Table of Contents for Oncology Home Health, LLC. Products 1.

Oncology Orientation Modules and Training

Nursing Orientation Modules Psychosocial Responses to Cancer and Treatment Module 1: Coping, Emotions, and Spirituality Module 2: Body Image, Sexuality, and Fertility Module 3: Children, Family, and Friends Module 4: Career, Work Life, and Finances Module 5: Survivorship and Recurrence Module 6: Advocacy I Module 7: Advocacy II Module 8: End of Life Physical Aspects of Cancer and Treatment Module Module Module Module Module Module Module Module Module Module Module Module Module Module Module Module Module Module Module 9: Cancer Causes, Genetics, and Risk Management 10: Cancer Prevention and Screening 11 Biology of Cancer 12: Cancer Treatment I: Surgery and Radiation 13: Cancer Treatment II: Chemotherapy, Biotherapy, Targeted Therapy, and Clinical Trials 14: Cancer Treatment III: Stem Cell Transplant 15: Cancer Treatment IV: Complementary and Alternative Therapies 16: Cancer Pain I 17: Cancer Pain II 18: Integumentary 19: Myelosuppression and Bleeding Disorders 20: Fatigue 21: GI Alterations I 22: GI Alterations II 23: Malignant Effusions and Edemas 24: Oncologic Emergencies I: Metabolic Emergencies 25: Oncologic Emergencies II: Structural Emergencies 26: Nutrition I 27: Nutrition II

Social Work Orientation Modules Module Module Module Module Module Module Module Module Module Module Module Module 1: Cancer Basics and Treatment I 2: Cancer Treatment II 3: Coping and Counseling I 4: Coping and Counseling II 5: Children, Family and Friends 6: Career/Work Life/Finances 7: Body Image, Self-Esteem and Sexuality 8: Spirituality 9: Survivorship and Recurrence 10: Advocacy I 11: Advocacy II 12: End of Life Care

Home Health Aide Orientation Modules Module 1: Cancer Module 2: Marrow and Stem Cell Transplant Module 3: Cancer and Complications of the Mouth

Module 4: Lymphedema Module 5: Peripheral Neuropathy Module 6: End of Life Care Therapy Training OVERVIEW Oncology and Rehabilitation in Home Care is an onsite training session for physical therapists, occupational therapists and any other rehabilitation professionals that treat individuals living with cancer in the home. The session will cover the basics of cancer, an overview of specific cancers, a comprehensive consideration of physical rehabilitation and palliative care/ quality of life issues. The format for the session includes formal presentation as well as case study discussion. The session materials include a packet of handouts from the presentations as well as a recommended reading / resource list. The material presented is grounded in the latest evidence and presented by two rehabilitation professionals who have been practicing and teaching in the field for over 30 years combined. This training is approximately 6 hours. OUTLINE I. Overview of Cancer A. Statistics B. Pathogenesis of Cancer C. Classification of Neoplasms D. Cancer Staging E. Overview of Medical Intervention 1. Surgery 2. Radiation 3. Chemotherapy 4. Targeted Therapies II. Overview of Specific Primary Cancers A. Leukemias B. Lymphomas C. Lung Cancer D. Brain / Spinal Cord Tumors E. Cervical & Ovarian Cancer F. Prostate Cancer G. Head & Neck Cancer H. Breast Cancer III. Physical Rehabilitation A. The Role of the Rehabilitation Professional B. Pain Management C. Peripheral Neuropathy D. Lymphedema E. Identifying Oncologic Emergencies F. Cancer-Related Fatigue G. Energy Conservation H. Exercise 1. Indications and Contraindications 2. The Exercise Prescription 3. Breathing Techniques Palliative Care Quality of Life Psychosocial Considerations C. Family Education

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2. Oncology Clinical Practice Guidelines

Pain

Ineffective Coping Constipation Diarrhea Excess Fluid Volume: Edema/Lymphedema Nutrition: Less Than Body Requirements Impaired Oral Mucous Membrane: Mucositis Nausea and Vomiting Fatigue Knowledge Deficit Related to Pancytopenia Knowledge Deficit Related to Blood Cell Transplantation Knowledge Deficit Related to Chemotherapy/ Biotherapy Knowledge Deficit Related to Disease Process, Treatment and Complications Knowledge Deficit Related to End of Life Care Knowledge Deficit Related to Radiation Therapy Knowledge Deficit Related to Surgery

