The Integral Role of Nurses in Monitoring and Managing Glycemic Status in Patients with Cancer

2.50
Hdl Handle:
http://hdl.handle.net/10755/164597
Category:
Abstract
Type:
Presentation
Title:
The Integral Role of Nurses in Monitoring and Managing Glycemic Status in Patients with Cancer
Author(s):
Hammer, Marilyn; Berry, Donna
Author Details:
Hammer, Marilyn, PhD, DC, RN, Research Nurse, University of Washington School of Nursing, Seattle, Washington, USA, email: mjh40@u.washington.edu; Donna Berry, PhD, RN,AOCN, FAAN, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Abstract:
Clinical/Evidence Based Practice: Patients with cancer have compromised immune function due to the malignancies themselves and the treatments used to combat the cancer. Compromised immune function can lead to infections, related complications, and death. Compounding immune dysfunction is unstable glycemic levels. This is particularly important as 7% of the US adult population currently has Type 2 diabetes - a number that is continuously growing. In all patient settings, nurses are the primary assessors of patient status. Nurses can implement protocols for enhanced and more efficient methods of patient care. Additionally, nurses can evaluate the many factors that contribute to abnormal blood glucose levels and are exemplar in patient education. The goal was to describe nurses' roles in implementing protocols and monitoring, managing, and educating patients for improving glycemic control, thus leading to better outcomes for patients with cancer. Interventions for better glycemic control are just emerging. More frequent monitoring and management to maintain glycemic levels within tighter parameters, while avoiding fluctuations, are paramount. Monitoring of the many contributors to glycemic abnormalities (nutrition, mobility, stress, and infections) is an essential key to blood glucose control. In addition to enhanced protocols for blood glucose monitoring and pharmacological therapies, meticulous care to prevent or reduce infections, preventing long periods of immobility, and implementing various methods for stress management are integral components to blood glucose management and, by association, enhancement of immune function. As new protocols are emerging for blood glucose monitoring and management, nurses will continue to be at the forefront of the process. Evaluation of the many factors that contribute to abnormal glycemic levels and enhanced patient education are essential. Patients with cancer face enumerable challenges. The malignancies themselves coupled with treatments compromise immune function, thus leading to infection susceptibility and related complications, including death. An additional contributor to immune dysfunction is abnormal glycemic levels. Protocols for enhanced monitoring and management of glycemic levels, including patient education, are paramount for improving outcomes including increasing survival. Nurses are an essential part of this process. Future studies will evaluate nurses' roles as part of this protocol.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Integral Role of Nurses in Monitoring and Managing Glycemic Status in Patients with Canceren_GB
dc.contributor.authorHammer, Marilynen_US
dc.contributor.authorBerry, Donnaen_US
dc.author.detailsHammer, Marilyn, PhD, DC, RN, Research Nurse, University of Washington School of Nursing, Seattle, Washington, USA, email: mjh40@u.washington.edu; Donna Berry, PhD, RN,AOCN, FAAN, Dana-Farber Cancer Institute, Boston, Massachusetts, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/164597-
dc.description.abstractClinical/Evidence Based Practice: Patients with cancer have compromised immune function due to the malignancies themselves and the treatments used to combat the cancer. Compromised immune function can lead to infections, related complications, and death. Compounding immune dysfunction is unstable glycemic levels. This is particularly important as 7% of the US adult population currently has Type 2 diabetes - a number that is continuously growing. In all patient settings, nurses are the primary assessors of patient status. Nurses can implement protocols for enhanced and more efficient methods of patient care. Additionally, nurses can evaluate the many factors that contribute to abnormal blood glucose levels and are exemplar in patient education. The goal was to describe nurses' roles in implementing protocols and monitoring, managing, and educating patients for improving glycemic control, thus leading to better outcomes for patients with cancer. Interventions for better glycemic control are just emerging. More frequent monitoring and management to maintain glycemic levels within tighter parameters, while avoiding fluctuations, are paramount. Monitoring of the many contributors to glycemic abnormalities (nutrition, mobility, stress, and infections) is an essential key to blood glucose control. In addition to enhanced protocols for blood glucose monitoring and pharmacological therapies, meticulous care to prevent or reduce infections, preventing long periods of immobility, and implementing various methods for stress management are integral components to blood glucose management and, by association, enhancement of immune function. As new protocols are emerging for blood glucose monitoring and management, nurses will continue to be at the forefront of the process. Evaluation of the many factors that contribute to abnormal glycemic levels and enhanced patient education are essential. Patients with cancer face enumerable challenges. The malignancies themselves coupled with treatments compromise immune function, thus leading to infection susceptibility and related complications, including death. An additional contributor to immune dysfunction is abnormal glycemic levels. Protocols for enhanced monitoring and management of glycemic levels, including patient education, are paramount for improving outcomes including increasing survival. Nurses are an essential part of this process. Future studies will evaluate nurses' roles as part of this protocol.en_GB
dc.date.available2011-10-27T12:03:33Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:03:33Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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