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oncology nursing hospice

Sarah F D'Ambruoso, Anne Coscarelli, Sara Hurvitz, Neil Wenger, David Coniglio, Dusty Donaldson, Christopher Pietras, Anne M Walling
Our case describes the efforts of team members drawn from oncology, palliative care, supportive care, and primary care to assist a woman with advanced cancer in accepting care for her psychosocial distress, integrating prognostic information so that she could share in decisions about treatment planning, involving family in her care, and ultimately transitioning to hospice. Team members in our setting included a medical oncologist, oncology nurse practitioner, palliative care nurse practitioner, oncology social worker, and primary care physician...
August 30, 2016: Journal of Oncology Practice
Joshua S Shapiro, Michael S Humeniuk, Mustaqeem A Siddiqui, Neelima Bonthu, Darrell R Schroeder, Deanne T Kashiwagi
Little is known about which variables put patients with cancer at risk for 30-day hospital readmission. Comanagement of this often complex patient population by specialists and hospitalists has become increasingly common. This retrospective study examined inpatients with cancer comanaged by hospitalists, hematologists, and oncologists to determine the rate of readmission and factors associated with readmission. Patients in this cohort had a readmission rate of 23%. Patients who were discharged to a skilled nursing facility (odds ratio [OR] = 0...
August 25, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
M J Hjermstad, N Aass, F Aielli, M Bennett, C Brunelli, A Caraceni, L Cavanna, K Fassbender, M Feio, D F Haugen, G Jakobsen, B Laird, E T Løhre, M Martinez, M Nabal, A Noguera-Tejedor, K Pardon, A Pigni, L Piva, J Porta-Sales, F Rizzi, E Rondini, P Sjøgren, F Strasser, A Turriziani, S Kaasa
OBJECTIVES: Palliative care (PC) services and patients differ across countries. Data on PC delivery paired with medical and self-reported data are seldom reported. Aims were to describe (1) PC organisation and services in participating centres and (2) characteristics of patients in PC programmes. METHODS: This was an international prospective multicentre study with a single web-based survey on PC organisation, services and academics and patients' self-reported symptoms collected at baseline and monthly thereafter, with concurrent registrations of medical data by healthcare providers...
May 31, 2016: BMJ Supportive & Palliative Care
Alberto J Montero, James Stevenson, Amy E Guthrie, Carolyn Best, Lindsey Martin Goodman, Shiva Shrotriya, Abdel-Ghani Azzouqa, Armida Parala, Ruth Lagman, Brian J Bolwell, Matt E Kalaycio, Alok A Khorana
PURPOSE: Reducing 30-day unplanned hospital readmissions is a national policy priority. We examined the impact of a quality improvement project focused on reducing oncology readmissions among patients with cancer who were admitted to palliative and general medical oncology services at the Cleveland Clinic. METHODS: Baseline rates of readmissions were gathered during the period from January 2013 to April 2014. A quality improvement project designed to improve outpatient care transitions was initiated during the period leading to April 1, 2014, including: (1) provider education, (2) postdischarge nursing phone calls within 48 hours, and (3) postdischarge provider follow-up appointments within 5 business days...
May 2016: Journal of Oncology Practice
Carey E Baxley
Inpatients with solid tumors at Duke University Hospital in Durham, NC, are cared for in a dynamic integrated care model that incorporates medical oncology and palliative care. This has profound implications for patients, their loved ones, medical and surgical staff, and oncology nurses. As a nurse with less than three years of experience, my participation in a setting that uses the Dual Rounding Model has accelerated my professional and personal development. During a typical shift, I am an oncology nurse, a palliative care nurse, and a hospice nurse...
April 2016: Clinical Journal of Oncology Nursing
Marie-Louise Bird, Michael J Cheney, Andrew D Williams
PURPOSE/OBJECTIVES: To identify whether rates of accidental falls are greater for cancer survivors living in the community during or post-treatment than people with no history of cancer.
. DATA SOURCES: In a systematic literature review that was conducted in December 2013, MEDLINE®, EMBASE, PubMed, and Web of Science were searched for cancer or oncology and accidental falls in prospective and retrospective cohort and case-controlled studies. Studies were included if they were conducted in a community-dwelling adult population and excluded if they were conducted in acute hospitals and hospice...
