Asia-Pacific Journal of Oncology Nursing

REVIEW ARTICLE
Year
: 2018  |  Volume : 5  |  Issue : 4  |  Page : 369--376

Clinical Framework for Quality Improvement of Cancer Cachexia


Clara Granda-Cameron1, Mary Pat Lynch2 
1 Undergraduate Program, College of Nursing, Thomas Jefferson University, Philadelphia, PA, USA
2 Abramson Cancer Center, Pennsylvania Hospital, Philadelphia, PA, USA

Correspondence Address:
Clara Granda-Cameron
College of Nursing, Thomas Jefferson University, Philadelphia, PA
USA

The objective of this article is to introduce the Clinical Framework for Quality Improvement of Cancer Cachexia (Cachexia Care Framework) as a tool to demonstrate the relevance of integrating the clinical components of cancer cachexia and the organizational strategies of a cancer institution on the quality of patient care and delivery of services throughout the cancer cachexia continuum. The data sources included peer-reviewed literature relevant to cancer cachexia and quality cancer care, and the authors' expertise. The Cachexia Care Framework results from a combination of the international consensus definition of cancer cachexia, the Institute of Medicine report Ensuring Quality Cancer Care, and the authors' experience with a cancer cachexia clinic. This framework is proposed as a guidance for oncology nurses and other healthcare providers to improve the quality of care of cancer cachexia patients. Specifically, the framework can be used by oncology nurses involved in the care of patients diagnosed with cancer cachexia either in direct patient care, administration, research, or education. Nurses can use the framework in clinical practice to identify specific assessments and interventions based on the cachexia stage of the patient; in nursing administration, the framework offers a wide view of potential errors that can happen and the opportunity to prevent them; in nursing research, the framework illustrates the several factors and processes that can impact patient outcomes; and in nursing education, the framework outlines the elements necessary to develop and implement a continuum education curriculum to educate the workforce of oncology nurses, and in the academic setting, an interprofessional curriculum to educate nurses and many other healthcare disciplines.


How to cite this article:
Granda-Cameron C, Lynch MP. Clinical Framework for Quality Improvement of Cancer Cachexia.Asia Pac J Oncol Nurs 2018;5:369-376


How to cite this URL:
Granda-Cameron C, Lynch MP. Clinical Framework for Quality Improvement of Cancer Cachexia. Asia Pac J Oncol Nurs [serial online] 2018 [cited 2020 Nov 25 ];5:369-376
Available from: https://www.apjon.org/article.asp?issn=2347-5625;year=2018;volume=5;issue=4;spage=369;epage=376;aulast=Granda-Cameron;type=0