Risks and benefits of needle use in patients after axillary node surgery.
Identifieur interne : 012A05 ( Main/Exploration ); précédent : 012A04; suivant : 012A06Risks and benefits of needle use in patients after axillary node surgery.
Auteurs : Tracey ColeSource :
- British journal of nursing (Mark Allen Publishing) [ 0966-0461 ]
Descripteurs français
- KwdFr :
- Aisselle (anatomie et histologie), Algorithmes, Arbres de décision, Audit des soins infirmiers, Bras, Consentement libre et éclairé, Facteurs de risque, Guides de bonnes pratiques cliniques comme sujet, Humains, Incidence, Injections (), Injections (soins infirmiers), Lymphadénectomie (effets indésirables), Lymphoedème (), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Mastectomie radicale (effets indésirables), Mesure de la pression artérielle (), Mesure de la pression artérielle (soins infirmiers), Médecine factuelle, Phlébotomie (), Phlébotomie (soins infirmiers), Recherche en évaluation des soins infirmiers, Royaume-Uni (épidémiologie), Système lymphatique (anatomie et histologie), Tumeurs du sein (), Tumeurs du sein (soins infirmiers), Tumeurs du sein (épidémiologie), Évaluation des besoins en soins infirmiers, Évaluation des risques.
- MESH :
- anatomie et histologie : Aisselle, Système lymphatique.
- effets indésirables : Lymphadénectomie, Mastectomie radicale.
- soins infirmiers : Injections, Mesure de la pression artérielle, Phlébotomie, Tumeurs du sein.
- épidémiologie : Lymphoedème, Royaume-Uni, Tumeurs du sein.
- étiologie : Lymphoedème.
- Algorithmes, Arbres de décision, Audit des soins infirmiers, Bras, Consentement libre et éclairé, Facteurs de risque, Guides de bonnes pratiques cliniques comme sujet, Humains, Incidence, Injections, Lymphoedème, Mesure de la pression artérielle, Médecine factuelle, Phlébotomie, Recherche en évaluation des soins infirmiers, Tumeurs du sein, Évaluation des besoins en soins infirmiers, Évaluation des risques.
English descriptors
- KwdEn :
- Algorithms, Arm, Axilla (anatomy & histology), Blood Pressure Determination (contraindications), Blood Pressure Determination (nursing), Breast Neoplasms (epidemiology), Breast Neoplasms (nursing), Breast Neoplasms (surgery), Decision Trees, Evidence-Based Medicine, Humans, Incidence, Informed Consent, Injections (contraindications), Injections (nursing), Lymph Node Excision (adverse effects), Lymphatic System (anatomy & histology), Lymphedema (epidemiology), Lymphedema (etiology), Lymphedema (prevention & control), Mastectomy, Radical (adverse effects), Nursing Assessment, Nursing Audit, Nursing Evaluation Research, Phlebotomy (contraindications), Phlebotomy (nursing), Practice Guidelines as Topic, Risk Assessment, Risk Factors, United Kingdom (epidemiology).
- MESH :
- adverse effects : Lymph Node Excision, Mastectomy, Radical.
- anatomy & histology : Axilla, Lymphatic System.
- contraindications : Blood Pressure Determination, Injections, Phlebotomy.
- epidemiology : Breast Neoplasms, Lymphedema, United Kingdom.
- etiology : Lymphedema.
- nursing : Blood Pressure Determination, Breast Neoplasms, Injections, Phlebotomy.
- prevention & control : Lymphedema.
- surgery : Breast Neoplasms.
- Algorithms, Arm, Decision Trees, Evidence-Based Medicine, Humans, Incidence, Informed Consent, Nursing Assessment, Nursing Audit, Nursing Evaluation Research, Practice Guidelines as Topic, Risk Assessment, Risk Factors.
Abstract
Lymphoedema may be triggered by any type of injection. This is not just an issue for the cured breast cancer patient but for any patient who has undergone under-arm (axillary) lymph node removal to any degree for any type of cancer. Standard advice given to patients following axillary node removal is to avoid any injection or blood pressure measurement on the ipsilateral arm. The evidence base in this area is severely lacking. Patients have reported frustration that nurses are not informed of contraindications in carrying out such procedures on patients at risk of developing swelling. This article discusses the current evidence available on the subject of non-accidental skin puncture (NASP) relating to the patient at risk of lymphoedema and provides guidelines for any professionals conducting such procedures for patients with a history of cancer. The results from a small audit of the guidelines are cited and they reveal that out of 14 patients who underwent NASP procedures in the at risk arm, no patients reported swelling to that limb within a month of these procedures.
