An Intervention to Improve Outcomes in Patients With Advanced Cancer

An Intervention to Improve Outcomes in Patients With Advanced Cancer

1.) To integrate discharge planning into an intervention provided by advanced practice nurses (APRNs)for patients with advanced cancer, 2.) To evaluate the effects of the intervention, and 3.) To explore the reach, adoption, and implementation of the intervention to facilitate the transition of patients from surgery/biopsy/chemotherapy to medical oncology in a comprehensive cancer center.

Inclusion Criteria:

• primary diagnosis of advanced lung, GI, Head & Neck, and Lung cancers
• post-surgical/or post-biopsy with physician's order for cancer treatment
• age 21 years or older
• lives within 50 of Yale New Haven Hospital
• has 2 or more co-morbid conditions
• has an emotional distress thermometer score of greater than or equal to 4-

Exclusion Criteria: