- Email: [email protected]
14 Adapting cardiac rehabilitation for people with cancer
Abstracts and Learning Outcomes / European Journal of Oncology Nursing 18S1 (2014) S1–S22
11 Engaging patients as vigilant partners in safety J.P. Prata1 . 1 Portugal Oncologic Institute, Oncology Day Care Hospital, Portela Carnaxide, Portugal Background: The innovation in medicine brought the necessity for constant development in healthcare. While simultaneously exposing professionals and patients to new stages of disease, a permanent effort of accommodation from caregivers is essential to fulfill patient’s needs. In this context medical error and adverse events can become an imminent global threat to patients. Nowadays it’s becoming emphasized an active role of the patient as the last and final barrier against error. Engaging patients, as vigilant partners in safety can be positively measurable not only in terms of patient safety, but and also as an opportunity of patient centered care. Some authors point out that, the decision to participate is modulated by variables inherent to patient, as well as others that emerge from the context of caregiving. To empower patients in the prevention of adverse events (from identification to subsequent correction), these variables must be considered for successful development of patient safety strategies. Material and Methods: A research conducted in health databases for recent publications, using key terms about the theme and giving privilege to: systematic reviews of the literature or valid articles on key areas. Results: The patient is the ultimate line of defence to prevent adverse events and medical errors. The strategies undertaken to sensitize the patient to engage as vigilant partner in safety, will be more effective if they take in consideration variables that interfere proactively in is decision making process. Developments made in this are represent one step forward in patient centered care. Despite the existence of some systematization, some authors identify this area as fragmented whit needed integration. Conclusion: Engaging patients towards safety in care is feasible and realistic, with positive outcomes in patient safety, and globally in health. Measures have been taken in the past to stimulate an activate conduct from patient, but some of them have questionable approach and effectiveness. Knowing which complex variables modulate the decision of the patient to engage in safer care, it’s essential to help him develop an empowered attitude against adverse events. Some cultural changes must take place to enable the patient as vigilant partner, and they must rely in the assumptions of preventing the erosion in patient/professional relation, and also preserve an undesirable transfer of responsibility to the patient. No conflict of interest.
Parallel Session: ESO / EONS: Reintegration and Rehabilitation after Cancer Treatment 12 What is needed to return to work after cancer No abstract received. No conflict of interest information specified. 13 Rehabilitation conversations with cancer patients in hospitals 1
1
L. Thisted . Rigshospitalet, Cancer, Copenhagen, Denmark Introduction: Identifying cancer patient needs for rehabilitation and palliation initially, during, and after treatment, based on the patient’s perspective and need of support, has been mandatory
S3
in Denmark since 2012 according to the National Cancer Disease Management Program. However most patients spend shorter time at hospital as their treatment is accelerated, and a Danish National Multidisciplinary Group concluded in 2011 that no validated tool to date is developed to screen or graduate needs for rehabilitation and/or palliation. Therefore each five regions in Denmark had to decide how to perform this identification of needs. This presentation describes the experiences with having rehabilitation conversations between nurses and patients across cancer treatment and diagnosis at the Copenhagen University Hospital, Rigshospitalet. Material and Method: Different methods were used. At thoracic surgery ward nurses initiated systematic conversations with patients before the patients were discharged. At five oncology wards nurses held rehabilitation conversations with patients (n = 54) based on narrative communication skills during and after radio- and chemotherapy in outpatient clinic. At haematological wards nurses and managers held conversations based on a local clinical guideline. In 2013 a regional task force group of multidisciplinary leaders, practitioners and patient representatives defined principles for rehabilitation and palliation and developed and performed a three phase pilot test of a dialogue tool inspired by ICF, Distress Thermometer and Guided Self Determination. In the pilot tests different methods as individual interview, focus group interview, questionnaires, and observational studies were used. Results and Discussion: Based on the above experiences a dialogue tool is developed and will be implemented across all hospitals (n = 7), at municipalities (n = 29), and by the patients general practitioner in autumn 2014. The involvement of the patients’ life and problems is essential for successful rehabilitation and the dialogue tool prepare the patient and their relatives on conversations with nurses about their needs for support. The tool gives the patients the opportunity to use their expertise of their daily life which can be combined with the nurses’ expertise on treatment, side effects and possibilities for support and education. Conclusion: Different tests and experiences from nursing staff and patients show that involvement at different levels was needed and useful and this will hopefully provide a successful implementation of the new dialogue tool. Instead of making a new tool for nurses it was needed to develop a tool where patients and relatives can be involved and prepare themselves for conversations about rehabilitation (and palliation). This provide efficient use of patients and nurses time at the hospital and give them both a more targeted and qualified conversation. No conflict of interest. 14 Adapting cardiac rehabilitation for people with cancer No abstract received. No conflict of interest information specified.
