UTILIZATION OF VACUUM ASSISTED CLOSURE (V.A.C.) THERAPY IMPROVES QUALITY OF LIFE IN THE ONCOLOGY POPULATION

2.50
Hdl Handle:
http://hdl.handle.net/10755/165252
Category:
Abstract
Type:
Presentation
Title:
UTILIZATION OF VACUUM ASSISTED CLOSURE (V.A.C.) THERAPY IMPROVES QUALITY OF LIFE IN THE ONCOLOGY POPULATION
Author(s):
Grahn, Elizabeth; Ahmed Aleya, Umme; Benenati, Halina; Liucci, Tracey; Solomon, Lorraine
Author Details:
Elizabeth Grahn, N, BSN, OCN, Clinical Nurse III, Memorial Sloan Kettering Cancer Center, New York, New York, USA, email: mooree@mskcc.org; Umme Ahmed Aleya, RN, BSN; Halina Benenati, RN, BSN; Tracey Liucci, RN, BSN, OCN; Lorraine Solomon, RN, BSN
Abstract:
Oncology patients with wounds experience impaired healing due to chemotherapy, myelosuppression, immunosuppression, disease processes or radiation. Utilization of V.A.C. therapy significantly improves quality of life for oncology patients with impaired wound healing ability. Quality of life improvements include decreases in healing time, bioburden, dressing change frequency and associated pain. V.A.C. therapy is palliatively used to contain copious drainage, decrease pain and increase patient independence. Unique advantages in the oncology population include improved caregiver wound management ability, facilitation of wound healing in previously irradiated areas and management of drainage from wounds encompassing disease. The purpose of V.A.C. therapy is to facilitate healing, remove, divert and contain drainage and control odor. It is a closed system that uses computer controlled negative pressure and replaces traditional wet to moist dressings with specialized foams, an occlusive dressing and a closed drainage system. It reduces bioburden and helps to decrease complications in the immunosuppressed oncology patient. It can significantly decrease frequency of multiple daily dressing changes and completely contain drainage allowing oncology patients greater comfort and mobility. Once appropriateness of V.A.C. therapy is determined and it is initiated, nursing care includes removal, cleansing, and reapplication of specialized foams, dressings and appliances every other day. Increased reapplication frequency may be required with infected wounds. Systems must be monitored to ensure the integrity of the occlusive dressing and application of the prescribed pressure setting. Drainage monitoring is also necessary. At this NCI designated comprehensive cancer center, wound care nurses implement V.A.C. therapy according to prescribed orders. These nurses assess each wound, apply and manage systems. They educate nursing staff regarding monitoring and management of V.A.C. therapy systems. They act as clinical resources to colleagues. Wounds are assessed prior to therapy implementation and with each removal and reapplication. Wounds are measured at initiation of therapy and at weekly intervals thereafter until discontinuation to determine treatment effectiveness. Patient comfort and quality of life is similarly assessed for success of therapy. In conclusion, V.A.C. therapy provides an opportunity to improve the comfort and quality of life for the oncology patient and facilitates healing of wounds unique to this population.
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.titleUTILIZATION OF VACUUM ASSISTED CLOSURE (V.A.C.) THERAPY IMPROVES QUALITY OF LIFE IN THE ONCOLOGY POPULATIONen_GB
dc.contributor.authorGrahn, Elizabethen_US
dc.contributor.authorAhmed Aleya, Ummeen_US
dc.contributor.authorBenenati, Halinaen_US
dc.contributor.authorLiucci, Traceyen_US
dc.contributor.authorSolomon, Lorraineen_US
dc.author.detailsElizabeth Grahn, N, BSN, OCN, Clinical Nurse III, Memorial Sloan Kettering Cancer Center, New York, New York, USA, email: mooree@mskcc.org; Umme Ahmed Aleya, RN, BSN; Halina Benenati, RN, BSN; Tracey Liucci, RN, BSN, OCN; Lorraine Solomon, RN, BSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/165252-
dc.description.abstractOncology patients with wounds experience impaired healing due to chemotherapy, myelosuppression, immunosuppression, disease processes or radiation. Utilization of V.A.C. therapy significantly improves quality of life for oncology patients with impaired wound healing ability. Quality of life improvements include decreases in healing time, bioburden, dressing change frequency and associated pain. V.A.C. therapy is palliatively used to contain copious drainage, decrease pain and increase patient independence. Unique advantages in the oncology population include improved caregiver wound management ability, facilitation of wound healing in previously irradiated areas and management of drainage from wounds encompassing disease. The purpose of V.A.C. therapy is to facilitate healing, remove, divert and contain drainage and control odor. It is a closed system that uses computer controlled negative pressure and replaces traditional wet to moist dressings with specialized foams, an occlusive dressing and a closed drainage system. It reduces bioburden and helps to decrease complications in the immunosuppressed oncology patient. It can significantly decrease frequency of multiple daily dressing changes and completely contain drainage allowing oncology patients greater comfort and mobility. Once appropriateness of V.A.C. therapy is determined and it is initiated, nursing care includes removal, cleansing, and reapplication of specialized foams, dressings and appliances every other day. Increased reapplication frequency may be required with infected wounds. Systems must be monitored to ensure the integrity of the occlusive dressing and application of the prescribed pressure setting. Drainage monitoring is also necessary. At this NCI designated comprehensive cancer center, wound care nurses implement V.A.C. therapy according to prescribed orders. These nurses assess each wound, apply and manage systems. They educate nursing staff regarding monitoring and management of V.A.C. therapy systems. They act as clinical resources to colleagues. Wounds are assessed prior to therapy implementation and with each removal and reapplication. Wounds are measured at initiation of therapy and at weekly intervals thereafter until discontinuation to determine treatment effectiveness. Patient comfort and quality of life is similarly assessed for success of therapy. In conclusion, V.A.C. therapy provides an opportunity to improve the comfort and quality of life for the oncology patient and facilitates healing of wounds unique to this population.en_GB
dc.date.available2011-10-27T12:15:13Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:15:13Z-
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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