook Hospital (847) 657-5623 Highland Park Hospital (847) 432-8000, ext. 4170 09/2021 General Information 16
Information About My Treatment Pharmacy Information First Day of Chemotherapy Symptom Management Log Treatment Precautions Scheduling Diagnostic Tests Your Treatment Specialized care. Personalized treatment.
Information About My Treatment Your Treatment Kellogg Cancer Center At Kellogg Cancer Center, we believe in customized treatment that is individualized for your specific situations, including type and stage of cancer, medical history, the effectiveness of various treatment options and more. Our patient-centered approach to care offers ongoing, consistent treatment from a physician and nurse who work together on all aspects of your care. They are the nucleus of a collaborative team that may include surgeons, radiologists, social workers, clinical oncology pharmacists, registered dietitians, nationally certified nurses, pain management specialists and representatives from relevant medical departments that are needed in your care. Your treatment plan may focus on a specific treatment or use a combination of therapies. Treatment may include surgery, anticancer medications, chemotherapy, radiation, immune therapy or biological agents. Cancer treatment may cause side effects such as fatigue, nausea and vomiting, pain, depression, hair loss, mouth sores and eating problems. Your collaborative nurse and physician will work closely with you to discuss your options, such as medication that can reduce or counteract nausea or fatigue, dental hygiene regimens and medications for mouth issues. They may recommend a consultation with a dietitian to change your diet to one that is both nutritious and appealing as well as easy to chew and absorb. They may recommend massage or diuretics for edema and swelling, and intervention for other symptoms that may include anxiety, numbness and tingling, constipation or diarrhea, or shortness of breath. Integrative medicine such as massage therapy and acupuncture are also available on-site at the Kellogg Cancer Centers or NorthShore’s Park Center in Glenview. Please make sure you follow instructions for all appropriate tests and blood work so that your medical team can help you prevent or treat issues of anemia or blood count changes. When you are going through cancer treatment, your immune system is compromised and not as able to fight even common conditions such as a cold or flu. It is very important to follow the recommendations listed in this guide in the section entitled Treatment Precautions. Also, if your visitors may be sick or have been recently exposed to someone who is ill, please ask them not to visit you until they are completely healthy. 09/2021 Your Treatment 1
Pharmacy Information Your Treatment Kellogg Cancer Center Medications are frequently an integral part of cancer treatment. Our Kellogg Cancer Center pharmacy and specially trained pharmacists understand the specific needs of cancer patients, potential side effects or interactions of medications, and they are here to provide convenience and expertise throughout your journey. Kellogg Cancer Center Pharmacy What is the Kellogg Cancer Center Pharmacy? Each Kellogg Cancer Center contains a dedicated oncology pharmacy, which is staffed by specialized oncology pharmacists and pharmacy technicians. The pharmacy staff work closely with the physicians and nursing staff in order to provide you with the highest quality of care during your course of therapy. All of the medications given in Kellogg Cancer Center for your treatment are prepared in the Kellogg Cancer Center Pharmacy. How can the Kellogg Cancer Center Pharmacy help me during my course of treatment? Kellogg Cancer Center pharmacists are available to provide information regarding any treatment regimen, as well as any side effects you may encounter during your course of therapy. Working with your physician and nurse, our pharmacists are also on hand to make recommendations regarding necessary changes in medications. After receiving chemotherapy at one of our Centers, a pharmacist will help evaluate and manage any side effects or symptoms. You may also call us to address any questions or concerns that you may have regarding your therapy. For your convenience, our pharmacies in Kellogg Cancer Center are also able to dispense your oral chemotherapy or supportive take-home medications. How can I contact the Kellogg Cancer Center Pharmacy Department? Evanston Hospital Glenbrook Hospital Highland Park Hospital IV Infusion Pharmacy IV Infusion Pharmacy IV Infusion Pharmacy (847) 570-2205 (847) 503-1200 (847) 480-3803 2650 Ridge Avenue 2180 Pfingsten Road, Suite 1000 757 Park Avenue West Evanston, IL 60201 Glenbrook, IL 60025 Highland Park, IL 60035 9 a.m.–5 p.m. 9 a.m.–5 p.m. 9 a.m.–5 p.m. 09/2021 Your Treatment 2
