The Cancer Institute team provides personalized, comprehensive care with a multi-disciplinary team.  The Cancer Institute has oncology certified nurses, a nurse navigator, social worker, full time pharmacist and a pharmacy technician.  The Cancer Institute team can connect their patients with nutrition services, physical therapy, occupational therapy or speech therapy if needed.

The Cancer Institute Team

Oncology/Hematology Physician

Hematology - oncology refers to the combined medical practice of hematology (the study of the blood’s physiology) and oncology (the study of cancer). A hematology/oncology physician is equipped to diagnose and treat cancerous blood disorders and cancers as well as manage symptoms of these diseases and tumors (if present).

Certified Oncology Nurse

An Oncology Nurse works with patients who have, or who are at risk of getting, cancer. Oncology Nurses provide necessary assessments, administer treatments and communicate with all patient care providers to help develop a plan tailored to each patient's needs.

Oncology Patient Navigator

Oncology Nurse Navigation is a service that is available to support cancer patients as they make treatment decisions and as they transition through very stressful stages of cancer care.  Laura L. Routh DHSc, MSN, RN is available to newly diagnosed breast cancer patients, providing one on one support for them at the presentation of diagnosis, oncology specialist’s appointments and hospital visits. Her role is to provide the patient with a brief written summary after their appointment and answer questions as they arise. She can assist the patient in coordination of additional appointments, connecting the patient with other appropriate resources and working to decrease or eliminate the barriers to care that many of these patients face. The program has expanded and is offered to all new cancer patients.

A patient navigator will assist you in obtaining answers to your questions, making connections with other clinicians and services that may be needed for care. The patient navigator can be a single points of contact for your needs. A patient navigator can:

  • Be with you at cancer specialists appointments to take notes, provide support, then answer questions after the visit
  • Coordinate appointments, tests, procedures and treatments with your care team
  • Connect you with additional resources or referrals to other physicians, therapists, social work, financial services, dietitians, counselors
  • Be a resource for your questions, concerns and fears

The Oncology Nurse Navigation Program began with a generous donation from the Hannibal Regional Hospital Auxiliary. For more information please call 573-406-5813.

Social Worker

Oncology social workers are licensed professionals who counsel people affected by cancer, providing emotional support and helping people access practical assistance.  Social workers can provide individual counseling, resource navigation, support groups, locate services that help with home care or transportation and connects patients with assistance programs.


A registered dietitian is a part of the team of health professionals that help with cancer treatment and recovery. A dietitian will work with patients, their families, and the rest of the medical team to manage the patient’s diet during and after cancer treatment.

Cancer and cancer treatments may affect taste, smell, appetite, and the ability to eat enough food or absorb the nutrients from food.  Eating the right amount of protein and calories is important for healing, fighting infection, and having enough energy. 


Pharmacists are actively engaged in all aspects of cancer care—from chemotherapy dose preparation and safety checks, to educating patients about side effects, to drug development research.  In addition, if a patient or caregiver has any questions about a cancer medication, a pharmacist is a helpful resource.