SymptomCare@Home: Developing an Integrated Symptom Monitoring and Management System for Outpatients Receiving Chemotherapy.

SymptomCare@Home, an integrated symptom monitoring and management system, was designed as part of randomized clinical trials to help patients with cancer who receive chemotherapy in ambulatory clinics and often experience significant symptoms at home. An iterative design process was informed by chro...

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Publicado en:CIN: Computers, Informatics, Nursing Vol. 35; no. 10; pp. 520 - 530
Autores principales: Beck, Susan L., Eaton, Linda H., Echeverria, Christina, Mooney, Kathi H.
Formato: pictorial tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Oct2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Lippincott Williams & Wilkins
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        atl: SymptomCare@Home: Developing an Integrated Symptom Monitoring and Management System for Outpatients Receiving Chemotherapy.
      aug:
        au:
          Beck, Susan L.
          Eaton, Linda H.
          Echeverria, Christina
          Mooney, Kathi H.
        affil: College of Nursing and Huntsman Cancer Institute, University of Utah, Salt Lake City
      sug:
        subj:
          Cancer Patients
          Chemotherapy, Cancer Adverse Effects
          Symptoms Prevention and Control
          Telehealth Methods
          Patient Assessment Methods
          Self Care
          Decision Support Systems, Clinical
          Interactive Voice Response Systems
          Program Development
          Nurse Practitioners
          Nursing Role
      ab: SymptomCare@Home, an integrated symptom monitoring and management system, was designed as part of randomized clinical trials to help patients with cancer who receive chemotherapy in ambulatory clinics and often experience significant symptoms at home. An iterative design process was informed by chronic disease management theory and features of assessment and clinical decision support systems used in other diseases. Key stakeholders participated in the design process: nurse scientists, clinical experts, bioinformatics experts, and computer programmers. Especially important was input from end users, patients, and nurse practitioners participating in a series of studies testing the system. The system includes both a patient and clinician interface and fully integrates two electronic subsystems: a telephone computer-linked interactive voice response system and a Web-based Decision Support-Symptom Management System. Key features include (1) daily symptom monitoring, (2) self-management coaching, (3) alerting, and (4) nurse practitioner follow-up. The nurse practitioner is distinctively positioned to provide assessment, education, support, and pharmacologic and nonpharmacologic interventions to intensify management of poorly controlled symptoms at home. SymptomCare@Home is a model for providing telehealth. The system facilitates using evidence-based guidelines as part of a comprehensive symptom management approach. The design process and system features can be applied to other diseases and conditions.
      pubtype: Academic Journal
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        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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