Description of an Australian Model for End-of-Life Care in Patients With Hematologic Malignancies

Pam McGrath

Hamish A. Holewa

hematologic malignancy, palliative care, cancer program development/evaluation
ONF 2007, 34(1), 79-85. DOI: 10.1188/07.ONF.79-85

Purpose/Objectives: To present a model for end-of-life care in adult hematology that has been developed from nursing insights.

Data Sources: Insights obtained from 25 nursing interviews during a two-year, qualitative, Australian National Health and Medical Research Council research study.

Data Synthesis: The nursing insights indicate that an understanding of end-of-life care in hematology needs to be set in a trilogy of overlapping models (labeled functional, evolving, and refractory) that address the complexity of issues associated with professional and hospital culture.

Conclusions: The authors have used the findings of their national research study to develop a useful, working model to assist with the integration of palliative care into adult hematology.

Implications for Nursing: The model develops a new language for understanding and fostering the integration of palliative care and hematology.

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