Pharmacy Information Your Treatment Kellogg Cancer Center Outpatient Oncology Pharmacy At each NorthShore Kellogg Cancer Center there is a dedicated Outpatient Oncology pharmacy located within the facility. These pharmacies serve our patients by dispensing oral chemotherapy and supportive care medications related to the patient’s treatment regimen. Outpatient oral chemotherapy allows more patients to take these medications in their home, rather than coming to the hospital for treatment. Kellogg’s clinical pharmacists offer specialized information and support related to these oral chemotherapy drugs, in addition to pain medicine and other cancer-related medications. This service enables the Kellogg pharmacists and nurses to monitor patients for any adverse reactions and communicate information and concerns with other members of the patient’s treatment team. Recent research has shown that a patient’s oral chemotherapy success is closely related to the follow-up contact from pharmacists. Locations: Evanston Kellogg Glenbrook Kellogg Highland Park Kellogg Outpatient Pharmacy Outpatient Pharmacy Outpatient Pharmacy 2650 Ridge Ave. 2180 Pfingsten Road 757 Park Ave. West Evanston, IL 60201 Glenview, IL 60026 Highland Park, IL 60035 Located in Evanston Located in Glenbrook Located in Highland Park Hospital Room G400 Hospital Ste. 1008 Hospital Room 1851 (847) 570-1130 (847) 503-1206 (847) 926-6560 (847) 733-5320 fax (847) 503-1220 fax (847) 926-5390 fax All Kellogg Outpatient Oncology Pharmacy locations are open Monday through Friday from 9 a.m.–5 p.m. Visa, MasterCard, Discover and American Express are accepted. The specialized services offered at Kellogg’s onsite Outpatient Oncology Pharmacies ensures essential communication for our patients and enhances their safety and overall continuity of care. Specially-trained oncology pharmacists like Kathryn Schiavo help Kellogg Cancer Center patients. Click here or enter the url to visit the Kellogg Outpatient Pharmacy page on northshore.org: northshore.org/kellogg-cancer-center/locations/ outpatient-oncology-pharmacy 09/2021 Your Treatment 3
Your First Day of Treatment Your Treatment Kellogg Cancer Center Here are a few recommendations to make your first day of chemotherapy proceed as easily and comfortably as possible: • Kellogg staff will provide up-to-date visitor guidelines. • Come to your first appointment 15 minutes before your scheduled appointment time to complete the check-in process and have your lab work done. Please have your insurance and drug prescription cards with you. • Eat a light breakfast at home. • You may want to bring a light snack. Coffee, juice, tea and water are available in the treatment area. If you will be at the Kellogg Cancer Center’s treatment area for an extended period, you may bring a small cooler or thermal lunch bag with food and beverages. • Take your regular prescriptions that day, unless instructed otherwise by your oncologist. • Please bring a complete list of your current medications, including over-the-counter drugs, vitamins and herbal supplements. • It is recommended that you have someone drive you to your first appointment. You may want to arrange for child care for the entire day, so you can focus on yourself, your treatment and take time to ask any questions. This is not a day to feel rushed. • If you are the main cook in the family, you may want to arrange to have dinner brought in or have someone else do the cooking tonight. • Your nurse will review all medications given during your treatment and for you to take when you go home. You will receive a copy of your After Visit Summary (AVS), which includes home instructions and any return appointment details. • You are encouraged to bring reading materials, a personal audio player, laptop or tablet. In addition, instructional videos are available on our interactive patient television system. Ask your nurse for details. • All Kellogg Cancer Center locations have wireless internet connectivity available for your convenience. Our goal is to make this journey as smooth as possible. Please let us know if there is anything we can do to help you or your family. 09/2021 Your Treatment 4
Symptom Management Log Your Treatment Kellogg Cancer Center You can make daily or weekly notations, or just write down anything significant when it happens. Using the rating system suggested, and comments, may help you spot trends and see how the side effects may be related to your treatment schedule, activities, diet, etc. 0 1 2 3 4 5 6 7 8 9 10 Symptom Codes: S = sleep issues MS = mouth sores C = constipation MEM = memory/fogginess FA = fatigue B = breathing problems A = appetite loss INT = Sexual interest or P = pain activity problems CO = cough E = emotional issues (depressed, O = other (write in F = fever SW = swallowing issues irritable/sad) comment section) Example of Personal Management Symptom Log Name James Smith Date of Chemotherapy 6/25 Week Starting Monday Tuesday Wednesday Thursday Friday Saturday Sunday Symptom/Severity P/4 / / / / / / Leg Action/ ate soup Medication taken O/ Relief ? (Circle One) Y N Y / N Y / N Y / N Y / N Y / N Y / N See the next page for your personal Symptom Management Log > 09/2021 Your Treatment 5
