OPTIMIZING COMBINED MODALITY PATIENT OUTCOMES THROUGH INTENSE NURSING CARE COORDINATION AND MANAGEMENT

2.50
Hdl Handle:
http://hdl.handle.net/10755/165063
Category:
Abstract
Type:
Presentation
Title:
OPTIMIZING COMBINED MODALITY PATIENT OUTCOMES THROUGH INTENSE NURSING CARE COORDINATION AND MANAGEMENT
Author(s):
McEvoy, Lorraine; Kennedy, Janine; Mary Elizabeth Davis, Mary Elizabeth
Author Details:
Lorraine McEvoy, RN MSN OCN, Clinical Coordinator, Memorial Sloan Kettering Cancer Center, Basking Ridge, New Jersey, USA, email: McEvoyL@mskcc.org; Janine Kennedy, RN, BSN, MA, OCN; Mary Elizabeth Davis, RN, MSN, AOCNS, Memorial Sloan-Kettering Cancer Center, Sleepy Hollow, New York
Abstract:
PatientsÆ receiving combined modality treatment (CMT) with both chemotherapy and radiation therapy present a significant challenge for management in the out patient setting. The side effects from both therapies can overlap and cause significant patient complications. Toxicities, such as mycositis, diarrhea, pain, and myelosuppression have historically led to disruptions in the treatment delivery to the patient, and in extreme circumstances, hospitalizations or death. In order to meet the challenge of preventing complications and improving patient outcomes, nurses in two ambulatory centers of a major cancer center created the CMT Nursing Meeting. PatientsÆ beginning, currently on, or having recently completed CMT are discussed in a multi-disciplinary forum. At the weekly CMT Meetings radiation, medical oncology and chemotherapy nurses, facilitated by Clinical Nurse Specialists, meet and review the patients. Social workers, Pharmacists and Dietitians also attend. Problem lists are created for each patient, which include potential and actual problems and the strategies to deal with them. The list is then presented by the nurses at a weekly multi-disciplinary meeting, where it is reviewed by the physicians. The input from the physicians rounds out the coordination of care for these complex patients. This approach has led to the creation of a supportive nursing role. The Intervention Nurse was created to assist the primary care nurses with daily comprehensive assessments, on-going patient education for self care, mouth sprays, skin care, and nutritional support. The Intervention Nurses at both sites are experienced oncology nurses who received additional training at the cancer centerÆs main campus in Radiation Oncology and wound care. Through electronic documentation of the Intervention Nursing visits, all staff is well informed of each patient; this facilitates a rapid response when new issues are identified. This pro-active management of toxicities has reduced the number of treatment- related hospital admissions and has improved patient careû all, in an out-patient community setting. We have been able to capture toxicities and complications at the beginning stages, thus leading to improved patient outcomes. This new multidisciplinary method has been successful in improving safety and the coordination of care for these very complicated patients.
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.titleOPTIMIZING COMBINED MODALITY PATIENT OUTCOMES THROUGH INTENSE NURSING CARE COORDINATION AND MANAGEMENTen_GB
dc.contributor.authorMcEvoy, Lorraineen_US
dc.contributor.authorKennedy, Janineen_US
dc.contributor.authorMary Elizabeth Davis, Mary Elizabethen_US
dc.author.detailsLorraine McEvoy, RN MSN OCN, Clinical Coordinator, Memorial Sloan Kettering Cancer Center, Basking Ridge, New Jersey, USA, email: McEvoyL@mskcc.org; Janine Kennedy, RN, BSN, MA, OCN; Mary Elizabeth Davis, RN, MSN, AOCNS, Memorial Sloan-Kettering Cancer Center, Sleepy Hollow, New Yorken_US
dc.identifier.urihttp://hdl.handle.net/10755/165063-
dc.description.abstractPatientsÆ receiving combined modality treatment (CMT) with both chemotherapy and radiation therapy present a significant challenge for management in the out patient setting. The side effects from both therapies can overlap and cause significant patient complications. Toxicities, such as mycositis, diarrhea, pain, and myelosuppression have historically led to disruptions in the treatment delivery to the patient, and in extreme circumstances, hospitalizations or death. In order to meet the challenge of preventing complications and improving patient outcomes, nurses in two ambulatory centers of a major cancer center created the CMT Nursing Meeting. PatientsÆ beginning, currently on, or having recently completed CMT are discussed in a multi-disciplinary forum. At the weekly CMT Meetings radiation, medical oncology and chemotherapy nurses, facilitated by Clinical Nurse Specialists, meet and review the patients. Social workers, Pharmacists and Dietitians also attend. Problem lists are created for each patient, which include potential and actual problems and the strategies to deal with them. The list is then presented by the nurses at a weekly multi-disciplinary meeting, where it is reviewed by the physicians. The input from the physicians rounds out the coordination of care for these complex patients. This approach has led to the creation of a supportive nursing role. The Intervention Nurse was created to assist the primary care nurses with daily comprehensive assessments, on-going patient education for self care, mouth sprays, skin care, and nutritional support. The Intervention Nurses at both sites are experienced oncology nurses who received additional training at the cancer centerÆs main campus in Radiation Oncology and wound care. Through electronic documentation of the Intervention Nursing visits, all staff is well informed of each patient; this facilitates a rapid response when new issues are identified. This pro-active management of toxicities has reduced the number of treatment- related hospital admissions and has improved patient careû all, in an out-patient community setting. We have been able to capture toxicities and complications at the beginning stages, thus leading to improved patient outcomes. This new multidisciplinary method has been successful in improving safety and the coordination of care for these very complicated patients.en_GB
dc.date.available2011-10-27T12:11:52Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:11:52Z-
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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