Cancer symptom management in the elderly.
Clear and concise written guidelines must designate accountability for coordination of the persons involved. As might be assumed by the preceding discussion, the process takes considerable time and effort. The development of clear guidelines is a long term venture and usually does not occur quickly. In some cases a nearby agency may have developed a useful protocol that when shared with area providers, is quickly accepted. However, one to two years is not uncommon to developing a complex plan of care or protocol which can be used effectively and is specific to the conditions in a particular setting. Written guides, when developed correctly, should save all providers' time, and ensure better client care. Clear directions regarding the care to be provided and well-established lines of communication can save health care providers time and increase the likelihood of better health outcomes for the client. The coordination of planning within the home care agency, and across professional, agency and geographic boundaries is a prerequisite for successful cancer symptom management. The central aim in planning is to enhance the family's ability to manage independently and to facilitate continuity of care in the use of health care services. For the client to have the greatest potential for symptom amelioration, the home care agency must assume a major role in the coordination of care providers in the delivery of care.
Worcester
M
M
School of Nursing, University of Washington, Seattle 98195.
Pesznecker
B
B
Albert
M
M
Grupp
K
K
Horn
B
B
O'Connor
K
K
D000368:Aged; D000855:Anorexia / Q000209:etiology / Q000451:nursing; D002985:Clinical Protocols; D003248:Constipation / Q000209:etiology / Q000628:therapy; D004417:Dyspnea / Q000209:etiology / Q000451:nursing; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D007373:Interinstitutional Relations; D009325:Nausea / Q000209:etiology / Q000451:nursing; D009369:Neoplasms / Q000150:complications / Q000451:nursing / Q000628:therapy*; D009733:Nursing Diagnosis / Q000592:standards; D010146:Pain / Q000209:etiology / Q000451:nursing; D010347:Patient Care Planning / Q000592:standards*; D014481:United States; D014839:Vomiting / Q000209:etiology / Q000451:nursing