THE IMPACT OF PSYCHOSOCIAL SUPPORT ON REHABILITATION OUTCOMES OF TWO PATIENTS AFTER EXTERNAL HEMIPELVECTOMY

2.50
Hdl Handle:
http://hdl.handle.net/10755/164743
Category:
Abstract
Type:
Presentation
Title:
THE IMPACT OF PSYCHOSOCIAL SUPPORT ON REHABILITATION OUTCOMES OF TWO PATIENTS AFTER EXTERNAL HEMIPELVECTOMY
Author(s):
Young, Beth; Le Day-Jacobs, Connie
Author Details:
Beth Young, RN FNP MN OCN AOCN, Advance Practice Nurse, M.D. Anderson Cancer Center, Houston, Texas, USA, email: bethyh@yahoo.com; Connie Le Day-Jacobs, MSW
Abstract:
Despite major advances in chemotherapy and limb sparing surgery, external hemipelvectomy remains the optimal surgical intervention for high grade and metastatic sarcomas of the upper thigh and buttock. Post-operatively, patients who undergo this procedure most often require a comprehensive inpatient rehabilitation course to improve strength, preserve range of motion, optimize pain management, and control lymphedema. Although much research has been reported on post-operative complications and long-term survival rates of individuals after external hemipelvectomy, little have noted the impact of psychosocial support in predicting functional outcomes. In this case report, we present contrasting rehabilitation courses of two external hemipelvectomy female patients with similar demographics, but varying degrees of psychosocial support contributing to dramatically different functional outcomes. Both patients (AA, BB) underwent external hemipelvectomy secondary to high-grade metastatic sarcoma of the pelvis. Postoperatively, AA and BB were medically stable with muscle strength of the three remaining extremities intact. Four identified psychosocial variables which greatly influenced the functional outcomes of these 2 patients included: (1) extent of patient's social support system, (2) effective use of effective coping strategies, (3) patient's overall sense of well-being/ quality of life, and (4) management of physiological symptoms. AA who had an excellent support from family, church and friends, as well as, a positive attitude regarding her rehabilitation and recovery, made exceptional functional gains during her 14-day rehabilitation course. At the time of discharge, she was able to ambulate 200 feet with minimal assistance with a Functional Independence Measure (FIM) gain of 36. BB had a limited support system and experienced multiple grief/loss issues related to her hemipelvectomy. Throughout her rehabilitation program, BB was unmotivated with little participation in physical and occupational therapy. After her 14-day rehabilitation course, she still required total assistance with ambulation and had a FIM score gain of 18. These 2 cases indicate the important influence of psychosocial factors on functional outcomes. Oncology nurses should include an assessment of patientÆs psychological and social support in formulating their plan of care.
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.titleTHE IMPACT OF PSYCHOSOCIAL SUPPORT ON REHABILITATION OUTCOMES OF TWO PATIENTS AFTER EXTERNAL HEMIPELVECTOMYen_GB
dc.contributor.authorYoung, Bethen_US
dc.contributor.authorLe Day-Jacobs, Connieen_US
dc.author.detailsBeth Young, RN FNP MN OCN AOCN, Advance Practice Nurse, M.D. Anderson Cancer Center, Houston, Texas, USA, email: bethyh@yahoo.com; Connie Le Day-Jacobs, MSWen_US
dc.identifier.urihttp://hdl.handle.net/10755/164743-
dc.description.abstractDespite major advances in chemotherapy and limb sparing surgery, external hemipelvectomy remains the optimal surgical intervention for high grade and metastatic sarcomas of the upper thigh and buttock. Post-operatively, patients who undergo this procedure most often require a comprehensive inpatient rehabilitation course to improve strength, preserve range of motion, optimize pain management, and control lymphedema. Although much research has been reported on post-operative complications and long-term survival rates of individuals after external hemipelvectomy, little have noted the impact of psychosocial support in predicting functional outcomes. In this case report, we present contrasting rehabilitation courses of two external hemipelvectomy female patients with similar demographics, but varying degrees of psychosocial support contributing to dramatically different functional outcomes. Both patients (AA, BB) underwent external hemipelvectomy secondary to high-grade metastatic sarcoma of the pelvis. Postoperatively, AA and BB were medically stable with muscle strength of the three remaining extremities intact. Four identified psychosocial variables which greatly influenced the functional outcomes of these 2 patients included: (1) extent of patient's social support system, (2) effective use of effective coping strategies, (3) patient's overall sense of well-being/ quality of life, and (4) management of physiological symptoms. AA who had an excellent support from family, church and friends, as well as, a positive attitude regarding her rehabilitation and recovery, made exceptional functional gains during her 14-day rehabilitation course. At the time of discharge, she was able to ambulate 200 feet with minimal assistance with a Functional Independence Measure (FIM) gain of 36. BB had a limited support system and experienced multiple grief/loss issues related to her hemipelvectomy. Throughout her rehabilitation program, BB was unmotivated with little participation in physical and occupational therapy. After her 14-day rehabilitation course, she still required total assistance with ambulation and had a FIM score gain of 18. These 2 cases indicate the important influence of psychosocial factors on functional outcomes. Oncology nurses should include an assessment of patientÆs psychological and social support in formulating their plan of care.en_GB
dc.date.available2011-10-27T12:06:09Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:06:09Z-
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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