Purpose: To improve breast cancer care and support services to the growing population of younger female Veterans diagnosed with breast cancer. To develop partnerships with non-profit community resources to meet specif c needs and increase resources for all patients living with a breast cancer diagnosis.
Background: Historically, the New Mexico Veterans Affairs Healthcare System (NMVAHCS) has provided care to a predominately male population. However, this demographic is evolving significantly due to an increased number of women serving during Operation Iraqi Freedom and Operation Enduring Freedom conflicts and with improved detection women are being diagnosed younger. Younger women diagnosed with breast cancer experience unique concerns and providers often neglect or avoid discussions involving these difficult topics.
Methods: We utilized grant funding through Living Beyond Breast Cancer (LBBC) to provide education and outreach support specific for younger women diagnosed before 45 years of age. The Surgical Cancer Care Coordinator attended training and was provided educational slide content, handouts, and media templates to promote on-site educational seminars. Four sessions were held: sex and intimacy, early menopause, late complications, and the role of genetics. Telehealth allowed women in rural sections of the state to participate.
Results: Pre and post-surveys were conducted at each session. Pre-survey results: 10% of attendees reported providers initiated sexual function conversations and 5% stated providers seemed comfortable answering questions regarding sexual function Postsurvey results: 100% of attendees felt empowered with knowledge and resources to improve intimacy and sexual relations with their partners. All 4 sessions provided information on topics not previously discussed and developed camaraderie support.
Conclusion: Educating and encouraging young women to discuss symptoms with their providers remains essential. While the VAHCS begins to increase access to women’s health, facilities can develop community partnerships to support unmet needs. Partnering with LBBC Young Women’s Initiative is an example of improving survivorship care without impacting facility budgets or experiencing bureaucratic constraints.