Literature DB >> 23616274

Training mid-level providers on palliative care: bringing advanced directives and symptom assessment and management to community oncology practices.

Mary Lesperance1, Robert Shannon, Phyllis K Pumphrey, Erin Dunbar, Renee Genther, C Lynn Coleman, Margaret Tabano, Jennifer Maurer, Adrienne Vazquez, Elizabeth Capp, Jessica McMillan, Katie Wilkerson, Gerald Robbins, Dorothy Green Phillips, Priscilla Howick, Catherine Solaun, Jeff Sloan, Gerardo Colón-Otero.   

Abstract

Palliative care services are not available in most outpatient oncology practices. A program training 11 mid-level providers from oncology practices on advanced directive discussions and supportive symptom assessment and management performed by palliative care specialists was completed. A follow-up session 9 months later identified barriers to implementation. Of the 11 mid-level providers, 8 participated in the follow-up session, and 9 of the 11 providers implemented advanced directive's discussions and symptom assessment and management for patients with metastatic cancer. Main barriers included uncertainties about reimbursement, patients' lack of knowledge about palliative care, and lack of access to supportive services. This program successfully promoted advanced directive discussions and supportive/palliative care symptom assessment and management to community oncology practices, which will hopefully translate into improved quality of life for patients with metastatic cancer.

Entities:  

Keywords:  community oncology practices; metastatic cancer; mid-level providers; outpatient oncology practices; palliative care; quality of life; supportive services

Mesh：

Year:  2013        PMID： 23616274      PMCID： PMC4304090          DOI： 10.1177/1049909113486335

Source DB:  PubMed          Journal:  Am J Hosp Palliat Care        ISSN： 1049-9091            Impact factor:   2.500


  10 in total

1.  Utilization of supportive and palliative care services among oncology outpatients at one academic cancer center: determinants of use and barriers to access.

Authors:  Pallavi Kumar; David Casarett; Amy Corcoran; Krupali Desai; Qing Li; Jinbo Chen; Corey Langer; Jun J Mao
Journal:  J Palliat Med       Date:  2012-06-25       Impact factor: 2.947

2.  Early palliative care for patients with metastatic non-small-cell lung cancer.

Authors:  Jennifer S Temel; Joseph A Greer; Alona Muzikansky; Emily R Gallagher; Sonal Admane; Vicki A Jackson; Constance M Dahlin; Craig D Blinderman; Juliet Jacobsen; William F Pirl; J Andrew Billings; Thomas J Lynch
Journal:  N Engl J Med       Date:  2010-08-19       Impact factor: 91.245

3.  Availability and integration of palliative care at US cancer centers.

Authors:  David Hui; Ahmed Elsayem; Maxine De la Cruz; Ann Berger; Donna S Zhukovsky; Shana Palla; Avery Evans; Nada Fadul; J Lynn Palmer; Eduardo Bruera
Journal:  JAMA       Date:  2010-03-17       Impact factor: 56.272

4.  A nurse practitioner directed intervention improves the quality of life of patients with metastatic cancer: results of a randomized pilot study.

Authors:  Stephen Dyar; Mary Lesperance; Robert Shannon; Jeff Sloan; Gerardo Colon-Otero
Journal:  J Palliat Med       Date:  2012-05-04       Impact factor: 2.947

5.  Exploratory study on end-of-life issues: barriers to palliative care and advance directives.

Authors:  Veronica D Feeg; Hoda Elebiary
Journal:  Am J Hosp Palliat Care       Date:  2005 Mar-Apr       Impact factor: 2.500

6.  Supportive versus palliative care: what's in a name?: a survey of medical oncologists and midlevel providers at a comprehensive cancer center.

Authors:  Nada Fadul; Ahmed Elsayem; J Lynn Palmer; Egidio Del Fabbro; Kay Swint; Zhijun Li; Valerie Poulter; Eduardo Bruera
Journal:  Cancer       Date:  2009-05-01       Impact factor: 6.860

7.  Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial.

Authors:  Marie Bakitas; Kathleen Doyle Lyons; Mark T Hegel; Stefan Balan; Frances C Brokaw; Janette Seville; Jay G Hull; Zhongze Li; Tor D Tosteson; Ira R Byock; Tim A Ahles
Journal:  JAMA       Date:  2009-08-19       Impact factor: 56.272

8.  The Functional Assessment of Cancer Therapy scale: development and validation of the general measure.

Authors:  D F Cella; D S Tulsky; G Gray; B Sarafian; E Linn; A Bonomi; M Silberman; S B Yellen; P Winicour; J Brannon
Journal:  J Clin Oncol       Date:  1993-03       Impact factor: 44.544

9.  The impact of palliative care consultation on symptom assessment, communication needs, and palliative interventions in pediatric patients with cancer.

Authors:  Donna S Zhukovsky; Cynthia E Herzog; Guddi Kaur; J Lynn Palmer; Eduardo Bruera
Journal:  J Palliat Med       Date:  2009-04       Impact factor: 2.947

10.  American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care.

Authors:  Thomas J Smith; Sarah Temin; Erin R Alesi; Amy P Abernethy; Tracy A Balboni; Ethan M Basch; Betty R Ferrell; Matt Loscalzo; Diane E Meier; Judith A Paice; Jeffrey M Peppercorn; Mark Somerfield; Ellen Stovall; Jamie H Von Roenn
Journal:  J Clin Oncol       Date:  2012-02-06       Impact factor: 44.544
  10 in total
  2 in total

Review 1.  Cancer rehabilitation and palliative care: critical components in the delivery of high-quality oncology services.

Authors:  Julie K Silver; Vishwa S Raj; Jack B Fu; Eric M Wisotzky; Sean Robinson Smith; Rebecca A Kirch
Journal:  Support Care Cancer       Date:  2015-08-28       Impact factor: 3.603

2.  Culturally Adapting an Advance Care Planning Communication Intervention With American Indian and Alaska Native People in Primary Care.

Authors:  Kate M Lillie; Lisa G Dirks; J Randall Curtis; Carey Candrian; Jean S Kutner; Jennifer L Shaw
Journal:  J Transcult Nurs       Date:  2019-07-01       Impact factor: 1.959
  2 in total

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