UBC Undergraduate Research

Cancer care coordination in ambulatory care Bird, Marissa; Kostyk, Alyssa 2014

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Cancer	 ?Care	 ?Coordination	 ?in	 ?Ambulatory	 ?Care	 ?Student	 ?team:	 ?Marissa	 ?Bird	 ?&	 ?Alyssa	 ?Kostyk	 ?Community	 ?partners:	 ?Anne	 ?Hughes,	 ?Heather	 ?Watson	 ?&	 ?Catherine	 ?van	 ?Mossel	 ?Background	 ?	 ??? Suppor?ve	 ?care	 ?is	 ?a	 ?framework	 ?that	 ?guides	 ?prac?ce	 ?by	 ?mee?ng	 ?the	 ?unique	 ?needs	 ?of	 ?people	 ?living	 ?with	 ?cancer	 ?from	 ?diagnosis	 ?through	 ?to	 ?end	 ?of	 ?life.	 ??? Within	 ?the	 ?suppor?ve	 ?care	 ?framework,	 ?care	 ?coordina?on	 ?is	 ?an	 ?integral	 ?aspect	 ?to	 ?providing	 ?personalized,	 ?seamlessly-??delivered	 ?cancer	 ?care	 ?services.	 ??? The	 ?Pa?ent	 ?Experiences	 ?with	 ?Ambulatory	 ?Cancer	 ?Care	 ?in	 ?Bri?sh	 ?Columbia	 ?Survey	 ?(2005/06)	 ?indicated	 ?par?cipants	 ?felt	 ?their	 ?treatment	 ?lacked	 ?coordina?on	 ?and	 ?con?nuity	 ?of	 ?care	 ?a?er	 ?diagnosis,	 ?during	 ?treatment,	 ?and	 ?a?er	 ?treatment	 ?comple?n.	 ??? An	 ?opportunity	 ?was	 ?iden?fied	 ?within	 ?the	 ?BC	 ?Cancer	 ?Agency	 ?to	 ?provide	 ?care	 ?coordina?on	 ?to	 ?ambulatory	 ?cancer	 ?pa?ents	 ?in	 ?a	 ?formalized,	 ?comprehensive	 ?manner.	 ?	 ?Purpose	 ??? Establish	 ?a	 ?BC	 ?Cancer	 ?Agency	 ?pilot	 ?project	 ?that	 ?focuses	 ?on	 ?care	 ?coordina?on	 ?and	 ?suppor?ve	 ?client-??centered	 ?care.	 ?	 ??? Focus:	 ??? U?lize	 ?an	 ?oncology	 ?nurse	 ?to	 ?assess,	 ?create	 ?care	 ?plans	 ?and	 ?interven?ons	 ?with	 ?a	 ?pa?ent,	 ?and	 ?give	 ?follow-??up	 ?support	 ?via	 ?clinics	 ?and	 ?telephone	 ?care.	 ??? Present	 ?ambulatory	 ?cancer	 ?pa?ents	 ?at	 ?BCCA	 ?with	 ?a	 ?tool	 ?that	 ?would	 ?help	 ?them	 ?collabora?vely	 ?plan	 ?with	 ?their	 ?care	 ?team.	 ??? 	 ?Goal:	 ??? Improve	 ?con?nuity	 ?of	 ?care	 ?and	 ?promote	 ?a	 ?client?s	 ?sense	 ?of	 ?support	 ?during	 ?all	 ?transi?ons	 ?of	 ?their	 ?experience.	 ?Student	 ?Team	 ?Role	 ?	 ??? Students	 ?par?cipated	 ?in	 ?frequent	 ?teleconferences	 ?with	 ?prac?ce	 ?partners	 ?to	 ?nego?ate	 ?roles,	 ?present	 ?work,	 ?and	 ?receive	 ?feedback.	 ?	 ??? 	 ?Students	 ?were	 ?responsible	 ?for	 ?familiarizing	 ?themselves	 ?with	 ?suppor?ve	 ?care	 ?and	 ?care	 ?coordina?on	 ?literature.	 ?	 ??? An	 ?observa?onal	 ?day	 ?at	 ?BC	 ?Cancer	 ?Centre	 ?