Prospective protocol for lymphedema education and surveillance in a breast health center.
Identifieur interne : 002632 ( Main/Exploration ); précédent : 002631; suivant : 002633Prospective protocol for lymphedema education and surveillance in a breast health center.
Auteurs : Mary Haley-Emery [États-Unis] ; Wendy Schmitz-Johnson [États-Unis]Source :
- Clinical journal of oncology nursing [ 1538-067X ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- complications : Breast Neoplasms, Lymphedema.
- methods : Patient Education as Topic.
- nursing : Lymphedema.
- Clinical Protocols, Female, Humans, Nursing Assessment, Pilot Projects, Prospective Studies.
Abstract
Participation in the ONS Foundation-supported Breast Cancer Survivorship Quality Measures Set pilot study indicated less than optimal assessment and educational practices for lymphedema surveillance at one author's institution. This finding led staff to expand on nursing practice associated with lymphatic dysfunction and to propose a surveillance tool that is easy to use in a busy clinical setting. Based on current trends in lymphatic surveillance, arm measurements were used to assess for relative percentage differences compared to baseline. The referral threshold for lymphedema diagnosis was set at a 10% relative difference in circumferential measurements, pre- and postoperatively, as well as during the survivorship period. Enhanced education efforts, inclusive of staff and patients, will be established throughout the continuum of care. As lymphedema research and standard of care consensus become established, this surveillance model will be adapted in accordance with evidence-based practice guidelines.
DOI: 10.1188/14.CJON.S2.27-31
PubMed: 25252989
Affiliations:
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Le document en format XML
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<term>Lymphedema (complications)</term>
<term>Lymphedema (nursing)</term>
<term>Nursing Assessment</term>
<term>Patient Education as Topic (methods)</term>
<term>Pilot Projects</term>
<term>Prospective Studies</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (soins infirmiers)</term>
<term>Projets pilotes</term>
<term>Protocoles cliniques</term>
<term>Tumeurs du sein ()</term>
<term>Éducation du patient comme sujet ()</term>
<term>Études prospectives</term>
<term>Évaluation des besoins en soins infirmiers</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="soins infirmiers" xml:lang="fr"><term>Lymphoedème</term>
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<term>Lymphoedème</term>
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<term>Protocoles cliniques</term>
<term>Tumeurs du sein</term>
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<front><div type="abstract" xml:lang="en">Participation in the ONS Foundation-supported Breast Cancer Survivorship Quality Measures Set pilot study indicated less than optimal assessment and educational practices for lymphedema surveillance at one author's institution. This finding led staff to expand on nursing practice associated with lymphatic dysfunction and to propose a surveillance tool that is easy to use in a busy clinical setting. Based on current trends in lymphatic surveillance, arm measurements were used to assess for relative percentage differences compared to baseline. The referral threshold for lymphedema diagnosis was set at a 10% relative difference in circumferential measurements, pre- and postoperatively, as well as during the survivorship period. Enhanced education efforts, inclusive of staff and patients, will be established throughout the continuum of care. As lymphedema research and standard of care consensus become established, this surveillance model will be adapted in accordance with evidence-based practice guidelines.</div>
</front>
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