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Best Practices

San Francisco, CA—Reducing pain without increasing opioids is feasible in patients with advanced cancer, according to results presented at the 2019 ASCO Supportive Care in Oncology Symposium. In a retrospective analysis of 300 patients with advanced cancer receiving inpatient palliative care services, researchers found that nearly half of patients who achieved clinically improved pain did so without an increase in oral morphine equivalent daily dose.

San Francisco, CA—According to results from a retrospective analysis of nearly 12,000 patients with cancer, increased social support may function as an analgesic and help to mitigate pain.

Although the cost of care can have severe effects on patients with cancer and their families, oncologists rarely address financial toxicity, according to Hanna K. Sanoff, MD, MPH, Medical Director, University of North Carolina (UNC) NC Cancer Hospital Clinics.
“Treating financial toxicity at the patient level is similar to treating a symptom like fatigue,” said Yousuf Zafar.
There are many ways to collect patient-reported information, such as the routine use of patient-reported outcomes in patient care, which provides value by alerting clinicians to symptoms and by improving communications, symptom control, and quality of life.

The American Academy of Nursing (AAN) released its position statement in recognition that safe nursing practice requires adequate, high-quality sleep to allow them to contribute to patient care safely.

Trends in the adoption of electronic health records (EHRs) show increasing use of advanced functionality. More providers are now using more advanced EHRs that include electronic clinical information and computerized entry of provider orders, as well as results management and decision support.
A pilot project to incorporate nurse navigation for all new patients diagnosed with a hematologic or gynecologic malignancy has met with success, improving access to care for patients at the Rutgers Cancer Institute of New Jersey (CINJ), as well as increasing patient and provider satisfaction.
A growing number of patients treated at the infusion center, coupled with a fixed number of infusion chairs, helped to create a logjam at the National Cancer Institute–designated New York University Langone Medical Center.
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