“The idea of early palliative care was really a strategy for preventing people from going through unnecessary and unwanted suffering, treatments, and things that were not consistent with their values and preferences. . . . For people who have a serious illness, it’s not good to wait until you’re facing these very critical decisions. You need to plan upfront,” ONS member Marie Bakitas, DNS, APRN, FAAN, AOCN®, professor and associate dean for research and scholarship at the University of Alabama at Birmingham, told Jaime Weimer, MSN, RN, AGCNS-BC, AOCNS®, oncology clinical specialist at ONS, during a conversation about implementing palliative and supportive care for patients with cancer. You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below.
Music Credit: “Fireflies and Stardust” by Kevin MacLeod
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Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by March 17, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center’s Commission on Accreditation.
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Highlights From Today’s Episode
“Now we think of palliative care as really the umbrella—it’s a medical specialty, it’s a nursing specialty field that you can get certified in. And hospice and comfort care are a subset of palliative care. Think of palliative care as the umbrella, and then toward the very end of life, hospice care—which is often guided by a very limited prognosis time frame of six months or less—and then within hospice care, comfort care is that care that is provided typically at the very end of life.” Timestamp (TS) 03:13
“For us, the idea of early palliative care was really a prevention strategy for preventing people from going through unnecessary and unwanted suffering, treatments, and things that were not consistent with their values and preferences. We took a page out of the childbirth movement playbook and said, ‘If you’re pregnant, you don’t wait until 8 months and 29 days, to say, ‘Oh, I’m having a baby. Maybe I should think about how to plan for that.’’ Similarly, for people who have a serious illness, it’s not good to wait until you’re facing these very critical decisions. You need to plan up-front. That was the genesis of our program that we call Project ENABLE.” TS 07:18
“ENABLE was about at the time people were diagnosed, meeting them there and helping them to learn skills of symptom management, communication, problem solving, advance care planning. So that when they were ill and facing these issues, they had the skills and preparation to do so.” TS 08:17
“I think the health equity issues are ones that we can overcome. We have to be aware of them. In particular with palliative care, we need to offer these treatments in ways that have been determined to be culturally acceptable.” TS 11:20
“We need to be doing what we call primary palliative care, and that is that every clinician who interacts with an oncology patient who has advanced cancer, metastatic disease, or high symptom burden, has these skills of communication. Oncology nurses are the lead for pain and symptom management. But there are many communication skills that are really important and prioritizing these kinds of conversations and this kind of content being presented at the front end when people are newly diagnosed.” TS 26:34
“I think it’s really beneficial for individual nurses to understand to get their own individual information, but I know we all have the need to do quality improvement projects and other kinds of efforts in our clinics and organizations. This might be something that you prioritize for the year: What aspects of palliative care—this extra layer of support—can we provide? . . . We should continue to educate ourselves about the differences and the ways to present and talk about palliative care so that it removes some of the mystery, reduces some of the perceptions. . . and skillfully say, ‘Hey, this is an extra layer of support for you and your family.’” TS 29:46
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