Self-Administered Premedication: Improving Taxane Chemotherapy Treatment
| Autor: | Kristin Roper, Diane Lucier, Mary Lou Siefert, Donna L. Berry, Frances Fuller |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Premedication medicine.medical_treatment Breast Neoplasms Self Medication Audit 03 medical and health sciences Education Nursing Continuing 0302 clinical medicine Electronic health record health services administration Hypersensitivity medicine Humans 030212 general & internal medicine Medical prescription Intensive care medicine Aged General Environmental Science Aged 80 and over Protocol (science) Chemotherapy Taxane business.industry Standardized approach Middle Aged Antineoplastic Agents Phytogenic 030220 oncology & carcinogenesis General Earth and Planetary Sciences Female Taxoids business |
| Zdroj: | Clinical Journal of Oncology Nursing. 21:234-239 |
| ISSN: | 1538-067X 1092-1095 |
| DOI: | 10.1188/17.cjon.234-239 |
| Popis: | BACKGROUND Patients receiving taxane therapy are at risk for hypersensitivity reactions without appropriate premedication management. Patients must understand the importance of taking premedications as prescribed to prevent reactions. . OBJECTIVES The objectives of this study were to implement and evaluate a multidisciplinary practice protocol comprised of standardized nursing documentation of premedication regimens, teaching, and patient adherence to at-home premedication in an electronic health record (EHR). . METHODS A new process was developed to provide standardized prescriptions, a personalized instruction sheet for patients and families, and a standardized approach to document adherence and teaching in the EHR. Pre- and post-EHR audits were used twice to evaluate the practice changes. . FINDINGS The findings of the first audit suggested improvement in all practice changes. After the first audit, reinforcement of the changes occurred within the group and with one-on-one meetings. The goal of 90% adherence was met at the second audit. |
| Databáze: | OpenAIRE |
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