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Advanced Disease Management Case Study

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Advanced Disease Management (ADM) is a program based on palliative care standards. Palliative care is family and patient-centered care that helps to improve the quality of a patient’s life by providing appropriate symptom management, anticipation, and prevention of suffering (National Hospice and Palliative Care, 2016). The approach to palliative care is interdisciplinary, with nursing staff, physicians, social workers and therapy teams. The purpose of this paper is to explore the need for advanced disease management and how to implement and integrate palliative care standards into an educational program. Advanced Knowledge for Palliative Practicum Managing symptoms and complications of chronic diseases can be challenging. With the complexity …show more content…

Nurses who are advanced in practice that focus on disease management can improve the quality of life, reduce caregiver burden and help to control costs in healthcare (Hughes & Smith, 2014). According to Hughes, adding a nurse practitioner improved symptom burden management by 20% in the clinic and saved approximately 170 minutes of patient care time for the assigned oncologist (Hughes & Smith, …show more content…

Using Lewin’s Framework for Change Model, in the change framework, an EOL caregiver survey was created to establish comfort before and after a patient’s death. This survey incorporated “I” statements with a scoring of zero to four (not at all-very much). Two parts of this study involve both comfort levels with pharmacological and non-pharmacological methods of treating pain as well as advanced care planning (Corcoran, 2016). These statements incorporate the NHPCO standards of quality in palliative care. As a nurse working within this program, I would utilize this survey for students to use in examining their feelings and doubts regarding end of life issues. A full day conference integrating education of EOL issues is recommended as there is a substantial gap in the community of nursing to reduce nurse burnout and compassion fatigue when caring for a dying patient (Corcoran,

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