Academic literature on the topic 'Ambulatory oncology'
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Journal articles on the topic "Ambulatory oncology"
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Overcash, Janine, Sandra Abels, H. Paige Erdeljac, Susan Fugett, Brittany Knauss, Elizabeth Kress, Cari Utendorf, and Anne M. Noonan. "Geriatric Oncology Ambulatory Care Clinics." Oncology Issues 33, no. 3 (May 4, 2018): 54–61. http://dx.doi.org/10.1080/10463356.2018.1456106.
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Cooley, Mary E., Esther Muscari Lin, and Susan W. Hunter. "The ambulatory oncology Nurse's role." Seminars in Oncology Nursing 10, no. 4 (November 1994): 245–53. http://dx.doi.org/10.1016/s0749-2081(05)80072-5.
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Weingart, Saul N., Angela Cleary, Andrew Seger, Terry K. Eng, Mark Saadeh, Anne Gross, and Lawrence N. Shulman. "Medication Reconciliation in Ambulatory Oncology." Joint Commission Journal on Quality and Patient Safety 33, no. 12 (December 2007): 750–57. http://dx.doi.org/10.1016/s1553-7250(07)33090-0.
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Lin, Esther Muscari, Jennifer L. Aikin, Wendy Bailey, Barbara Fitzgerald, Deborah Mings, Sandra Mitchell, and Barbara J. Rigby. "Improving ambulatory oncology nursing practice." Cancer Nursing 16, no. 1 (February 1993): 53???62. http://dx.doi.org/10.1097/00002820-199302000-00006.
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Gross, Anne, Susan Mann, Michael Kalfin, Sharon Lane, Saul Weingart, and Craig A. Bunnell. "Performance teamwork training in ambulatory oncology." Journal of Clinical Oncology 30, no. 15_suppl (May 20, 2012): e16559-e16559. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.e16559.
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e16559 Background: Increasingly complex diagnostic and multimodality treatment algorithms have yielded superior outcomes, but also magnified the risk for adverse events precipitated by failures of communication and coordination. We implemented team training principles in 14 outpatient oncology practices across 3 campuses (community and academic) to reduce the risk of errors and increase operational efficiency and quality. Methods: Over 950 physicians, nurses, pharmacists, and staff were trained in evidence-based concepts of teamwork. Intervention included 1) baseline data collection regarding key clinical processes, (e.g. non-communication of same-day chemotherapy order changes); 2) observations/interviews with care team members; 3) process meetings to identify vulnerabilities and develop agreements and tools to support them; 4) Train the Trainer methodology; 5) staff training; 6) post-training data collection. Results: Despite the infrequency of non-communicated same-day changes in chemotherapy orders at baseline (~2%), a trend toward improvement was seen (chi-square p=0.068). The incidence of missing chemotherapy orders for infusion visits not associated with an MD visit decreased significantly. Staff reported improved practice efficiencies and a more respectful, safer environment. Press Ganey patient-reported perceptions of teamwork improved significantly. Conclusions: Team training improved communication, task coordination, perceptions of efficiency, quality, safety and interactions among team members, as well as patient perception of teamwork in both community and academic environments of a comprehensive cancer center. [Table: see text]
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Martin, Virginia R. "Administrative issues in ambulatory oncology care." Seminars in Oncology Nursing 10, no. 4 (November 1994): 296–305. http://dx.doi.org/10.1016/s0749-2081(05)80077-4.
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Rapsilber, Lynn M., and Dawn Camp-Sorrell. "Ambulatory infusion pumps: Application to oncology." Seminars in Oncology Nursing 11, no. 3 (August 1995): 213–20. http://dx.doi.org/10.1016/s0749-2081(95)80031-x.
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Flannery, Marie, Shannon M. Phillips, and Catherine A. Lyons. "Examining Telephone Calls in Ambulatory Oncology." Journal of Oncology Practice 5, no. 2 (March 2009): 57–60. http://dx.doi.org/10.1200/jop.0922002.
