2.50
Hdl Handle:
http://hdl.handle.net/10755/183124
Category:
Abstract
Type:
Presentation
Title:
Systematic Review on Lymphedema Precautions in Female Breast Cancer Patients
Author(s):
Barolette, Gabriela
Author Details:
Gabriela Barolette, RN, H. Lee Moffitt Cancer Center, Tampa, FL, email: Gabriela.Barolette@moffitt.org
Abstract:
The purpose of our systematic literature review was to assess the efficacy of our organization's lymphedema precautions policy. The nurses on our unit?s evidence-based practice (EBP) committee wanted to determine what research was available on female patients, with breast cancer, status post axillary lymph node dissections. Our current policy for a patient on lymphedema precautions mandates that we avoid the use of the affected extremity for blood pressure measurements or venipuncture. We elevate the arm post-operatively and the patient is taught range of motion exercises by our physical therapy/occupational therapy department. A bright pink lymphedema precautions bracelet is placed on the patient's affected extremity while in the hospital, which alerts all staff to not use the extremity. Our EBP committee met with a physician specialist in evidence-based medicine who offered suggestions for evaluating the evidence and provided a template to document our findings. We engaged the services of our medical librarian to assist in searching the literature. The methods for completing this systematic review involved searching the following databases: MEDLINE, PubMed, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) for lymphedema related topics from 2000-2009. We also wanted to determine if randomized clinical trials had been done on the subject. Our committee consulted a breast surgeon at our hospital for her expert opinion on the topic. We compiled the information and discussed our findings at EBP committee meetings. Our committee discovered that there were no randomized clinical trials done on the efficacy of precautions for lymphedema. However, we did find case studies on patients that had allowed blood pressures and venipunctures to be done inadvertently on the affected extremity, which had not resulted in lymphedema. The surgeon we consulted at our hospital suggested that lymphedema precautions should be implemented based on how many lymph nodes are removed. She reported that the more lymph nodes removed, the higher the risk for developing lymphedema. Nurses on our unit are typically not aware of how many lymph nodes the patient had removed. Therefore, based on the low level of available evidence (case study and expert opinion), it was the recommendation of our EBP committee that we continue our current practice of placing all patients that are status post axillary node dissections on lymphedema precautions.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
7th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Naples, Florida, USA
Description:
7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, 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.titleSystematic Review on Lymphedema Precautions in Female Breast Cancer Patientsen_GB
dc.contributor.authorBarolette, Gabrielaen_US
dc.author.detailsGabriela Barolette, RN, H. Lee Moffitt Cancer Center, Tampa, FL, email: Gabriela.Barolette@moffitt.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/183124-
dc.description.abstractThe purpose of our systematic literature review was to assess the efficacy of our organization's lymphedema precautions policy. The nurses on our unit?s evidence-based practice (EBP) committee wanted to determine what research was available on female patients, with breast cancer, status post axillary lymph node dissections. Our current policy for a patient on lymphedema precautions mandates that we avoid the use of the affected extremity for blood pressure measurements or venipuncture. We elevate the arm post-operatively and the patient is taught range of motion exercises by our physical therapy/occupational therapy department. A bright pink lymphedema precautions bracelet is placed on the patient's affected extremity while in the hospital, which alerts all staff to not use the extremity. Our EBP committee met with a physician specialist in evidence-based medicine who offered suggestions for evaluating the evidence and provided a template to document our findings. We engaged the services of our medical librarian to assist in searching the literature. The methods for completing this systematic review involved searching the following databases: MEDLINE, PubMed, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) for lymphedema related topics from 2000-2009. We also wanted to determine if randomized clinical trials had been done on the subject. Our committee consulted a breast surgeon at our hospital for her expert opinion on the topic. We compiled the information and discussed our findings at EBP committee meetings. Our committee discovered that there were no randomized clinical trials done on the efficacy of precautions for lymphedema. However, we did find case studies on patients that had allowed blood pressures and venipunctures to be done inadvertently on the affected extremity, which had not resulted in lymphedema. The surgeon we consulted at our hospital suggested that lymphedema precautions should be implemented based on how many lymph nodes are removed. She reported that the more lymph nodes removed, the higher the risk for developing lymphedema. Nurses on our unit are typically not aware of how many lymph nodes the patient had removed. Therefore, based on the low level of available evidence (case study and expert opinion), it was the recommendation of our EBP committee that we continue our current practice of placing all patients that are status post axillary node dissections on lymphedema precautions.en_GB
dc.date.available2011-10-28T16:15:34Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:15:34Z-
dc.conference.date2010en_US
dc.conference.name7th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationNaples, Florida, USAen_US
dc.description7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, 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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