Proffered Papers: Symptom Management 15 The examination of the daily port use behaviours of cancer patients with implantable catheter port 3 O. Ugur1 , A. Akdeniz2 , D. Arslan3 , H. Ku¨ c¸ ukkurt ¨ , G. Ozturk ¨ 3 . 1 Dokuz Eylul Universitesi, Izmir, Turkey; 2 Dokuz Eylul Universitesi, School Of Nursing, Izmir, Turkey; 3 Dokuz Eylul Universitesi, Hospital, Izmir, Turkey
Background: Implantable Catheter Ports have been used in oncology for 20 years. They are very important for short or long term chemotherapy, antibiotic treatment, parenteral nutrition, blood letting, pain treatment and for oncology patients who have blood transfusion very often. Thanks to Implantable Catheter Ports, patients can go on with their daily activities and damages caused
11 Engaging patients as vigilant partners in safety J.P. Prata1 . 1 Portugal Oncologic Institute, Oncology Day Care Hospital, Portela Carnaxide, Portugal Background: The innovation in medicine brought the necessity for constant development in healthcare. While simultaneously exposing professionals and patients to new stages of disease, a permanent effort of accommodation from caregivers is essential to fulfill patient’s needs. In this context medical error and adverse events can become an imminent global threat to patients. Nowadays it’s becoming emphasized an active role of the patient as the last and final barrier against error. Engaging patients, as vigilant partners in safety can be positively measurable not only in terms of patient safety, but and also as an opportunity of patient centered care. Some authors point out that, the decision to participate is modulated by variables inherent to patient, as well as others that emerge from the context of caregiving. To empower patients in the prevention of adverse events (from identification to subsequent correction), these variables must be considered for successful development of patient safety strategies. Material and Methods: A research conducted in health databases for recent publications, using key terms about the theme and giving privilege to: systematic reviews of the literature or valid articles on key areas. Results: The patient is the ultimate line of defence to prevent adverse events and medical errors. The strategies undertaken to sensitize the patient to engage as vigilant partner in safety, will be more effective if they take in consideration variables that interfere proactively in is decision making process. Developments made in this are represent one step forward in patient centered care. Despite the existence of some systematization, some authors identify this area as fragmented whit needed integration. Conclusion: Engaging patients towards safety in care is feasible and realistic, with positive outcomes in patient safety, and globally in health. Measures have been taken in the past to stimulate an activate conduct from patient, but some of them have questionable approach and effectiveness. Knowing which complex variables modulate the decision of the patient to engage in safer care, it’s essential to help him develop an empowered attitude against adverse events. Some cultural changes must take place to enable the patient as vigilant partner, and they must rely in the assumptions of preventing the erosion in patient/professional relation, and also preserve an undesirable transfer of responsibility to the patient. No conflict of interest.
Parallel Session: ESO / EONS: Reintegration and Rehabilitation after Cancer Treatment 12 What is needed to return to work after cancer No abstract received. No conflict of interest information specified. 13 Rehabilitation conversations with cancer patients in hospitals 1
1
L. Thisted . Rigshospitalet, Cancer, Copenhagen, Denmark Introduction: Identifying cancer patient needs for rehabilitation and palliation initially, during, and after treatment, based on the patient’s perspective and need of support, has been mandatory
S3
in Denmark since 2012 according to the National Cancer Disease Management Program. However most patients spend shorter time at hospital as their treatment is accelerated, and a Danish National Multidisciplinary Group concluded in 2011 that no validated tool to date is developed to screen or graduate needs for rehabilitation and/or palliation. Therefore each five regions in Denmark had to decide how to perform this identification of needs. This presentation describes the experiences with having rehabilitation conversations between nurses and patients across cancer treatment and diagnosis at the Copenhagen University Hospital, Rigshospitalet. Material and Method: Different methods were used. At thoracic surgery ward nurses initiated systematic conversations with patients before the patients were discharged. At five oncology wards nurses held rehabilitation conversations with patients (n = 54) based on narrative communication skills during and after radio- and chemotherapy in outpatient clinic. At haematological wards nurses and managers held conversations based on a local clinical guideline. In 2013 a regional task force group of multidisciplinary leaders, practitioners and patient representatives defined principles for rehabilitation and palliation and developed and performed a three phase pilot test of a dialogue tool inspired by ICF, Distress Thermometer and Guided Self Determination. In the pilot tests different methods as individual interview, focus group interview, questionnaires, and observational studies were used. Results and Discussion: Based on the above experiences a dialogue tool is developed and will be implemented across all hospitals (n = 7), at municipalities (n = 29), and by the patients general practitioner in autumn 2014. The involvement of the patients’ life and problems is essential for successful rehabilitation and the dialogue tool prepare the patient and their relatives on conversations with nurses about their needs for support. The tool gives the patients the opportunity to use their expertise of their daily life which can be combined with the nurses’ expertise on treatment, side effects and possibilities for support and education. Conclusion: Different tests and experiences from nursing staff and patients show that involvement at different levels was needed and useful and this will hopefully provide a successful implementation of the new dialogue tool. Instead of making a new tool for nurses it was needed to develop a tool where patients and relatives can be involved and prepare themselves for conversations about rehabilitation (and palliation). This provide efficient use of patients and nurses time at the hospital and give them both a more targeted and qualified conversation. No conflict of interest. 14 Adapting cardiac rehabilitation for people with cancer No abstract received. No conflict of interest information specified.
Proffered Papers: Symptom Management 15 The examination of the daily port use behaviours of cancer patients with implantable catheter port 3 O. Ugur1 , A. Akdeniz2 , D. Arslan3 , H. Ku¨ c¸ ukkurt ¨ , G. Ozturk ¨ 3 . 1 Dokuz Eylul Universitesi, Izmir, Turkey; 2 Dokuz Eylul Universitesi, School Of Nursing, Izmir, Turkey; 3 Dokuz Eylul Universitesi, Hospital, Izmir, Turkey
Background: Implantable Catheter Ports have been used in oncology for 20 years. They are very important for short or long term chemotherapy, antibiotic treatment, parenteral nutrition, blood letting, pain treatment and for oncology patients who have blood transfusion very often. Thanks to Implantable Catheter Ports, patients can go on with their daily activities and damages caused