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Purpose: A large component of ambulatory oncology practice is management of telephone calls placed to and from the practice between outpatient appointments. However, scant information is available in the literature concerning oncology practice telephone calls. The specific aims of this study were to define telephone call volume and distribution in an active ambulatory oncology practice, describe the callers and reasons for the telephone calls, and examine any differences in call volume by practice characteristics. Methods: A descriptive retrospective design was used to analyze medical oncology and hematology telephone calls in a 4-month period. Two investigator-developed tools were validated and used to collect data on telephone call content and patient demographics. Results: The sample included 5,283 telephone calls to or from 1,486 different individuals. Individuals making and/or receiving more than one telephone call in the study period represented 56% of the telephone calls. For every 10 scheduled clinic appointments, seven telephone calls were received or made. The volume of telephone calls was significantly higher on Mondays and in the mornings. The reasons for high-volume telephone calls by diagnosis and frequency were identified, with 30% of telephone calls involving multiple reasons. Conclusion: The data demonstrate the impact of telephone calls on ambulatory oncology practice and highlight the complex and highly variable actions required to manage the telephone calls. The findings confirm and document specific practice patterns and identify subgroups that target repeat telephone calls as an area for improvement.
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Maciejewski, Patricia R. "Oncology Nursing in the Ambulatory Setting." Gastroenterology Nursing 16, no. 5 (April 1994): 238. http://dx.doi.org/10.1097/00001610-199404000-00014.
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Milstone, Aaron, Aaron Milstone, Carol E. Rosenberg, Gayane Yenokyan, Danielle W. Koontz, and Marlene R. Miller. "1336. Alcohol Impregnated Caps and Ambulatory CLABSI: Multicenter Cluster Randomized, Crossover Trial." Open Forum Infectious Diseases 7, Supplement_1 (October 1, 2020): S679. http://dx.doi.org/10.1093/ofid/ofaa439.1518.
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Abstract Background Central line-associated bloodstream infections (CLABSI) cause significant morbidity and mortality and occur more commonly in the ambulatory setting in pediatric oncology patients. Whether alcohol impregnated caps placed on central venous lines can prevent CLABSI in ambulatory pediatric oncology patients is unknown. Methods We performed a cluster-randomized, 2 period, crossover trial at 16 pediatric hematology/oncology clinics. Clinics were randomly assigned to usual ambulatory central line care per each institution (control) compared to use of 70% isopropyl alcohol-containing caps at home (intervention). Caps were only used in the ambulatory setting. The primary outcome was ambulatory CLABSI. Secondary outcomes included ambulatory mucosal barrier injury (MBI) CLABSI, secondary blood stream infections, single positive blood cultures, and positive blood cultures. Results Of the 16 participating clinics, 15 clinics completed both assignment periods. As assigned, there was no statistically significant reduction in incidence of ambulatory CLABSI in patients using 70% isopropyl alcohol-impregnated caps at home (1.23 per 1000 days, 95% CI 0.94, 1.60) compared with standard practices (1.38 per 1000 days, 95% CI 1.08, 1.77; adjusted incidence rate ratio [aIRR] 0.83, 95% CI 0.61, 1.12). There was no reduction in incidence of ambulatory MBI-CLABSI (aIRR 0.57, 95% CI 0.23, 1.40), single positive blood culture (aIRR 1.35, 95% CI 0.74, 2.48), or positive blood cultures (aIRR 0.80, 95% CI 0.60, 1.07). In the per protocol analysis, there was a reduction in incidence of positive blood cultures in ambulatory patients using 70% isopropyl alcohol-impregnated caps at home (1.51 per 1000 days, 95% CI 1.14, 2.00) compared with standard practices (1.88 per 1000 days, 1.47, 2.39; aIRR 0.72, 95% CI 0.51, 1.00). Conclusion Isopropyl alcohol- impregnated caps did not lead to a statistically significant reduction in CLABSI rates in ambulatory hematology/oncology patients, however, there was a reduction in positive blood cultures in the ambulatory setting in the per protocol analysis. Further research is needed to understand the clinical impact of alcohol-impregnated caps in the ambulatory setting. Disclosures All Authors: No reported disclosures
Dissertations / Theses on the topic "Ambulatory oncology"
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Malkin, Lisa Sohl. "Patients' and significant others' satisfaction with nursing activities in oncology ambulatory settings." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/558093.
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Gilmartin, Eileen 1949. "PATIENT AND NURSE PERCEPTIONS OF THE IMPORTANCE OF NURSING ACTIVITIES IN THE AMBULATORY ONCOLOGY SETTING (CANCER, OUTPATIENT, CHEMOTHERAPY)." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/276504.
