Common moments
Transition from treatment, surveillance, recurrence fear, late effects, lifestyle change, return to work, relationship change, and healthy aging.
Specialty pathway
Cancer survivorship
A distinctive longitudinal pathway connecting cancer survivorship, cardiovascular late effects, identity, fear of recurrence, healthy aging, relationships, work, purpose, and long-term monitoring.
What to ask
What has this illness changed about who you are, what you hope for, and what matters most? Are beliefs, relationships, or practical concerns affecting the plan?
Clinical integration
Join oncology and cardiovascular surveillance with symptom review, exercise, rehabilitation, prevention, psychosocial support, and the patient’s long-term goals.
Referral
Use professional chaplaincy for deeper spiritual assessment or complex concerns; add behavioral health, social work, palliative care, ethics, rehabilitation, interpretation, or safeguarding according to context.
Documentation
Record the patient’s words, strengths, preferences, healthcare implications, response, referral, accommodation, and follow-up.
Teaching and implementation
Use a five-minute huddle, simulation, local referral map, documentation standard, and measured closed-loop handoff.