LYMPHEDEMA: A QUALITY OF LIFE EDUCATIONAL NEED FOR PATIENTS AND HEALTHCARE STAFF

2.50
Hdl Handle:
http://hdl.handle.net/10755/164921
Category:
Abstract
Type:
Presentation
Title:
LYMPHEDEMA: A QUALITY OF LIFE EDUCATIONAL NEED FOR PATIENTS AND HEALTHCARE STAFF
Author(s):
Belling, Lisa
Author Details:
Lisa Belling, RN, BSN, RN, BSN Breast Health Educator, Franciscan Skemp, LaCrosse, Wisconsin, USA, email: belling.lisa@mayo.edu
Abstract:
[Education] Significance & Background: Lymphedema remains a significant risk and a quality of life issue for patients. Patients may not receive appropriate education about risk or precautions resulting in difficult management. Lymphedema occurrence ranges from 5 û 60%. Frequently, a patientÆs radiation and/or chemotherapy can be adversely affected if lymphedema occurs. Typically, intervention occurs once lymphedema has developed rather than focusing concerted efforts on patient education and exercise immediately post surgery. The lymphedema risk reduction education and symptom management project was developed to eliminate a fragmented approach for patients with breast cancer. Purpose: The implementation of a timely intervention program for patients at risk for lymphedema will result in patients reporting symptoms earlier and the initiation of prompt treatment. Patient care staff will have expanded knowledge of the at-risk factors for upper extremity lymphedema and the importance of early intervention. Intervention: In 2006, a comprehensive system-wide program to impact timely patient education was implemented. The program consisted of standardization of pre- and post-surgical patient education and post-op orders with automatic referrals to occupational therapy (OT). Baseline arm measurements were obtained prior to treatment, patients were instructed to continue measuring and tracking over time and subsequent measurement by nursing will continue for up to 5 years. In 2008, a mandatory education module on lymphedema precautions was implemented for staff. The module emphasized venipuncture and blood pressure precautions. Evaluation: To date, the education module is 53% completed by staff with anecdotal feedback about increased awareness of lymphedema risk/management. Patient compliance with the automatic OT referral process is 90%. A within group design showed comparison values that were significant for decreases in patient arm measurements (thumb, wrist, above elbow) from baseline to 6 months (n=95) and 12 months (n=61). Discussion: The establishment of lymphedema educational best practice guidelines has lead to increased nursing awareness in caring for patients at risk. Prompt identification of lymphedema risk and earlier patient treatment has occurred. This is a simple, low cost program that could easily be implemented in most practice settings.
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.titleLYMPHEDEMA: A QUALITY OF LIFE EDUCATIONAL NEED FOR PATIENTS AND HEALTHCARE STAFFen_GB
dc.contributor.authorBelling, Lisaen_US
dc.author.detailsLisa Belling, RN, BSN, RN, BSN Breast Health Educator, Franciscan Skemp, LaCrosse, Wisconsin, USA, email: belling.lisa@mayo.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/164921-
dc.description.abstract[Education] Significance & Background: Lymphedema remains a significant risk and a quality of life issue for patients. Patients may not receive appropriate education about risk or precautions resulting in difficult management. Lymphedema occurrence ranges from 5 û 60%. Frequently, a patientÆs radiation and/or chemotherapy can be adversely affected if lymphedema occurs. Typically, intervention occurs once lymphedema has developed rather than focusing concerted efforts on patient education and exercise immediately post surgery. The lymphedema risk reduction education and symptom management project was developed to eliminate a fragmented approach for patients with breast cancer. Purpose: The implementation of a timely intervention program for patients at risk for lymphedema will result in patients reporting symptoms earlier and the initiation of prompt treatment. Patient care staff will have expanded knowledge of the at-risk factors for upper extremity lymphedema and the importance of early intervention. Intervention: In 2006, a comprehensive system-wide program to impact timely patient education was implemented. The program consisted of standardization of pre- and post-surgical patient education and post-op orders with automatic referrals to occupational therapy (OT). Baseline arm measurements were obtained prior to treatment, patients were instructed to continue measuring and tracking over time and subsequent measurement by nursing will continue for up to 5 years. In 2008, a mandatory education module on lymphedema precautions was implemented for staff. The module emphasized venipuncture and blood pressure precautions. Evaluation: To date, the education module is 53% completed by staff with anecdotal feedback about increased awareness of lymphedema risk/management. Patient compliance with the automatic OT referral process is 90%. A within group design showed comparison values that were significant for decreases in patient arm measurements (thumb, wrist, above elbow) from baseline to 6 months (n=95) and 12 months (n=61). Discussion: The establishment of lymphedema educational best practice guidelines has lead to increased nursing awareness in caring for patients at risk. Prompt identification of lymphedema risk and earlier patient treatment has occurred. This is a simple, low cost program that could easily be implemented in most practice settings.en_GB
dc.date.available2011-10-27T12:09:21Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:09:21Z-
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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