Symptom Management Log Your Treatment Kellogg Cancer Center Name Date of Chemotherapy Week Starting Monday Tuesday Wednesday Thursday Friday Saturday Sunday Symptom/Severity / / / / / / / Action/ Medication taken Relief ? (Circle One) Y / N Y / N Y / N Y / N Y / N Y / N Y / N Symptom/Severity / / / / / / / Action/ Medication taken Relief ? (Circle One) Y / N Y / N Y / N Y / N Y / N Y / N Y / N Symptom/Severity / / / / / / / Action/ Medication taken Relief ? (Circle One) Y / N Y / N Y / N Y / N Y / N Y / N Y / N Comments: Symptom Codes: S = sleep issues MS = mouth sores C = constipation MEM = memory/fogginess FA = fatigue B = breathing problems A = appetite loss INT = Sexual interest or P = pain activity problems CO = cough E = emotional issues (depressed, O = other (write in F = fever SW = swallowing issues irritable/sad) comment section) 09/2021 Your Treatment 6
Treatment Precautions Your Treatment Kellogg Cancer Center If you are undergoing chemotherapy, the treatment kills both the cancerous cells and the healthy cells in your body. The healthy or normal cells that are most likely to be destroyed by the chemotherapy are those that are growing at a fast rate. You have three different kinds of blood cells: red blood cells (RBCs), white blood cells (WBCs) and platelets. This section discusses precautions to take when you may develop a low white blood count or low platelets, because low blood counts can put you at greater risk for infections. Neutropenic Precautions What does it mean to have a low absolute neutrophil count (ANC) lower than 500? The normal neutrophil (a type of WBC) count is 2,500 to 6,000. When you have 1,000 or fewer neutrophils, your risk for infection is increased. When your ANC is lower than 500, you are at risk for getting a serious infection. This condition is called “neutropenia.” If you are neutropenic and develop a fever or signs of infection, contact your doctor immediately. You may be given antibiotics to fight the infection. The following list contains information to help you care for yourself while you are neutropenic: • Check your temperature twice daily. Notify your nurse or doctor if you have a temperature above 100.4oF. • Notify your doctor or nurse of any new redness, swelling, tenderness, drainage or odor on any part of your body, including your central line site. • Shower or bathe daily. • Perform mouth care every four hours, especially before and after meals. • Wash your hands frequently. Many infections are transmitted through hands and things you touch. Washing your hands thoroughly is the most important thing you can do to prevent infection. • Avoid having contact with crowds and people with active infections (like colds, flu and sore throats). • Do not have manicures or pedicures. • Use gloves when you do gardening. • Avoid cleaning birdcages, cat litter boxes and fish tanks. • Avoid hot tubs and Jacuzzis. Swim only in chlorinated swimming pools. • If you cut or scrape your skin, wash it well with warm water and soap. Then apply a bandage. • Use an electric shaver rather than a razor. This information is based on recommendations from the National Institutes of Health. (continued) 09/2021 Your Treatment 7
Treatment Precautions Your Treatment Kellogg Cancer Center Platelet Precautions Your blood counts, including platelets, will be monitored prior to each chemotherapy treatment and other times as ordered by your physician. Platelets are the blood cells that enable your blood to clot. If your platelet count is low, you will be given specific guidelines on precautions that are applicable to your illness. These guidelines may include the following: • Be careful with physical activities that could cause injury or bruising. • Discuss with your physician or nurse prior to using nonsteroidal anti-inflammatory drugs (NAIDs), such as Advil or Motrin products. • Avoid the use of razors and hard toothbrushes (electric razors and soft-bristled toothbrushes are good options). • Report unusual bruising, heavy nosebleeds, blood in urine or excessive menstrual bleeding. • Notify your oncologist or nurse if you are scheduled for any invasive medical or dental procedure. Anemia Precautions Anemia is caused by low levels of red blood cells (RBCs) or hemoglobin (HGB), the part of the red blood cells that delivers oxygen from the lungs to the rest of the body. The normal HGB range is 13.0–17.0 gm/dL. Certain underlying conditions such as cancer, gastrointestinal tumors, hemorrhoids, surgery or other medical conditions increase the risk for developing anemia. Anemia symptoms can develop slowly without affecting normal activities because the body adjusts to low oxygen levels; whereas when anemia becomes more severe, the body can no longer compensate and symptoms may become noticeable. Symptoms may include: Feeling tired, weakness, fatigue, dizziness, pale skin, irritability, shortness of breath, a coldness in your hands or feet, brittle nails, headache, loss of concentration and developing palpitations (feeling of heart racing). Severity of Anemia Severity: HGB Range: Symptoms: Mild 9.5–13.0 Often no signs or symptoms Moderate 8.0–9.5 May present with symptoms Severe < 8.0 Symptoms usually present Guidelines: • Allow for adequate rest periods between activities; pace yourself. • Get up slowly from a sitting or reclining position. This will lessen dizziness. • Report persistent gasping, wheezing or difficulty breathing after doing strenuous work. • Notify your physician or nurse if you experience unrelenting fatigue. 09/2021 Your Treatment 8