DOI: 10.12968/bjon.2006.15.18.22020
PubMed: 17077767
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Algorithms</term>
<term>Arm</term>
<term>Axilla (anatomy & histology)</term>
<term>Blood Pressure Determination (contraindications)</term>
<term>Blood Pressure Determination (nursing)</term>
<term>Breast Neoplasms (epidemiology)</term>
<term>Breast Neoplasms (nursing)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Decision Trees</term>
<term>Evidence-Based Medicine</term>
<term>Humans</term>
<term>Incidence</term>
<term>Informed Consent</term>
<term>Injections (contraindications)</term>
<term>Injections (nursing)</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphatic System (anatomy & histology)</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (prevention & control)</term>
<term>Mastectomy, Radical (adverse effects)</term>
<term>Nursing Assessment</term>
<term>Nursing Audit</term>
<term>Nursing Evaluation Research</term>
<term>Phlebotomy (contraindications)</term>
<term>Phlebotomy (nursing)</term>
<term>Practice Guidelines as Topic</term>
<term>Risk Assessment</term>
<term>Risk Factors</term>
<term>United Kingdom (epidemiology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Aisselle (anatomie et histologie)</term>
<term>Algorithmes</term>
<term>Arbres de décision</term>
<term>Audit des soins infirmiers</term>
<term>Bras</term>
<term>Consentement libre et éclairé</term>
<term>Facteurs de risque</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Humains</term>
<term>Incidence</term>
<term>Injections ()</term>
<term>Injections (soins infirmiers)</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie radicale (effets indésirables)</term>
<term>Mesure de la pression artérielle ()</term>
<term>Mesure de la pression artérielle (soins infirmiers)</term>
<term>Médecine factuelle</term>
<term>Phlébotomie ()</term>
<term>Phlébotomie (soins infirmiers)</term>
<term>Recherche en évaluation des soins infirmiers</term>
<term>Royaume-Uni (épidémiologie)</term>
<term>Système lymphatique (anatomie et histologie)</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (soins infirmiers)</term>
<term>Tumeurs du sein (épidémiologie)</term>
<term>Évaluation des besoins en soins infirmiers</term>
<term>Évaluation des risques</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term>
<term>Mastectomy, Radical</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Aisselle</term>
<term>Système lymphatique</term>
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<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Axilla</term>
<term>Lymphatic System</term>
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<keywords scheme="MESH" qualifier="contraindications" xml:lang="en"><term>Blood Pressure Determination</term>
<term>Injections</term>
<term>Phlebotomy</term>
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<term>Mastectomie radicale</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
<term>United Kingdom</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Blood Pressure Determination</term>
<term>Breast Neoplasms</term>
<term>Injections</term>
<term>Phlebotomy</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="soins infirmiers" xml:lang="fr"><term>Injections</term>
<term>Mesure de la pression artérielle</term>
<term>Phlébotomie</term>
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lymphoedème</term>
<term>Royaume-Uni</term>
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Algorithms</term>
<term>Arm</term>
<term>Decision Trees</term>
<term>Evidence-Based Medicine</term>
<term>Humans</term>
<term>Incidence</term>
<term>Informed Consent</term>
<term>Nursing Assessment</term>
<term>Nursing Audit</term>
<term>Nursing Evaluation Research</term>
<term>Practice Guidelines as Topic</term>
<term>Risk Assessment</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Algorithmes</term>
<term>Arbres de décision</term>
<term>Audit des soins infirmiers</term>
<term>Bras</term>
<term>Consentement libre et éclairé</term>
<term>Facteurs de risque</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Humains</term>
<term>Incidence</term>
<term>Injections</term>
<term>Lymphoedème</term>
<term>Mesure de la pression artérielle</term>
<term>Médecine factuelle</term>
<term>Phlébotomie</term>
<term>Recherche en évaluation des soins infirmiers</term>
<term>Tumeurs du sein</term>
<term>Évaluation des besoins en soins infirmiers</term>
<term>Évaluation des risques</term>
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<front><div type="abstract" xml:lang="en">Lymphoedema may be triggered by any type of injection. This is not just an issue for the cured breast cancer patient but for any patient who has undergone under-arm (axillary) lymph node removal to any degree for any type of cancer. Standard advice given to patients following axillary node removal is to avoid any injection or blood pressure measurement on the ipsilateral arm. The evidence base in this area is severely lacking. Patients have reported frustration that nurses are not informed of contraindications in carrying out such procedures on patients at risk of developing swelling. This article discusses the current evidence available on the subject of non-accidental skin puncture (NASP) relating to the patient at risk of lymphoedema and provides guidelines for any professionals conducting such procedures for patients with a history of cancer. The results from a small audit of the guidelines are cited and they reveal that out of 14 patients who underwent NASP procedures in the at risk arm, no patients reported swelling to that limb within a month of these procedures.</div>
</front>
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<tree><noCountry><name sortKey="Cole, Tracey" sort="Cole, Tracey" uniqKey="Cole T" first="Tracey" last="Cole">Tracey Cole</name>
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