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https://www.readbyqxmd.com/read/27540738/an-audit-of-acute-oncology-services-patient-experiences-of-admission-procedures-and-staff-utilisation-of-a-new-telephone-triage-system
#1
Lorraine Warrington, Patricia Holch, Lucille Kenyon, Ceri Hector, Krystina Kozlowska, Anne Marie Kenny, Lucy Ziegler, Galina Velikova
OBJECTIVES: In 2010, St. James Institute of Oncology (Leeds, UK) created a new acute oncology service (AOS) consisting of a new admissions unit with a nurse-led telephone triage (TT) system. This audit cycle (March 2011 and June 2013) evaluated patient experiences of the reconfigured AOS and staff use of the TT system. METHODS: Patient views were elicited via a questionnaire and semi-structured interviews. The TT forms were analysed descriptively evaluating completion and data quality, reported symptoms and their severity and advice given (including admission rates)...
August 19, 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/27350792/oncology-and-medical-education-past-present-and-future
#2
Judith Cave
Oncologists should contribute to the undergraduate curriculum whenever they can, and should teach communication skills, acute oncology, prescribing, and other transferable skills. Newly qualified doctors will care for many patients with cancer in their first years of work, and all doctors need to know when an urgent oncology referral is required and to be aware of the pace of change in oncology. Oncologists should involve their patients in teaching whenever it is appropriate. We should aim to inspire junior doctors to consider a career in oncology...
2016: Ecancermedicalscience
https://www.readbyqxmd.com/read/27170310/patterns-of-acute-oncology-admissions-an-exploratory-analysis-of-over-7000-patient-episodes
#3
Helen L Neville-Webbe, Helen Wong, Ernie Marshall
BACKGROUND: Following the National Chemotherapy Advisory Group report, calling for better management of patients with cancer admitted acutely to hospital, Clatterbridge Cancer Centre, with Merseyside and Cheshire Cancer Network, implemented an acute oncology service (AOS) for the region's seven acute trusts. STUDY DESIGN: We prospectively collected data on all referrals from March 2010 to December 2012, seen by the seven local teams within the cancer network. RESULTS: Over 7000 patient-episodes were analyzed...
May 11, 2016: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/26921289/responding-to-acute-care-needs-of-patients-with-cancer-recent-trends-across-continents
#4
REVIEW
Alison Young, Ernie Marshall, Monika Krzyzanowska, Bridget Robinson, Sean Brown, Fiona Collinson, Jennifer Seligmann, Afroze Abbas, Adrian Rees, Daniel Swinson, Helen Neville-Webbe, Peter Selby
Remarkable progress has been made over the past decade in cancer medicine. Personalized medicine, driven by biomarker predictive factors, novel biotherapy, novel imaging, and molecular targeted therapeutics, has improved outcomes. Cancer is becoming a chronic disease rather than a fatal disease for many patients. However, despite this progress, there is much work to do if patients are to receive continuous high-quality care in the appropriate place, at the appropriate time, and with the right specialized expert oversight...
March 2016: Oncologist
https://www.readbyqxmd.com/read/26911176/macmillan-lead-acute-oncology-haematology-nurse
#5
Michelle Samson
Michelle Samson discusses her professional background that has led to her current role, and the projects she has developed over the course of her career.
February 25, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/26734188/using-a-screening-tool-to-improve-timely-referral-of-patients-from-acute-oncology-haematology-to-palliative-care-services
#6
Akhtari Begum
This project was done at specialist cancer hospital in Qatar. At a haematology-oncology inpatient department most patients were not getting access to palliative care unless they were at the very end stages of life. Data collected from 2008-2011 showed significant numbers of patients were dying within one month of their transfer to palliative care. There was no standard measure to identify the prospective palliative care patients. A multidisciplinary team developed a Palliative care referral screening tool based on the National Cancer Care Network guideline...
