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Towards a survivorship care plan for breast cancer for post-menopausal women in rural settings

There are increasing numbers of breast cancer survivors in Ireland and worldwide due to improvements in screening and advances in adjuvant treatment. There is a growing recognition of cancer survivorship as a distinct phase in the cancer trajectory. The development of a comprehensive approach to survivorship care that meets the needs of breast cancer survivors and helps patients in the transition from active care to post treatment care is now seen as an essential component in patients’ overall health and well being. Many symptoms and problems persist as late effects such as fatigue, pain, sleep disturbances and menopausal symptoms which can have profound effects on patients’ quality of life. Numerous studies have highlighted the unmet needs of breast cancer survivors with patients expressing a desire for a more tailored approach to their care. The purpose of this study is to explore longer term outcomes and supportive care needs of post menopausal breast cancer survivors and to formalise a survivorship care plan for this cohort of patients. A descriptive qualitative research method using focus group interviews and nominal group technique will be utilised in this study. A qualitative approach lends itself to the collection of rich, detailed data of the patients’ experiences and preferences and elicits survivorship concerns.