NURSING EDUCATION FOR NEPHRON SPARING SURGICAL INTERVENTION FOR RENAL MASSES

2.50
Hdl Handle:
http://hdl.handle.net/10755/164715
Category:
Abstract
Type:
Presentation
Title:
NURSING EDUCATION FOR NEPHRON SPARING SURGICAL INTERVENTION FOR RENAL MASSES
Author(s):
Hughes, Colleen; Giallo-Uvino, Anna
Author Details:
Colleen Hughes, RN, Memorial Sloan Kettering Cancer Center, New York, New York, USA, email: hughesc@mskcc.org; Anna Giallo-Uvino BSN, OCN
Abstract:
The American Cancer Society estimates 38,890 new cases of kidney cancer this year, 70% of which are 4.5cm or smaller. Radical nephrectomy surgery, historically the primary treatment of kidney masses, involves removing the whole kidney, adrenal gland, and fatty tissue. Partial nephrectomy, or nephron sparing surgery, is the removal of only the cancerous portion of the kidney. Small tumors are amenable to nephron sparing surgery. Previously, partial nephrectomy was only indicated in patients with one kidney, or with bilateral renal masses. Partial nephrectomy is now becoming the treatment of choice for small kidney tumors with healthy contralateral kidneys. Research indicates that partial nephrectomy has an advantage in maintaining optimal renal function, avoiding the development of chronic kidney disease. Ten years of data has shown comparable oncological outcomes between partial and radical nephrectomies. This presentation describes the nursing management for patients with renal masses who have elected to undergo partial nephrectomy. An overview of the surgery and the patient education plan to guide the patient through this intervention will be discussed. Partial nephrectomy is a challenging procedure, associated with higher short term, surgical risks. Nursing intervention involves preoperative teaching and postoperative care. The surgical care plan contains an overview and instructions on coughing and deep breathing, progressive ambulation, and pain management but particularly focuses on the complication of partial nephrectomy including hematomas, hemorrhage, and urinary fistulas requiring prolonged percutaneous drainage and its management. The model of patient education is a collaborative effort between outpatient and inpatient nurses providing patients with uniform instructions throughout their surgical process. At this comprehensive cancer center, the number of partial nephrectomies surpasses that of radical nephrectomies proving the surgery is a safe, effective treatment with long term renal functional advantages. Nationally, partial nephrectomy remains underutilized, limited to tertiary care centers. The implementation of the inpatient/ outpatient nurse liaison enhances the patient educational program ensuring continuity of care. The progressive use of partial nephrectomy requires a high level of nursing awareness, and preparedness with an accurate knowledge base. Patients educated on the surgical care plan will participate in preventative measures to limit complications, seeking intervention when needed.
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.titleNURSING EDUCATION FOR NEPHRON SPARING SURGICAL INTERVENTION FOR RENAL MASSESen_GB
dc.contributor.authorHughes, Colleenen_US
dc.contributor.authorGiallo-Uvino, Annaen_US
dc.author.detailsColleen Hughes, RN, Memorial Sloan Kettering Cancer Center, New York, New York, USA, email: hughesc@mskcc.org; Anna Giallo-Uvino BSN, OCNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164715-
dc.description.abstractThe American Cancer Society estimates 38,890 new cases of kidney cancer this year, 70% of which are 4.5cm or smaller. Radical nephrectomy surgery, historically the primary treatment of kidney masses, involves removing the whole kidney, adrenal gland, and fatty tissue. Partial nephrectomy, or nephron sparing surgery, is the removal of only the cancerous portion of the kidney. Small tumors are amenable to nephron sparing surgery. Previously, partial nephrectomy was only indicated in patients with one kidney, or with bilateral renal masses. Partial nephrectomy is now becoming the treatment of choice for small kidney tumors with healthy contralateral kidneys. Research indicates that partial nephrectomy has an advantage in maintaining optimal renal function, avoiding the development of chronic kidney disease. Ten years of data has shown comparable oncological outcomes between partial and radical nephrectomies. This presentation describes the nursing management for patients with renal masses who have elected to undergo partial nephrectomy. An overview of the surgery and the patient education plan to guide the patient through this intervention will be discussed. Partial nephrectomy is a challenging procedure, associated with higher short term, surgical risks. Nursing intervention involves preoperative teaching and postoperative care. The surgical care plan contains an overview and instructions on coughing and deep breathing, progressive ambulation, and pain management but particularly focuses on the complication of partial nephrectomy including hematomas, hemorrhage, and urinary fistulas requiring prolonged percutaneous drainage and its management. The model of patient education is a collaborative effort between outpatient and inpatient nurses providing patients with uniform instructions throughout their surgical process. At this comprehensive cancer center, the number of partial nephrectomies surpasses that of radical nephrectomies proving the surgery is a safe, effective treatment with long term renal functional advantages. Nationally, partial nephrectomy remains underutilized, limited to tertiary care centers. The implementation of the inpatient/ outpatient nurse liaison enhances the patient educational program ensuring continuity of care. The progressive use of partial nephrectomy requires a high level of nursing awareness, and preparedness with an accurate knowledge base. Patients educated on the surgical care plan will participate in preventative measures to limit complications, seeking intervention when needed.en_GB
dc.date.available2011-10-27T12:05:40Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:05:40Z-
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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