2.50
Hdl Handle:
http://hdl.handle.net/10755/335150
Category:
Full-text
Type:
Presentation
Title:
Oral Chemotherapy Adherence
Other Titles:
Ensuring Patient Engagement and Adherence Through Education
Author(s):
Phillips, Judy Lynn
Lead Author STTI Affiliation:
Nu Beta
Author Details:
Judy Lynn Phillips, DNP, FNP-BC, AOCN, jppdap@msn.com
Abstract:
Session presented on Monday, July 28, 2014: In the past, chemotherapy has been given predominantly intravenously, which allowed for multiple nursing therapeutic interactions. Currently oral chemotherapy is increasing in use at a rate of 40%, with an escalating increase occurring rapidly. In order to ensure adherence to these oral medications, an in-depth synthesis of the literature was performed, with the gained knowledge being used for the development of a quality project. This evidenced based practice project has been implemented in a large oncology-hematology practice, which includes one central urban facility and five rural sites. The following people are at a higher risk for decreased compliance: newly diagnosed/overwhelmed, older age, high co-morbidities, financial issues, decreased symptom management, poor education, and low understanding of why the medications are necessary; therefore our quality project has adequately covered these issues. The follorwing is a descriptions of this project. Each patient who is beginning oral chemotherapy is given an initial educational teaching session with a nurse practitioner. A clear understanding of the medications is taught with a review of the side effects, safety factors, medication interactions, dosage, cost, why the medication is necessary, and where/when the medication should arrive at their home. This session is taped verbally, with written instructions and appropriate educational booklets given, so the patients and their care givers can refer to this information as necessary. During this session, the patient and their care givers are given a spread sheet of the medications, explaining exactly when and how the medications are to be given. After this session, the nurses then schedule a telephone call to the patients two weeks after the start of these medications. During these telephone interviews, the patient's understanding of why they are taking their medications is assessed, along with a review of any problems, such as: side effects, costs, compliance, knowledge, and safety issues. When problems are found, a reminder is sent through our electronic medical records (EMR), to the providers. If there are issues, along with the reminder, the patients are also made appointments in our nurse-run clinic or with their providers. If there are no problems, they continue to receive calls every four weeks thereafter, with interventions as necessary. An oral chemotherapy questionaire is completed after these calls and recorded in our EMR. The overall information from these calls is tracked through the questionaires in the EMR. The tracking is monitored in control charts; when issues are found, changes are made. The project implementation process included multiple employee educational meetings. Due to the involvment of varying departments these classes included: physicians, administration, nursing, scheduling, financial, and information technology. The success was contingent upon the employees understanding of why this project was so important. Through the employees new understanding, they promptly agreed to participate in this endeavor. We have found through careful use of the evidence, nurses are able to continue their therapeutic interactions with patients, even if this is through a different form of action than with the intravenous chemotherapy. The success of this project is being shared to help other practices have the opportunity to adopt a similar project.
Keywords:
Oral Adherence; Oral Chemotherapy Adherence
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14N13
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleOral Chemotherapy Adherenceen
dc.title.alternativeEnsuring Patient Engagement and Adherence Through Educationen
dc.contributor.authorPhillips, Judy Lynnen
dc.contributor.departmentNu Betaen
dc.author.detailsJudy Lynn Phillips, DNP, FNP-BC, AOCN, jppdap@msn.comen
dc.identifier.urihttp://hdl.handle.net/10755/335150-
dc.description.abstractSession presented on Monday, July 28, 2014: In the past, chemotherapy has been given predominantly intravenously, which allowed for multiple nursing therapeutic interactions. Currently oral chemotherapy is increasing in use at a rate of 40%, with an escalating increase occurring rapidly. In order to ensure adherence to these oral medications, an in-depth synthesis of the literature was performed, with the gained knowledge being used for the development of a quality project. This evidenced based practice project has been implemented in a large oncology-hematology practice, which includes one central urban facility and five rural sites. The following people are at a higher risk for decreased compliance: newly diagnosed/overwhelmed, older age, high co-morbidities, financial issues, decreased symptom management, poor education, and low understanding of why the medications are necessary; therefore our quality project has adequately covered these issues. The follorwing is a descriptions of this project. Each patient who is beginning oral chemotherapy is given an initial educational teaching session with a nurse practitioner. A clear understanding of the medications is taught with a review of the side effects, safety factors, medication interactions, dosage, cost, why the medication is necessary, and where/when the medication should arrive at their home. This session is taped verbally, with written instructions and appropriate educational booklets given, so the patients and their care givers can refer to this information as necessary. During this session, the patient and their care givers are given a spread sheet of the medications, explaining exactly when and how the medications are to be given. After this session, the nurses then schedule a telephone call to the patients two weeks after the start of these medications. During these telephone interviews, the patient's understanding of why they are taking their medications is assessed, along with a review of any problems, such as: side effects, costs, compliance, knowledge, and safety issues. When problems are found, a reminder is sent through our electronic medical records (EMR), to the providers. If there are issues, along with the reminder, the patients are also made appointments in our nurse-run clinic or with their providers. If there are no problems, they continue to receive calls every four weeks thereafter, with interventions as necessary. An oral chemotherapy questionaire is completed after these calls and recorded in our EMR. The overall information from these calls is tracked through the questionaires in the EMR. The tracking is monitored in control charts; when issues are found, changes are made. The project implementation process included multiple employee educational meetings. Due to the involvment of varying departments these classes included: physicians, administration, nursing, scheduling, financial, and information technology. The success was contingent upon the employees understanding of why this project was so important. Through the employees new understanding, they promptly agreed to participate in this endeavor. We have found through careful use of the evidence, nurses are able to continue their therapeutic interactions with patients, even if this is through a different form of action than with the intravenous chemotherapy. The success of this project is being shared to help other practices have the opportunity to adopt a similar project.en
dc.subjectOral Adherenceen
dc.subjectOral Chemotherapy Adherenceen
dc.date.available2014-11-17T13:45:31Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:45:31Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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