3. Oncology Patient Education Tools

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Pain Ineffective Coping Constipation Diarrhea Excess Fluid Volume: Edema/Lymphedema Nutrition: Less Than Body Requirements/ Nutritional Support Impaired Oral Mucous Membrane: Mucositis/ Mouth Care Nausea and Vomiting Fatigue Knowledge Deficit Related to Pancytopenia/Low Blood Counts Knowledge Deficit Related to Blood Cell Transplantation Knowledge Deficit Related to Chemotherapy Knowledge Deficit Related to End of Life Care Knowledge Deficit Related to Radiation Therapy 15. Knowledge Deficit Related to Surgery

4. Oncology Telephone Triage Tools

1. Anxiety/ Agitation 2. Bleeding 3. Caregiver Issues/Concerns 4. Change in Mental Status 5. Change in Nutritional Status 6. Change in Oral Mucosa 7. Change in Respiratory Status 8. Change in Sensory Perception 9. Change in Skin Integrity: Rash, Pruritus, Wound 10. Change in Urinary Output 11. Chest Pain/Heart Palpitations 12. Constipation 13. Diarrhea 14. Dizziness 15. Edema 16. Falls 17. Fatigue/ Malaise 18. Fever 19. Medication Questions 20. Nausea/ Vomiting 21. Pain 22. Seizure Activity

5. Oncology Clinical Policies and Procedures

1. 2. 3. 4. 5. 6. 7. 8. Antineoplastic Administration Patient Criteria for Home Antineoplastic Agents Antineoplastic Agents Acceptable for Home Administration Deferoxamine (Desferal) Administration Intravenous Immune Globulin (IVIG) Administration Parenteral Opiate Therapy Safe Handling of Antineoplastic Agents in the Home Taxol/Taxotere Administration

6. Oncology Nursing Resource Guide

1. National Resources and General Information American Cancer Society Cancer Care Inc. Lance Armstrong Foundation Leukemia and Lymphoma Society The Neuropathy Association National Cancer Institute The Wellness Community Medicare Hospice Benefit 2. Disease Process Information Malignant Tumors: Tissue of Origin TNM (tumor - nodes - metastasis) Classification System Tumor Grading Tumor Radiosensitivity Common Sites of Metastasis Diagnostic Surgical Procedures Pathology Reports Brain Anatomy and Function Abnormalities Related to Intracranial Tumors 3. Oncologic Emergencies Tumor Type and Oncologic Emergency Cardiac Tamponade Increased Intracranial Pressure Spinal Cord Compression (SCC) Superior Vena Cava Syndrome (SVCS) Disseminated Intravascular Coagulation (DIC) Hypercalcemia Sepsis Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Tumor Lysis Syndrome (TLS) Pulmonary Embolism (PE) 4. Nutrition Nutritional Tips for Sore Mouth or Throat Nutritional Tips for Dry Mouth Nutritional Tips for Changed Sense of Taste or Smell Nutritional Tips for Nausea Nutritional Tips for Anorexia Nutritional Tips for Constipation Nutritional Tips for Diarrhea Examples of Clear Liquids Examples of Full-Liquid Foods

 Quick & Easy Snacks How to Increase Calories How to Increase Protein 5. Drug Information Phases of Clinical Trials Oral Antineoplastic Agents Patient Education and Oral Antineoplastic Agents Common Biologic Agents Chemotherapeutic Agents: Emetogenic Classification Common Antiemetics Morphine Equivalents 6. Lab Information Laboratory Values Tumor Markers

7. Oncology Program Marketing Toolkit

Table of Contents Introduction The Need for Oncology Specialty Home Care The Oncology Home Care Program Philosophy The Goals of the Oncology Home Care Program Sales Team Training Suggested Sales Team Training Clinical Resources Operations Initiatives Clinical Outcomes Target Marketing Audience Suggested Patient Admission Criteria Marketing to Medical Practices Value of the Oncology Home Care Program to Medical Practices Meeting With Physician Practices Questions That May Arise During a Marketing Visit With Medical Practices and Suggested Responses Marketing to Health Plans o Value of the Oncology Home Care Program to Health Plans o Meeting With Health Plans o Suggested Health Plan Meeting Agenda o Questions That May Arise During a Marketing Visit With Health Plans and Suggested Reponses o Needs Assessment of the Health Plan General Recommendations for Growing the Oncology Home Care Business o Building Relationships With Local Oncology Health Care Providers o Community Outreach Marketing Materials Marketing Initiatives Checklist Appendix A: Talking Points for Physicians Offices Appendix B: Oncology Home Care Program General Brochure Appendix C: What Is Special About the Oncology Home Care Program? Appendix D: How the Oncology Home Care Program Can Be Helpful To Your Medical Practice Appendix E: Letter to Physicians Appendix F: Oncology Home Care Programs Value to Our Health Plan Partners Appendix G: Talking Points for Health Plans