March 2016: Oncology Nursing Forum
Barry R Meisenberg, Elizabeth Hahn, Madelaine Binner, David Weng, Barry R Meisenberg, Elizabeth Hahn, Madelaine Binner, David Weng
PURPOSE: The role of multidisciplinary care (MDC) on cancer care processes is not fully understood. We investigated the impact of MDC on the processes of care at cancer centers within the National Cancer Institute Community Cancer Centers Program (NCCCP). METHODS: The study used data from patients diagnosed with stage IIB to III rectal cancer, stage III colon cancer, and stage III non–small-cell lung cancer at 14 NCCCP cancer centers from 2007 to 2012. We used an MDC development assessment tool—with levels ranging from evolving MDC (low) to achieving excellence (high)—to measure the level of MDC implementation in seven MDC areas, such as case planning and physician engagement...
February 2016: Journal of Oncology Practice
On Ying Liu, Theodore Malmstrom, Patricia Burhanna, Miriam B Rodin
BACKGROUND: Research on inpatient palliative medicine reports quality-of-life outcomes and selected "hard" outcomes including pain scores, survival, and readmissions. OBJECTIVE: This case study reports the evolution of an inpatient palliative consultation (IPC) team to show how IPC induces culture change in a hospital that previously had no palliative care. DESIGN: Retrospective chart review. SETTING: A Catholic university-affiliated, inner-city hospital...
November 5, 2015: American Journal of Hospice & Palliative Care
Erica M Tuggey, Warren Harris Lewin
Patients living with a diagnosis of an advanced life-limiting malignancy often have concerns regarding symptom burden, physical and psychosocial impact on life, and questions surrounding end-of-life processes. Due to the complex care needs of patients with advanced life-limiting illness it is our experience that both a multidisciplinary and interdisciplinary approach to care can optimize the patient and family illness experience for this vulnerable population. Progressive metastatic illness often necessitates care in multiple settings including an ambulatory clinic, inpatient hospital ward, at home, and at an in-patient hospice or palliative care unit...
July 2014: Annals of Palliative Medicine
Lynne M Gray, Salomé Meyer
BACKGROUND: Chemotherapy is increasingly used in people with advanced cancer to palliate symptoms and improve survival. New Zealand provides medical oncology services in a Hub and Spoke model, with an increasing emphasis on delivering treatment at out-patient spoke services, where after hours and urgent care is provided by the Emergency Department (ED). This study sought to describe the factors that influenced the care and clinical decision-making of this group of patients in the ED. METHODS: Semi-structured telephone interviews were held with five ED nurses from three hospitals at the spoke...
November 2014: Australasian Emergency Nursing Journal: AENJ
Alfredo Pompili, Stefano Telera, Veronica Villani, Andrea Pace
OBJECT: Glioblastoma multiforme (GBM) is a rare tumor whose prognosis has remained poor over the years despite innovative radio- and chemotherapies, and important technical advances in neurosurgery such as intraoperative imaging, fluorescence, Cavitron ultrasonic surgical aspirator, and neuronavigation. Particular attention has been dedicated in the last years to the end of life (EOL) period in cancer patients for both ethical and socioeconomic issues. Good palliative care at home avoids improper and expensive hospitalizations, and helps and trains families, caregivers, and patients in facing a difficult situation...
December 2014: Neurosurgical Focus
Cathryn M Delude
No abstract text is available yet for this article.
September 2014: Journal of the National Cancer Institute
K Laryionava, P Heußner, W Hiddemann, E C Winkler
BACKGROUND: Many patients with advanced cancer receive aggressive chemotherapy close to death and are referred too late to palliative or hospice care. AIM: The aim of this study was to investigate oncologists' and oncology nurses' perceptions of the optimal timing for discussions about forgoing cancer-specific therapy at the End-of-Life (EOL) and the reasons that might hinder them. DESIGN: Qualitative in-depth interviews with oncologists and oncology nurses were carried out...
