Nursing Implications for the Patient Undergoing Hemipelvectomy: A Case Study for Nursing Grand Rounds

2.50
Hdl Handle:
http://hdl.handle.net/10755/164949
Category:
Abstract
Type:
Presentation
Title:
Nursing Implications for the Patient Undergoing Hemipelvectomy: A Case Study for Nursing Grand Rounds
Author(s):
DeCoteau, Silvestina; Hanohano, Jeanine; Bartek, Jalen; Arlington, Rosanne; Hunter, Betty; Gordon, Hyacinth
Author Details:
Silvestina DeCoteau, RN, MSN, NEA, BC, Assistant Nurse Manager, MD Anderson Cancer Center, Houston, Texas, USA, email: sdecoteau@mdanderson.org; Jeanine Hanohano, RN, BSN; Jalen Bartek, RN, BSN; Rosanne Arlington, RN, MSN, CNS, ONC-C, CPN, MD; Betty Hunter, RN,BSN, MA, OCN; Hyacinth Gordon, RN, MSN, OCN, CRRN
Abstract:
Clinical/Evidence Based Practice: Hemipelvectomy (HP) involves the unilateral surgical amputation of the pelvis, the innominate bone and the leg. HP remains the rarest of lower extremity amputations and is considered the best form of treatment for high grade sarcomas. Patients undergoing HP face seemingly insurmountable psychological and physical stressors associated with the loss of limb and extensive rehabilitation necessary after surgery. These patients require extensive physical, psychological and psychosocial management pre operatively, post operatively, and after discharge from the hospital. The nurse's role is critical to ensure positive patient outcomes, successful transition from inpatient to outpatient care, and return to the community. The purpose is to educate the nursing staff about the physical and psychosocial management of a patient diagnosed with osteosarcoma and resultant HP, and to provide the patient perspective of which nursing interactions/interventions are beneficial, and which aspects of care could be improved. In the surgical unit of a large comprehensive cancer hospital nurses noted a significant number of patients undergoing HP. Nurses convened a group to identify ways to increase their knowledge regarding sarcoma and HP. Nurses followed a patient from admission through post discharge follow-up visits and presented the findings at a unit- based Nursing Grand Rounds session. Nurses conducted literature review, and an orthopedic surgeon presented the physician perspective Presentation evaluations revealed that 100% of the nursing staff found the information presented at the Grand Rounds very useful and educational. Attendees were able to follow the patient's journey from diagnosis of the disease through surgery and successful transition back to the community. As front-line care providers nurses play a significant role in ensuring optimal patient outcome. It is critical that nurses are equipped with the knowledge to provide assessment, prompt interventions, and support to patients and families. The information obtained from this process can be used for future nursing research.
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.titleNursing Implications for the Patient Undergoing Hemipelvectomy: A Case Study for Nursing Grand Roundsen_GB
dc.contributor.authorDeCoteau, Silvestinaen_US
dc.contributor.authorHanohano, Jeanineen_US
dc.contributor.authorBartek, Jalenen_US
dc.contributor.authorArlington, Rosanneen_US
dc.contributor.authorHunter, Bettyen_US
dc.contributor.authorGordon, Hyacinthen_US
dc.author.detailsSilvestina DeCoteau, RN, MSN, NEA, BC, Assistant Nurse Manager, MD Anderson Cancer Center, Houston, Texas, USA, email: sdecoteau@mdanderson.org; Jeanine Hanohano, RN, BSN; Jalen Bartek, RN, BSN; Rosanne Arlington, RN, MSN, CNS, ONC-C, CPN, MD; Betty Hunter, RN,BSN, MA, OCN; Hyacinth Gordon, RN, MSN, OCN, CRRNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164949-
dc.description.abstractClinical/Evidence Based Practice: Hemipelvectomy (HP) involves the unilateral surgical amputation of the pelvis, the innominate bone and the leg. HP remains the rarest of lower extremity amputations and is considered the best form of treatment for high grade sarcomas. Patients undergoing HP face seemingly insurmountable psychological and physical stressors associated with the loss of limb and extensive rehabilitation necessary after surgery. These patients require extensive physical, psychological and psychosocial management pre operatively, post operatively, and after discharge from the hospital. The nurse's role is critical to ensure positive patient outcomes, successful transition from inpatient to outpatient care, and return to the community. The purpose is to educate the nursing staff about the physical and psychosocial management of a patient diagnosed with osteosarcoma and resultant HP, and to provide the patient perspective of which nursing interactions/interventions are beneficial, and which aspects of care could be improved. In the surgical unit of a large comprehensive cancer hospital nurses noted a significant number of patients undergoing HP. Nurses convened a group to identify ways to increase their knowledge regarding sarcoma and HP. Nurses followed a patient from admission through post discharge follow-up visits and presented the findings at a unit- based Nursing Grand Rounds session. Nurses conducted literature review, and an orthopedic surgeon presented the physician perspective Presentation evaluations revealed that 100% of the nursing staff found the information presented at the Grand Rounds very useful and educational. Attendees were able to follow the patient's journey from diagnosis of the disease through surgery and successful transition back to the community. As front-line care providers nurses play a significant role in ensuring optimal patient outcome. It is critical that nurses are equipped with the knowledge to provide assessment, prompt interventions, and support to patients and families. The information obtained from this process can be used for future nursing research.en_GB
dc.date.available2011-10-27T12:09:51Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:09:51Z-
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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