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Santos, Daniela Vivas dos. "Dimensionamento de profissionais de enfermagem para assistência oncológica ambulatorial: aplicação do método WISN." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/7/7140/tde-23112018-165414/.
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Introdução: No tocante à terapêutica antineoplásica, há três tipos de tratamentos que podem ser aplicados isoladamente, sequencialmente ou concomitantemente: cirurgia, radioterapia e quimioterapia. A complexidade do tratamento requer uma assistência segura e de qualidade que se torna, ainda mais desafiadora quando o maior volume dos atendimentos acontece em regime ambulatorial. Desse modo, torna-se fundamental, o adequado gerenciamento dos recursos humanos, o qual se inicia com a previsão de profissionais. Nesse sentido, o método Workload Indicators of Staffing Need (WISN) desenvolvido pela Organização Mundial de Saúde, fundamentado na avaliação da carga de trabalho despendida pelos profissionais, baseia-se em padrões de tempo das intervenções/atividades de saúde, utilizando os dados estatísticos disponíveis nas instituições .Objetivo: Avaliar a aplicação do método Workload Indicators of Staffing Need (WISN) para dimensionar a equipe de enfermagem para o cuidado a pacientes oncológicos em regime ambulatorial. Método: pesquisa de campo observacional e documental, com abordagem quantitativa e amostra intencional, realizada nos Ambulatórios de Clínicas Integradas, Quimioterapia, Radioterapia e Hospital Dia de um hospital público, de grande porte, especializado em Oncologia, localizado no município de São Paulo, com diversos selos de qualidade. Para aplicação do método realizou-se o conjunto de operações nas etapas preconizadas. Os dados estatísticos das ausências previstas e não previstas, bem como os relativos à produção da equipe de enfermagem foram obtidos junto á Diretoria Geral de Assistência. O instrumento de coleta de dados foi composto por 38 intervenções/atividades. Para a identificação do tempo despendido nas intervenções/atividades foi aplicada a técnica amostragem do trabalho, com observação direta de 51 enfermeiros e 50 técnicos de enfermagem, em intervalo de cinco minutos, por 47 dias. O cálculo do tempo das intervenções/atividades de enfermagem fundamentou-se no tempo total disponível dos profissionais e na categorização das intervenções/atividades propostas pelo método em questão. Resultados: Foram realizadas 16322 observações, sendo 12,6% a amostra de reteste, com 85% de concordância no teste de confiabilidade entre as observadoras de campo e a pesquisadora. O quadro de profissionais de enfermagem necessários para atender a carga de trabalho, na maior parte dos setores estudados não apresentou discrepância em relação ao existente. Os padrões de tempo utilizados nos cálculos expressaram a realidade dos setores e todos os componentes foram considerados adequados para as categorias profissionais envolvidas. A observação direta e o estudo de tempos foram as formas utilizadas para obtenção dos padrões das intervenções com maior precisão. Conclusão: O método WISN mostrou-se adequado para dimensionar os profissionais, fornecendo evidências sobre o quadro necessário para os setores. Entretanto, sua utilização pressupõe como condição a disponibilidade de dados estatísticos completos e organizados sistematicamente sobre a carga de trabalho dos profissionais e dos setores. Os resultados forneceram uma visão geral das intervenções/atividades de enfermagem realizadas nos setores ambulatoriais, bem como elas distribuíram-se dentro do tempo de trabalho, o que pode subsidiar a revisão de alguns processos da assistência de enfermagem para melhor atender os pacientes. Os padrões de tempo encontrados, neste estudo, poderão ser referências para o dimensionamento de enfermagem e a aplicação do método Workload Indicators of Staffing Need (WISN), propiciando discussões e reflexões sobre o atendimento com qualidade e segurança aos pacientes oncológicos em regime ambulatorial.Introduction: regarding antineoplastic therapy, there are three types of treatments which can be applied separately, sequentially or simultaneously: surgery, radiotherapy and chemotherapy. The complexity of the treatment requires safe and high quality assistance which becomes even more challenging when most health care takes place in the outpatient setting. Thus, the appropriate management of human resources becomes fundamental, which begins with staffing requirements. Therefore, the Workload Indicators of Staffing Need method, developed by the World Health Organization, substantiated on workers workload evaluations, is based on time patterns of the health activities/interventions, using statistical data available in the institutions. Objective: To evaluate the application of the Workload Indicators of Staffing Need (WISN) method to calculate the nursing workforce for oncology patient care in the outpatient setting. Method: documentary and observational field research with intentional sample and quantitative