March 2015: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Jeannine M Brant
Case Study  Sarah is a 58-year-old breast cancer survivor, social worker, and health-care administrator at a long-term care facility. She lives with her husband and enjoys gardening and reading. She has two grown children and three grandchildren who live approximately 180 miles away. SECOND CANCER DIAGNOSIS  One morning while showering, Sarah detected a painless quarter-sized lump on her inner thigh. While she thought it was unusual, she felt it would probably go away. One month later, she felt the lump again; she thought that it had grown, so she scheduled a visit with her primary care physician...
November 2013: Journal of the Advanced Practitioner in Oncology
Maria Browall, Ingela Henoch, Christina Melin-Johansson, Susann Strang, Ella Danielson
UNLABELLED: Nurses working with cancer patients in end of life care need to be prepared to encounter patients' psychosocial and spiritual distress. AIM: The aim of this study was to describe nurses' experiences of existential situations when caring for patients severely affected by cancer. METHODS AND SAMPLE: Nurses (registered and enrolled) from three urban in-patient hospices, an oncology clinic and a surgery clinic and a palliative homecare team were, prior to the start of a training program, invited to write down their experiences of a critical incident (CI), in which existential issues were featured...
December 2014: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
Charlotte Wu, Wade Bannister, Pamela Schumacker, Michael Rosen, Ronald Ozminkowski, Arthur Rossof
PURPOSE: To assess the impact of the cancer support program (CSP), a telephonic case management program led by oncology nurses, on cancer-related medical costs and hospice use. METHODS: Members of large employer-funded health plans were referred to the CSP if they had a cancer diagnosis and met program criteria. Patients were referred to the CSP (July 2009-June 2011; index date is referral date) and chose to participate (participants) or not (nonparticipants). Inclusion required continuous coverage for ≥ 6 months preindex and ≥ 1 month postindex...
May 2014: Journal of Oncology Practice
Naomi Farrington, Mandy Fader, Alison Richardson, Jacqui Prieto, Harriet Bush
This audit aimed to measure: the prevalence of indwelling urinary catheters in patients at the end of life; the use of nursing documentation relating to catheter insertion and care; and prevalence of continence screening on admission. The audit involved a retrospective examination of case notes of patients who died on two oncology wards and a hospice at a large teaching hospital in the south of England. The audit showed that 63% of patients had an indwelling catheter during their admission. Documentation relating to urinary catheter insertion and care was present in 75% of cases, and 75% of patients received continence screening on admission...
May 8, 2014: British Journal of Nursing: BJN
Lauren Gurschick, Deborah K Mayer, Laura C Hanson
PURPOSE: To describe the suggested clinical practice of palliative sedation as it is presented in the literature and discuss available guidelines for its use. METHODS: CINAHL, PubMed, and Web of Science were searched for publications since 1997 for recommended guidelines and position statements on palliative sedation as well as data on its provision. Keywords included palliative sedation, terminal sedation, guidelines, United States, and end of life. Inclusion criteria were palliative sedation policies, frameworks, guidelines, or discussion of its practice, general or oncology patient population, performance of the intervention in an inpatient unit, for humans, and in English...
September 2015: American Journal of Hospice & Palliative Care
Alison Buchanan, Andrew Davies, Jenske Geerling
Breakthrough pain is common in patients with cancer and is a significant cause of morbidity in this group of patients. Breakthrough pain is a heterogeneous condition, and so its management needs to be individualised. This paper describes the management of breakthrough pain and, specifically, the recently published guidelines of the European Oncology Nursing Society.
March 2014: International Journal of Palliative Nursing
Melissa D Aldridge, Mark Schlesinger, Colleen L Barry, R Sean Morrison, Ruth McCorkle, Rosemary Hürzeler, Elizabeth H Bradley
IMPORTANCE The impact of the substantial growth in for-profit hospices in the United States on quality and hospice access has been intensely debated, yet little is known about how for-profit and nonprofit hospices differ in activities beyond service delivery. OBJECTIVE To determine the association between hospice ownership and (1) provision of community benefits, (2) setting and timing of the hospice population served, and (3) community outreach. DESIGN, SETTING, AND PARTICIPANTS Cross-sectional survey (the National Hospice Survey), conducted from September 2008 through November 2009, of a national random sample of 591 Medicare-certified hospices operating throughout the United States...
April 2014: JAMA Internal Medicine
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