Prospective protocol for lymphedema education and surveillance in a breast health center.
Identifieur interne : 002636 ( Main/Merge ); précédent : 002635; suivant : 002637Prospective 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
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pubmed:25252989Le document en format XML
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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></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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