Evidence-based standards for a non-neutropenic diet in an adult inpatient oncology setting

2.50
Hdl Handle:
http://hdl.handle.net/10755/164823
Category:
Abstract
Type:
Presentation
Title:
Evidence-based standards for a non-neutropenic diet in an adult inpatient oncology setting
Author(s):
Tarr, Sarah; Bullock, Chevelle; Hillson, John; Warner, Martha; Misuraca, Joey; Allen, Deborah
Author Details:
Sarah Tarr, RN, BSN, OCN, Duke University Hospital, Durham, North Carolina, USA, email: catsp812@hotmail.com; Chevelle Bullock, RN, BSN; John Hillson, RN, OCN; Martha Warner, RN, BSN; Joey Misuraca, RN, BSN, OCN; Deborah Allen, MSN, RN, CNS, FNPBC, AOCNP
Abstract:
Clinical/Evidence Based Practice: Nutrition is a vital component to oncology patients' quality of life. Healthcare providers struggle to maintain a balance of caloric and protein demands. Because of nausea, vomiting, decreased appetite, and changes in taste and food preferences oncology patients struggle to find appealing foods. Historically, most oncology centers utilize neutropenic guidelines which incorporate stringent dietary restrictions thought to minimize infectious exposure. Accordingly, our medical and nursing staffs have educated patients regarding the restrictions surrounding the neutropenic diet. In an effort to incorporate evidence-based practices into our oncology center, a committee of nursing staff was formed to review literature on the efficacy of the neutropenic diet. Through a review of the literature, the goal of the committee was to propose evidence-based dietary recommendations for our inpatient oncology units, specifically regarding any usefulness of the neutropenic diet. Following the completed literature review, the committeeÆs recommendation to either continue utilizing and teaching the neutropenic diet as a unit standard or its cessation would be presented to the medical staff. Thereafter, monitoring patient satisfaction with the dietary recommendations is planned. With use of the search terms neutropenic diet, oncology dietary restrictions and low microbial diet, 12 articles were reviewed based on relevance to unit specifics and population similarities. No scientific benefit to patients complying with the neutropenic diet was found according to reviewed literature. The committee created an educational document for distribution to patients regarding safe food handling, preparation, and storage. The completed document and the committee's recommendation to cease use and teaching of the neutropenic diet was reviewed and approved by the medical staff and unit dietitian. Ongoing evaluation following the first six months of adoption of the non-neutropenic diet is underway. Press Ganey scores are being monitored for patient satisfaction following this change in dietary options. Following a thorough review of the literature, our center has incorporated evidence-based findings into our dietary standards for adult oncology inpatients. It is anticipated that satisfaction with the expanded food options will increase, improving quality of life and choice for oncology inpatients.
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.titleEvidence-based standards for a non-neutropenic diet in an adult inpatient oncology settingen_GB
dc.contributor.authorTarr, Sarahen_US
dc.contributor.authorBullock, Chevelleen_US
dc.contributor.authorHillson, Johnen_US
dc.contributor.authorWarner, Marthaen_US
dc.contributor.authorMisuraca, Joeyen_US
dc.contributor.authorAllen, Deborahen_US
dc.author.detailsSarah Tarr, RN, BSN, OCN, Duke University Hospital, Durham, North Carolina, USA, email: catsp812@hotmail.com; Chevelle Bullock, RN, BSN; John Hillson, RN, OCN; Martha Warner, RN, BSN; Joey Misuraca, RN, BSN, OCN; Deborah Allen, MSN, RN, CNS, FNPBC, AOCNPen_US
dc.identifier.urihttp://hdl.handle.net/10755/164823-
dc.description.abstractClinical/Evidence Based Practice: Nutrition is a vital component to oncology patients' quality of life. Healthcare providers struggle to maintain a balance of caloric and protein demands. Because of nausea, vomiting, decreased appetite, and changes in taste and food preferences oncology patients struggle to find appealing foods. Historically, most oncology centers utilize neutropenic guidelines which incorporate stringent dietary restrictions thought to minimize infectious exposure. Accordingly, our medical and nursing staffs have educated patients regarding the restrictions surrounding the neutropenic diet. In an effort to incorporate evidence-based practices into our oncology center, a committee of nursing staff was formed to review literature on the efficacy of the neutropenic diet. Through a review of the literature, the goal of the committee was to propose evidence-based dietary recommendations for our inpatient oncology units, specifically regarding any usefulness of the neutropenic diet. Following the completed literature review, the committeeÆs recommendation to either continue utilizing and teaching the neutropenic diet as a unit standard or its cessation would be presented to the medical staff. Thereafter, monitoring patient satisfaction with the dietary recommendations is planned. With use of the search terms neutropenic diet, oncology dietary restrictions and low microbial diet, 12 articles were reviewed based on relevance to unit specifics and population similarities. No scientific benefit to patients complying with the neutropenic diet was found according to reviewed literature. The committee created an educational document for distribution to patients regarding safe food handling, preparation, and storage. The completed document and the committee's recommendation to cease use and teaching of the neutropenic diet was reviewed and approved by the medical staff and unit dietitian. Ongoing evaluation following the first six months of adoption of the non-neutropenic diet is underway. Press Ganey scores are being monitored for patient satisfaction following this change in dietary options. Following a thorough review of the literature, our center has incorporated evidence-based findings into our dietary standards for adult oncology inpatients. It is anticipated that satisfaction with the expanded food options will increase, improving quality of life and choice for oncology inpatients.en_GB
dc.date.available2011-10-27T12:07:39Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:07:39Z-
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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