scholarly journals Supportive Care for Complex Needs—Kaiser Permanente Care Team Management Models

2017 ◽  
Author(s):  
Tracy Lippard
Keyword(s):  
Supportive Care ◽  
Care Team ◽  
Team Management ◽  
Kaiser Permanente ◽  
Complex Needs ◽  
Management Models

EXPERIENCE WITH A COMPREHENSIVE SUPPORTIVE CARE TEAM (CSCT) FOR THE HOPELESSLY ILL IN A UNIVERSITY HOSPITAL

1987 ◽  
Vol 15 (4) ◽  
pp. 371
Author(s):  
Lynn Devich ◽  
Robert Frank ◽  
Richard Carlson
Keyword(s):  
Supportive Care ◽  
Care Team ◽  
University Hospital

scholarly journals Early detection of critical illness outside the intensive care unit: Clarifying treatment plans and honoring goals of care using a supportive care team

2016 ◽  
Vol 11 ◽  
pp. S40-S47 ◽  
Author(s):  
Russ Granich ◽  
Zoe Sutton ◽  
Yan S. Kim ◽  
Megan Anderson ◽  
Helen Wood ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critical Illness ◽  
Early Detection ◽  
Supportive Care ◽  
Care Team ◽  
Goals Of Care ◽  
Treatment Plans

How an Interdisciplinary Care Team Reduces Prolonged Admissions Among Older Patients with Complex Needs

NEJM Catalyst ◽  
2021 ◽  
Vol 2 (9) ◽  
Author(s):  
Kenneth Lam ◽  
Erika L. Price ◽  
Megha Garg ◽  
Nate Baskin ◽  
Megan Dunchak ◽  
...  
Keyword(s):  
Older Patients ◽  
Care Team ◽  
Interdisciplinary Care ◽  
Complex Needs

Impact on Primary Care and Specialty Care

2021 ◽  
pp. 63-76
Author(s):  
Don L. Goldenberg
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Routine Care ◽  
Care Team ◽  
Team Management ◽  
Financial Loss ◽  
Medical Practices ◽  
Virtual Care ◽  
Community And Public Health ◽  
Primary Care Practices

Primary care practices (PCP) and specialty practices stopped most routine care and suffered major financial loss during the pandemic. Family practice, small PCP practices, and pediatrics were hit the hardest and are still having difficulty recovering. Increased use of virtual care, team management, and integration with community and public health were each utilized effectively during the pandemic and should continue to be incorporated in ambulatory medical practices.

Case studies in terminal weaning from mechanical ventilation

1993 ◽  
Vol 2 (5) ◽  
pp. 354-358 ◽  
Author(s):  
ML Campbell
Keyword(s):  
Mechanical Ventilation ◽  
Supportive Care ◽  
Case Studies ◽  
Significant Others ◽  
Care Team ◽  
Patient Specific ◽  
Healthcare Team ◽  
Weaning From Mechanical Ventilation ◽  
Terminal Weaning

Terminal weaning, withdrawal of mechanical ventilation when the patient is not expected to survive the process, must not be burdensome to the patient or significant others. The healthcare team must individualize the weaning process, considering the physiologic comfort of the patient and the psychoemotional comfort of both the patient and family. The following case studies illustrate variations in a method for terminal weaning that are patient-specific and are based on the experience of a supportive care team.

scholarly journals Introducing a Supportive Care Team for Advance Directive Education in a Neurological and Neurosurgical Patient Population

2020 ◽  
Vol 7 (6) ◽  
pp. 1286-1293
Author(s):  
Charlotte Henke ◽  
Emily Mroz ◽  
Ngoc Anh Le ◽  
Hannah M Gregory ◽  
Ashley Ghiaseddin ◽  
...  
Keyword(s):  
Supportive Care ◽  
Advance Care Planning ◽  
Advance Directive ◽  
Patient Population ◽  
Care Team ◽  
Patient Treatment ◽  
Care Planning ◽  
Patient Centered ◽  
Centered Care ◽  
Advance Care

Background: Patient-centered care includes delineation of patient treatment values (ie, advance care planning [ACP]). Advance care planning often includes advance directive (AD) completion and is underutilized, particularly among neurology and neurosurgery patients. Implementation of a supportive care team (SCT) in outpatient clinic settings may offer opportunities for AD education and completion. Objective: This study assesses the effectiveness of an integrative SCT composed of hospice volunteers and undergraduate quality improvement interns in their efforts to provide ACP education in neurological and neurosurgical outpatient clinics. Assessment includes a description of different types of SCT-patient encounters, as well as patient interest in and completion of ADs after interacting with the SCT. Results: Across the data collection period, 2770 encounters were initiated. The majority of encounters resulted in patient ACP education. Some patients completed ADs during their SCT encounter (3.45%) or after their SCT encounter (10.18%). Conclusion: The SCT effectively enhances ACP education in this patient population. The utilization of trained interns to assist with ACP is beneficial and practical in clinic workflow.

