EFFICACY OF COORDINATED SUPPORTIVE CARE IN GYNECOLOGIC ONCOLOGY PATIENTS

这个子项目是许多研究子项目中利用 资源由NIH/NCRR资助的中心拨款提供。子项目和 调查员(PI)可能从NIH的另一个来源获得了主要资金， 并因此可以在其他清晰的条目中表示。列出的机构是 该中心不一定是调查人员的机构。 OU内科医生的妇科肿瘤科提出了一项计划，为OU健康科学中心园区内接受护理的患者启动一项创新的以门诊为基础的姑息治疗计划。这项计划将针对患有无法治愈的复发癌症的妇科癌症患者，其治疗目标包括缓解症状和延长生存时间。这一干预努力在包括身体、情感和社会在内的多个领域影响改善的沟通和协调护理，这可能导致在症状控制方面更好的患者护理。该计划将包括一名心理学家，负责组织和个性化负责住院服务的OU医疗中心工作人员和负责门诊服务的OU医生工作人员之间的协调护理。它的设计将使协调员与患者和家属按定期安排的时间间隔进行面对面、电话和书面交流，讨论与医疗决定、缓解症状和支持性护理需求有关的问题。协调员将与其他团队成员一起审查和解决患者和家人的关切，并回应患者和/或其家人，以改善沟通，更好地满足预期，并提高护理质量。这项服务将一直持续到患者去世或研究/资助达到顶峰。人们的期望是，这种协调的干预措施将提高患者的生活质量和对服务的满意度，这些患者目前还没有已知的根治干预措施。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. The gynecologic oncology section of the OU Physicians has proposed a plan to initiate an innovative outpatient-based program of palliative care for patients cared for on the OU Health Sciences Center campus. This program will target women with gynecologic cancer who have incurable recurrent cancer, for which treatment goals include palliation of symptoms and increased length of survival. This intervention strives to influence improved communication and coordinated care in a number of domains including physical, emotional, and social, which may lead to better patient care in terms of symptom control. This program will involve a psychologist to organize and individualize coordinated care between the OU Medical Center staff responsible for in-patient services and the OU Physicians staff responsible for outpatient services. It will be designed so that the coordinator will communicate with patients and family members at regularly scheduled intervals in person, on the phone and in writing on issues related to medical treatment decisions, palliation of symptoms and supportive care needs. The coordinator will review and address patient and family concerns with other team members and respond to the patient and/or her family member to improve communication, better meet expectations and improve quality of care. This service will continue until the death of the patient, or the culmination of the study/funding. The expectation is that this coordinated intervention will increase the quality of life and satisfaction with services for patients for whom there are no known curative interventions.