iom report care of the cancer patient

According to the IOM, the American cancer care system often is not patient-centered, does not provide well-coordinated care, and does not encourage evidence-based treatment decisions. NCCS is a sponsor of the IOM report, along with other patient advocacy organizations, professional societies, and government agencies.

Full Answer

How can we manage cancer care along a continuum?

As a chronic illness, however, cancer care occurs on a continuum that stretches from prevention to the end of life, with early detection, diagnosis, treatment, and survivorship in between. In this paper, we review self-management interventions that enable patients and families to participate in managing their care along this continuum.

How will the cancer care system support the future of care?

These patients, largely with early stage and screen-detected cancers, can expect long-term cancer-free survival and will add to the growing numbers of cancer survivors, who are expected to increase to more than 18 million by 2022. 1 The cancer care system will need to have an adequate workforce to provide care for all of these new patients.

How can we deliver quality care to patients with cancer?

Delivery of quality care requires coordination among these disciplines, along with the primary care physicians and nurses who are also providing care to patients with cancer.

Why do we need a new model of cancer care?

New models of care are urgently needed that will allow members of the cancer care team (eg, physicians, nurses, social workers, and other health care providers) to work together to ensure that every patient receives care that is tailored to their particular situation.

What is the IOM report?

health care. To that effect, the IOM’s latest report, issued in September 2013, Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis , outlines a systematic plan to help the U.S. healthcare system meet that goal. The recommendations from the report will require interdisciplinary collaboration and commitment, but nurses will play a particularly critical role in its success.

What is the goal of cancer care?

Goal: The cancer care team should provide patients and their families with understandable information on cancer prognosis, treatment benefits and harms, palliative care, psychosocial support, and estimates of the total and out-of-pocket costs of cancer care.

What is the role of nurses in cancer care?

Nurses are well-suited to empower patients to communicate their needs, values, and preferences. As such, oncology nurses should take a leadership role in assessing and communicating with patients about their needs and values during each decision point in their cancer journey. In addition, nurses must advocate for interventions to assist patients ...

Should nursing research include patient-reported outcomes?

Nursing research that includes patient-reported outcomes should be a priority. In addition, nurses should encourage more older adult patients with cancer to participate in clinical trials. Historically, older adults are underrepresented in cancer clinical trials in comparison to the age distribution of the disease.

What is the Institute of Medicine's report on cancer?

The Institute of Medicine saw a cancer care system in crisis. This article highlights the key findings of its report and recommendations. In September 2013, the Institute of Medicine (IOM) released a report that presented a blueprint for a high-quality cancer care delivery system and made bold recommendations designed to address a perceived crisis ...

What is cancer care?

Cancer care is extraordinarily complex, with many specialties involved in the routine diagnostic and therapeutic planning of care (eg, radiology, pathology, surgery, medical and radiation oncology, oncology nursing).

What are the goals of the Institute of Medicine?

Goals of the Institute of Medicine Report Recommendations. Provide patients and their families with understandable information about cancer prognosis, treatment benefits and harms, palliative care, psychosocial support, and estimates of the cost of care. Provide patients with end-of-life care consistent with their needs, values, and preferences.

What is engaged patient?

1. Engaged patients are at the center of the framework. We need a system that supports all patients in making informed medical decisions consistent with their needs, values, and preferences, in consultation with clinicians who have expertise in patient-centered communication and shared decision making. 2.

What is the purpose of the guidelines for cancer survivors?

The rationale for this guidance for cancer survivors is that the same factors that increase cancer incidence might also be important in promoting cancer recurrence after treatment.

Why are cancer survivors so objectionable?

Aside from the inherent clinical vagaries associated with survivorship, some so-called cancer survivors find the term objectionable because it is so closely associated with the Holocaust or victims of violent crime such as rape (Marcus, 2004).

Why is it so difficult to understand sexual function after breast cancer treatment?

Sexual functionUnderstanding sexual functioning following treatment of breast cancer is difficult because there is a general decline in libido and an increase in vaginal dryness with normal aging. These problems are, how- ever, often exacerbated as a result of breast cancer treatment (Ganz, 2001b).

How old are survivors of colon cancer?

As a group, survivors of colorectal cancer are elderly, with 76 per- cent aged 65 and older (see Chapter 2 for a description of colorecal cancer survivors). Box 3-11 summarizes the most common treatments for colon and rectal cancers.

What is the most common type of cancer in 2002?

Type of Cancer. According to the most recent estimates for 2002, the most frequent sites for invasive primary cancer among survivors were breast cancer among women (22 percent), prostate cancer among men (18 percent), and colo- rectal cancer (10 percent) (Figure 2-5).

Does cancer affect social and psychological health?

Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness . This failure can compromise the effectiveness of health care and thereby adversely affect the health of cancer patients. Psychological and social problems created ...

Is it possible to deliver good quality cancer care without using existing approaches, tools, and resources to address patients' psycho

Today, it is not possible to deliver good-quality cancer care without using existing approaches, tools, and resources to address patients' psychosocial health needs. All patients with cancer and their families should expect and receive cancer care that ensures the provision of appropriate psychosocial health services.

What is the IOM report?

The goal of the IOM Future of Nursing report, titled “ The Future of Nursing: Leading Change, Advancing Health ,” was to provide a prescription for nurses to facilitate the nation’s shift from hospital-based services to a system focused on prevention and wellness in the community. It was a bold move that has influenced nursing education and practice for the past decade.

What is the IOM Future of Nursing goal?

Significant strides have been made related to increasing the number of nurse practitioners who can work as primary care providers — an IOM Future of Nursing goal aimed at increasing access to care.

Engaged Patients

An Adequately Staffed, Trained, and Coordinated Workforce

• Ferrell et al. pointed to the pending shortage of oncology physicians as an opportunity for nurses to assume a more prominent role in caring for patients with cancer and their families. This includes discussing treatment options, assisting in decision making, and providing direct care, including survivorship care. This is in line with the IOM’s 201...

See more on voice.ons.org

Evidence-Based Cancer Care

A Learning Healthcare Information Technology System in Cancer Care

Quality Measurement

Accessible, Affordable Cancer Care