approach, conducted in the output departments of Clínicas Integradas (Integrated Clinics), Chemotherapy, Radiotherapy and Day Hospital of an accredited public oncology hospital, situated in the city of São Paulo. In order to apply the method, the group of operations / protocols were performed following the steps suggested. The absence and productivity statistical datum were obtained at the general assistance board department. The data collection instrument was combined of 38 interventions/activities. The work sampling technique was used to identify the time spent on the interventions/activities, with direct observation of 51 nurses and 50 nurse assistants, having 5-minute intervals during 47 days. The time calculation of the nursing interventions / activities was based on the workers total available time and the interventions / activities categorization proposed by the WISN method. Results: 16322 field observations were conducted, 12,6% was sample retest, with 85% agreement among field observers and the researcher. The nursing staffing required to manage the workload, and most of the departments observed have not shown discrepancies regarding the current. The time standards used in the calculations conveyed the reality of the departments and all the components were considered appropriate for the professional categories involved. The direct observation and the time study were used in order to obtain more accurate pattern interventions. Conclusion: The WISN method proved to be suitable to determine staffing requirements, providing evidence on staffing in each department. However, in order to apply the WISN method it is necessary to have complete and systematically organized statistical data of the workers workloads and the setting. The results showed a general view of the nursing interventions/activities in outpatient departments, as well as the distribution during workload, which may suggest the review of some nursing protocols in order to improve the patients assistance. The time standards found in this study may be reference to measure the nursing staffing requirements and to apply the WISN method, promoting discussions and critical thinking on providing oncology patients with safe and high quality assistance in the outpatient facility.
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Peixoto, Cláudia Ehlers. "O olhar dos sujeitos do ambulatório do Hospital do Câncer IV, do Instituto Nacional de Câncer, sobre as práticas integrativas aplicadas ao cuidado paliativo em Oncologia: uma "avaliação" do cuidado." Universidade do Estado do Rio de Janeiro, 2010. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=1705.
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O estudo tem por tema o cuidar paliativo na atenção ambulatorial, em particular as percepções sobre esse cuidado sob o ponto de vista dos usuários do Ambulatório de Cuidados Paliativos em Oncologia, do Hospital do Câncer IV, do Instituto Nacional de Câncer - INCA/MS. O palco do nosso estudo sofreu transformações em sua estrutura física e na forma do atendimento dispensado a partir de março de 2009. Na atualidade, e diferentemente do que é mais comum na maioria dos ambulatórios das demais unidades INCA, os pacientes, quando chamados para consulta, entram para uma sala de atendimento e aguardam os profissionais, ao invés de percorrem as salas de consulta de cada especialidade. Buscamos trazer e compreender a percepção dos sujeitos através de suas falas, bem como as dificuldades por eles vivenciadas na assistência do cuidado, e sua relação com a Integralidade. Esta última foi entendida como tecnologia que permeia as ações, favorecendo e aprimorando o cuidado em saúde. Ao relacionar os pilares da integralidade isto é, o acesso, o acolhimento, o vínculo, a autonomização e a responsabilização procuramos entender os parâmetros desse conceito e sua aplicabilidade no sistema do INCA. Demarcamos como caminhos teóricos desta pesquisa, as questões voltadas à Integralidade e às tecnologias como orientadoras dos processos de trabalho em serviço de saúde. O elemento decisivo e norteador para seguir este caminho foi o conceito de tecnologias leves formulado por Merhy, que guarda em suas definições uma ponte entre as mesmas e a integralidade conceitos estes básicos para a investigação proposta. Optamos pela metodologia qualitativa, com o uso de entrevistas semi-estruturadas que possibilitariam um maior aprofundamento na compreensão das percepções dos sujeitos sobre o atendimento à saúde naquela Unidade Hospitalar. Os relatos dos pacientes e cuidadores entrevistados revelam, sem nenhuma exceção, que eles apreciam bem mais este modo de atendimento do que aquele experimentado em outras unidades hospitalares. Os usuários expressaram, como aspectos positivos, a redução no tempo de espera e a qualidade da atenção dispensada, uma vez que suas necessidades (físicas, psicológicas e emocionais) são mais emergenciais, dada a fragilidade do seu estado bio-psico-socio-espiritual. Em suma, foi possível observar que os principais pilares da Integralidade estão expressos nas