Scheduling Diagnostic Tests Your Treatment Kellogg Cancer Center Please schedule all diagnostic tests ordered by your physician, such as CAT scans, MRIs and PET scans, within one or two days before your next visit with your medical oncologist. Your insurance policy may require preauthorization for diagnostic testing. The Kellogg Cancer Center Preauthorization Team will assist you in completing this authorization and may contact you with questions. This allows your physicians to give you the results for your tests in the most timely manner possible. If you schedule tests too far in advance of your physician visit, your physician must either delay the sharing of your results or relay your results via a phone call. Neither is our preferred method of communicating in a direct and timely manner with you. If you are a member of NorthShoreConnect, your test results will be released to you by your physician when reviewed or auto-released in three days. NorthShoreConnect will give you test values, but only your physician can interpret these values. If your appointment is within a day or two, your physician may choose not to release the tests to allow for discussion in person. In many cases with cancer patients, results that are automatically released and have “abnormal” values may be a reflection of the chemotherapy and other treatments, and not necessarily cause for immediate alarm. You and your physician will discuss the meaning of the results, including whether treatment may be affecting the values. If you are not already a member, consider registering for NorthShoreConnect. This easy-to-use, online resource provides a gateway to all medical care you receive through NorthShore. It is a great way to stay in contact with your Kellogg Cancer Center care team. You can find NorthShoreConnect at northshoreconnect.org. There are instructions for registering as a new member on the site. You may also ask your nurse or medical assistant to register for an account. Signing up with NorthShoreConnect gives you a convenient and secure way to: • Schedule appointments with • Renew prescriptions. NorthShore physicians. • Send messages to your doctor. • Schedule some diagnostic tests. • Pay medical bills. • View results of your medical tests. • (If applicable) Manage your family’s health. You also have complete access to your electronic medical records, including: • Medical history, including past • Immunizations. test results. • Allergies. • Current medications. • Hospital visits. NorthShoreConnect is an effective tool to manage many routine aspects of healthcare. Available 24/7, NorthShoreConnect works on your time—all from the comfort of your own home or office. 09/2021 Your Treatment 9
Patient Visit Summaries Questions for My Doctor and Team To Do List After Visit Summaries Specialized care. Personalized treatment.
Discharge Instructions After Visit Summaries Kellogg Cancer Center After each visit to the Kellogg Cancer Center, you will receive an After Visit Summary that will provide you with the following detailed information: • Special instructions regarding your follow-up care • A listing of your medications with dosage and usage instructions • Your “To Do List” detailing your future appointments • Lab results (within the last 48 hours) Your nurse will review your After Visit Summary before you leave. If you have any questions regarding information on your After Visit Summary, please contact your care team. This After Visit Summary will be available to you in NorthShoreConnect. 09/2021 After Visit Summaries 1
Questions for My Doctor After Visit Summaries Kellogg Cancer Center Feel free to use this form or add other pages to write down questions for your doctor about your test results, symptoms, possible side effects of treatment, length of treatment or any other issue. Questions for My Doctor and Team 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 09/2021 After Visit Summaries 2
My “To Do” List After Visit Summaries Kellogg Cancer Center Please use this form or add pages to write down recommendations that members of your medical team make regarding your treatment, tests to schedule, tips to help alleviate side effects or other suggestions. “To Do” List 09/2021 After Visit Summaries 3
Nutritional Information Dental Information Psycho-social Support Integrative Medicine Living in the Future (LIFE) Program Community Resources Care Pages Taking Care of Yourself Specialized care. Personalized treatment.
