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The Interdisciplinary Oncology Team and the Role of Palliative Care Consultation

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Palliative Care in Pediatric Oncology

Part of the book series: Pediatric Oncology ((PEDIATRICO))

Abstract

Interdisciplinary care is a core element of cancer treatment and provides a firm foundation on which to incorporate additional palliative care elements into pediatric oncology. In this chapter, we focus on the development and structure of interdisciplinary oncology teams and discuss ways to enhance existing roles to allow for greater incorporation of palliative care concepts. We will also consider the role of specialty palliative care teams and discuss paradigms for incorporating consultation into the care of children with cancer.

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References

  • American Academy of Pediatrics (2004) Guidelines for pediatric cancer centers: section on hematology/oncology policy statement on guidelines for pediatric cancer centers. Pediatrics 113(6):1833–1835

    Article  Google Scholar 

  • Bruera E, Hui D (2010) Integrating supportive and palliative care in the trajectory of cancer: establishing goals and models of care. J Clin Oncol 28(25):4013–4017

    Article  PubMed  Google Scholar 

  • Cantrell MA, Ruble K (2011) Multidisciplinary care in pediatric oncology. J Multidiscip Healthc 4:171–181

    Article  PubMed  PubMed Central  Google Scholar 

  • Children’s Oncology Group (2014) https://www.childrensoncologygroup.org/downloads/MI_PersonServiceRequirementsFINAL.PDF. Accessed 18 Jun 2016

  • Connor SR, Eagan KA, Kwilosz D, Larson DG, Reese DL (2002) Interdisciplinary approaches in assisting with end-of-life care and decision making. Am Behav Sci 46(3):340–356

    Article  Google Scholar 

  • Dalberg T, Jacob-Files E, Carney PA, Meyrowitz J, Fromme E, Thomas G (2013) Pediatric oncology providers perceptions of barriers and facilitators to early integration of pediatric palliative care. Pediatr Blood Cancer 60(11):1875–1881

    Article  PubMed  PubMed Central  Google Scholar 

  • Demris G et al (2008) A study of informaiton flow in hospice interdisciplinary team meetings. J Interprof Care 22(6):621–629

    Article  Google Scholar 

  • Dingley C, Daugherty K, Derieg MK et al (2008) Improving patient safety through provider communication strategy enhancements. In: Henriksen K, Battles JB, Keyes MA et al (eds) Advances in patient safety: new directions and alternative approaches, vol. 3: performance and tools. Agency for Healthcare Research and Quality (US), Rockville, MD

    Google Scholar 

  • European Society for Paediatric Oncology (2011) Standards of care for children with cancer. https://www.siope.eu/european-research-and-standards/standards-of-care-in-paediatric-oncology. Accessed 10 Aug 2016

  • Fox D, Brittan M, Stille C (2014) The pediatric inpatient family care conference: a proposed structure toward shared decision-making. Hosp Pedatri 4:305

    Article  Google Scholar 

  • Johnston DL, Vadeboncoeur C (2012) Palliative care consultation in pediatric oncology. Support Care Cancer 20:799–803

    Article  PubMed  Google Scholar 

  • Johnston DL, Nagel K, Friedman DL, Meza JL, Hurwitz CA, Friebert S (2008) Availability and use of palliative care and end-of-life services for pediatric oncology patients. J Clin Oncol 26:4646–4650

    Article  PubMed  Google Scholar 

  • Kahn WA (2001) Holding environments at work. J Appl Behav Sci 37(3):260–279

    Article  Google Scholar 

  • Kang TI, Munson D, Hwang J, Feudtner C (2014) Integration of palliative care into the care of children with serious illness. Pediatr Rev 35:318–326

    Article  PubMed  Google Scholar 

  • Kaye EC, Rubenstein J, Levine D, Baker JN, Dabbs D, Friebert SE (2015) Pediatric palliative care in the community. CA Cancer J Clin 65(4):316–333

    Article  PubMed  Google Scholar 

  • Keene EA, Hutton N, Hall B, Rushton C (2010) Bereavement debriefing sessions: an intervention to support health care professionals in managing their grief after the death of a patient. Pediatr Nurs 36(4):185–189

    PubMed  Google Scholar 

  • Knapp C, Woodworth L, Wright M, Downing J, Drake R, Fowler-Kerry S, Hain R, Marston J (2011) Pediatric palliative care provision around the world: a systematic review. Pediatr Blood Cancer 57:361–368

    Article  PubMed  Google Scholar 

  • Kowalczyk JR, Samardakiewicz M, Fitzgerald E, Essiaf S, Ladenstein R, Vassal G, Kienesberger A, Pritchard-Jones K (2014) Towards reducing inequalities: European standards of care for children with cancer. Eur J Cancer 50:481–485

