Feasibility and Effectiveness of the NEST13+ as a Screening Tool for Advanced Illness Care Needs

Scandrett, Karen Glasser; Reitschuler-Cross, Eva; Nelson, Lauren; Sanger, Joan; Feigon, Maia; Boyd, Elizabeth A.; Chang, Chih Hung; Paice, Judith A.; Hauser, Joshua; Chamkin, Alexey; Balfour, Paul; Stolbunov, Alexei; Bennett, Charles L.; Emanuel, Linda L.

doi:10.1089/jpm.2009.0170

Cited by 39 publications

(41 citation statements)

References 40 publications

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“…Although it facilitated greater documentation of illness-related needs than routine clinical assessment, it was less clear that using the NEST 13ϩ produced changes in clinician response, such as calling more PC consults. 12 A study presented at the 2013 American Society of Clinical Oncology Quality of Care Symposium 14 described a similar screening tool to that reported here, further supporting the content validity.…”

Section: Discussionsupporting

confidence: 71%

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Validation of a Simple Screening Tool for Identifying Unmet Palliative Care Needs in Patients With Cancer

Glare

Chow

2015

JOP

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Section: Discussionsupporting

confidence: 71%

“…Other PC screening tools have been developed, 4,[11][12][13] including the tool from which this one was adapted, 4 but few have undergone validation or other kinds of evaluation. An exception is the NEST (Needs of a Social Nature, Existential Concerns, Symptoms, and Therapeutic Interaction) 13ϩ tool.…”

Section: Discussionmentioning

confidence: 99%

Validation of a Simple Screening Tool for Identifying Unmet Palliative Care Needs in Patients With Cancer

Glare

Chow

2015

JOP

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“…For example, protocols could be put in place to routinely assess needs and provide links to social workers, clinical psychologists, or chaplains as needed. Electronic monitoring systems are feasible and appropriate for cancer patients Scandrett et al, 2010) and, importantly, could be set up to track changes in quality of life at key intervals. Also, because it was clear that caregiver distress was critical to our participants' quality of life, interventions are needed to address caregiver concerns (Hudson, Remedios, & Thomas, 2010;McLean & Jones, 2007).…”

Section: Implications For Clinical Practicementioning

confidence: 99%

Exploring Dimensions of Coping in Advanced Colorectal Cancer: Implications for Patient-Centered Care

Sterba

Zapka

Gore

et al. 2013

Journal of Psychosocial Oncology

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Promoting patient-centered care from diagnosis to end of life requires a better understanding of physical, psychological, social, and spiritual coping factors in advanced cancer. Using qualitative methods, the authors explored diagnosis, care planning, and treatment experiences of individuals with metastatic colorectal cancer (N=26). The main physical factors salient to patients during all care phases included symptoms and physical functioning. Key psychological factors included persistent uncertainty and a range of emotions that varied by care phase. Participants also relied heavily on social and spiritual factors for guidance. Results highlight the complex nature of coping with advanced cancer and the resources needed to facilitate high-quality care.

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“…La mayoría de los instrumentos existentes se centran en aspectos concretos para evaluar (unidimensionales): sínto-mas físicos (7,8), calidad de vida (9), funcionalidad (10), necesidades espirituales (11), aspectos emocionales (12); aquellos instrumentos que evalúan más de una dimensión tienden a hacerlo mediante un check list sin demasiada profundidad en los ítems evaluados (13)(14)(15).…”

Section: Introductionunclassified

Herramientas para la evaluación multidimensional de uso para médicos de cuidados paliativos: Proyecto ICO tool-kit

et al. 2011

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ORIGINAL RESUMENIntroducción: el paciente y su familia presentan una serie de necesidades físicas, emocionales, sociales y espirituales que requieren ser evaluadas. Estas necesidades han de quedar registradas ya que han de permitir la fijación de objetivos asistenciales, la revisión de los resultados y su reevaluación posterior. La evaluación de estas necesidades con instrumentos comunes facilita la transmisión de la información entre los distintos profesionales sanitarios implicados en el proceso de atención.Objetivo: consensuar distintos instrumentos para una evaluación multidimensional en el paciente oncológico avanzado que deberían incluirse en cualquier valoración médica de equipo de cuidados paliativos de la red asistencial del Institut Català d'Oncologia.Material y método: técnica de consenso entre los distintos participantes mediante grupo de discusión. Acuerdo interobservador en grupo de discusión basado en la valoración tanto de la bibliografía existente sobre los instrumentos analizados, como de la experiencia práctica diaria de los miembros de los equipos en su empleo. El equipo de trabajo estuvo formado por una muestra representativa de los 3 centros participantes y constituida por 5 médicos, 4 psico-oncólogos y 4 trabajadores sociales. Todos con experiencia en cuidados paliativos y dedicación completa. De los distintos instrumentos analizados, se empleó para su valoración tanto la bibliografía existente de los mismos, así como la experiencia práctica de los equipos con su empleo. Se obtenía una puntuación y un grado de acuerdo que sirvió para la elección de los instrumentos que se consideraban más útiles y formarían parte del kit de evaluación.Resultado y conclusiones: tras discusión y análisis de los resultados, se seleccionaron los instrumentos que se consideraron más adecuados para la evaluación. Se definió un conjunto de instrumentos para la evaluación de las 3 dimensiones exploradas: física (antecedentes, estado funcional, dependencia, listado de síntomas y supervivencia), emocional (sínto-mas emocionales, incluyendo espiritualidad y cuidados al final de la vida) y social mostrando el porcentaje de acuerdo alcanzado para cada una de ellas. Pal 2010; Vol. 17, pp. 348-359 PALABRAS CLAVE: Cuidados paliativos. Evaluación. Neoplasias. Med ABSTRACTIntroduction: both Patients and their families have physical, emotional, social and spiritual needs to be assessed. Such needs have to be recorded so as to allow the setting of therapeutic objectives, the outcomes review and their further reassessment. Needs' assessment undergone with common tools, facilitates information transmission among the wide range of professionals involved in the care process.Objective: to build up a consensus on instruments for multidimensional assessment in advanced cancer patients to be included/used in any medical evaluation made from the palliative care team of the Catalan Institute of Oncology.Materials and methods: consensus among the participants through group discussion. The group consisted of a representative sample of...

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Feasibility and Effectiveness of the NEST13+ as a Screening Tool for Advanced Illness Care Needs

Abstract: The NEST13+ tool facilitated identification of a wider range of important needs than traditional evaluation, while care outcomes were not improved. Traditional evaluation may need improvement. Future trials of the NEST13+ should focus on more intensive clinician-directed interventions.

Cited by 39 publications

References 40 publications

Validation of a Simple Screening Tool for Identifying Unmet Palliative Care Needs in Patients With Cancer

Validation of a Simple Screening Tool for Identifying Unmet Palliative Care Needs in Patients With Cancer

Exploring Dimensions of Coping in Advanced Colorectal Cancer: Implications for Patient-Centered Care

Herramientas para la evaluación multidimensional de uso para médicos de cuidados paliativos: Proyecto ICO tool-kit

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