Nursing ECHO Case Presentations-Ovarian Cancer Case Management

Video Transcription

Video Summary

Selina, a nurse and social worker at Queen Elizabeth Central Hospital in Malawi, presented a complex ovarian cancer case of a 54-year-old woman initially diagnosed in 2022 but lost to follow-up until 2025 when her cancer advanced significantly. After inconclusive biopsy results, surgery was performed confirming stage 2B invasive adenocarcinoma with malignant ascites. Post-surgery, the patient began adjuvant chemotherapy in early 2026. The discussion emphasized challenges in patient follow-up, including fear, lack of social support, transportation issues, misunderstanding of disease severity, and overwhelming treatment processes. Experts from various countries shared strategies to improve care, such as early involvement of social workers, clear communication using layman's terms, patient empowerment, and multidisciplinary team coordination. Tools like distress assessment and educational pamphlets identifying the healthcare team help patients navigate treatment. The role of peer support groups and national ovarian cancer organizations in providing psychosocial support was highlighted. The group advocated for enhanced follow-up systems to prevent patients from being lost to care, emphasizing the importance of identifying individual barriers and providing tailored support from the initial diagnosis. Additionally, upcoming initiatives like special interest nursing networks and updated educational resources aim to strengthen global collaboration in gynecologic cancer nursing and patient support.

Asset Subtitle

February 13, 2026

Keywords

ovarian cancer

patient follow-up

adjuvant chemotherapy

multidisciplinary care

social support

patient empowerment

psychosocial support

gynecologic oncology nursing