Date Dear Patient Name TREATMENT SUMMARY You have now completed your initial treatment for cancer. This Treatment Summary provides a summary of your diagnosis, treatment and on-going management plan. It includes information on the symptoms you should be aware of, and who to contact. Your GP will also receive a copy of this summary. Diagnosis: Date of Diagnosis: Organ/Staging Kidney Cancer Local/Distant Summary of Treatment and relevant dates: Treatment Aim: You have been treated with the intention to cure Open Partial Nephrectomy your kidney cancer. Possible treatment toxicities and / or late effects: Advise entry onto primary care palliative or supportive care register (delete as nec) Altered kidney function Bulging of the Muscles around the scar Yes / No Hernia Need for additional surgery to remove the whole kidney DS 1500 application completed (delete as Chronic Pain nec) Large scar Psychological issues Yes/No Prescription Charge exemption arranged Yes/No Alert Symptoms that require referral back to specialist team: Contacts for re referrals or queries: In Hours: In relation to surgical complications : Passing fresh(bright red) blood in your urine Out of hours: Feeling feverish Vomiting Other service referrals made: (delete as nec) Sudden Shortness of Breath/chest pain/calf pain (DVT/PE) URGENT – District Nurse Call an ambulance AHP Pain on passing urine (urine infection/cystitis) Social Worker Sudden onset of back or abdominal pain Dietitian Clinical Nurse Specialist Other symptoms to seek advice about: Psychologist Unintended weight loss (more than 3kg) Benefits/Advice Service Loss of appetite Other
Date Dear Patient Name TREATMENT SUMMARY You have now completed your initial treatment for cancer. This Treatment Summary provides a summary of your diagnosis, treatment and on-going management plan. It includes information on the symptoms you should be aware of, and who to contact. Your GP will also receive a copy of this summary. Diagnosis: Kidney Cancer Date of Diagnosis: Organ/Staging Local/Distant Summary of Treatment and relevant dates: Open Partial Nephrectomy Treatment Aim: You have been treated with the intention to cure your kidney cancer. Possible treatment toxicities and / or late effects: Altered kidney function Bulging of the Muscles around the scar Hernia Need for additional surgery to remove the whole kidney Chronic Pain Large scar Psychological issues Advise entry onto primary care palliative or supportive care register (delete as nec) Yes / No DS 1500 application completed (delete as nec) Yes/No Prescription Charge exemption arranged Yes/No Alert Symptoms that require referral back to specialist team: In relation to surgical complications : Passing fresh(bright red) blood in your urine Feeling feverish Vomiting Sudden Shortness of Breath/chest pain/calf pain (DVT/PE) URGENT – Call an ambulance Pain on passing urine (urine infection/cystitis) Sudden onset of back or abdominal pain Other symptoms to seek advice about: Unintended weight loss (more than 3kg) Loss of appetite Contacts for re referrals or queries: In Hours: Out of hours: Other service referrals made: (delete as nec) District Nurse AHP Social Worker Dietitian Clinical Nurse Specialist Psychologist Benefits/Advice Service Other