Supportive care day hospital: A new tool for palliative care in cancer centers.

2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 170-170
Author(s):  
Carole Bouleuc
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
Supportive Care ◽  
Palliative Care Team ◽  
Care Team ◽  
Care Plan ◽  
Day Hospital ◽  
Cancer Centers ◽  
Advance Care ◽  
At Home

170 Background: In May 2005, the Curie Institute in Paris opened the first supportive care day hospital in France. This type of new ward is now very frequent in the French comprehensive cancer centers. Methods: Patients are managed by the palliative care team with a two-part team of a physician and a nurse in order to address their supportive care needs: advanced-care symptoms, psychosocial distress, medical questions and concerns, support need in decision making, end of life care preference and advance care plan when patients or caregivers when needed. Depending of the needs identified by the palliative care team assess, at least 2 of the following healthcare professionals will intervene: oncologist, pain physician, psycho-oncologist, dietitician, social worker, physiotherapist. Coordination with the home care team takes systematically place (with general practitioner, nurse and home palliative care team). New symptoms occurrence are explored with biological test or radiographic examination when necessary. Medical procedures are sometimes performed like venous perfusion therapy, blood transfusions, or draining effusion after ultrasonic tracking. It is possible to offer the patient hypnosis, relaxation or sophrology consultation. Eventually at the end of the in-patient stay, the patient is given a medical synthesis with therapeutic recommendations and personalized care plan. 1 Physician and two nurses are needed to manage 4 patients every day. Results: In 2016 we have admitted 350 patients and performed 948 stays in our supportive rand 55% of them have breast cancer. Median survival since the first day at supportive care day hospital is 65 days. Death at home occurred in 15% of patients and in hospice for 62%. Home death is more often when patients don’t have any dyspnea are included in a home palliative care network and when they receive the last chemotherapy more than 30 days before death. More date will be shown. Conclusions: Supportive care day hospital is really a good tool for integrated palliative care, promoting collaboration with oncologists, coordination with home care teams, and advance care planning, so that patients can longer stay at home as they often hope so.

Integrating Interdisciplinary Supportive Care Programs

2021 ◽  
pp. 775-781
Author(s):  
Matthew J. Loscalzo ◽  
Karen L. Clark ◽  
Barry D. Bultz ◽  
Juee Kotwal
Keyword(s):  
Health Care ◽  
Supportive Care ◽  
Health Care Professionals ◽  
Clinical Excellence ◽  
Distress Screening ◽  
Complex Needs ◽  
Care Services ◽  
The Social ◽  
Aging Populations ◽  
Unifying Principles

Now that the needs of those affected by cancer have been well documented, primarily because of biopsychosocial distress screening as the sixth vital sign, it is time to address how these multiple and complex needs can be addressed by organized teams of health care professionals. Internationally, psychosocial oncology and supportive care programs have had significant growth. In addition to the humanistic cancer care provided by treating physicians, the interdisciplinary nature of supportive care creates unique opportunities across institutions and settings and in low- and high-resourced countries to bring compassionate expertise to people affected by serious illness. Although growth has been uneven, the trajectory for the greater need of supportive care services is clear: patient need (aging populations, environmental degradation, unequal resource distribution related to the social determinants of health), limited workforce capacity, and acute concerns about rising health care costs. These trends are expected to only accelerate and are to be seen and utilized as strategic opportunities. There is a serious dearth of strategic information on how to create supportive care programs. This chapter focuses on the unifying principles and essential infrastructure that enables integrated interdisciplinary supportive care programs to grow and, more significantly, to create team cultures that alchemize diversity and conflict into programmatic and clinical excellence.

Developing a renal supportive care team from the voices of patients, families, and palliative care staff

2008 ◽  
Vol 6 (2) ◽  
pp. 133-139 ◽  
Author(s):  
Joan Berzoff ◽  
Jennifer Swantkowski ◽  
Lewis M. Cohen
Keyword(s):  
Palliative Care ◽  
Supportive Care ◽  
Family Members ◽  
Disease Process ◽  
Care Team ◽  
Care Staff ◽  
Dialysis Patients ◽  
Open Communication ◽  
Stage Renal Disease ◽  
Bereaved Family

ABSTRACTObjective:Although half a million Americans suffer from end stage renal disease (ESRD), their quality of end-of-life care has been woefully inadequate. The Renal Supportive Care Team is a demonstration project that is designed to elicit and provide for the needs of dialysis patients and their families throughout the trajectory of their illnesses.Method:Six focus groups, including medical health professionals, dialysis patients, family members, and bereaved family members, discussed how to promote improved palliative care and encourage hospice referral for patients with ESRD.Results:Respondents agreed that there needed to be greater education of both patients and families regarding all aspects of the disease process, open communication, on-going support between patients, families, and the staff, continuity of care, pain control, and assistance with advance care planning.Significance of results:Palliative and supportive care issues in ESRD need greater attention.

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