A unique approach to a multidisciplinary lung clinic: Where active treatment meets supportive care

2.50
Hdl Handle:
http://hdl.handle.net/10755/164848
Category:
Abstract
Type:
Presentation
Title:
A unique approach to a multidisciplinary lung clinic: Where active treatment meets supportive care
Author(s):
Woodruff-Gladstone, Sharon
Author Details:
Sharon Woodruff-Gladstone, MS, RN, ANP-C, OCN, Nurse Practitioner, Patient Navigator Lung Team, UT Southwestern Medical Center Simmons Comprehensive Cancer Center, Dallas, Texas, USA, email: nay1629@sbcglobal.net
Abstract:
Clinical/Evidence Based Practice: Symptom management of lung cancer is challenging for both the patient and care provider. Many patients present with a myriad of symptoms requiring multidisciplinary input. Early identification and intervention integrating the supportive care team approach beginning with diagnosis and continuing through all aspects of care can enhance symptom management and quality of life. The purpose of this project was to develop an integrated approach to supportive care of individuals with lung cancer. Developing such an approach at the time of diagnosis provided consistent support and a seamless transition from active treatment to palliative care. Supportive care was defined as physical, nutritional, and psychosocial symptom management. Supportive care team members included a palliative care physician, social worker, nutritionist, and psychologist who worked closely with the multidisciplinary lung clinic team to provide individualized care. During the initial visit to the lung clinic, each patient completed a risk assessment and met all members of the integrated management team. An individualized plan of care was developed after discussion with the patient and family. The supportive care team has been well integrated into the lung clinic process. Repeated risk assessments revealed patient satisfaction with the integrated approach and a smoother transition to changing levels of care. Prior to incorporating the supportive care team into the lung clinic, we met to discuss some of the challenges and inconsistencies for patients as they transitioned from active treatment to palliative care. We identified a sense of abandonment in the patient and family members as their care was handed over to the "palliative" care team. For this reason, we chose to introduce team members early in the treatment phase and use the term "supportive" care. We also identified variability in satisfactory symptom management. With needs monitored along their cancer journey by consistent healthcare providers, patients and families reported a better overall experience and acceptance throughout the care continuum.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA unique approach to a multidisciplinary lung clinic: Where active treatment meets supportive careen_GB
dc.contributor.authorWoodruff-Gladstone, Sharonen_US
dc.author.detailsSharon Woodruff-Gladstone, MS, RN, ANP-C, OCN, Nurse Practitioner, Patient Navigator Lung Team, UT Southwestern Medical Center Simmons Comprehensive Cancer Center, Dallas, Texas, USA, email: nay1629@sbcglobal.neten_US
dc.identifier.urihttp://hdl.handle.net/10755/164848-
dc.description.abstractClinical/Evidence Based Practice: Symptom management of lung cancer is challenging for both the patient and care provider. Many patients present with a myriad of symptoms requiring multidisciplinary input. Early identification and intervention integrating the supportive care team approach beginning with diagnosis and continuing through all aspects of care can enhance symptom management and quality of life. The purpose of this project was to develop an integrated approach to supportive care of individuals with lung cancer. Developing such an approach at the time of diagnosis provided consistent support and a seamless transition from active treatment to palliative care. Supportive care was defined as physical, nutritional, and psychosocial symptom management. Supportive care team members included a palliative care physician, social worker, nutritionist, and psychologist who worked closely with the multidisciplinary lung clinic team to provide individualized care. During the initial visit to the lung clinic, each patient completed a risk assessment and met all members of the integrated management team. An individualized plan of care was developed after discussion with the patient and family. The supportive care team has been well integrated into the lung clinic process. Repeated risk assessments revealed patient satisfaction with the integrated approach and a smoother transition to changing levels of care. Prior to incorporating the supportive care team into the lung clinic, we met to discuss some of the challenges and inconsistencies for patients as they transitioned from active treatment to palliative care. We identified a sense of abandonment in the patient and family members as their care was handed over to the "palliative" care team. For this reason, we chose to introduce team members early in the treatment phase and use the term "supportive" care. We also identified variability in satisfactory symptom management. With needs monitored along their cancer journey by consistent healthcare providers, patients and families reported a better overall experience and acceptance throughout the care continuum.en_GB
dc.date.available2011-10-27T12:08:06Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:08:06Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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