Nutritional Information Taking Care of Yourself Kellogg Cancer Center Good nutrition is an essential part of your health. During treatment for cancer, it is even more important to eat a balanced diet and maintain your fluid intake. The Kellogg Cancer Center offers Medical Nutrition Therapy tailored specifically to help with possible side effects of cancer and treatment. Our nutritionists are registered dietitians specializing in the prevention, treatment and survivorship of cancer. Medical Nutrition Therapy will help you: • Manage symptoms such as nausea, taste changes and bowel changes. • Prevent or correct nutritional deficiencies. • Improve your ability to tolerate treatment. • Help achieve and maintain a healthy weight. • Manage food/herb and medications interactions. In addition, our oncology nutritionists are available for consultation immediately following your treatment to assist you in attaining a healthy nutrition lifestyle and preventing cancer recurrence. If you have questions or would like to schedule a consultation, please call the nutritionist at the location where you receive treatment. Kellogg Cancer Center Location Nutrition Phone Number Evanston Hospital..................................................................(847) 570-4089 Glenbrook Hospital................................................................(847) 503-1193 Highland Park Hospital .........................................................(847) 480-3867 09/2021 Taking Care of Yourself 1
Nutritional Information Taking Care of Yourself Kellogg Cancer Center Kellogg Oncology Nutrition Orientation Click here or enter the following url to For New Patients and Their Caregivers download a free copy of Healthy Eating During Treatment: Each Kellogg Center has a dedicated oncology dietitian northshore.org/kellogg-cancer-center/ available to partner with you to help individualize nutrition our-services/support-services/ recommendations based on your diagnosis, preferences, nutrition-counseling/ and symptoms. The dietitians can help you answer the important question, “what should I eat”? Evanston Glenbrook Highland Park Lisa Zoberman, Kiley Telles, Lori Bumbaco, MPH, RDN, LDN RDN, LDN RDN, CSO, LDN (847) 570-4089 (847) 503-1193 (847) 480-3867 A healthful, balanced diet during cancer treatments will help you: • Provide the nutrients you need to keep up your strength • Maintain your weight • Heal as quickly as possible Kellogg Dietitian Tips: 1. Always bring food and drink and/or money to Nourishing Travel-Friendly purchase food from the cafeteria during treatments. Snacks: Remember to be prepared in case you experience • Apple slices with almond butter any unexpected delays. Refer to the lists below for • Fresh vegetables with hummus both snack and “mini meal” suggestions. • Plain yogurt with berries and chopped 2. Plan and prepare nourishing meals to maximize walnuts energy levels and promote nutritional health. • Whole wheat tortilla with mashed Strategies to conserve your energy while promoting beans your nutrition are listed on the next page. • Homemade trail mix 3. Apply the principle “Food First”, which means that • Fresh veggies with yogurt dip food can provide you with optimal nourishment. If • Hard boiled egg with whole grain you are taking a dietary supplement, or would like to crackers take one, please inform the treatment team. The • Lentil and vegetable soup Kellogg dietitians can provide you with specific guid- ance about dietary supplements. • String cheese and piece of fruit • Oatmeal cup 09/2021 Taking Care of Yourself 2
Nutritional Information Taking Care of Yourself Kellogg Cancer Center Strategies to conserve energy and maximize nutrition: Portable Mini Meals • Batch cook meals to separate in small containers, and reheat ½ cup plain Greek yogurt when ready to eat. ¼ cup almonds • Utilize passive cooking methods, such as a Crock Pot, which ½ cup berries requires minimal time and energy spent cooking. Pita Pocket: • Consider smoothies and soups as nourishing options for mini meals. Your dietitian will have numerous suggestions for you. ¼ cup chickpeas 1 oz. feta cheese • Take advantage of convenience foods and prepared meals avail- 1 Tablespoon olive oil & vinegar able at local grocery stores. The frozen section has a variety of ½ pita pocket options, such as whole grain and bean dishes, and can be stored for months until you are ready to use. Whole wheat tortilla • Try meal and food delivery services. The dietitian can suggest ¼ mashed avocado local services for you. mixed with lime • Nutrition supplements may be an option for you, and your ½ cup mashed beans dietitian will recommend suggestions if necessary. Trail Mix: 2 Tablespoons dried fruit Seeking inspiration for recipes? 2 Tablespoons mixed nuts The Kellogg dietitians recommend the following resources: 1 slice whole wheat bread • Cook For Your Life: Healthy cooking tips and recipes for 1 Tablespoon peanut butter patients and their caregivers ½ sliced banana cookforyour life.org/?s=fatigue Chicken Salad: • American Cancer Society: American Cancer Society’s recipes 1 cup cooked chicken, specific to symptom management diced & cooled cancer.org/healthy/eat-healthy-get-active/eat-healthy/find- ¼ cup diced celery healthy-recipes 1 Tablespoon olive oil, • Fueling the Fight: Recipes with Cancer-Fighting Benefits 1 teaspoon mustard northshore.org/kellogg-cancer-center/our-services/ 1 Hard Boiled Egg support-services/nutrition-counseling/fueling-the-fight-ebook ½ whole wheat pita ½ cup carrot & zucchini sticks Quinoa Salad: ½ cup cooked quinoa, cooled ½ cup diced peppers and celery 1 Tablespoon olive oil ½ cup cottage cheese 6 whole wheat crackers Cucumber slices 09/2021 Taking Care of Yourself 3
You can also read