2.50
Hdl Handle:
http://hdl.handle.net/10755/601607
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Changing the Skin Care Protocol for External Beam Radiation
Author(s):
Reilly, Rose Marie
Lead Author STTI Affiliation:
Alpha Psi
Author Details:
Rose Marie Reilly, RN, rreilly@wphospital.org
Abstract:
Session presented on Friday, July 24, 2015: Radiation induced skin reaction effects 85% of patients receiving radiation therapy (Glover and Harmer, 2014). Current medical and nursing literature identifies that there is not a standardized protocol followed for skin care during radiation therapy (Dendaas, 2012). Over the past three decades, radiation technology and treatment techniques have progressed, thus allowing minimal dose to the skin when possible (Gosselin, 2010). Even with these advances patients undergoing radiation therapy can expect to develop some degree of radiation 'induced dermatitis (Iwamot, 2012). Skin reactions vary depending on individual factors, such as total dose, type of radiation and energy used, treatment volume, and size of daily fraction (Gosselin, 2010). At White Plains Hospital, we explored current oncology guidelines to develop a to guide us in defining an appropriate skin care protocol for women receiving external beam radiation to the breast. Designated as a Performance Improvement, our study compared and evaluated axillary, and breast skin reaction during breast external beam radiation, while using aluminum based deodorant or aluminum free- deodorant. Sources of data collection include chart review, and observation baseline, and with weekly status checks. Degree of reaction was rated as 0-for no reaction, 1-for minimal erythema, and 3-for brisk erythema based upon the Oncology Nursing Society (ONS) Toxicity Scale. After three weeks 50% of patients had a skin reaction of 1 to the treated breast, and no axillary reaction with the use of aluminum free deodorant. 50% of patients had a skin reaction of 1 to the treated breast, and no axillary reaction with the use of aluminum based deodorant. At four weeks 50% of patients had a skin reaction of 1 to the treated breast and no axillary reaction with the use of aluminum free deodorant; 70% of patients had a skin reaction of 1 to the treated breast, and no axillary reaction with the use of aluminum based deodorant. After five weeks 80% of patients had a skin reaction ranging from 1 to 2, to the treated breasts and, 20% had a skin reaction of 1 to the axilla with the use of aluminum free deodorant. 80% of patients had a skin reaction ranging from 1 to 2, to the treated breasts, and 10% had a skin reaction of 1 to the axilla with the use of aluminum based deodorant. Finally, after six weeks 90 % of patients had a skin reaction ranging from 1 to 2, to the treated breasts and 30 % had a skin reaction of 1 to the axilla with the use of aluminum free deodorant. Further, 90% of patients had a skin reaction ranging from 1 to 2, to the treated breasts, and 10% had a skin reaction of 1 to the axilla with the use of aluminum based deodorant. Our protocol, therefore, was found to be safe, effective, and useful to women across the lifespan. Moreover, based upon these findings, this study concluded that an appropriate, patient centered protocol designed for specific at risk populations, such as women with breast cancer receiving external beam radiation could be developed.
Keywords:
breast cancer; oncology nursing; radiation therapy
MeSH:
Oncology Nursing
CINAHL Headings:
Breast Neoplasms--Radiotherapy; Breast Neoplasms; Radiotherapy--Adverse Effects; Skin Care; Skin--Radiation Effects
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15PST124
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleChanging the Skin Care Protocol for External Beam Radiationen
dc.contributor.authorReilly, Rose Marieen
dc.contributor.departmentAlpha Psien
dc.author.detailsRose Marie Reilly, RN, rreilly@wphospital.orgen
dc.identifier.urihttp://hdl.handle.net/10755/601607-
dc.description.abstractSession presented on Friday, July 24, 2015: Radiation induced skin reaction effects 85% of patients receiving radiation therapy (Glover and Harmer, 2014). Current medical and nursing literature identifies that there is not a standardized protocol followed for skin care during radiation therapy (Dendaas, 2012). Over the past three decades, radiation technology and treatment techniques have progressed, thus allowing minimal dose to the skin when possible (Gosselin, 2010). Even with these advances patients undergoing radiation therapy can expect to develop some degree of radiation 'induced dermatitis (Iwamot, 2012). Skin reactions vary depending on individual factors, such as total dose, type of radiation and energy used, treatment volume, and size of daily fraction (Gosselin, 2010). At White Plains Hospital, we explored current oncology guidelines to develop a to guide us in defining an appropriate skin care protocol for women receiving external beam radiation to the breast. Designated as a Performance Improvement, our study compared and evaluated axillary, and breast skin reaction during breast external beam radiation, while using aluminum based deodorant or aluminum free- deodorant. Sources of data collection include chart review, and observation baseline, and with weekly status checks. Degree of reaction was rated as 0-for no reaction, 1-for minimal erythema, and 3-for brisk erythema based upon the Oncology Nursing Society (ONS) Toxicity Scale. After three weeks 50% of patients had a skin reaction of 1 to the treated breast, and no axillary reaction with the use of aluminum free deodorant. 50% of patients had a skin reaction of 1 to the treated breast, and no axillary reaction with the use of aluminum based deodorant. At four weeks 50% of patients had a skin reaction of 1 to the treated breast and no axillary reaction with the use of aluminum free deodorant; 70% of patients had a skin reaction of 1 to the treated breast, and no axillary reaction with the use of aluminum based deodorant. After five weeks 80% of patients had a skin reaction ranging from 1 to 2, to the treated breasts and, 20% had a skin reaction of 1 to the axilla with the use of aluminum free deodorant. 80% of patients had a skin reaction ranging from 1 to 2, to the treated breasts, and 10% had a skin reaction of 1 to the axilla with the use of aluminum based deodorant. Finally, after six weeks 90 % of patients had a skin reaction ranging from 1 to 2, to the treated breasts and 30 % had a skin reaction of 1 to the axilla with the use of aluminum free deodorant. Further, 90% of patients had a skin reaction ranging from 1 to 2, to the treated breasts, and 10% had a skin reaction of 1 to the axilla with the use of aluminum based deodorant. Our protocol, therefore, was found to be safe, effective, and useful to women across the lifespan. Moreover, based upon these findings, this study concluded that an appropriate, patient centered protocol designed for specific at risk populations, such as women with breast cancer receiving external beam radiation could be developed.en
dc.subjectbreast canceren
dc.subjectoncology nursingen
dc.subjectradiation therapyen
dc.subject.meshOncology Nursingen
dc.subject.cinahlBreast Neoplasms--Radiotherapyen
dc.subject.cinahlBreast Neoplasmsen
dc.subject.cinahlRadiotherapy--Adverse Effectsen
dc.subject.cinahlSkin Careen
dc.subject.cinahlSkin--Radiation Effectsen
dc.date.available2016-03-17T12:50:33Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T12:50:33Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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