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Fit for Duty: Lessons Learned from Outpatient and Homebound Hematopoietic Cell Transplantation to Prepare Family Caregivers for Home-Based Care

In the past decade, the demand for home-based care has been amplified by the Coronavirus disease 2019 pandemic. Home-based care has significant benefits for patients, their families, and healthcare systems, but it relies on the often-invisible workforce of family and friend caregivers who shoulder e...

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Autores principales: Applebaum, A.J., Sannes, T., Mitchell, H.R., McAndrew, N.S., Wiener, L., Knight, J.M., Nelson, A.J., Gray, T.F., Fank, P.M., Lahijani, S.C., Pozo-Kaderman, C., Rueda-Lara, M., Miran, D.M., Landau, H., Amonoo, H.L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The American Society for Transplantation and Cellular Therapy. Published by Elsevier Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9780643/
https://www.ncbi.nlm.nih.gov/pubmed/36572386
http://dx.doi.org/10.1016/j.jtct.2022.12.014
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author Applebaum, A.J.
Sannes, T.
Mitchell, H.R.
McAndrew, N.S.
Wiener, L.
Knight, J.M.
Nelson, A.J.
Gray, T.F.
Fank, P.M.
Lahijani, S.C.
Pozo-Kaderman, C.
Rueda-Lara, M.
Miran, D.M.
Landau, H.
Amonoo, H.L.
author_facet Applebaum, A.J.
Sannes, T.
Mitchell, H.R.
McAndrew, N.S.
Wiener, L.
Knight, J.M.
Nelson, A.J.
Gray, T.F.
Fank, P.M.
Lahijani, S.C.
Pozo-Kaderman, C.
Rueda-Lara, M.
Miran, D.M.
Landau, H.
Amonoo, H.L.
author_sort Applebaum, A.J.
collection PubMed
description In the past decade, the demand for home-based care has been amplified by the Coronavirus disease 2019 pandemic. Home-based care has significant benefits for patients, their families, and healthcare systems, but it relies on the often-invisible workforce of family and friend caregivers who shoulder essential health care responsibilities, frequently with inadequate training and support. Hematopoietic cell transplantation (HCT), a potentially curative but intensive treatment for many patients with blood disorders, is being increasingly offered in home-based care settings and necessitates the involvement of family caregivers for significant patient care responsibilities. However, guidelines for supporting and preparing HCT caregivers to effectively care for their loved ones at home have not yet been established. Here, informed by the literature and our collective experience as clinicians and researchers who care for diverse patients with hematologic malignancies undergoing HCT, we provide considerations and recommendations to better support and prepare family caregivers in home-based HCT and, by extension, family caregivers supporting patients with other serious illnesses at home. We suggest tangible ways to screen family caregivers for distress and care delivery challenges, educate and train them to prepare for their caregiving role, and create an infrastructure of support for family caregivers within this emerging care delivery model.
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spelling pubmed-97806432022-12-23 Fit for Duty: Lessons Learned from Outpatient and Homebound Hematopoietic Cell Transplantation to Prepare Family Caregivers for Home-Based Care Applebaum, A.J. Sannes, T. Mitchell, H.R. McAndrew, N.S. Wiener, L. Knight, J.M. Nelson, A.J. Gray, T.F. Fank, P.M. Lahijani, S.C. Pozo-Kaderman, C. Rueda-Lara, M. Miran, D.M. Landau, H. Amonoo, H.L. Transplant Cell Ther Commentary In the past decade, the demand for home-based care has been amplified by the Coronavirus disease 2019 pandemic. Home-based care has significant benefits for patients, their families, and healthcare systems, but it relies on the often-invisible workforce of family and friend caregivers who shoulder essential health care responsibilities, frequently with inadequate training and support. Hematopoietic cell transplantation (HCT), a potentially curative but intensive treatment for many patients with blood disorders, is being increasingly offered in home-based care settings and necessitates the involvement of family caregivers for significant patient care responsibilities. However, guidelines for supporting and preparing HCT caregivers to effectively care for their loved ones at home have not yet been established. Here, informed by the literature and our collective experience as clinicians and researchers who care for diverse patients with hematologic malignancies undergoing HCT, we provide considerations and recommendations to better support and prepare family caregivers in home-based HCT and, by extension, family caregivers supporting patients with other serious illnesses at home. We suggest tangible ways to screen family caregivers for distress and care delivery challenges, educate and train them to prepare for their caregiving role, and create an infrastructure of support for family caregivers within this emerging care delivery model. The American Society for Transplantation and Cellular Therapy. Published by Elsevier Inc. 2023-03 2022-12-23 /pmc/articles/PMC9780643/ /pubmed/36572386 http://dx.doi.org/10.1016/j.jtct.2022.12.014 Text en © 2022 The American Society for Transplantation and Cellular Therapy. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Commentary
Applebaum, A.J.
Sannes, T.
Mitchell, H.R.
McAndrew, N.S.
Wiener, L.
Knight, J.M.
Nelson, A.J.
Gray, T.F.
Fank, P.M.
Lahijani, S.C.
Pozo-Kaderman, C.
Rueda-Lara, M.
Miran, D.M.
Landau, H.
Amonoo, H.L.
Fit for Duty: Lessons Learned from Outpatient and Homebound Hematopoietic Cell Transplantation to Prepare Family Caregivers for Home-Based Care
title Fit for Duty: Lessons Learned from Outpatient and Homebound Hematopoietic Cell Transplantation to Prepare Family Caregivers for Home-Based Care
title_full Fit for Duty: Lessons Learned from Outpatient and Homebound Hematopoietic Cell Transplantation to Prepare Family Caregivers for Home-Based Care
title_fullStr Fit for Duty: Lessons Learned from Outpatient and Homebound Hematopoietic Cell Transplantation to Prepare Family Caregivers for Home-Based Care
title_full_unstemmed Fit for Duty: Lessons Learned from Outpatient and Homebound Hematopoietic Cell Transplantation to Prepare Family Caregivers for Home-Based Care
title_short Fit for Duty: Lessons Learned from Outpatient and Homebound Hematopoietic Cell Transplantation to Prepare Family Caregivers for Home-Based Care
title_sort fit for duty: lessons learned from outpatient and homebound hematopoietic cell transplantation to prepare family caregivers for home-based care
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9780643/
https://www.ncbi.nlm.nih.gov/pubmed/36572386
http://dx.doi.org/10.1016/j.jtct.2022.12.014
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