Living with an MPN in Ireland: patients' and caregivers' perspectives

Walpole, Geraldine; Kelly, Matt; Lewis, Joy H.; Gleeson, Avril; Cullen, Ann-Marie; Wochal, Paulina

doi:10.12968/bjon.2021.30.17.s24

Cited by 1 publication

(1 citation statement)

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“…A diagnosis of a rare type of cancer creates added stress for the patient and their caregivers and negatively affects their activities of daily living (Walpole et al, 2021). In this case study, both FC and her spouse expressed concerns about anxiety and depression.…”

Section: Validate Collaborate and Facilitatementioning

confidence: 99%

Professional Case Management in Outpatient Settings for Patients With Myeloproliferative Neoplasms

Brennan-Cook

Cadavero

2022

Professional Case Management

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Purpose and Objectives: The purpose of this discussion is to review the management and symptomatic burden of patients with myeloproliferative neoplasms (MPNs). Patients with MPNs are at increased risk for thromboembolic events; thus, cardiovascular complications are not uncommon. Professional case managers can coordinate outpatient services with the health care team and assist patients to mitigate cardiovascular complications. Primary Practice Setting: This discussion is relevant to professional case managers who manage patients with chronic conditions in outpatient settings. Findings/Conclusions: Professional case managers can intervene for patients with MPNs to improve (a) coordination of scheduled therapeutic phlebotomy procedures, and (b) education about subcutaneous injections and frequent monitoring of laboratory reports. In the outpatient setting, professional case managers can improve health care utilization for patients with MPNs and promote high-quality self-care and symptom management to prevent adverse complications. Implications for Case Management Practice: As a member of the outpatient health care team, the professional case manager can serve as a key clinician with comprehensive knowledge of the patient's experience of living with an MPN, their usual state of health and symptoms, and the factors affecting their quality of life. This article explores the role of the professional case manager in the outpatient setting and suggests specific interventions to improve delivery of care and contribute to better self-care management. Professional case managers can assess and validate symptom burden, coordinate and manage routine laboratory testing, support careful medication adjustment, and contribute to improved health outcomes.

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Section: Validate Collaborate and Facilitatementioning

confidence: 99%