PROVIDING SUCCESSFUL CHEMOTHERAPY/BIOTHERAPY TREATMENT FOR THE MENTALLY CHALLENGED PATIENT IN THE OUTPATIENT SETTING: PROVIDING A SUCCESSFUL TRANSITION

2.50
Hdl Handle:
http://hdl.handle.net/10755/164789
Category:
Abstract
Type:
Presentation
Title:
PROVIDING SUCCESSFUL CHEMOTHERAPY/BIOTHERAPY TREATMENT FOR THE MENTALLY CHALLENGED PATIENT IN THE OUTPATIENT SETTING: PROVIDING A SUCCESSFUL TRANSITION
Author(s):
Powers, Kelly; Wilcox, Patricia; Becker, Jean
Author Details:
Kelly Powers, RN, OCN, Clinical Leader of Outpatient Infusion Services, Sinai Hospital of Baltimore, Baltimore, Maryland, USA, email: kellyrn9956@comcast.net; Patricia Wilcox, MSN, RN, AOCN; Jean Becker, RN,OCN
Abstract:
Clinical/Evidence Based Practice: As paradigms shift in the oncology arena, it becomes vital that outpatient settings become more flexible in their criteria for accepting patients. More and more, outpatient settings are asked to care for more complex and acute patients. A challenge that arose in the Outpatient Infusion Center at Sinai Hospital of Baltimore was the acceptance of two severely mentally-challenged patients. Both of these patients had received chemotherapy, radiation, and surgery in the inpatient setting. Questions arose regarding how successful treatment in the outpatient setting could be. Oncology nursing leadership from both the inpatient and outpatient settings agreed that we would accept the challenge. The goal was to provide a safe, effective care environment for two mentally-challenged patients in the outpatient setting. Staff identified the following as potential barriers to a successful transition: communication, comprehension, advocacy, and monitoring. Communication between the inpatient and outpatient staff was vital to a successful transition. The inpatient nursing staff collaborated with the outpatient staff to identify the patients' plan of care. The caregivers' involvement was crucial to successful communication and education of the patient. The patients' primary nurses became the point of contact for the patients' caregivers. Strong collaboration between nursing, social work, and outpatient nutritional services was also vital to the patients' care. The oncology nurses used many creative techniques to ensure successful treatment sessions. Both of these patients had successful outcomes and have been able to continue treatment in the outpatient setting. Inpatient admissions were avoided by providing appropriate symptom management at home. The patients' caregivers also expressed a positive experience. These patients provided the oncology nursing staff with a positive and rewarding experience in caring for mentally challenged patients. As admission criteria to the inpatient setting become more stringent, the outpatient arena must learn to cope with patients of varying levels of acuity. Caring for these mentally challenged patients in the outpatient setting proved to be challenging; however, with the appropriate family support, staff collaboration, and nursing techniques, mentally challenged patients can be successfully managed in the outpatient setting.
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.titlePROVIDING SUCCESSFUL CHEMOTHERAPY/BIOTHERAPY TREATMENT FOR THE MENTALLY CHALLENGED PATIENT IN THE OUTPATIENT SETTING: PROVIDING A SUCCESSFUL TRANSITIONen_GB
dc.contributor.authorPowers, Kellyen_US
dc.contributor.authorWilcox, Patriciaen_US
dc.contributor.authorBecker, Jeanen_US
dc.author.detailsKelly Powers, RN, OCN, Clinical Leader of Outpatient Infusion Services, Sinai Hospital of Baltimore, Baltimore, Maryland, USA, email: kellyrn9956@comcast.net; Patricia Wilcox, MSN, RN, AOCN; Jean Becker, RN,OCNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164789-
dc.description.abstractClinical/Evidence Based Practice: As paradigms shift in the oncology arena, it becomes vital that outpatient settings become more flexible in their criteria for accepting patients. More and more, outpatient settings are asked to care for more complex and acute patients. A challenge that arose in the Outpatient Infusion Center at Sinai Hospital of Baltimore was the acceptance of two severely mentally-challenged patients. Both of these patients had received chemotherapy, radiation, and surgery in the inpatient setting. Questions arose regarding how successful treatment in the outpatient setting could be. Oncology nursing leadership from both the inpatient and outpatient settings agreed that we would accept the challenge. The goal was to provide a safe, effective care environment for two mentally-challenged patients in the outpatient setting. Staff identified the following as potential barriers to a successful transition: communication, comprehension, advocacy, and monitoring. Communication between the inpatient and outpatient staff was vital to a successful transition. The inpatient nursing staff collaborated with the outpatient staff to identify the patients' plan of care. The caregivers' involvement was crucial to successful communication and education of the patient. The patients' primary nurses became the point of contact for the patients' caregivers. Strong collaboration between nursing, social work, and outpatient nutritional services was also vital to the patients' care. The oncology nurses used many creative techniques to ensure successful treatment sessions. Both of these patients had successful outcomes and have been able to continue treatment in the outpatient setting. Inpatient admissions were avoided by providing appropriate symptom management at home. The patients' caregivers also expressed a positive experience. These patients provided the oncology nursing staff with a positive and rewarding experience in caring for mentally challenged patients. As admission criteria to the inpatient setting become more stringent, the outpatient arena must learn to cope with patients of varying levels of acuity. Caring for these mentally challenged patients in the outpatient setting proved to be challenging; however, with the appropriate family support, staff collaboration, and nursing techniques, mentally challenged patients can be successfully managed in the outpatient setting.en_GB
dc.date.available2011-10-27T12:07:02Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:07:02Z-
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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