2.50
Hdl Handle:
http://hdl.handle.net/10755/152903
Type:
Presentation
Title:
An Evidence-Based Approach to Oral Care for Oncology Patients
Abstract:
An Evidence-Based Approach to Oral Care for Oncology Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Farrington, Michele, BSN, RN
P.I. Institution Name:University of Iowa Hospitals and Clinics/University of Iowa Children's Hospital
Title:Staff Nurse
21st INRC [Evidence-Based Practice Presentation] Purpose:ÿ To develop an oral care protocol for oncology patients to address oral mucositis. Methods:ÿ Oral mucositis is a challenging side effect of cancer treatment.ÿ Consequences of oral mucositis are extensive including increased costs of at least $1,700/patient depending on severity (Elting, Cooksley, Chambers & Garden, 2007; Jones, Qazilbash, Shih, et al., 2008; Lalla, Sonis & Peterson, 2008; Nonsee, Dandade, Markossian, et al., 2008). Clinician's knowledge of Evidence-Based oral care is limited (Barker, Epstein, Williams, Gorsky, Raber-Durlacher, 2005; Binkley, Furr, Carrico, & McCurren, 2004; Potting, Mank, Blijlevens, Donnelly & van Achterberg, 2008) and nurse's skill with oral care needs improvement (Potting, Mank, Blijlevens, Donnelly & van Achterberg, 2008).ÿ A multidisciplinary team was formed to review the evidence and develop an oral care protocol that would be applicable to adult and pediatric oncology patients for the inpatient and ambulatory settings.ÿ A model (Titler & Everett, 2001) was used to guide implementation of the Evidence-Based changes which included: developing a protocol, educating nursing and medical staff, outreach strategies, modifying the computerized charting systems, and providing audit and feedback after implementation.ÿ The protocol was approved by the Professional Nursing Practice, Staff Education, and Pharmacy and Therapeutics committees in Spring 2009. The Evidence-Based oral care protocol was implemented and included a change in oral care products. Results:ÿ A nursing knowledge assessment was developed by the Oral Mucositis Committee and disseminated through Web Surveyor after the policy and education had been in place for 3 months.ÿ The knowledge assessment was completed by 116 nurses and provided feedback for areas needing additional education (e.g., lanolin lip care).ÿ Merely changing dental floss, toothbrushes, and toothettes provided a savings of $900 or 4.4% for 2009.ÿ Conclusion:ÿ Given the patient risk, discomfort and cost of oral mucositis, prevention is particularly important and must start with Evidence-Based oral care practices.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Evidence-Based Approach to Oral Care for Oncology Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152903-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Evidence-Based Approach to Oral Care for Oncology Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Farrington, Michele, BSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Iowa Hospitals and Clinics/University of Iowa Children's Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Staff Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">michele-farrington@uiowa.edu</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Evidence-Based Practice Presentation] Purpose:&yuml; To develop an oral care protocol for oncology patients to address oral mucositis. Methods:&yuml; Oral mucositis is a challenging side effect of cancer treatment.&yuml; Consequences of oral mucositis are extensive including increased costs of at least $1,700/patient depending on severity (Elting, Cooksley, Chambers &amp; Garden, 2007; Jones, Qazilbash, Shih, et al., 2008; Lalla, Sonis &amp; Peterson, 2008; Nonsee, Dandade, Markossian, et al., 2008). Clinician's knowledge of Evidence-Based oral care is limited (Barker, Epstein, Williams, Gorsky, Raber-Durlacher, 2005; Binkley, Furr, Carrico, &amp; McCurren, 2004; Potting, Mank, Blijlevens, Donnelly &amp; van Achterberg, 2008) and nurse's skill with oral care needs improvement (Potting, Mank, Blijlevens, Donnelly &amp; van Achterberg, 2008).&yuml; A multidisciplinary team was formed to review the evidence and develop an oral care protocol that would be applicable to adult and pediatric oncology patients for the inpatient and ambulatory settings.&yuml; A model (Titler &amp; Everett, 2001) was used to guide implementation of the Evidence-Based changes which included: developing a protocol, educating nursing and medical staff, outreach strategies, modifying the computerized charting systems, and providing audit and feedback after implementation.&yuml; The protocol was approved by the Professional Nursing Practice, Staff Education, and Pharmacy and Therapeutics committees in Spring 2009. The Evidence-Based oral care protocol was implemented and included a change in oral care products. Results:&yuml; A nursing knowledge assessment was developed by the Oral Mucositis Committee and disseminated through Web Surveyor after the policy and education had been in place for 3 months.&yuml; The knowledge assessment was completed by 116 nurses and provided feedback for areas needing additional education (e.g., lanolin lip care).&yuml; Merely changing dental floss, toothbrushes, and toothettes provided a savings of $900 or 4.4% for 2009.&yuml; Conclusion:&yuml; Given the patient risk, discomfort and cost of oral mucositis, prevention is particularly important and must start with Evidence-Based oral care practices.</td></tr></table>en_GB
dc.date.available2011-10-26T11:54:29Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:54:29Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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