Coordination of multiple services for a patient with severe lymphedema of the right lower extremity.
Identifieur interne : 005015 ( Main/Merge ); précédent : 005014; suivant : 005016Coordination of multiple services for a patient with severe lymphedema of the right lower extremity.
Auteurs : Mary Beth Sylvia [États-Unis] ; Erin Spera ; Susan M. Hamilton ; Stella Harrington ; Jay Hartford ; Sandy QuigleySource :
- Critical care nurse [ 1940-8250 ] ; 2011.
Descripteurs français
- KwdFr :
- MESH :
- organisation et administration : Planification des soins du patient, Programme clinique.
- soins infirmiers : Lymphoedème.
- Adulte, Humains, Indice de gravité médicale, Lymphoedème, Membre inférieur, Mâle, Résultat thérapeutique.
English descriptors
- KwdEn :
- MESH :
- nursing : Lymphedema.
- organization & administration : Critical Pathways, Patient Care Planning.
- surgery : Lower Extremity, Lymphedema.
- Adult, Humans, Male, Severity of Illness Index, Treatment Outcome.
Abstract
Surgical resection of the right lower extremity in an adult with severe lymph-edema of the extremity required intensive coordination of multiple services and specialists because of the medical and surgical complexity of the patient's condition, massive limb size, and surgical location in a children's hospital. Early and prolonged planning was necessary to anticipate problems and provide optimal care. The patient had a successful surgical outcome, improvement in medical comorbid conditions postoperatively, and improvement in the quality of life upon discharge. This coordinated effort will be used in the future as a template for patients with complex conditions whose care requires lengthy planning and involves multiple services and specialists.
DOI: 10.4037/ccn2011222
PubMed: 21807684
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pubmed:21807684Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Coordination of multiple services for a patient with severe lymphedema of the right lower extremity.</title><author><name sortKey="Sylvia, Mary Beth" sort="Sylvia, Mary Beth" uniqKey="Sylvia M" first="Mary Beth" last="Sylvia">Mary Beth Sylvia</name><affiliation wicri:level="2"><nlm:affiliation>Vascular Anomalies Center, Children’s Hospital Boston, Massachusetts, MA 02115, USA. marybeth.sylvia@childrens.harvard.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Vascular Anomalies Center, Children’s Hospital Boston, Massachusetts, MA 02115</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Spera, Erin" sort="Spera, Erin" uniqKey="Spera E" first="Erin" last="Spera">Erin Spera</name></author><author><name sortKey="Hamilton, Susan M" sort="Hamilton, Susan M" uniqKey="Hamilton S" first="Susan M" last="Hamilton">Susan M. Hamilton</name></author><author><name sortKey="Harrington, Stella" sort="Harrington, Stella" uniqKey="Harrington S" first="Stella" last="Harrington">Stella Harrington</name></author><author><name sortKey="Hartford, Jay" sort="Hartford, Jay" uniqKey="Hartford J" first="Jay" last="Hartford">Jay Hartford</name></author><author><name sortKey="Quigley, Sandy" sort="Quigley, Sandy" uniqKey="Quigley S" first="Sandy" last="Quigley">Sandy Quigley</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21807684</idno><idno type="pmid">21807684</idno><idno type="doi">10.4037/ccn2011222</idno><idno type="wicri:Area/PubMed/Corpus">002505</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002505</idno><idno type="wicri:Area/PubMed/Curation">002505</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002505</idno><idno type="wicri:Area/PubMed/Checkpoint">002505</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002505</idno><idno type="wicri:Area/Ncbi/Merge">004570</idno><idno type="wicri:Area/Ncbi/Curation">004570</idno><idno type="wicri:Area/Ncbi/Checkpoint">004570</idno><idno type="wicri:Area/Main/Merge">005015</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Coordination of multiple services for a patient with severe lymphedema of the right lower extremity.</title><author><name sortKey="Sylvia, Mary Beth" sort="Sylvia, Mary Beth" uniqKey="Sylvia M" first="Mary Beth" last="Sylvia">Mary Beth Sylvia</name><affiliation wicri:level="2"><nlm:affiliation>Vascular Anomalies Center, Children’s Hospital Boston, Massachusetts, MA 02115, USA. marybeth.sylvia@childrens.harvard.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Vascular Anomalies Center, Children’s Hospital Boston, Massachusetts, MA 02115</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Spera, Erin" sort="Spera, Erin" uniqKey="Spera E" first="Erin" last="Spera">Erin Spera</name></author><author><name sortKey="Hamilton, Susan M" sort="Hamilton, Susan M" uniqKey="Hamilton S" first="Susan M" last="Hamilton">Susan M. Hamilton</name></author><author><name sortKey="Harrington, Stella" sort="Harrington, Stella" uniqKey="Harrington S" first="Stella" last="Harrington">Stella Harrington</name></author><author><name sortKey="Hartford, Jay" sort="Hartford, Jay" uniqKey="Hartford J" first="Jay" last="Hartford">Jay Hartford</name></author><author><name sortKey="Quigley, Sandy" sort="Quigley, Sandy" uniqKey="Quigley S" first="Sandy" last="Quigley">Sandy Quigley</name></author></analytic><series><title level="j">Critical care nurse</title><idno type="eISSN">1940-8250</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Critical Pathways (organization & administration)</term><term>Humans</term><term>Lower Extremity (surgery)</term><term>Lymphedema (nursing)</term><term>Lymphedema (surgery)</term><term>Male</term><term>Patient Care Planning (organization & administration)</term><term>Severity of Illness Index</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Humains</term><term>Indice de gravité médicale</term><term>Lymphoedème ()</term><term>Lymphoedème (soins infirmiers)</term><term>Membre inférieur ()</term><term>Mâle</term><term>Planification des soins du patient (organisation et administration)</term><term>Programme clinique (organisation et administration)</term><term>Résultat thérapeutique</term></keywords><keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Planification des soins du patient</term><term>Programme clinique</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Critical Pathways</term><term>Patient Care Planning</term></keywords><keywords scheme="MESH" qualifier="soins infirmiers" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lower Extremity</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Humans</term><term>Male</term><term>Severity of Illness Index</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Humains</term><term>Indice de gravité médicale</term><term>Lymphoedème</term><term>Membre inférieur</term><term>Mâle</term><term>Résultat thérapeutique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Surgical resection of the right lower extremity in an adult with severe lymph-edema of the extremity required intensive coordination of multiple services and specialists because of the medical and surgical complexity of the patient's condition, massive limb size, and surgical location in a children's hospital. Early and prolonged planning was necessary to anticipate problems and provide optimal care. The patient had a successful surgical outcome, improvement in medical comorbid conditions postoperatively, and improvement in the quality of life upon discharge. This coordinated effort will be used in the future as a template for patients with complex conditions whose care requires lengthy planning and involves multiple services and specialists.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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