ACHIEVING A HIGH-QUALITY CANCER CARE DELIVERY SYSTEM FOR OLDER ADULTS: INNOVATIVE MODELS OF CARE

被引:6
|
作者
Van Cleave, Janet H. [1 ]
Smith-Howell, Esther [2 ]
Naylor, Mary D. [3 ,4 ]
机构
[1] NYU, Coll Nursing, 433 First Ave, New York, NY 10010 USA
[2] Univ Penn, Sch Nursing, Philadelphia, PA USA
[3] Univ Penn, Sch Nursing, Gerontol, Philadelphia, PA 19104 USA
[4] Univ Penn, Sch Nursing, NewCourtland Ctr Transit & Hlth, Philadelphia, PA 19104 USA
关键词
cancer; model; aging; chronic illness; evidence-based; nurse-led; ALL-INCLUSIVE CARE; RANDOMIZED CONTROLLED-TRIAL; EARLY PALLIATIVE CARE; CELL LUNG-CANCER; HEALTH-CARE; OF-LIFE; CHEMOTHERAPY TOXICITY; TRANSITIONAL CARE; CLINICAL-OUTCOMES; FUNCTIONAL STATUS;
D O I
10.1016/j.soncn.2016.02.006
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
OBJECTIVES: To examine innovative models and other research-based interventions that hold potential to assure high-quality care for the growing older adult population living with cancer as one of multiple chronic conditions. Evidence from these care delivery approaches provides a roadmap for the development of future care models. DATA SOURCES: Published peer-reviewed literature, policy analyses, and web-based resources. CONCLUSION: Available evidence suggests the need for models that engage patients and their family caregivers, focus on patient's functional capacities, emphasize palliative care, and maximize the contributions of all team members. IMPLICATIONS FOR NURSING PRACTICE: Nurses are uniquely positioned to lead or play a major role in the evolution and implementation of care models targeting older adults with cancer, but must increase their knowledge and skills related to both oncology and geriatrics to maximize their contributions.
引用
收藏
页码:122 / 133
页数:12
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