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Vanessa Karen Beattie
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P3.07 - Nursing and Allied Professionals (Not CME Accredited Session) (ID 973)
- Event: WCLC 2018
- Type: Poster Viewing in the Exhibit Hall
- Track:
- Presentations: 2
- Moderators:
- Coordinates: 9/26/2018, 12:00 - 13:30, Exhibit Hall
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P3.07-01 - Telephone Preassessment Clinic Incorporating Holistic Needs (ID 13268)
12:00 - 13:30 | Presenting Author(s): Vanessa Karen Beattie
- Abstract
Background
Approximately 44,000 people are diagnosed with Lung Cancer in the United Kingdom ( CRUK,2012). In Liverpool we serve a population of 330,00. As health care providers we constantly look to new models of care to aid earlier diagnosis . Introduction of a new referral system into the diagnostic service at our hospital including: pre planned investigations prior to first outpatient appointment, it was identified that some pre planned investigations were inappropriate for some patients due to unknown performance status and co-morbidities. There was an increase in patients failing to attend outpatient appointments. The Lung CNS team looked provide intervention to provide patients with early access to key worker support with the aim of enhancing and reducing the lung cancer pathway
a9ded1e5ce5d75814730bb4caaf49419 Method
In 2016 a pre assessment proforma was developed. CT scan reports and referrals are assessed by Lead Lung Physician and appropriate referrals fowarded to Lung CNS . Lung CNS team contact patients via telephone and a pre assessment proforma completed. Patients informed of date of outpatient appointment need for investigations and explanation provided of what to expect. Holistic needs assessment undertaken to enable any concerns to be raised and allow early intervention by the specialist team with an aim of improving symptoms and performance status prior to commencing a treatmnt pathway.
4c3880bb027f159e801041b1021e88e8 Result
Initial audit results looking at case studies, failure to attend rates and patient satisfaction met our objectives. There has been a reduction in failure of patients attending investigations; reduction in cancellation of prebooked investigations; provides early rapport between lung CNS and patient/carer with earlier recognition of symptoms and earlier access to urgent treatments; allows health education prior to first outpatient appointment including: smoking cessation; exercise and nutrition.
8eea62084ca7e541d918e823422bd82e Conclusion
This work has been an opportunity to demonstrate a positive impact on the patient pathway by streamling complexities in the pre diagnostic phase. Whilst it had a marked impact on the Lung CNS job plan it accomodates a growing demand on a constrained service. A revised job plan has been put in place for Lung CNS, there is improved communication and coordination between departments, importantly patients view this service positively.
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P3.07-05 - Can Improving Working Partnerships with Primary Care Prevent Avoidable Emergency Admissions for Patients with Lung Cancer? (ID 11819)
12:00 - 13:30 | Author(s): Vanessa Karen Beattie
- Abstract
Background
A literature search was performed. Primary Care Professionals (PCP'S) and National Lung Cancer Forum for Nurses (NLCFN) members were surveyed. Patients with a known diagnosis of lung cancer and their carers were interviewed following emergency care admissions.
Lung Cancer Nurse Specialists (LCNS) from 15 NHS Trusts/Health Boards (HB) throughout the United Kingdom participated in data collection between May and August 2017.
a9ded1e5ce5d75814730bb4caaf49419 Method
A literature search (CINAHL, Embase, Proquest, PubMed, Medline) was performed.
120 PCP's from 7 CCG's/HB were surveyed to ask how and why they would contact a LCNS; any difficulties experienced contacting a LCNS and what support the LCNS could provide. 86 (72%) responded.
27 patients and their carers from 5 NHS/HB who were admitted as an emergency with a symptom related to their lung cancer were interviewed by a LCNS.
A questionnaire was sent to all NLCFN members, asking "What do you do in your current practice to help prevent avoidable emergency hospital attendances?"
4c3880bb027f159e801041b1021e88e8 Result
There was no published literature specific to the project aim.
46 (53%) PCP's knew how to contact the LCNS, 24 (28%) did not and 16 (19%) were unaware the service existed. PCP's reported that the LCNS could improve communication and provide education and specialist advice to help reduce avoidable emergency admissions.
Following review by the LCNS, 25 (92%) of emergency admissions were deemed necessary. 2 (8%) patients contacted 999, with the rest seeking advice from the LCNS, Acute Oncology Service or GP prior to admission.
282 NLCFN members were surveyed with 59 respondents. Findings highlighted wide variations in practice, although a number of common themes were evident. Proactive communication with patients and HCP's and timely referrals and signposting were key to identifying and addressing potential problems as early as possible.
8eea62084ca7e541d918e823422bd82e Conclusion
This small data sample suggests that patients were admitted appropriately. The NLCFN survey highlighted the role of the LCNS in providing expert specialist knowledge and advice to patients and Health Care Professionals throughout the patients journey. PCP's expressed that they would like to know more about the role of the LCNS and would value better means of communication, advice and specialist support to improve patient care.
6f8b794f3246b0c1e1780bb4d4d5dc53
