Table 2 Intervention overview
Intervention component | Personnel |
|---|---|
Algorithm-guided symptom management: breathlessness, fatigue, pain, trouble sleeping | Registered nurse (RN) |
Structured psychosocial care, targeting depression and adjustment to illness; advance care planning | Social worker |
Team collaborative care model: 30–60 min weekly team meetings | RN, LCSW, palliative and primary care providers. As needed access with cardiology and pulmonary specialists |