In Australia, models of care applying the principles of supportive care are developing. The Tiered Model of Supportive Care (Figure 3), developed by Supportive Cancer Care Victoria, adapts the approach described by Fitch. It recognises that effective, efficient allocation of resources is required to respond to the diversity of needs of a population.19
Figure 3: Tiered Model of Supportive Care19
The Supportive Care Pathway20 (Figure 4), is an example of a model representing the process of supportive care screening, assessment, action and any necessary referral or follow-up. The pathway acknowledges the need for an individualised approach, focussed assessment only when required, and highlights that some needs can be met through clarification and provision of information and supportive communication.20 The referral stage is either a suggested or recommended step in the process and is relevant for the “Some” and “Few” patients.
Figure 4: The Supportive Care Pathway20 (© Monash University Department of Rural and Indigenous Health and Gippsland Regional Integrated Cancer Services)
Reflect upon your practice setting.
- How are supportive care needs screened?
- What do you do with the results of screening?
- What types of supportive care interventions can you provide?
- Is there a pathway or resources to guide further assessment or referral?