2.50
Hdl Handle:
http://hdl.handle.net/10755/164959
Category:
Abstract
Type:
Presentation
Title:
Managing Mucositis in the Inpatient Setting
Author(s):
Ellis, Alice; Quattrochi, Tammy; DeGuzman, Cleo; Lounethone, Monique
Author Details:
Alice Ellis, RN, MS, AOCN, Oncology Nurse Specialist, Texas Health Harris Methodist Hospital, Bedford, Texas, jennyellis@texashealth.org; Tammy Quattrochi, RN, OCN; Cleo DeGuzman, RN, OCN; Monique Lounethone, RN, OCN
Abstract:
Clinical/Evidence Based Practice: Mucositis can be a significant obstacle for the patient recovering from cancer and the toxicities of cancer therapies. The patient's comfort and healing can be positively affected when nursing care is guided by evidence-based practice that is facilitated by simple operational processes. In our Inpatient Oncology Unit the nursing assessment of patient's oral cavity was inconsistent and usually not documented until the patient was in pain. Also oral care products were often overlooked or refused by the patient. We decided that we needed to improve the care of our patients with mucositis. The goal of the project was to utilize evidence-based practice guidelines for the assessment and care of patients with mucositis. To do this we needed a process and tools that would facilitate nursing practice and could be easily audited to identify areas of weakness and opportunities for improvement The issues were discussed in the Unit Council meetings and several staff nurses volunteered to take part in the project. Assessment tools were reviewed and the Oral Assessment Guide was selected for use. A documentation form was then developed which provided care cues based on the appropriate assessment. Use or refusal of oral care products is charted here as well. A log of patients' names with mucositis is kept and chart audits are done by the staff. Throughout the process all Unit nurses participated in timely continuing education offerings through articles, PEP card, CD's etc. The nursing staff has expressed more confidence in their oral care practices and the oral care product is used more appropriately. The audits indicate that most of the patients with mucositis are identified in the early stages and interventions are instituted appropriately. In addition, mucositis is tracked now as a quality indicator for our Unit On our Oncology Unit managing mucositis is now a comprehensive part of the patient's overall care. The key was 1) the coordination of the assessment and the interventions, 2) the facilitation of simple documentation and 3) reinforcing the staff nurse's knowledge with current information about managing mucositis.
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.titleManaging Mucositis in the Inpatient Settingen_GB
dc.contributor.authorEllis, Aliceen_US
dc.contributor.authorQuattrochi, Tammyen_US
dc.contributor.authorDeGuzman, Cleoen_US
dc.contributor.authorLounethone, Moniqueen_US
dc.author.detailsAlice Ellis, RN, MS, AOCN, Oncology Nurse Specialist, Texas Health Harris Methodist Hospital, Bedford, Texas, jennyellis@texashealth.org; Tammy Quattrochi, RN, OCN; Cleo DeGuzman, RN, OCN; Monique Lounethone, RN, OCNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164959-
dc.description.abstractClinical/Evidence Based Practice: Mucositis can be a significant obstacle for the patient recovering from cancer and the toxicities of cancer therapies. The patient's comfort and healing can be positively affected when nursing care is guided by evidence-based practice that is facilitated by simple operational processes. In our Inpatient Oncology Unit the nursing assessment of patient's oral cavity was inconsistent and usually not documented until the patient was in pain. Also oral care products were often overlooked or refused by the patient. We decided that we needed to improve the care of our patients with mucositis. The goal of the project was to utilize evidence-based practice guidelines for the assessment and care of patients with mucositis. To do this we needed a process and tools that would facilitate nursing practice and could be easily audited to identify areas of weakness and opportunities for improvement The issues were discussed in the Unit Council meetings and several staff nurses volunteered to take part in the project. Assessment tools were reviewed and the Oral Assessment Guide was selected for use. A documentation form was then developed which provided care cues based on the appropriate assessment. Use or refusal of oral care products is charted here as well. A log of patients' names with mucositis is kept and chart audits are done by the staff. Throughout the process all Unit nurses participated in timely continuing education offerings through articles, PEP card, CD's etc. The nursing staff has expressed more confidence in their oral care practices and the oral care product is used more appropriately. The audits indicate that most of the patients with mucositis are identified in the early stages and interventions are instituted appropriately. In addition, mucositis is tracked now as a quality indicator for our Unit On our Oncology Unit managing mucositis is now a comprehensive part of the patient's overall care. The key was 1) the coordination of the assessment and the interventions, 2) the facilitation of simple documentation and 3) reinforcing the staff nurse's knowledge with current information about managing mucositis.en_GB
dc.date.available2011-10-27T12:10:02Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:10:02Z-
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.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.