학술논문
Training Mid-level Providers on Palliative Care: Bringing Advanced Directives and Symptom Assessment and Management to Community Oncology Practices
Document Type
Academic Journal
Author
Lesperance, Mary; Shannon, Robert; Pumphrey, Phyllis K.; Dunbar, Erin; Genther, Renee; Coleman, Lynn C.; Tabano, Margaret; Maurer, Jennifer; Vazquez, Adrienne; Capp, Elizabeth; McMillan, Jessica; Wilkerson, Katie; Robbins, Gerald; Phillips, Dorothy Green; Howick, Priscilla; Solaun, Catherine; Sloan, Jeff; Colón-Otero, Gerardo
Source
American Journal of Hospice & Palliative Medicine. May 01, 2014 31(3):237-243
Subject
Language
English
ISSN
1049-9091
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 directiveʼs discussions and symptom assessment and management for patients with metastatic cancer. Main barriers included uncertainties about reimbursement, patientsʼ 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.