INTRAPERITONEAL CHEMOTHERAPY AND INTRAPERITONEAL CATHETER CARE A NURSING MANAGEMENT PERSPECTIVE; EVELYN MARINAS RN, BSN, OCN AND STELLA DIKE RN. THE UNIVERSITY OF TEXAS M.D. ANDERSON CANCER CENTER, HOUSTON TX.

2.50
Hdl Handle:
http://hdl.handle.net/10755/165053
Category:
Abstract
Type:
Presentation
Title:
INTRAPERITONEAL CHEMOTHERAPY AND INTRAPERITONEAL CATHETER CARE A NURSING MANAGEMENT PERSPECTIVE; EVELYN MARINAS RN, BSN, OCN AND STELLA DIKE RN. THE UNIVERSITY OF TEXAS M.D. ANDERSON CANCER CENTER, HOUSTON TX.
Author(s):
Marinas, Evelyn; Dike, Stella
Author Details:
Evelyn Marinas, RN BSN OCN, Assistant Nurse Manager, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA, email: cmar1253@earthlink.net; Stella Dike, RN
Abstract:
A clinical trial conducted by the Gynecologic Oncology Group (GOG), revealed a significant increase in the number of surviving patients who received chemotherapy through Intraperitoneal (IP) Chemotherapy when compared to outcomes of administration via the traditional intravenous route. Intraperitoneal (IP) Chemotherapy is a method to directly infuse chemotherapy into the abdominal cavity where most ovarian cancer cells circulate and spread. The benefit appears to be approximately a 12-month improvement in median overall survival (range 0-16months). Chemotherapy agents, such as Cisplatin and Paclitaxel can be administered via an external intraperitoneal tunneled catheter (Tenckhoff) or a subcutaneously implanted intraperitoneal port. An increase in number of patients with IP catheters on a gynecology oncology unit created a need for an evidence- based policy and procedure for IP catheter care. The purpose of this project was to develop a standardized, evidence- based nursing procedure/policy to guide clinical nursesÆ practice with catheter care and maintenance The Nursing Practice Congress (NPC) governance structure in our comprehensive cancer center supports professional nurses to influence practice outcomes and develop evidence-based nursing practice standards. Professional Action Coordinating Teams (PACTs) are created to discuss and develop resolutions to issues identified at the primary level of care. The need for a standardized nursing procedure/ policy for patients receiving IP chemotherapy was presented to the NPC and a PACT was formed. Interdisciplinary IP PACT team members reviewed available literature and guidelines to determine best practices for IP catheter care. The completed IP chemotherapy policy/procedure has been presented to the NPC for approval and will be communicated to the nursing community as a practice guide. The PACT identified that patientsÆ IP chemotherapy had been discontinued in other settings due to complications such as catheter blockage, catheter leak and catheter infections. Based on the review of literature, the IP PACT drafted an Intraperitoneal Medication Administration Policy/Procedure. Recommendations included: (1) Assess the catheter or port for patency by flushing with normal saline to ensure there is no resistance or leakage. (2). Recheck position of the hueber needle and re-access if leakage occurs. (3). Use aseptic technique for catheter managements to prevent catheter infection.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, 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.titleINTRAPERITONEAL CHEMOTHERAPY AND INTRAPERITONEAL CATHETER CARE A NURSING MANAGEMENT PERSPECTIVE; EVELYN MARINAS RN, BSN, OCN AND STELLA DIKE RN. THE UNIVERSITY OF TEXAS M.D. ANDERSON CANCER CENTER, HOUSTON TX.en_GB
dc.contributor.authorMarinas, Evelynen_US
dc.contributor.authorDike, Stellaen_US
dc.author.detailsEvelyn Marinas, RN BSN OCN, Assistant Nurse Manager, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA, email: cmar1253@earthlink.net; Stella Dike, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/165053-
dc.description.abstractA clinical trial conducted by the Gynecologic Oncology Group (GOG), revealed a significant increase in the number of surviving patients who received chemotherapy through Intraperitoneal (IP) Chemotherapy when compared to outcomes of administration via the traditional intravenous route. Intraperitoneal (IP) Chemotherapy is a method to directly infuse chemotherapy into the abdominal cavity where most ovarian cancer cells circulate and spread. The benefit appears to be approximately a 12-month improvement in median overall survival (range 0-16months). Chemotherapy agents, such as Cisplatin and Paclitaxel can be administered via an external intraperitoneal tunneled catheter (Tenckhoff) or a subcutaneously implanted intraperitoneal port. An increase in number of patients with IP catheters on a gynecology oncology unit created a need for an evidence- based policy and procedure for IP catheter care. The purpose of this project was to develop a standardized, evidence- based nursing procedure/policy to guide clinical nursesÆ practice with catheter care and maintenance The Nursing Practice Congress (NPC) governance structure in our comprehensive cancer center supports professional nurses to influence practice outcomes and develop evidence-based nursing practice standards. Professional Action Coordinating Teams (PACTs) are created to discuss and develop resolutions to issues identified at the primary level of care. The need for a standardized nursing procedure/ policy for patients receiving IP chemotherapy was presented to the NPC and a PACT was formed. Interdisciplinary IP PACT team members reviewed available literature and guidelines to determine best practices for IP catheter care. The completed IP chemotherapy policy/procedure has been presented to the NPC for approval and will be communicated to the nursing community as a practice guide. The PACT identified that patientsÆ IP chemotherapy had been discontinued in other settings due to complications such as catheter blockage, catheter leak and catheter infections. Based on the review of literature, the IP PACT drafted an Intraperitoneal Medication Administration Policy/Procedure. Recommendations included: (1) Assess the catheter or port for patency by flushing with normal saline to ensure there is no resistance or leakage. (2). Recheck position of the hueber needle and re-access if leakage occurs. (3). Use aseptic technique for catheter managements to prevent catheter infection.en_GB
dc.date.available2011-10-27T12:11:41Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:11:41Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, 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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