Improving Symptom Management with Ambulatory patients with a follow-up phone call

2.50
Hdl Handle:
http://hdl.handle.net/10755/164944
Category:
Abstract
Type:
Presentation
Title:
Improving Symptom Management with Ambulatory patients with a follow-up phone call
Author(s):
Courtney, Laurel
Author Details:
Laurel Courtney, RN, MS, AOCN, CNS, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus, Ohio, USA, email: lori.courtney@osumc.edu
Abstract:
Clinical/Evidence Based Practice: A cancer diagnosis elicits a roller coaster of emotions. There is a perceived loss of control. Anxiety and emotional distress can impact the patientsÆ ability to learn. Patients undergoing first time chemotherapy are given a chemotherapy packet and symptom management is reviewed with patient and family. In addition, phone numbers are given to patients and families to call if they experience problems after treatment. In reviewing patient satisfaction scores for chemotherapy infusion, it was noted that patients did not always feel they had received adequate education on symptom management. The goal was to develop telephone callback form that all areas of Ambulatory could use to follow up on symptom management. Symptoms selected include: nausea/vomiting, temperature, wound site/drainage, diarrhea and pain. All Ambulatory infusion centers, procedures areas and ambulatory surgery units would use the form. A review of literature found many areas of nursing employed telephone follow up as a way to mange patients. Calls allow for clarifying discharge instructions, collecting clinical outcomes data and the opportunity to intervene if necessary. Quality Council identified the patients that would receive a call 24-72 hours after their ambulatory visit. These included first time chemotherapy patients, first time procedures such as thoracentesis etc, and all minor procedures. Each unit developed a process for tracking when patients needed to be called back. Eighteen months of SRBI patient satisfaction scores on symptom management and patient teaching were compared pre and post implementation of call back initiative. After implementation of call backs patient satisfaction for symptom management and patient education improved. Quality Council is now looking to expand the call back initiative to inpatients upon discharge as well as patients discharged from the 23 hour stay unit. A work group will identify high risk populations that will be called. In addition, the form will be revised to add constipation as an additional symptom to follow up on. Standardizing the form allowed tracking outcomes for patients. Allowing each unit to develop their own process assisted with successful implementation of the initiative.
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.titleImproving Symptom Management with Ambulatory patients with a follow-up phone callen_GB
dc.contributor.authorCourtney, Laurelen_US
dc.author.detailsLaurel Courtney, RN, MS, AOCN, CNS, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus, Ohio, USA, email: lori.courtney@osumc.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/164944-
dc.description.abstractClinical/Evidence Based Practice: A cancer diagnosis elicits a roller coaster of emotions. There is a perceived loss of control. Anxiety and emotional distress can impact the patientsÆ ability to learn. Patients undergoing first time chemotherapy are given a chemotherapy packet and symptom management is reviewed with patient and family. In addition, phone numbers are given to patients and families to call if they experience problems after treatment. In reviewing patient satisfaction scores for chemotherapy infusion, it was noted that patients did not always feel they had received adequate education on symptom management. The goal was to develop telephone callback form that all areas of Ambulatory could use to follow up on symptom management. Symptoms selected include: nausea/vomiting, temperature, wound site/drainage, diarrhea and pain. All Ambulatory infusion centers, procedures areas and ambulatory surgery units would use the form. A review of literature found many areas of nursing employed telephone follow up as a way to mange patients. Calls allow for clarifying discharge instructions, collecting clinical outcomes data and the opportunity to intervene if necessary. Quality Council identified the patients that would receive a call 24-72 hours after their ambulatory visit. These included first time chemotherapy patients, first time procedures such as thoracentesis etc, and all minor procedures. Each unit developed a process for tracking when patients needed to be called back. Eighteen months of SRBI patient satisfaction scores on symptom management and patient teaching were compared pre and post implementation of call back initiative. After implementation of call backs patient satisfaction for symptom management and patient education improved. Quality Council is now looking to expand the call back initiative to inpatients upon discharge as well as patients discharged from the 23 hour stay unit. A work group will identify high risk populations that will be called. In addition, the form will be revised to add constipation as an additional symptom to follow up on. Standardizing the form allowed tracking outcomes for patients. Allowing each unit to develop their own process assisted with successful implementation of the initiative.en_GB
dc.date.available2011-10-27T12:09:45Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:09:45Z-
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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