Heidi Mason, April Bigelow, Christina Conrad, Karen Harden, Deborah Price, Diane Bohn, Natasha Mason
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引用次数: 0
Abstract
Purpose: Initiation of early palliative care (PC) is vital in order to assure that the physical, psychological, spiritual, and social needs of patients and their families are addressed before, during, and after treatment for a serious illness. According to the World Health Organization, PC is patient-and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering. It is holistic care that addresses the physical, psychosocial, and spiritual needs of patients and their families.
Methods: To improve early PC in the oncology setting, a free educational series was established for advanced practice providers (APPs). Evaluations were obtained and a post-survey was completed.
Results: Evaluation results were positive; staff liked the case presentations and the topics covered. A post-survey was completed. Results demonstrated that most APPs were familiar with basic concepts of symptom management as well as the holistic needs of patients and their families. One area that did not improve was the concept that PC is compatible with aggressive treatment.
Conclusions: A PC lecture series for APPs was well received by participants. Participants were able to demonstrate knowledge regarding delivery of PC but failed to understand that PC can be delivered simultaneously with aggressive therapy.
Recommendations: Education regarding PC through the disease process and appropriate referrals to PC specialty need to be reinforced. Educating APPs in early PC is beneficial, and creative methods of teaching need to be further explored.
目的:早期启动姑息关怀(PC)对于确保病人及其家属在重病治疗前、治疗期间和治疗后的生理、心理、精神和社会需求得到满足至关重要。根据世界卫生组织的定义,姑息关怀是以病人和家属为中心的护理,通过预测、预防和治疗痛苦来优化生命质量。它是一种整体护理,能满足患者及其家属在身体、社会心理和精神方面的需求:方法:为了改善肿瘤科的早期 PC,我们为高级医疗服务提供者(APP)开设了免费的系列教育课程。结果:评估结果是积极的:评估结果是积极的;员工们喜欢案例演示和所涉及的主题。完成了一项事后调查。结果显示,大多数 APP 熟悉症状管理的基本概念以及病人及其家属的整体需求。一个没有得到改善的方面是,他们不知道 PC 与积极治疗是相容的:为 APP 举办的 PC 系列讲座深受参与者欢迎。与会者能够展示有关 PC 传播的知识,但未能理解 PC 传播可与积极治疗同时进行:建议:需要加强有关 PC 在疾病过程中的作用以及适当转诊至 PC 专科的教育。对 APP 进行早期 PC 教育是有益的,需要进一步探索创造性的教学方法。