2013: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/26697631/picc-in-an-acute-oncology-setting
#7
Janice Gabriel
No abstract text is available yet for this article.
2015: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/26621939/improvements-in-the-management-of-neutropenic-sepsis-lessons-learned-from-a-district-general-hospital
#8
Tom Wells, Corrine Thomas, Dawn Watt, Vanessa Fountain, Marjorie Tomlinson, Serena Hilman
Neutropenic sepsis is a life-threatening condition with mortality rates reported to range between 2 and 21% in adults. It can occur following chemotherapy treatment, due to disease (such as haematological conditions affecting the bone marrow) and in patients on disease-modifying agents (such as patients receiving methotrexate for rheumatoid arthritis). Appropriate emergency treatment is essential and achieving intravenous antibiotic door-to-needle time of less than 1 hour is a key target. Shortfalls in the management of patients presenting to teams with limited expertise in this area were identified in the National Confidential Enquiry into Patient Outcome and Death report in 2008, leading to recommendations including the need for an acute oncology service (AOS) at all hospitals with either an emergency department or medical admissions unit...
December 2015: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/26355449/bjn-award-runner-up-oncology-nurse-of-the-year
#9
Michelle Samson
To contact Michelle about setting up an acute oncology service, send her an email: Michelle.Samson@nbt.nhs.uk.
September 10, 2015: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/26355448/acute-oncology-a-developing-sub-specialty
#10
Alison Pugh, Helen Rogerson, Helen Cosh, Jane Hart, Hilary Williams, Christopher Jenkins
Patients with cancer frequently present to hospital as an emergency admission acutely unwell. Patients can suffer from complications of the cancer itself, or significant adverse effects/toxicities related to their cancer therapy. Alternatively, the initial presentation of the malignancy may be through a hospital admission, and the cancer can frequently be widespread and with a poorer prognosis. Patients are often admitted under general physicians, away from their comprehensive cancer care centre or oncologists...
September 10, 2015: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/26307319/agitation
#11
Rachel Booth
The CPD article about caring for older people experiencing agitation is relevant to my practice. I work on an acute oncology assessment ward, which provides rapid assessment and care for acutely unwell patients.
August 26, 2015: Nursing Standard
https://www.readbyqxmd.com/read/25933135/current-management-of-surgical-oncologic-emergencies
#12
Marianne R F Bosscher, Barbara L van Leeuwen, Harald J Hoekstra
OBJECTIVES: For some oncologic emergencies, surgical interventions are necessary for dissolution or temporary relieve. In the absence of guidelines, the most optimal method for decision making would be in a multidisciplinary cancer conference (MCC). In an acute setting, the opportunity for multidisciplinary discussion is often not available. In this study, the management and short term outcome of patients after surgical oncologic emergency consultation was analyzed. METHOD: A prospective registration and follow up of adult patients with surgical oncologic emergencies between 01-11-2013 and 30-04-2014...
2015: PloS One
https://www.readbyqxmd.com/read/25803363/acute-thoracic-findings-in-oncologic-patients
#13
REVIEW
Brett W Carter, Jeremy J Erasmus
Cancer is the second most common cause of mortality in the United States, with >500,000 deaths reported annually. Acute or emergent findings in this group of patients can be a life-threatening phenomenon that results from malignancy or as a complication of therapy. In many cases, these events can be the first clinical manifestation of malignant disease. Oncologic emergencies have been classified as metabolic, hematologic, and structural emergencies. Within the thorax, most acute oncologic findings involve the lungs and airways in the form of drug toxicity, pulmonary infections, or malignant airway compression; the cardiovascular system in the form of pulmonary embolism, superior vena cava syndrome, cardiac tamponade, or massive hemoptysis; the mediastinum in the form of esophageal perforation, acute mediastinitis, or esophagorespiratory fistula; and the osseous spine and spinal cord in the form of invasion and cord compression...
