A model for coordinated delivery of individualized complementary and integrative medicine care for cancer survivors
| العنوان: | A model for coordinated delivery of individualized complementary and integrative medicine care for cancer survivors |
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| المؤلفون: | Marie Winters, Kathryn Doran, Nhu Huynh, Michelle Niesley |
| المصدر: | Journal of Clinical Oncology. 34:e286-e286 |
| بيانات النشر: | American Society of Clinical Oncology (ASCO), 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Cancer Research, medicine.medical_specialty, business.industry, Primary care physician, Cancer, medicine.disease, 03 medical and health sciences, 0302 clinical medicine, Oncology, Multidisciplinary approach, 030220 oncology & carcinogenesis, Survivorship curve, Family medicine, Lifestyle intervention, medicine, Integrative medicine, business, Psychosocial, Assessment and plan, 030217 neurology & neurosurgery |
| الوصف: | e286 Background: Cancer survivors may experience both physical and psychosocial sequelae as a result of cancer treatment. Many patients consult either their oncologist or primary care physician for lifestyle interventions to address survivorship issues. While studies demonstrate complementary and integrative medicine (CIM) therapies may reduce the risk of both all-cause mortality and cancer-specific mortality by 50% (Frenkel M et al. Curr Oncol Rep. 2015 May;17(5):445), the most effective method to ensure compliance with individualized dietary counseling, exercise, or nutritional supplement information to the patient is unknown. Here we present a multidisciplinary survivorship care model to increase compliance with CIM practices that positively impact survivorship outcomes. Methods: Each Patient Empowered Care (PEC) team at our hospital consists of a medical oncologist, naturopathic doctor, nurse care manager, and a nutritionist, who discuss the assessment and plan for each patient they will see that day. Additional integrative services include chiropractic care, acupuncture, and Oncology Rehab (physical, occupational, speech, and massage therapy). Naturopathic doctors recommend nutritional supplements specific to both the patient’s oncology regimen and other comorbidities, and also ensure these supplements do not interfere with metabolism of other active medications. Oncology Rehab encourages exercise via our Motion for Life program, where physical fitness programs are tailored to the patient’s individual needs. The Nutrition program provides individualized coaching and nutritional management. Patients continue CIM therapies long after oncology care has concluded. Results: Patients satisfaction and outcomes are improved by facilitating compliance with individualized lifestyle recommendations. Conclusions: This model increases compliance with CIM recommendations by facilitating transparent communication among PEC team members, while providing the patient with a single facility that individualizes their wellness regimen. |
| تدمد: | 1527-7755 0732-183X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::a80587a428571dc27c0d61444d5e011e https://doi.org/10.1200/jco.2016.34.3_suppl.e286 |
| رقم الأكسشن: | edsair.doi...........a80587a428571dc27c0d61444d5e011e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15277755 0732183X |
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