REVIEW
What are some adverse consequences of failing to plan for the
tradition of end of life
Increased physiological distress
medical treatments inconsistent with personal preferences
utilization of a burden some inexpensive healthcare resources of little
therapeutic value
A more difficult bereavement
five domains of care near the end of life that patient identified as
-Receive adequate pain and symptom management
-Avoiding inappropriate prolongation of dying
-achieving a sense of control
-Relieving burden
-Strengthening relationship with loved ones
Older men are more likely than women to desire prognostic
information
True
Those over the age of 70 are less likely to want information about
survival when making decisions about treatment
True
Physicians are known to overestimate the length of remaining
time a patient has, and the patient to have a better estimation of
when their deaths will likely occur
Trur
,Oncologist have demonstrated an inability to accurately predict
their patients estimated life expectancy, resulting in patients not
learning or being offered hospice care
True
Hospice care is designed to last for up to six months but
commonly continues to only be provided for weeks or even days
before the patient's death
True
Nurse Navigator's are well position to be an advocate for the
patient and support the patient by recognizing barriers to an
effective transitioning increase solutions for these barriers
True
A multidisciplinary oncology team is Designed to diagnose and
treat cancer patients in a cost-effective way while delivering the
highest quality of care, with a goal to save lives and preserve the
patient's life goals as well as preserve their quality of life during
and after cancer treatment.
True
2013 IOM Report: Delivering High Quality Cancer Care: Charting
a New Course for a System in Crisis
Patient Navigators were included as team members
5 Values of effective health care teams
Honesty
Discipline
Creativity
, Humility
Curiosity
Supprt Staff Interactions
can positively impact a patients care
IOM principles of Team Based Healthcare
Clear Goals
Mutual Trust
Effective Communication
Measurable processes and outcomes
1999 IOM report: Ensuring Quality Cancer Care
All Americans receive High Quality Healthcare:
Maintaining a system to measure and monitor
Treatment by experienced professionals
Access to the full complement of resources
Access to Clinical Trials
2005 IOM From Cancer to Cancer Survivor: Lost in Translation
10 key recommendations
1. Cancer Survivorship is distinct phase of cancer care
2. Pt's provided with "Survivorship Care Plan"
3. Evidenced Based clinical practice guidelines to manage effects and
late effects of cancer and cancer treatment
4. Quality Survivorship care developed and monitored
5. CMS / NCI develop and coordinate interdisciplinary Survivorship
care in diverse communities
6. CDC, Congress to support development of comprehensive care
plans for survivorship
7. MCI and other organizations to expand and coordinate efforts to
improve QOL for cancer survivors
8. eliminate discrimination and minimize effects of cancer care on