Project
Monitoring of Patients’ Needs, Professional Triggers and delivered Basic Palliative Care Interventions in Routine inpatient and ambulatory of Advanced Incurable Cancer Patients: A sub-study to pilot the clinical practice tool – ESMO patient guide with KIPCC log
Automatically Closed · 2016 until 2017
Strasser Florian, Domeisen Benedetti Franzisca
Type
Range
Units
Status
Start Date
End Date
Financing
Study Design
Brief description/objective
Increasing evidence from randomized studies (Level A) shows that quickly integrated palliative care interventions in the treatment of cancer patients may improve the quality of life of patients and relatives, illness and prognosis understanding and survival of patients, as well as the effective use of health care system resources. Most studies have investigated the difference be-tween additional specialized palliative care services compared to standard treatments.
Depending on the setting and training, oncologists and nurses are important providers of basic palliative interventions. These "Key Interventions in Pallia-tive Cancer Care" (KIPCC) have been defined in preliminary studies (IZERZO, literature review) and include illness and prognosis understanding, multi-dimensional symptom control, decision-making with respect to invasive inter-ventions and end of life, professional network including caregivers, family support, end-of-life preparation and spirituality. A structured screening of patient needs for KIPCCs seems to be important, yet questions remain about by whom, how and when (triggers) it should be carried out. Based on this, the provision of KIPCCs by oncologists and nurses supported by specialist palliative care is currently still unclear (in non-North American Settings).
The aim of the MENTOR study is to develop clinical practice tools, to train professionals in usage of the tools use, and to test them. Needs of patients and family members for KIPCCs and professional triggers for KIPCC can be captured and provided by doctors (oncologists and GPs) and nurses in inpa-tient, outpatient, and home routine settings.