ARE WE STILL DOING THE RIGHT THING? AN EVIDENCE-BASED REVIEW OF THE MANAGEMENT OF CONSTIPATION

2.50
Hdl Handle:
http://hdl.handle.net/10755/165179
Category:
Abstract
Type:
Presentation
Title:
ARE WE STILL DOING THE RIGHT THING? AN EVIDENCE-BASED REVIEW OF THE MANAGEMENT OF CONSTIPATION
Author(s):
Bland, Maureen; Gaines, Barbara; Law, Ethel; Elizabeth Davis, Mary
Author Details:
Maureen Bland, RN, Memorial Sloan Kettering Cancer Center, New York, New York, USA, email: BlandM@MSKCC.ORG; Barbara Gaines, RN, BSN, OCN; Ethel Law, RN, MA, OCN; Mary Elizabeth Davis, RN, MSN, AOCNS
Abstract:
Constipation ranks among the top three side effects experienced by cancer patients and has a significant impact on quality of life. Causes may be disease-related or iatrogenically induced. Oncology nurses are integral in the management and prevention of constipation. At this comprehensive cancer center, nursing staff discussion revealed variations in practice related to assessment, prevention, and management of constipation. A review of current practice standards was initiated. This project was implemented to determine whether our existing standards for constipation management were clear, accurate and based on the latest evidence. Clinical questions were framed to focus primarily on evidence-based practices for prevention and management of constipation. An ambulatory nursing subcommittee established a constipation task force and a literature search was performed to determine the presence of any new data since our practice standard was last reviewed. The evidence-based review included current literature, published guidelines and expert consultation. Our current standards and previously established treatment algorithm were reviewed for clarity, thoroughness and clinical usefulness. The evidence review did not reveal any new treatment strategies although ongoing clinical trials of new opioid inhibitors hold promise for the future. Review of our current standard and algorithm revealed the absence of causative factors, adequate information for assessment and non-pharmacologic interventions. The standard and algorithm were revised to include possible etiology and nutritional and behavioral management strategies. An education program is planned for all nursing staff. A pre and post evaluation of knowledge will be done to assess learning. A follow up survey will be conducted to evaluate practice change. Constipation is a frequent clinical outcome of cancer and treatment. Although we found no changes in treatment in the evidence review, our standard required revision to include additional information for nurses to practice consistently. Re-education of staff about constipation management was needed to improve patient care.
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.titleARE WE STILL DOING THE RIGHT THING? AN EVIDENCE-BASED REVIEW OF THE MANAGEMENT OF CONSTIPATIONen_GB
dc.contributor.authorBland, Maureenen_US
dc.contributor.authorGaines, Barbaraen_US
dc.contributor.authorLaw, Ethelen_US
dc.contributor.authorElizabeth Davis, Maryen_US
dc.author.detailsMaureen Bland, RN, Memorial Sloan Kettering Cancer Center, New York, New York, USA, email: BlandM@MSKCC.ORG; Barbara Gaines, RN, BSN, OCN; Ethel Law, RN, MA, OCN; Mary Elizabeth Davis, RN, MSN, AOCNSen_US
dc.identifier.urihttp://hdl.handle.net/10755/165179-
dc.description.abstractConstipation ranks among the top three side effects experienced by cancer patients and has a significant impact on quality of life. Causes may be disease-related or iatrogenically induced. Oncology nurses are integral in the management and prevention of constipation. At this comprehensive cancer center, nursing staff discussion revealed variations in practice related to assessment, prevention, and management of constipation. A review of current practice standards was initiated. This project was implemented to determine whether our existing standards for constipation management were clear, accurate and based on the latest evidence. Clinical questions were framed to focus primarily on evidence-based practices for prevention and management of constipation. An ambulatory nursing subcommittee established a constipation task force and a literature search was performed to determine the presence of any new data since our practice standard was last reviewed. The evidence-based review included current literature, published guidelines and expert consultation. Our current standards and previously established treatment algorithm were reviewed for clarity, thoroughness and clinical usefulness. The evidence review did not reveal any new treatment strategies although ongoing clinical trials of new opioid inhibitors hold promise for the future. Review of our current standard and algorithm revealed the absence of causative factors, adequate information for assessment and non-pharmacologic interventions. The standard and algorithm were revised to include possible etiology and nutritional and behavioral management strategies. An education program is planned for all nursing staff. A pre and post evaluation of knowledge will be done to assess learning. A follow up survey will be conducted to evaluate practice change. Constipation is a frequent clinical outcome of cancer and treatment. Although we found no changes in treatment in the evidence review, our standard required revision to include additional information for nurses to practice consistently. Re-education of staff about constipation management was needed to improve patient care.en_GB
dc.date.available2011-10-27T12:13:55Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:13:55Z-
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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