2.50
Hdl Handle:
http://hdl.handle.net/10755/164771
Category:
Abstract
Type:
Presentation
Title:
Managing the Oncology Patient with an Altered Airway
Author(s):
McKiernan, Janet
Author Details:
Janet McKiernan, RN, BSN, OCN, Clinical Nurse IV, Memorial Sloan-Kettering Cancer Center, New York, New York, USA, email: mckiernj@mskcc.org
Abstract:
Education: Oncology patients may require alterations of their airway (ie, tracheostomy, laryngectomy) for varied reasons, most commonly due to advanced head and neck (H&N) cancers. A patient with an altered airway can pose a significant challenge if he or she develops respiratory distress or requires resuscitative measures. The oncology nurse must be aware of the patient's modified anatomy in order to effectively manage their care in an emergency. This presentation will describe a program developed at an NCIdesignated comprehensive cancer center to educate nurses and physicians about managing oncology patients with altered airways. Specific learning objectives include: explain anatomic changes with tracheostomy and laryngectomy, list steps in assessing these patients with respiratory distress, and describe interventions for managing respiratory distress, including intubation. Content of the educational program was developed collaboratively by a H&N oncology nurse, a H&N surgeon and an anesthesiologist. Differences between tracheostomy and laryngectomy are demonstrated with a variety of diagrams displaying changes in anatomy and air flow as well as various tubes utilized. Causes of respiratory distress are reviewed, highlighting the presentation and interventions for each. The presentation ends with an algorithm to guide actions if intubation is required. The program is in power-point with voice over and has been placed on our intranet. This educational program is now mandatory for all intensive care residents and nurses as well as nurses working with H&N patients and in the urgent care center to ensure they can safely administer emergency care to these patients. A post test is completed by the learner to assess their knowledge of the material presented and their ability to apply the information in practice. The content of this program is of value to oncology nurses working in any setting where they may encounter patients with cancer of the head and neck. In addition, the educational program itself may be used as a model for educating clinicians in other centers as the need for a quick and effective response in an emergency situation can mean the difference between life and death for H&N patients with altered airways.
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.titleManaging the Oncology Patient with an Altered Airwayen_GB
dc.contributor.authorMcKiernan, Janeten_US
dc.author.detailsJanet McKiernan, RN, BSN, OCN, Clinical Nurse IV, Memorial Sloan-Kettering Cancer Center, New York, New York, USA, email: mckiernj@mskcc.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164771-
dc.description.abstractEducation: Oncology patients may require alterations of their airway (ie, tracheostomy, laryngectomy) for varied reasons, most commonly due to advanced head and neck (H&N) cancers. A patient with an altered airway can pose a significant challenge if he or she develops respiratory distress or requires resuscitative measures. The oncology nurse must be aware of the patient's modified anatomy in order to effectively manage their care in an emergency. This presentation will describe a program developed at an NCIdesignated comprehensive cancer center to educate nurses and physicians about managing oncology patients with altered airways. Specific learning objectives include: explain anatomic changes with tracheostomy and laryngectomy, list steps in assessing these patients with respiratory distress, and describe interventions for managing respiratory distress, including intubation. Content of the educational program was developed collaboratively by a H&N oncology nurse, a H&N surgeon and an anesthesiologist. Differences between tracheostomy and laryngectomy are demonstrated with a variety of diagrams displaying changes in anatomy and air flow as well as various tubes utilized. Causes of respiratory distress are reviewed, highlighting the presentation and interventions for each. The presentation ends with an algorithm to guide actions if intubation is required. The program is in power-point with voice over and has been placed on our intranet. This educational program is now mandatory for all intensive care residents and nurses as well as nurses working with H&N patients and in the urgent care center to ensure they can safely administer emergency care to these patients. A post test is completed by the learner to assess their knowledge of the material presented and their ability to apply the information in practice. The content of this program is of value to oncology nurses working in any setting where they may encounter patients with cancer of the head and neck. In addition, the educational program itself may be used as a model for educating clinicians in other centers as the need for a quick and effective response in an emergency situation can mean the difference between life and death for H&N patients with altered airways.en_GB
dc.date.available2011-10-27T12:06:42Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:06:42Z-
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.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.