BSA Pharmacy staff training 2010


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A Pharmacy Based Bowel Cancer Screening Program

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What is BowelScreen AustraliaTM? BowelScreen AustraliaTM is a new, pharmacy based bowel cancer awareness, education and screening program for the Australian community using a clinically proven, sensitive and reliable test. It is a collaboration between Bowel Cancer Australia and the Pharmacy Guild of Australia, with the support of Enterix Australia*. *Manufacturer and accredited pathology lab for the InSure® test

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Bowel Cancer Facts Did you know? Bowel cancer kills more Australians each year than breast or prostate cancer

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What is Bowel Cancer? Bowel cancer is a malignant growth that starts in the large bowel (colon) or in the rectum. It is a silent killer as often there are no symptoms until it has reached an advanced stage. This is why early detection is so important. Most bowel cancers make their presence known early by leaking small (invisible) amounts of blood into the bowel motion.

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Risk factors Both men & women are at risk of developing bowel cancer The risk is greater for: People aged 50 and over Those with a personal or family history of bowel cancer or polyps People with Inflammatory Bowel Disease (Crohn’s Disease & Ulcerative Colitis)

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Signs & Symptoms Bowel cancer can develop with few, if any, early warning signs. This is why it is very important to screen when you have no symptoms. If symptoms of the disease are present, these may include: Blood in the toilet A recent and persistent change in bowel habits General stomach discomfort Frequent gas or pains Unexplained weight loss If you have any symptoms that concern you speak to your doctor first.

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What is Screening? Screening is the testing of people to detect disease early before there are any obvious symptoms. A bowel cancer screening test is a simple, non-invasive test to screen for bowel cancer. The test detects tiny amounts of blood, invisible to the naked eye, in the bowel motion.

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Who Should Screen for Bowel Cancer? Annual bowel cancer screening is recommended for Average Risk Patients. These include men and women: 50 years and over With no symptoms With no personal or family history of bowel cancer or polyps If you have any symptoms that concern you or a family history of bowel cancer or polyps speak to your doctor first.

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What Does a Positive Result Mean? A positive test result does not confirm the presence of bowel cancer but it does indicate the presence of blood that may be invisible to the naked eye in the bowel motion. You should speak to your doctor who will initiate further investigation. This may include a colonoscopy.

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How is BowelScreen AustraliaTM different to the Government Program? The Government’s National Bowel Cancer Screening Program offers a screening kit to people who turn 50, 55 or 65 only. It doesn’t cover the ages in between and no re-screening is available. BowelScreen AustraliaTM test kits may be recommended for customers aged 50+ who are ineligible on the Government Program.

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How Can You Assist Your Customers? Official Guidelines for Bowel Cancer Screening No symptoms & 50 years and over & No family / personal history of bowel cancer or polyps With symptoms OR Has family or personal history of bowel cancer or polyps Offer BowelScreen AustraliaTM test kit Refer to Doctor

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Which Test to Offer Customers? There are 2 types of bowel cancer screening tests New Technology (Immunochemical) Old Technology (Guaiac / Chemical) Much more accurate No diet restrictions - No medication changes Less accurate Requires diet restrictions - Requires medication changes Preferred testing method by official published guidelines No longer recommended by latest published guidelines (due to inferior detection rate & participation rate)

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BowelScreen AustraliaTM Test Kits Uses the InSure® bowel cancer screening service Superior accuracy Detects 9/10 vs 4/10 (Hemoccult II test – Rotary Bowelscan Test) NO faecal handling (blue brush used to collect toilet water sample only) Reference available upon request

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No medication restrictions No diet restrictions Easy and convenient to do at home (post in for lab analysis, test results are mailed directly to the customer and their nominated doctor) 1800 55 65 75 Customer service helpline

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Annual reminder service (to prompt re-screening and direct customers back to your pharmacy) Rebate of $15.30 15 Health funds provide rebates between $22 – full amount

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Cost RRP of only $20.95 (plus $15.40 pathology services cost) VS Cost of colonoscopy $1,250 - $2,000 Cost of bowel cancer treatment $23,000 Cost of 80 Australians dying from bowel cancer each week…?

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Why Offer Bowel Cancer Screening in Your Pharmacy? Alan had been screening for bowel cancer regularly since 2003 through the purchase of a test kit. He was shocked when last year, the test returned a positive result. “After doing the test for so many years, you begin to think that the test will come back the same as the previous year,” said Alan. “I was shocked. I had no family history and showed no symptoms, I was simply taking the test as a precaution.” Further testing revealed that Alan had malignant polyps and required surgery and six months of chemotherapy. “The surgeon told me that we had caught it just in time,” said Alan. “If I wasn’t buying a test kit every year, I’d be dead.”

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