2.50
Hdl Handle:
http://hdl.handle.net/10755/182725
Category:
Abstract
Type:
Presentation
Title:
A Bowel Surgery Initiative: Chewing Gum and the Theory of Human Becoming
Author(s):
Dillman, Melody
Author Details:
Melody Dillman, RN, BSN, Lancaster General Hospital, Lancaster, Pennsylvania, USA, email: mcdillma@lancastergeneral.org
Abstract:
Poster Presentation: This hospital demonstrated a statistically significant increased length of stay for patients having colorectal surgical procedures in Fiscal Year 2006. In fact, average length of stay for bowel surgery was more than two days longer when compared to like centers. The General Surgery Care Management Team (GSCMT), responsible for overseeing the care of this patient population; set an aggressive goal to achieve a 5% reduction in major bowel surgery length of stay from 11.7 days in Fiscal Year 2006 to 11.1 days in Fiscal Year 2007. The target audience included all patients undergoing major bowel surgery within the healthcare system. Patients undergoing colorectal surgery are at risk for post operative ileus, semi starvation, activity intolerance, development of DVT and PE, altered body image and extended length of stay. Therefore, the GSCMT set out to provide a multi-modal approach that enhanced patient care and decreased length of stay by implementing a new initiative which included chewing gum post operatively and the development of a patient and family clinical plan based on the Theory of Human Becoming by Rosemarie Parse. Researchers theorize chewing gum stimulates the vagus nerve which releases gastrointestinal hormones that stimulate bowel activity. Gum chewing is considered a form of fake feeding. Studies indicate the process of gum chewing shows promise and may be beneficial in decreasing length of stay related to postoperative ileus. Theory is a mental image that provides meaning and understanding to how the world functions. In fact, theory often acts as the springboard linking research to meaningful intervention. The Theory of Human Becoming is centered on the person as they journey through life. One intrinsic belief of the theory is that people participate in the universe as a whole, open and interactive individual. Health is not a state of being, rather; each person influences their own health. The result of implementing the above interventions was a...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Asao, T., Kuwano, H., Nakamura, J., Morinaga, N., Hirayama, I., & Munenori, I. (2002). Gum chewing enhances early recovery from postoperative ileus after laparoscopic colectomy. Journal of the American College of Surgeons, 195, 30-2. Bournes, D. A., Flint, F. (2003). Mis-takes: Mistakes in the nurse-person process. Nursing Science Quarterly, 16(2), 127-130. Cardinal Health. (2007). Service DRG Summary. Retrieved January 1, 2007 from https://ae.mediqual.com Pennsylvania Health Care Cost Containment Council (PHC4). (2007). Retrieved March 1, 2007 from htpp://www.phc4.org/services/datarequests/.htm Polit, D. F., & Beck, C. T. (2004). Nursing research principles and methods (7th ed.). Philadelphia, Pennsylvania: Lippincott Williams & Wilkins. Schuster, R., Grewal, N., Greaney, G.C., & Waxman, K. (2006). Gum chewing reduces ileus after elective open sigmoid colectomy. Archives of Surgery, 141, 174-76.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, 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.titleA Bowel Surgery Initiative: Chewing Gum and the Theory of Human Becomingen_GB
dc.contributor.authorDillman, Melodyen_US
dc.author.detailsMelody Dillman, RN, BSN, Lancaster General Hospital, Lancaster, Pennsylvania, USA, email: mcdillma@lancastergeneral.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182725-
dc.description.abstractPoster Presentation: This hospital demonstrated a statistically significant increased length of stay for patients having colorectal surgical procedures in Fiscal Year 2006. In fact, average length of stay for bowel surgery was more than two days longer when compared to like centers. The General Surgery Care Management Team (GSCMT), responsible for overseeing the care of this patient population; set an aggressive goal to achieve a 5% reduction in major bowel surgery length of stay from 11.7 days in Fiscal Year 2006 to 11.1 days in Fiscal Year 2007. The target audience included all patients undergoing major bowel surgery within the healthcare system. Patients undergoing colorectal surgery are at risk for post operative ileus, semi starvation, activity intolerance, development of DVT and PE, altered body image and extended length of stay. Therefore, the GSCMT set out to provide a multi-modal approach that enhanced patient care and decreased length of stay by implementing a new initiative which included chewing gum post operatively and the development of a patient and family clinical plan based on the Theory of Human Becoming by Rosemarie Parse. Researchers theorize chewing gum stimulates the vagus nerve which releases gastrointestinal hormones that stimulate bowel activity. Gum chewing is considered a form of fake feeding. Studies indicate the process of gum chewing shows promise and may be beneficial in decreasing length of stay related to postoperative ileus. Theory is a mental image that provides meaning and understanding to how the world functions. In fact, theory often acts as the springboard linking research to meaningful intervention. The Theory of Human Becoming is centered on the person as they journey through life. One intrinsic belief of the theory is that people participate in the universe as a whole, open and interactive individual. Health is not a state of being, rather; each person influences their own health. The result of implementing the above interventions was a...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Asao, T., Kuwano, H., Nakamura, J., Morinaga, N., Hirayama, I., & Munenori, I. (2002). Gum chewing enhances early recovery from postoperative ileus after laparoscopic colectomy. Journal of the American College of Surgeons, 195, 30-2. Bournes, D. A., Flint, F. (2003). Mis-takes: Mistakes in the nurse-person process. Nursing Science Quarterly, 16(2), 127-130. Cardinal Health. (2007). Service DRG Summary. Retrieved January 1, 2007 from https://ae.mediqual.com Pennsylvania Health Care Cost Containment Council (PHC4). (2007). Retrieved March 1, 2007 from htpp://www.phc4.org/services/datarequests/.htm Polit, D. F., & Beck, C. T. (2004). Nursing research principles and methods (7th ed.). Philadelphia, Pennsylvania: Lippincott Williams & Wilkins. Schuster, R., Grewal, N., Greaney, G.C., & Waxman, K. (2006). Gum chewing reduces ileus after elective open sigmoid colectomy. Archives of Surgery, 141, 174-76.en_GB
dc.date.available2011-10-28T15:37:21Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:37:21Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.en_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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