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Delivering specialized palliative care in the community: a new role for nurse practitioners
Lynn M Deitrick1, Elke H Rockwell, Nancy Gratz
1Division of Community Health and Health Studies, Lehigh Valley Health Network, Allentown, Pennsylvania 18105, USA. Lynn.Deitrick@lvhn.org
Abstract:
The rising population of older Americans with advanced illness challenges current care delivery models. We use the metaphor of advanced illness as a difficult journey and propose a specific role, that of the "OACIS NP [nurse practitioner]," who helps provide a place of refuge during this journey. "OACIS" is an acronym for Optimizing Advanced Complex Illness Support, a program to provide home-based palliative medical care. The 4 pillars of this collaborative model for advanced nursing care include care coordination, medical management, psychosocial support, and education. We make the case for this expanded role for nurse practitioners who specialize in palliative care.
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