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Presentation 208 b sue walsh_an evaluation of newly diagnosed patient needs

Date post: 14-Jul-2015
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Susan Walsh RN, MSN, ACNS-BC, Regional Nurse Manager, ALS Association Greater Philadelphia Chapter
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Page 1: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

Susan Walsh RN, MSN, ACNS-BC, Regional Nurse Manager, ALS Association Greater Philadelphia

Chapter

Page 2: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

Jennifer Klapper

Susan Schwartz

Shelley Hill

Evelyn Thoman

Susan Walsh

Page 3: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

Seek information about coping behaviors and chapter services utilized after diagnosis from patients and next of kin in the first six months following diagnosis of ALS

Page 4: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

Literature is void of information on ALS newly diagnosed patient needs

Expert clinical opinion guided development of needs assessment: Nurse, social workers

Chapter Programs and services

Page 5: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

Living PALS and next of kin (NOK) diagnosed in the previous 2 years

417 contacted by mail 93 responses

response rate 22.2%

278 contacted by email 66 responses

response rate 23.7%

Total response rate 22.8%

Page 6: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

PALS 50.3%NOK 49.7%

Page 7: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

No response difference PALS and the NOK on questions

Report that follows is a combination of responses

Page 8: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

2.2% attended session

Page 9: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

Inconvenient 43% Not aware 38%Not ready 33%

Page 10: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

Care 79%Information 59%Connection 22%

Page 11: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

Yes 80 %No 24%

Page 12: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs
Page 13: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

No 69%Yes 31%

Page 14: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs
Page 15: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

1. Friends and family 2. ALS Clinic visit3. Gathering info4. Spiritual life 5. Own perspective6. Avoidance

Page 16: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

Only 50% responded

Page 17: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

Good participation with 50% split between patients and NOK

96% did not attend Newly Diagnosed Session: (did not know, don’t’ want to meet others, inconvenient)

Information seeking is primary (clinic, internet, chapter web site, chapter staff)

Most do not want to meet others

Page 18: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

Focus on providing quality internet sites

Clarifying chapter web resources at diagnosis

Increase development of online resources for newly diagnosed phase

Incorporating web site into clinic visits as resource for information

Scheduling of first ALS clinic visit to maximize resource sharing

Binder for clinic information

Page 19: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

Utilize the ALSA Living Well for how to tell family and children to enhance natural coping response

Hand out “Why come to resource group” at diagnosis

Provide current Resource Group list

Provide list of contacts for chapter at diagnosis and clarify contact list on web page

Page 20: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

Incorporate chapter message “Never alone, together in hope” with handouts

Contact PAL within 48 hours following referral to the chapter by a chapter staff if not seen at diagnosis

Page 21: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

Follow up survey in process to evaluate response of newly diagnosed post changes made to practice

Page 22: Presentation 208 b sue walsh_an evaluation of newly diagnosed  patient needs

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