Delivering Specialized Palliative Care in the Community A New Role for Nurse Practitioners

被引：18

作者：

Deitrick, Lynn M. ^{[1
]}

Rockwell, Elke H. ^{[2
]}

Gratz, Nancy ^{[3
]}

Davidson, Carolyn

Lukas, Lou ^{[2
]}

Stevens, Donna ^{[2
]}

Fitzgerald, Gretchen ^{[2
]}

Naugle, Michele ^{[2
]}

Wolf, Jacaline ^{[2
]}

Sikora, Barbara ^{[2
]}

机构：

[1] Lehigh Valley Hlth Network, Div Community Hlth & Hlth Studies, Allentown, PA 18105 USA

[2] Lehigh Valley Hlth Network, OACIS Serv, Allentown, PA 18105 USA

[3] Lehigh Valley Hlth Network, Dept Family Med, Allentown, PA 18105 USA

来源：

ADVANCES IN NURSING SCIENCE | 2011年 / 34卷 / 04期

关键词：

advanced practice nurse; chronic illness; palliative care;

D O I：

10.1097/ANS.0b013e318235834f

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

The rising population of older Americans with advanced illness challenges current care delivery models. We use the metaphor of advanced illness as a difficult journey and propose a specific role, that of the "OACIS NP [nurse practitioner]," who helps provide a place of refuge during this journey. "OACIS" is an acronym for Optimizing Advanced Complex Illness Support, a program to provide home-based palliative medical care. The 4 pillars of this collaborative model for advanced nursing care include care coordination, medical management, psychosocial support, and education. We make the case for this expanded role for nurse practitioners who specialize in palliative care.

引用

页码：E23 / E36

页数：14

共 34 条

[1]

[Anonymous], 2009, Caregiving in the U.S., P1

[2]

[Anonymous], 2007, Journal of Hospice and Palliative Nursing, V2, P72

[3]

[Anonymous], 2001, QSR INT NVIVO 7 COMP

[4]

Bodenheimer T, 2002, NEW ENGL J MED, V358, P1064

[5] Comprehensive Primary Care for Older Patients With Multiple Chronic Conditions "Nobody Rushes You Through" [J].

Boult, Chad ;

Wieland, G. Darryl .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2010, 304 (17) :1936-1943

[6]

Brown Karen E, 2005, Dis Manag, V8, P169, DOI 10.1089/dis.2005.8.169

[7]

Brumley Richard D, 2003, J Palliat Med, V6, P715, DOI 10.1089/109662103322515220

[8] Care of the chronically ill at home: An unresolved dilemma in health policy for the United States [J].

Buhler-Wilkerson, Karen .

MILBANK QUARTERLY, 2007, 85 (04) :611-639

[9] Will generalist physician supply meet demands of an increasing and aging population? [J].

Collwill, Jack M. ;

Cultice, James M. ;

Kruse, Robin L. .

HEALTH AFFAIRS, 2008, 27 (03) :W232-W241

[10]

Creswell J. W, 2007, Qualitative inquiry and research design: choosing among five approaches

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