STAFF NURSE IMPLEMENTATION OF AN EVIDENCE BASED PRACTICE STANDARD: CARING FOR ONCOLOGY PATIENTS WITH ALTERATION IN SKIN INTEGRITY RELATED TO INCONTINENCE

2.50
Hdl Handle:
http://hdl.handle.net/10755/165082
Category:
Abstract
Type:
Presentation
Title:
STAFF NURSE IMPLEMENTATION OF AN EVIDENCE BASED PRACTICE STANDARD: CARING FOR ONCOLOGY PATIENTS WITH ALTERATION IN SKIN INTEGRITY RELATED TO INCONTINENCE
Author(s):
O'Donnell, Susan; Robertson, Heather; Harrington, Cynthia; Brown, Laura; Audette, Ginette; Vasquez, Aura
Author Details:
Susan O'Donnell, RN BSN OCN, Staff Nurse Heme/Onc Bmt Unit, Massachusetts General Hospital, Boston, Massachusetts, USA, email: sueodonnell53@hotmail.com; Heather Robertson, RN, BSN; Cynthia Harrington, RN, BSN; Laura Brown, RN, BSN, OCN; Ginette Audette, RN, BSN; Aura Vasquez, RN, BSN
Abstract:
Patients with cancer are at an increased risk for developing skin breakdown. They are susceptible for perineal-rectal skin integrity impairment related to multiple factors including side effects of chemotherapy/ radiation, altered nutritional status, immobility/weakness, and immunosuppression. Incontinence of urine and or stool can further complicate this problem. Perineal skin damage secondary to incontinence is painful, preventable, and prevalent, occurring in approximately 33% of hospitalized adults (Lyder, 1992). Nurses play a crucial role in assessing, treating, and preventing perineal skin breakdown related to incontinence. After attending a two-day workshop on wound care, a work group on a hematology/oncology unit was created to identify common skin care problems in our patient population. Altered perineal skin integrity related to incontinence was the chosen issue. An extensive review of evidence-based literature was completed examining the current protocols in use for the management of perineal-rectal skin alterations. Although there is a significant amount of literature focusing on skin maintenance of the medical-surgical patient population there remains a paucity of research focusing on skin care of incontinent oncology patients. Utilizing available information, a skin care initiative was started to create a perineal skin care protocol on the unit. A focus was placed on cleaning, assessing, protecting, and treating the affected skin in both patients with a breakdown or those we felt were at risk for future complications. A staff survey was conducted to evaluate current standards for skin care on the unit when caring for a patient with incontinence. This survey collected information on current practices of cleaning, assessing, protecting and treating the skin of incontinent patients in an oncology setting. The survey results will be analyzed and evidence based guidelines will be developed. This work is ongoing. A series of staff education programs will be conducted and members of the unit based wound care work group will serve as consultants/resources in planning care. The wound care work group will evaluate this initiative by conducting a survey, auditing patient records, and observing nursing practice. The goal of the wound care workgroup is to implement evidence based practices for oncology patients with skin care alterations related to incontinence.
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.titleSTAFF NURSE IMPLEMENTATION OF AN EVIDENCE BASED PRACTICE STANDARD: CARING FOR ONCOLOGY PATIENTS WITH ALTERATION IN SKIN INTEGRITY RELATED TO INCONTINENCEen_GB
dc.contributor.authorO'Donnell, Susanen_US
dc.contributor.authorRobertson, Heatheren_US
dc.contributor.authorHarrington, Cynthiaen_US
dc.contributor.authorBrown, Lauraen_US
dc.contributor.authorAudette, Ginetteen_US
dc.contributor.authorVasquez, Auraen_US
dc.author.detailsSusan O'Donnell, RN BSN OCN, Staff Nurse Heme/Onc Bmt Unit, Massachusetts General Hospital, Boston, Massachusetts, USA, email: sueodonnell53@hotmail.com; Heather Robertson, RN, BSN; Cynthia Harrington, RN, BSN; Laura Brown, RN, BSN, OCN; Ginette Audette, RN, BSN; Aura Vasquez, RN, BSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/165082-
dc.description.abstractPatients with cancer are at an increased risk for developing skin breakdown. They are susceptible for perineal-rectal skin integrity impairment related to multiple factors including side effects of chemotherapy/ radiation, altered nutritional status, immobility/weakness, and immunosuppression. Incontinence of urine and or stool can further complicate this problem. Perineal skin damage secondary to incontinence is painful, preventable, and prevalent, occurring in approximately 33% of hospitalized adults (Lyder, 1992). Nurses play a crucial role in assessing, treating, and preventing perineal skin breakdown related to incontinence. After attending a two-day workshop on wound care, a work group on a hematology/oncology unit was created to identify common skin care problems in our patient population. Altered perineal skin integrity related to incontinence was the chosen issue. An extensive review of evidence-based literature was completed examining the current protocols in use for the management of perineal-rectal skin alterations. Although there is a significant amount of literature focusing on skin maintenance of the medical-surgical patient population there remains a paucity of research focusing on skin care of incontinent oncology patients. Utilizing available information, a skin care initiative was started to create a perineal skin care protocol on the unit. A focus was placed on cleaning, assessing, protecting, and treating the affected skin in both patients with a breakdown or those we felt were at risk for future complications. A staff survey was conducted to evaluate current standards for skin care on the unit when caring for a patient with incontinence. This survey collected information on current practices of cleaning, assessing, protecting and treating the skin of incontinent patients in an oncology setting. The survey results will be analyzed and evidence based guidelines will be developed. This work is ongoing. A series of staff education programs will be conducted and members of the unit based wound care work group will serve as consultants/resources in planning care. The wound care work group will evaluate this initiative by conducting a survey, auditing patient records, and observing nursing practice. The goal of the wound care workgroup is to implement evidence based practices for oncology patients with skin care alterations related to incontinence.en_GB
dc.date.available2011-10-27T12:12:12Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:12:12Z-
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.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.