title: Delivering specialized palliative care in the community: a new role for nurse practitioners.
abstract: 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.
authors: Division of Community Health and Health Studies, Lehigh Valley Health Network, Allentown, Pennsylvania 18105, USA. Lynn.Deitrick@lvhn.org
authors: Lynn M
authors: LM
authors: Deitrick
authors: Elke H
authors: EH
authors: Rockwell
authors: Nancy
authors: N
authors: Gratz
authors: Carolyn
authors: C
authors: Davidson
authors: Lou
authors: L
authors: Lukas
authors: Donna
authors: D
authors: Stevens
authors: Gretchen
authors: G
authors: Fitzgerald
authors: Michele
authors: M
authors: Naugle
authors: Jacaline
authors: J
authors: Wolf
authors: Barbara
authors: B
authors: Sikora
mesh_terms: D000368:Aged; D003695:Delivery of Health Care / Q000379:methods / Q000592:standards; D006699:Home Care Services / Q000592:standards*; D006764:Hospitals, Community / Q000592:standards; D006801:Humans; D009722:Nurse Practitioners / Q000458:organization & administration*; D010166:Palliative Care / Q000379:methods* / Q000592:standards; D010414:Pennsylvania; D014481:United States