Mason Heidi, Bigelow April, Conrad Christina, Harden Karen, Price Deborah, Bohn Diane, Mason Natasha
From University of Michigan, Michigan Medicine, Ann Arbor, Michigan.
J Adv Pract Oncol. 2024 Sep 11:1-8. doi: 10.6004/jadpro.2024.15.8.13.
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.
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.
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.
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.
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.
开展早期姑息治疗（PC）至关重要，以确保在严重疾病治疗前、治疗期间和治疗后满足患者及其家属的生理、心理、精神和社会需求。根据世界卫生组织的定义，姑息治疗是以患者和家庭为中心的护理，通过预测、预防和治疗痛苦来优化生活质量。它是一种全面的护理，关注患者及其家属的生理、心理社会和精神需求。
为改善肿瘤学环境中的早期姑息治疗，为高级实践提供者（APPs）设立了一个免费教育系列。进行了评估并完成了一项调查后测。
评估结果是积极的；工作人员喜欢病例展示和涵盖的主题。完成了一项调查后测。结果表明，大多数高级实践提供者熟悉症状管理的基本概念以及患者及其家属的整体需求。一个没有改善的方面是姑息治疗与积极治疗兼容的概念。
为高级实践提供者举办的姑息治疗讲座系列受到参与者的好评。参与者能够展示有关提供姑息治疗的知识，但未能理解姑息治疗可以与积极治疗同时进行。
需要加强在整个疾病过程中关于姑息治疗的教育以及向姑息治疗专科的适当转诊。对高级实践提供者进行早期姑息治疗教育是有益的，需要进一步探索创新的教学方法。
