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Josie Roberts



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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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      P3.07-05 - Can Improving Working Partnerships with Primary Care Prevent Avoidable Emergency Admissions for Patients with Lung Cancer? (ID 11819)

      12:00 - 13:30  |  Author(s): Josie Roberts

      • Abstract
      • Slides

      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.

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      P3.07-10 - What Do People Living with Lung Cancer Want and Need from the Recovery Package (ID 11930)

      12:00 - 13:30  |  Presenting Author(s): Josie Roberts

      • Abstract
      • Slides

      Background

      The National Cancer Survivorship Initiative (NCSI 2013) supported by Macmillan and NHS England identified the Recovery Package as a key outcome for people living with and beyond cancer, yet little is known about whether it meets the needs of people with lung cancer. The aim of the research was to examine the experience, treatment and the recovery of people living with and surviving lung cancer.

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      a9ded1e5ce5d75814730bb4caaf49419 Method

      The research was a single site, mixed methods study, incuding a survey and interviews of patients .

      ► a survey to identify and understand what people have experienced in terms of on-going support to enhance their recovery.

      ► interviews to improve understanding of the patient and family experience

      ► to generate initial recommendations through analysis of survey and interview data.

      100 invites were sent out to those who met the eligibility criteria; 34 completed the questionairre and 17 agreed to be interviewed.

      4c3880bb027f159e801041b1021e88e8 Result

      ► Understanding of the recovery package was lacking

      ► There was a mixed response of positive and negative comments related to the various health professionals involved in The Recovery Package

      ► Health and wellbeing programmes were welcomed

      ► An individualised exercise and rehabiliation programme would be preferable

      ► 70% surveyed wanted to know more about The Recovery Package

      8eea62084ca7e541d918e823422bd82e Conclusion

      For The Recovery Package to be effective it needs to be managed and maintained by all health care professionals involved in the patient pathway. Patients and carers need to be made aware of what is available locally and nationally to enhance their recovery and quality of life. Implementing a dedicated rehabilitation programme to promote the enhanced physical recovery and to address psycho-social needs of people living with and beyond lung cancer is required.

      6f8b794f3246b0c1e1780bb4d4d5dc53

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