BLOOD TRANSFUSION OR NOT: A LITERATURE REVIEW OF BLOODLESS INTERVENTIONS TO TREAT CANCER RELATED ANEMIA

2.50
Hdl Handle:
http://hdl.handle.net/10755/164703
Category:
Abstract
Type:
Presentation
Title:
BLOOD TRANSFUSION OR NOT: A LITERATURE REVIEW OF BLOODLESS INTERVENTIONS TO TREAT CANCER RELATED ANEMIA
Author(s):
Eilers, June; Rounds, Luisa
Author Details:
June Eilers, PhD, RN, BC, CS, The Nebraska Medical Center, Omaha, Nebraska, USA, email: jeilers@nebraskamed.com; Luisa Rounds, BSN, RN, University of Nebraska Medical Center College of Nursing, Omaha, Nebraska
Abstract:
Blood transfusions have been employed since 1492. In cancer they have become standard treatment for anemia secondary to cytotoxic therapy, blood loss, and bleeding disorders. Rising blood costs, blood safety concerns, health beliefs, and continuing blood shortages encourages the healthcare community to address blood conservation and restricted use of blood products. The life saving potential of blood transfusions must be weighed against these factors. In addition, legal and ethical considerations complicate their use as standard treatment for JehovahÆs Witnesses. The use of evidence based blood conservation practices and the potential of transfusion free care to correct anemia will allow the oncology nurse to support high quality, cost effective, safe, culturally sensitive care for the treatment of suppressed blood counts secondary to cancer and cancer treatment. The purposes of this integrated literature review were to identify blood conservation and bloodless interventions to normalize hemoglobin for oncology patients and propose evidence based protocol for blood conservation in the treatment of cancer related anemia. Data from more than 100 articles were compiled in an evidence based table to articulate the bloodless intervention, author/year, sample, limitations, findings, and level of evidence for each citation. The common interventions identified were cell salvage, aprotinin, colloids, growth factors, tranexamic acid, and overlay autogenous tissue (OAT) patch. The interventions identify the nursing and medical staff expertise in transfusion-free medicine, careful planning, intensive teamwork, patient-specific customization, and integrated use of multimodal blood conservation strategies, including bloodless bone marrow transplantation. The bloodless interventions were descriptively outlined to evaluate based on measures of effectiveness, cost, safety, and quality of life related to blood transfusions. The review allows the nurse to evaluate the interventions for patient centered treatment. Over five hundred years since the first blood transfusion, evidence supports the use of blood conservation and bloodless interventions. Valuable lessons and intriguing questions challenge the healthcare community about the necessity of routine blood transfusions and their transfusion trigger threshold. This leads to a discussion of a proposed evidence based protocol. Through the integration of this evidence-based literature nurses can evaluate, support, teach, and advocate for blood conservation techniques to treat cancer related complications.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, 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.titleBLOOD TRANSFUSION OR NOT: A LITERATURE REVIEW OF BLOODLESS INTERVENTIONS TO TREAT CANCER RELATED ANEMIAen_GB
dc.contributor.authorEilers, Juneen_US
dc.contributor.authorRounds, Luisaen_US
dc.author.detailsJune Eilers, PhD, RN, BC, CS, The Nebraska Medical Center, Omaha, Nebraska, USA, email: jeilers@nebraskamed.com; Luisa Rounds, BSN, RN, University of Nebraska Medical Center College of Nursing, Omaha, Nebraskaen_US
dc.identifier.urihttp://hdl.handle.net/10755/164703-
dc.description.abstractBlood transfusions have been employed since 1492. In cancer they have become standard treatment for anemia secondary to cytotoxic therapy, blood loss, and bleeding disorders. Rising blood costs, blood safety concerns, health beliefs, and continuing blood shortages encourages the healthcare community to address blood conservation and restricted use of blood products. The life saving potential of blood transfusions must be weighed against these factors. In addition, legal and ethical considerations complicate their use as standard treatment for JehovahÆs Witnesses. The use of evidence based blood conservation practices and the potential of transfusion free care to correct anemia will allow the oncology nurse to support high quality, cost effective, safe, culturally sensitive care for the treatment of suppressed blood counts secondary to cancer and cancer treatment. The purposes of this integrated literature review were to identify blood conservation and bloodless interventions to normalize hemoglobin for oncology patients and propose evidence based protocol for blood conservation in the treatment of cancer related anemia. Data from more than 100 articles were compiled in an evidence based table to articulate the bloodless intervention, author/year, sample, limitations, findings, and level of evidence for each citation. The common interventions identified were cell salvage, aprotinin, colloids, growth factors, tranexamic acid, and overlay autogenous tissue (OAT) patch. The interventions identify the nursing and medical staff expertise in transfusion-free medicine, careful planning, intensive teamwork, patient-specific customization, and integrated use of multimodal blood conservation strategies, including bloodless bone marrow transplantation. The bloodless interventions were descriptively outlined to evaluate based on measures of effectiveness, cost, safety, and quality of life related to blood transfusions. The review allows the nurse to evaluate the interventions for patient centered treatment. Over five hundred years since the first blood transfusion, evidence supports the use of blood conservation and bloodless interventions. Valuable lessons and intriguing questions challenge the healthcare community about the necessity of routine blood transfusions and their transfusion trigger threshold. This leads to a discussion of a proposed evidence based protocol. Through the integration of this evidence-based literature nurses can evaluate, support, teach, and advocate for blood conservation techniques to treat cancer related complications.en_GB
dc.date.available2011-10-27T12:05:27Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:05:27Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, 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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