在将儿科息治疗纳入儿科血液学/瘤学诊所之前和之后的咨询模式
Jacob R Greenmyer1, Tiffany Ngo1, Melissa Smith2
1Pediatric and Adolescent Medicine, Mayo Clinic Minnesota, Rochester, Minnesota, USA.
Pediatric blood & cancer
|September 14, 2023
概括
在儿科血液学/瘤学 (PHO) 中嵌入儿科息护理 (PPC) 显著增加了咨询,特别是在症状管理和固体瘤方面. 这种模式增强了年轻癌症患者获得重要息护理服务的机会.
科学领域:
- 儿科瘤学 儿科瘤学
- 抚慰性护理是一种缓解性护理.
- 医疗保健提供模式 医疗保健提供模式
背景情况:
- 在儿科瘤学中,息治疗是必不可少的.
- 嵌入式儿科息护理 (PPC) 在儿科血液学/瘤学 (PHO) 是一个新兴的模式.
- 过渡到嵌入式全天诊所,旨在改善PPC的访问和质量.
研究的目的:
- 评估嵌入PPC服务在PHO诊所中的影响.
- 量化嵌入前后咨询率和模式的变化.
主要方法:
- 回顾PHO到PPC咨询的回顾性图表审查.
- 在临床安置之前和之后的12个月期间的比较.
- 使用千平方,费舍尔精确和威尔科克斯等级和值测试进行统计分析.
主要成果:
- 总的PHO到PPC咨询增加了89% (每12个月从20个增加到38个).
- 门诊咨询从15%上升到37% (p=0.082).
- 实体瘤 (22%至60%) 和症状管理 (60%至87%) 的咨询显著增加 (p<0.05).
结论:
- 在PHO中嵌入PPC可以提高咨询量和利用率.
- "部分PPO"模型有效地在门诊瘤学环境中提供PPC.
- 这种整合改善了儿科瘤患者的护理,特别是那些有固体瘤和复杂症状需求的患者.
相关概念视频
Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
Nursing Ethical Principles II
1.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.0K
Ethical Dilemmas II
1.1K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.1K
Ethical Issues
1.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.0K
Specialized Care Centers and Settings-II
755
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
755