July 2015: Journal of Thoracic Imaging
https://www.readbyqxmd.com/read/25758495/urgent-response-to-cancer
#14
Jennifer Trueland
Nurses increasingly encounter patients with cancer who experience potentially fatal side effects of cancer treatments. In her new role with Macmillan Cancer Support, Philippa Jones is developing acute oncology services across the UK that will support patients needing urgent care and help avoid hospital admissions.
March 11, 2015: Nursing Standard
https://www.readbyqxmd.com/read/25723366/the-acute-oncology-clinical-nurse-specialist
#15
Michael Varey
No abstract text is available yet for this article.
February 26, 2015: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/25629892/cancer-patients-perceptions-of-the-barriers-and-facilitators-to-patient-participation-in-symptom-management-during-an-episode-of-admission
#16
Emma Cohen, Mari Botti
BACKGROUND: Symptoms by definition are subjective, and patients' role in their assessment and management will impact on patient outcomes; thus, symptom management is an area of acute care practice where facilitation of patient participation is vital if quality outcomes are to be achieved. OBJECTIVE: This study originated from a large multimethod research program exploring patient participation in symptom management in an acute oncology setting. The purpose of this article is to explore patients' perceptions of the barriers and facilitators to participating in their symptom management during an episode of admission to an acute oncology ward and the relationships between these perceptions and patients' preference for participation...
November 2015: Cancer Nursing
https://www.readbyqxmd.com/read/25475064/clinical-characteristics-and-outcomes-for-patients-with-an-initial-emergency-presentation-of-malignancy-a-15-month-audit-of-patient-level-data
#17
Philip Savage, Rachel Sharkey, Teresa Kua, Panagiotis Papanastasopoulos, Zoe McDonald-Burrows, Shazalia Hassan, Fay Probst, Ali Sanders, Hugh Millington
AIM: To investigate the demographics, diagnoses and outcomes for new adult cancer patients with an initial presentation via the A&E or acute oncology teams. BACKGROUND: Patients with initial emergency presentation of malignancy have been documented to have poorer treatment outcomes and shorter survival. Patient level data on this subject is relatively limited with regard to the demographics, diagnoses and the clinical factors that may underlie late presentations...
February 2015: Cancer Epidemiology
https://www.readbyqxmd.com/read/24940096/how-has-acute-oncology-improved-care-for-patients
#18
V Navani
A United Kingdom-wide appreciation of the systemic failings of emergency cancer care led to the creation of a new subspecialty, acute oncology. It was meant to bridge the gap between admitting teams, oncology, and palliative care, providing support to manage the symptoms of cancer, the side effects of cancer treatment, and people presenting with cancer of unknown primary origin. This article identifies the reasons for the creation of acute oncology and explores various models for this aspect of cancer care worldwide...
June 2014: Current Oncology
https://www.readbyqxmd.com/read/24933650/a-royal-college-of-radiologists-national-audit-of-radiotherapy-in-the-treatment-of-metastatic-spinal-cord-compression-and-implications-for-the-development-of-acute-oncology-services
#19
U M McGivern, K J Drinkwater, J I M Clarke, I Locke
AIMS: To audit the current use of radiotherapy in UK cancer centres for the treatment of metastatic spinal cord compression against national standards that seek to optimise functional and quality of life outcomes. MATERIALS AND METHODS: A Royal College of Radiologists prospective national audit of patients treated with radiotherapy in UK cancer centres was carried out over a 3 month period between September and December 2008, with a repeat audit carried out in August 2012...
August 2014: Clinical Oncology: a Journal of the Royal College of Radiologists
https://www.readbyqxmd.com/read/24866647/acute-teams-respond-to-emergency-cancer-call
#20
Mary-Claire Mason
Acutely ill cancer patients who present at A&E can receive inadequate care. Innovative acute oncology services are being introduced to fill gaps in emergency staff's knowledge and ensure rapid referral to appropriate care.
June 3, 2014: Nursing Standard
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