Establishing a Lymphedema Education and Early Identification Program for Breast Cancer Patients in a Rural Setting Utilizing an Interprofessional Model of Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/308276
Category:
Abstract
Type:
Presentation
Title:
Establishing a Lymphedema Education and Early Identification Program for Breast Cancer Patients in a Rural Setting Utilizing an Interprofessional Model of Care
Author(s):
Brown, Lee Ann
Lead Author STTI Affiliation:
N/A
Author Details:
Lee Ann Brown, DNP, APRN, ACNP-C, NP-C, jlbrown@optilink.us
Abstract:

Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013

Abstract

PurposeTo develop a standardized protocol based on evidence-based research for healthcare providers to educate and assess breast cancer patients who undergo surgical intervention concerning their risk for developing breast cancer-related lymphedema. Background: Studies show that as many as 50% of breast cancer patients that develop lymphedema were not given pre-treatment information with respect to their risk for developing lymphedema. An additional identified gap in the literature is that breast cancer patients are not being assessed routinely either objectively or through self-reported symptoms. This identified gap in education and assessment was present in a rural clinic treating breast cancer patients and implementation of a standardized protocol to address these gaps was the focus of this study.  Method: Over an eight month period, fourteen women who were diagnosed with Stage I – III breast cancer and underwent surgical intervention were involved in the study. Healthcare providers initiated preoperative education and physical assessments including bilateral baseline arm circumference measurements and body mass index determination. At each subsequent visit, physical measurements were repeated and compared to previous findings. Knowledge of and compliance with risk reduction behaviors were assessed based on the Lymphedema Knowledge Scale (LKS) and the Lymphedema Risk—Reduction Behavior Checklist (LRRB). Results: Three of the fourteen women (21%) developed signs and symptoms of lymphedema. These women were referred to lymphedema specialists and physical therapists for intervention as outlined in the established protocol for the practice. Impact: Early detection and intervention hold the greatest promise of reducing the incidence of breast cancer-related lymphedema. When patients are provided knowledge concerning their risk of developing possible treatment related complications they are empowered and can utilize self-efficacy skills to impact their quality of life in a positive direction.

            Keywords:  breast cancer, lymphedema, risk reduction, early detection

Keywords:
breast cancer; risk reduction; lymphedema
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEstablishing a Lymphedema Education and Early Identification Program for Breast Cancer Patients in a Rural Setting Utilizing an Interprofessional Model of Careen_GB
dc.contributor.authorBrown, Lee Annen_GB
dc.contributor.departmentN/Aen_GB
dc.author.detailsLee Ann Brown, DNP, APRN, ACNP-C, NP-C, jlbrown@optilink.usen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308276-
dc.description.abstract<p>Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013</p>Abstract <p><b>Purpose<i>:  </i></b>To develop a standardized protocol based on evidence-based research for healthcare providers to educate and assess breast cancer patients who undergo surgical intervention concerning their risk for developing breast cancer-related lymphedema. <b>Background: </b>Studies show that as many as 50% of breast cancer patients that develop lymphedema were not given pre-treatment information with respect to their risk for developing lymphedema. An additional identified gap in the literature is that breast cancer patients are not being assessed routinely either objectively or through self-reported symptoms. This identified gap in education and assessment was present in a rural clinic treating breast cancer patients and implementation of a standardized protocol to address these gaps was the focus of this study.  <b>Method: </b>Over an eight month period, fourteen women who were diagnosed with Stage I – III breast cancer and underwent surgical intervention were involved in the study. Healthcare providers initiated preoperative education and physical assessments including bilateral baseline arm circumference measurements and body mass index determination. At each subsequent visit, physical measurements were repeated and compared to previous findings. Knowledge of and compliance with risk reduction behaviors were assessed based on the Lymphedema Knowledge Scale (LKS) and the Lymphedema Risk—Reduction Behavior Checklist (LRRB). <b>Results: </b>Three of the fourteen women (21%) developed signs and symptoms of lymphedema. These women were referred to lymphedema specialists and physical therapists for intervention as outlined in the established protocol for the practice. <b>Impact: </b>Early detection and intervention hold the greatest promise of reducing the incidence of breast cancer-related lymphedema. When patients are provided knowledge concerning their risk of developing possible treatment related complications they are empowered and can utilize self-efficacy skills to impact their quality of life in a positive direction. <p>            <b><i>Keywords: </i> </b>breast cancer, lymphedema, risk reduction, early detectionen_GB
dc.subjectbreast canceren_GB
dc.subjectrisk reductionen_GB
dc.subjectlymphedemaen_GB
dc.date.available2013-12-19T17:29:13Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:29:13Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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.en_GB
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