(Vancouver)	 ?was	 ?undertaken	 ?by	 ?the	 ?students	 ?to	 ?facilitate	 ?a	 ?be?er	 ?understanding	 ?of	 ?ambulatory	 ?cancer	 ?care.	 ?	 ??? A	 ?care	 ?plan	 ?dra?	 ?was	 ?developed	 ?by	 ?the	 ?students	 ?for	 ?use	 ?by	 ?ambulatory	 ?cancer	 ?pa?ents.	 ?The	 ?care	 ?plan	 ?was	 ?guided	 ?by	 ?team	 ?feedback,	 ?relevant	 ?literature,	 ?and	 ?current	 ?interna?onal	 ?care	 ?plans.	 ??? Students	 ?had	 ?the	 ?opportunity	 ?to	 ?remotely	 ?sit	 ?in	 ?on	 ?a	 ?mee?ng	 ?with	 ?Program	 ?Directors/Advocates	 ?and	 ?BCCA	 ?team	 ?partners.	 ?	 ?Deliverables	 ?1.? Students	 ?completed	 ?an	 ?updated	 ?literature	 ?review	 ?with	 ?specific	 ?search	 ?criteria.	 ?Recently	 ?published	 ?ar?cles	 ?were	 ?added	 ?to	 ?the	 ?project	 ?library	 ?of	 ?relevant	 ?literature	 ?conducted	 ?previously.	 ?2.? The	 ?crea?on	 ?of	 ?a	 ?dra?	 ?client	 ?care	 ?plan	 ?was	 ?carried	 ?out	 ?by	 ?the	 ?students	 ?under	 ?the	 ?guidance	 ?and	 ?support	 ?of	 ?the	 ?project	 ?team.	 ?	 ?Disclaimer:	 ?The	 ?following	 ?care	 ?plan	 ?is	 ?a	 ?dra?	 ?and	 ?is	 ?currently	 ?under	 ?revision.	 ?Any	 ?use	 ?or	 ?modifica?on	 ?is	 ?strictly	 ?prohibited.	 ?Excerpt	 ?of	 ?Client	 ?Care	 ?Plan	 ?Excerpt	 ?of	 ?Client	 ?Care	 ?Plan	 ?Learning	 ?Outcomes	 ??? The	 ?crea?on	 ?of	 ?a	 ?pilot	 ?and	 ?client	 ?care	 ?plan	 ?was	 ?a	 ?unique	 ?experience	 ?to	 ?be	 ?part	 ?of.	 ?	 ??? The	 ?dynamic	 ?interplay	 ?between	 ?par?es	 ?in	 ?a	 ?large	 ?provincial	 ?organiza?on	 ?was	 ?an	 ?important	 ?part	 ?of	 ?the	 ?care	 ?plan	 ?development	 ?process.	 ?	 ??? This	 ?project	 ?taught	 ?us	 ?that	 ?o?en	 ??mes	 ?the	 ?implementa?on	 ?of	 ?change	 ?within	 ?an	 ?organiza?on	 ?is	 ?as	 ?much	 ?about	 ?the	 ?process	 ?as	 ?the	 ?product.	 ?	 ??? It	 ?allowed	 ?us	 ?to	 ?see	 ?the	 ?importance	 ?of	 ?collabora?on,	 ?team	 ?work,	 ?and	 ?reflexivity.	 ?	 ??? The	 ?experience	 ?of	 ?par?cipa?ng	 ?in	 ?this	 ?project	 ?gave	 ?us	 ?an	 ?apprecia?on	 ?for	 ?the	 ?importance	 ?of	 ?effec?ve	 ?communica?on	 ?and	 ?collabora?ve	 ?teamwork.	 ?Next	 ?Steps	 ?	 ??? A	 ?care	 ?plan	 ?has	 ?been	 ?dra?ed	 ?and	 ?will	 ?receive	 ?input	 ?from	 ?mul?media	 ?services	 ?in	 ?the	 ?near	 ?future.	 ??? BCCA	 ?team	 ?members	 ?will	 ?liaise	 ?with	 ?leaders	 ?in	 ?their	 ?organiza?on	 ?to	 ?implement	 ?the	 ?new	 ?pa?ent	 ?care	 ?plan	 ?tool.	 ?	 ?	 ??? The	 ?care	 ?plan	 ?will	 ?be	 ?incorporated	 ?into	 ?the	 ?larger	 ?care	 ?coordina?on	 ?project	 ?within	 ?the	 ?BC	 ?Cancer	 ?Agency.	 ?	 ?Special	 ?thanks	 ?to	 ?the	 ?BC	 ?Cancer	 ?Agency	 ?and	 ?our	 ?community	 ?partners	 ?Anne,	 ?Heather	 ?and	 ?Catherine!	 ?References	 ??? Campbell,	 ?B.H.,	 ?Massey,	 ?B.L.	 ?and	 ?Myers,	 ?K.B.	 ?(2012).	 ?Survivorship	 ?care	 ?plans	 ?for	 ?pa?ents	 ?with	 ?head	 ?and	 ?neck	 ?cancer.	 ?Archives	 ?of	 ?Otolaryngology	 ??	 ?Head	 ?and	 ?Neck	 ?Surgery,	 ?138(12),	 ?1116-??1119.	 ?	 ??? Cancer	 ?Care	 ?Ontario.	 ?(2010).	 ?Edmonton	 ?symptom	 ?assessment	 ?system	 ?(revised).	 ?Retrieved	 ?from	 ?h?ps://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13846	 ?	 ??? Ferrell,	 ?B.R.	 ?and	 ?Grant,	 ?M.	 ?(n.d.).	 ?Quality	 ?of	 ?life	 ?pa?ent/cancer	 ?survivor	 ?version	 ?[PDF	 ?Document].	 ?Retrieved	 ?from	 ?h?://prc.coh.org/QOL-??CS.pdf .	 ?	 ??? Macmillan	 ?Cancer	 ?Support.	 ?(2010).	 ?Assessment	 ?and	 ?care	 ?planning	 ?for	 ?people	 ?with	 ?cancer.	 ?Retrieved	 ?from	 ?h?p://www.ncsi.org.uk/wp-??content/uploads/Assessment-??and-??Care-??Planning-??Booklet.pdf	 ??? Na?onal	 ?Cancer	 ?Ac?on	 ?Team.	 ?(2010).	 ?Holis?c	 ?needs	 ?assessment	 ?for	 ?people	 ?with	 ?cancer:	 ?a	 ?prac?cal	 ?guide	 ?for	 ?healthcare	 ?professionals.	 ?Retrieved	 ?from	 ?h?p://www.rcplondon.ac.uk/sites/default/files/hna_full_prac?cal_guide_web.pdf	 ??? Na?onal	 ?Cancer	 ?Ac?on	 ?Team.	 ?(2010).	 ?Holis?c	 ?common	 ?assessment	 ?of	 ?suppor?ve	 ?and	 ?pallia?ve	 ?care	 ?need	 ?for	 ?adults	 ?requiring	 ?end	 ?of	 ?life	 ?care.	 ?Retrieved	 ?from	 ?h?p://www.trinityhospice.co.uk/wp-??content/uploads/2011/08/l_-??NHS_EoLC_Programme_Holis?c_Common_Assessment	 ?_Document_2010.pdf	 ??? Na?onal	 ?Cancer	 ?Survivorship	 ?Ini?a?ve.	 ?(2010).	 ?Treatment	 ?Summary.	 ?Retrieved	 ?from	 ?h?p://www.ncsi.org.uk/wp-??content/uploads/NCSI_Treatment_Summary_TemplatePDF.pdf	 ?	 ??? UBC	 ?Centre	 ?for	 ?Health	 ?Services	 ?and	 ?Policy	 ?Research.	 ?Pa?ent	 ?Experiences	 ?with	 ?Ambulatory	 ?Cancer	 ?Care	 ?in	 ?Bri?sh	 ?Columbia:	 ?2005/06	 ?2007	 ?h?p://www.chspr.ubc.ca/research-??area/project/pa?ent-??experiences-??ambulatory-??cancer-??care-??bri?sh-??columbia-??200506	 ?accessed	 ?Jan	 ?31,	 ?2014	 ?

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