2.50
Hdl Handle:
http://hdl.handle.net/10755/164962
Category:
Abstract
Type:
Presentation
Title:
Working Smarter, Not Harder...to care for patients with Mucositis
Author(s):
Ford, Mina
Author Details:
Mina Ford, MSN, RN, OCN, Clinical Nurse Educator, Martha Jefferson Hospital, Charlottesville, Virginia, USA, email: mina.ford@mjh.org
Abstract:
Clinical/Evidence Based Practice: Cancer patients have many side effects due to chemotherapy and/or radiation treatments. One side effect, mucositis, can occur in 20-40% of patients treated with chemotherapy alone and up to 50% of patients receiving combination therapy, especially head and neck cancer patients. The nurses on South 7 at Martha Jefferson Hospital take care of many head and neck cancer patients and wanted to provide more consistent care and documentation of the interventions implemented. The goal was to use evidence-based research and our electronic documentation system, Powerchart, to develop guidelines to consistently manage mucositis for head and neck as well as other cancer patients. After a literature review was completed using the ONS PEP cards and CINAHL search engine, the staff developed evidence based mucositis guidelines. Eiler's Oral assessment was added to Powerchart, because there was currently no oral assessment. Once an assessment is completed in Powerchart, interventions based upon the severity of the mucositis are placed on the patient care activity list (PAL). PAL is an electronic task list that helps organize the nurses' tasks by time, and documents what has been completed. This ensures all staff is consistently implementing the same interventions and they are being documented. The National Cancer Institute Common Terminology Criteria for Adverse Events was also placed on Powerchart so the nursing staff and physicians were using the same scale and changes could be noted quickly. The team reviewed the current patient education to ensure it reinforced what was being implemented on the unit. When the guidelines were in place, education was provided to the staff. Now that the Mucositis guidelines are in place, staff is more consistent with completing oral assessments and completing the appropriate interventions. Powerchart ensures that the patient's mucositis is recorded consistently and documents the interventions implemented. The process to develop mucositis guidelines helped the staff better manage mucositis, but also how to do a literature review, implement evidence based research, and provide more consistent care by using Powerchart. During this process the nurses learned how to work smarter, not harder to provide better mucositis care.
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.titleWorking Smarter, Not Harder...to care for patients with Mucositisen_GB
dc.contributor.authorFord, Minaen_US
dc.author.detailsMina Ford, MSN, RN, OCN, Clinical Nurse Educator, Martha Jefferson Hospital, Charlottesville, Virginia, USA, email: mina.ford@mjh.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164962-
dc.description.abstractClinical/Evidence Based Practice: Cancer patients have many side effects due to chemotherapy and/or radiation treatments. One side effect, mucositis, can occur in 20-40% of patients treated with chemotherapy alone and up to 50% of patients receiving combination therapy, especially head and neck cancer patients. The nurses on South 7 at Martha Jefferson Hospital take care of many head and neck cancer patients and wanted to provide more consistent care and documentation of the interventions implemented. The goal was to use evidence-based research and our electronic documentation system, Powerchart, to develop guidelines to consistently manage mucositis for head and neck as well as other cancer patients. After a literature review was completed using the ONS PEP cards and CINAHL search engine, the staff developed evidence based mucositis guidelines. Eiler's Oral assessment was added to Powerchart, because there was currently no oral assessment. Once an assessment is completed in Powerchart, interventions based upon the severity of the mucositis are placed on the patient care activity list (PAL). PAL is an electronic task list that helps organize the nurses' tasks by time, and documents what has been completed. This ensures all staff is consistently implementing the same interventions and they are being documented. The National Cancer Institute Common Terminology Criteria for Adverse Events was also placed on Powerchart so the nursing staff and physicians were using the same scale and changes could be noted quickly. The team reviewed the current patient education to ensure it reinforced what was being implemented on the unit. When the guidelines were in place, education was provided to the staff. Now that the Mucositis guidelines are in place, staff is more consistent with completing oral assessments and completing the appropriate interventions. Powerchart ensures that the patient's mucositis is recorded consistently and documents the interventions implemented. The process to develop mucositis guidelines helped the staff better manage mucositis, but also how to do a literature review, implement evidence based research, and provide more consistent care by using Powerchart. During this process the nurses learned how to work smarter, not harder to provide better mucositis care.en_GB
dc.date.available2011-10-27T12:10:06Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:10:06Z-
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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