| Autor: |
Kinnane, Nicole, Guccione, Lisa, Devereaux, Catherine, Gyorki, David, Khot, Amit, Dolling, Marilyn, Baden, Paul, Milne, Donna, Joyce, Trish, Steer, Christopher, Maddiso, Claire, Krishnasamy, Mei |
| Předmět: |
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| Zdroj: |
Australian Journal of Cancer Nursing; Jul2024, Vol. 25 Issue 1, p58-59, 2p |
| Abstrakt: |
Introduction International guidelines recommend routine pretreatment geriatric assessment for older adults with cancer. 'This is Me' is a novel co-designed resource to communicate older adults' preferences for care and treatment. It addresses functional/physical/emotional health; comorbidities; cognition; social inclusion and preferences for quality or quantity of life. Targeting integration of resource information into MDMs may help embed what matters most to patients into discussions about optimal treatment planning. Objective To explore opportunity to integrate 'This is Me' into cancer MDMs. Methodology A qualitative descriptive study using focus groups and interviews was undertaken. Eligible consumers and MDM healthcare professionals (HCPs) were recruited from Melanoma and Multiple Myeloma (MM) services at a tertiary cancer centre. An evidence-informed implementation science framework (AACTT) was used to guide data collection and analysis. Data were analysed using manifest content analysis. Results Fourteen consumers (patients n=9, carers n=5) and 11 HCPs (MM services n=5, Melanoma services n=6) participated. Both groups reported the information generated by 'This is Me' supported holistic understanding of a person's needs, providing opportunity for clinicians and patients to engage in conversations about subjects that might not otherwise have been raised. However, both groups questioned whether the MDM was the most appropriate context for the information generated, suggesting instead the resource could be used by patients and HCPs early in the patient's illness pathway. Participants also highlighted some wording ambiguity within 'This is Me', indicating a need to revise the resource. Conclusion Our data highlighted the importance of 'This is Me' being used early in patients' treatment and care pathways, albeit not in the MDM. HCPs and consumers advocated for further engagement and re-design of 'This is Me' resource. Next steps will include resource re-design and a national survey of multidisciplinary cancer clinicians to establish its clinical utility in usual care. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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