    Article  PubMed  Google Scholar 

  • Leonard M, Graham S, Bonacum D (2004) The human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care 13(Suppl 1):i85–i90

    Article  PubMed  PubMed Central  Google Scholar 

  • Levin DR, Johnson LM, Snyder A, Wiser RK, Gibson D, Kane JR, Baker JN (2016) Integrating palliative care in pediatric oncology: evidence for an evolving paradigm for comprehensive cancer care. J Natl Compr Cancer Netw 14(6):741–748

    Article  Google Scholar 

  • Meier DE, Brawley OW (2011) Palliative care and the quality of life. J Clin Oncol 29:2750–2752

    Article  PubMed  PubMed Central  Google Scholar 

  • Nancarrow S et al (2013) Ten principles of good interdisciplinary team work. Hum Resour Health 11:19

    Article  PubMed  PubMed Central  Google Scholar 

  • National Hospice and Palliative Care Organization (2013)Section 2302 of the Affordable Care Act (ACA), titled “Concurrent Care for Children”, amended sections 1905(o)(1) and 2210(a)(23) of the Social Security Act. http://www.nhpco.org/sites/default/files/public/ChiPPS/CCCR_Appendix1.pdf. Accessed 29 Sept 2016. (The complete Social Security Act can be found at https://www.ssa.gov/OP_Home/ssact/ssact-toc.htm)

  • Ogelby M, Goldstein RD (2014) Interdisciplinary care: using your team. Pediatr Clin N Am 61:823–834

    Article  Google Scholar 

  • Papadatou D, Bluebond-Langner M, Ann G (2011) The team. In: Wolfe J, Hinds PS, Sourkes BM (eds) Textbook of interdisciplinary pediatric palliative care. Elsevier/Saunders, Philadelphia, pp 55–63

    Chapter  Google Scholar 

  • Papdatou D (2009) In the face of death: professionals who care for the dying and bereaved. Spring, New York

    Google Scholar 

  • Quill TE, Abernethy AP (2013) Generalist plus specialist palliative care — creating a more sustainable model. N Engl J Med 368(13):1173–1175

    Article  CAS  PubMed  Google Scholar 

  • Rodriguez-Galindo C, Friedrich P, Morrissey L, Frazier L (2013) Global challenges in pediatric oncology. Curr Opin Pediatr 25:3–15

    Article  PubMed  Google Scholar 

  • Smith TJ, Temin S, Alesi ER, Abernethy AP, Balboni TA, Basch EM, Ferrell BR, Loscalzo M, Meier DE, Paice JA, Peppercorn JM, Somerfield M, Stovall E, Von Roenn JH (2012) American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care. J Clin Oncol 30:1–9

    Google Scholar 

  • Temel JS, Greer JA, Muzikansky A et al (2010) Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med 363:733–742

    Article  CAS  PubMed  Google Scholar 

  • Tuckman B (1965) Developmental sequence in small groups. Psychol Bull 63(6):384–399

    Article  CAS  PubMed  Google Scholar 

  • Washington KT, Oliver DP, Gage LA, Albright DL, Demiris G (2016) Palliat Med 30(3):270–278

    Article  PubMed  Google Scholar 

  • Weller J, Boyd M, Cumin D (2014) Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J 90:149–154

    Article  PubMed  Google Scholar 

  • Wentlandt K, Kryzyzanowska MK, Swami N, Rodin G, Le LW, Sung L, Zimmerman C (2014) Referral practices of pediatric oncologists to specialized palliative care. Support Care Cancer 22:2315–2322

    Article  PubMed  Google Scholar 

  • Wolfe J, Hammel JF, Edwards KE, Duncan J, Comeau M, Breyer J, Aldridge SA, Grier HE, Berde C, Dussel V, Weeks J (2008) Easing of suffering in children with cancer at the end of life: is care changing? J Clin Oncol 26:1717–1723

    Article  PubMed  Google Scholar 

  • World Health Organization (2016) http://www.who.int/cancer/palliative/definition/en. Accessed 18 Jun 2016

  • Worldwide Hospice Palliative Care Alliance (2014)Global atlas of palliative care at the end of life. http://www.thewhpca.org/resources/global-atlas-on-end-of-life-care. Accessed 9 Sept 2016

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Correspondence to Emma Jones .

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Cervantes Blanco, J.M., Jones, E. (2018). The Interdisciplinary Oncology Team and the Role of Palliative Care Consultation. In: Wolfe, J., Jones, B., Kreicbergs, U., Jankovic, M. (eds) Palliative Care in Pediatric Oncology. Pediatric Oncology. Springer, Cham. https://doi.org/10.1007/978-3-319-61391-8_3

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  • DOI: https://doi.org/10.1007/978-3-319-61391-8_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-61390-1

  • Online ISBN: 978-3-319-61391-8

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