Cancers·Noncommunicable diseases and mental health

Breast cancer

Covered by PNPK + NICEcovered2 paket UHC · 32 actionNICE ✓PNPK ✓

PNPK · Indonesia

Pedoman Nasional yang relevan

Manual seed (PNPK)

Pedoman Nasional Pelayanan Kedokteran Tata Laksana Kanker Payudara (2019)

NICE · UK Benchmark

Guideline NICE yang relevan

NICE guideline

CG81 Advanced breast cancer: diagnosis and treatment (0.50)
NG101 Early and locally advanced breast cancer: diagnosis and management (0.45)
NG122 Lung cancer: diagnosis and management (0.38)
CG164 Familial breast cancer: classification, care and managing breast cancer and related risks in people with a family history of breast cancer (0.75)
CG81 Advanced breast cancer: diagnosis and treatment (0.75)
NG101 Early and locally advanced breast cancer: diagnosis and management (0.75)

UHC Compendium

Paket UHC dalam kategori ini (2)

Early detection, diagnosis and staging of breast cancer

WHO #192 · 17 action

Covered by PNPK + NICE

Education and counselling on breast cancer awareness | Counselling and referral for early diagnosis of breast cancer | History and physical examination

Lihat 17 action detail

Education and counselling on breast cancer awareness
Tasks: Provide education
Counselling and referral for early diagnosis of breast cancer
Tasks: Conduct counselling, Provide referral for specialised services
History and physical examination
Tasks: Conduct vital signs measurement, Conduct history taking, Conduct physical examination, Provide clinical advice
Genomic testing
Tasks: Provide counselling and information and obtain consent, Conduct diagnostic testing, Document examination findings
Basic laboratory tests
Tasks: Provide counselling and information and obtain consent, Conduct diagnostic testing, Document examination findings
Advanced laboratory tests
Tasks: Provide counselling and information and obtain consent, Conduct diagnostic testing, Document examination findings
Hormone receptor tests
Ultrasound
Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
X-ray
Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
Screening mammography
Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
Magnetic resonance imaging (MRI)
Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
Bone density (DEXA) scan
Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
Computed tomography (CT) scan
Bone scan
Diagnostic mammography
Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
Core needle biopsy
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Provide post-procedural care, Administer procedural anaesthesia, Provide nursing support for biopsy, Conduct biopsy
Fine needle aspiration
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Provide post-procedural care, Administer procedural anaesthesia, Provide nursing support for biopsy, Conduct biopsy

Management of breast cancer

WHO #193 · 15 action

Covered by PNPK + NICE

Oral hormone therapy | Subcutaneous hormone therapy | Oral chemotherapy for metastasis

Lihat 15 action detail

Oral hormone therapy
Tasks: Prescribe medication
Medicines: Anastrozole, Tamoxifen, Letrozole
Subcutaneous hormone therapy
Tasks: Prescribe medication, Administer subcutaneous medication
Medicines: LHRHi (leuprorelin 7.5 mg)
Oral chemotherapy for metastasis
Tasks: Prescribe medication
Medicines: Capecitabine, Cyclophosphamide
Subcutaneous targeted therapy
Tasks: Prescribe medication, Administer intravenous medication with frequent monitoring
Medicines: Trastuzumab
Intravenous bisphosphonates
Tasks: Prescribe intravenous medication, Administer intravenous medication with frequent monitoring
Medicines: Zoledronic acid
Intravenous chemotherapy (neoadjuvant or adjuvant)
Tasks: Provide counselling and information and obtain consent, Provide post-procedural care, Administer intravenous medication with frequent monitoring, Prepare hazardous medicine, Prescribe intravenous chemotherapy
Medicines: Doxorubicin, Docetaxel, Paclitaxel, 5-Fluorouracil
Intravenous targeted therapy (neoadjuvant or adjuvant)
Tasks: Provide counselling and information and obtain consent, Provide post-procedural care, Prescribe intravenous medication, Administer intravenous medication with frequent monitoring, Prepare hazardous medicine
Medicines: Trastuzumab
Intravenous chemotherapy for metastasis
Tasks: Provide counselling and information and obtain consent, Provide post-procedural care, Administer intravenous medication with frequent monitoring, Prepare hazardous medicine, Prescribe intravenous chemotherapy
Medicines: Doxorubicin, Cyclophosphamide, Docetaxel, Paclitaxel, Carboplatin, Methotrexate, Vinorelbine
Intravenous targeted therapy for metastasis
Tasks: Provide counselling and information and obtain consent, Provide post-procedural care, Prescribe intravenous medication, Administer intravenous medication with frequent monitoring, Prepare hazardous medicine
Medicines: Trastuzumab
Mastectomy
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Conduct general surgery, Assist with general surgery, Provide nursing support for general surgery, Provide post-procedural care
Medicines: Cefazolin
Breast-conserving surgery (lumpectomy)
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Conduct general surgery, Assist with general surgery, Provide nursing support for general surgery, Send specimen for laboratory tests, Provide post-procedural care
Medicines: Cefazolin
Sentinel lymph node biopsy
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Provide post-procedural care, Administer local anaesthesia, Conduct biopsy
Axillary lymph node dissection
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Conduct general surgery, Assist with general surgery, Provide nursing support for general surgery, Provide post-procedural care
External beam radiotherapy planning and simulation
Tasks: Provide counselling and information and obtain consent, Conduct clinical assessment, Perform quality assurance tests and imaging, Review treatment plan, Prescribe radiotherapy
External beam radiotherapy application
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer procedural anaesthesia, Conduct radiotherapy