percepções dos usuários, mesmo que eles não saibam que o fazem. Ao ressaltar as percepções sobre as práticas que os usuários identificaram como positivas e negativas no sistema de atendimento do ambulatório do HC IV, apontamos para possibilidades de melhoria da qualidade assistencial com base na IntegralidadeThe present study is about ambulatory attention in palliative care, particularly users perceptions over this care given in the Oncologic Ambulatory for Palliative Care of the Brazilian National Cancer Institute-RJ. From this perspective we brought the users speech, as well as their difficulty, felt and experienced during the assistance, and its relation with the integrality. This one understood as a technology that is all through the actions facilitating and improving health care. When relating some of its pillars as, access, boundary, linkage, self-government and responsiveness, we can better understand the limits of this concepts and its applicability in the INCA system. We delimitate as theoretic path of this study, integrality issues and technologies to orient the work process in health services. The decisive element was the concept of soft technologies formulated by Merhy; within its definition there is a bridge to integrality basic concepts to the investigation proposed. This ambulatory underwent a transformation on its physical structure and on the assistance model offered to its users. The difference between this and the conventional ambulatory model of assistance that takes place on the other INCA ambulatory hospitals, for this one from HC IV, rely on the fact that this one is specific for patients undergoing oncological palliative care, in which the patients has walking difficulties. Because of those, a different model was build. In this new mode, patients are called to a room and wait for the assistance, the professionals alternates themselves between this and the other rooms, where there are other patients. This attitude prevents patients from walking from room to room to be assisted. As a reminder, this new assistance manner began on march 2009, with one year experience. The statement of the interviewed patients and their caretakers revealed, with not even one exception, that they prefer this new way of integrative care instead of the traditional experienced in other INCA hospital units. Patients appreciate the quietness of this process and the certainty of the scheduled appointment. Its impossible to deny that in this manner of assistance, not only the patients but also their caretakers have more privacy. One of its improvements for patients is the end of the walking from room to room to get assisted by all professionals. This new physical structure prevents undesirable walking and stress for patients under oncologic palliative care. And its also clear that users express, as positive aspect, the reduction of time waiting for the appointment in the ambulatory. Taking into consideration the particularity of these users revealed, was the quality of the assistance they acquire: faster, human and multidisciplinary, since their necessities are more urgent because of their bio-psycho-social-spiritual fragility state. Finally, was possible to observe that the main Integrality pillars are expressed in their perceptions, although they dont state this concepts specifically. About responsiveness, we found little evidence, as the users dont have their rights notion and there for they dont criticize the system. Only one of them marked his position, asking about a patients bath adapted for colostomy user`s
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Sadki, Abdellah. "Planification des chimiothérapies ambulatoires avec la prise en compte des protocoles de soins et des incertitudes." Phd thesis, Ecole Nationale Supérieure des Mines de Saint-Etienne, 2012. http://tel.archives-ouvertes.fr/tel-00732983.
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Les travaux de cette thèse sont les fruits de collaboration depuis 2008 entre l'ICL et le Centre Ingénierie et Santé (CIS) de l'Ecole des Mines de Saint Etienne. CIS et ICL sont tous deux membres de l'Institut Fédératif de Recherche en Science, Ingénierie et Santé (IFRESIS) et participent tous deux aux travaux du Cancéropôle Lyon Auvergne Rhône-Alpes (CLARA) dont Franck Chauvin animait l'axe IV sur Epidémiologie, SHS, Information du Patient et Organisation des Soins. Cette thèse a été initiée avec la volonté de développer une recherche originale sur l'optimisation de la production de soins en cancérologie.Nous nous intéressons à différentes problématiques de la gestion de soins des patients dans un hôpital de jour en cancérologie. Nous visons à équilibrer au mieux les besoins journaliers en lits tout en prenant en compte l'adhérence aux protocoles de soins, les contraintes des oncologues et les aléas des flux de patients. Pour un hôpital de jour en oncologie, nous avons identifié et étudié les décisions suivantes : I. Le planning médical une fois par an afin de déterminer les périodes de travail des oncologues dans une semaine. Nous avons proposé une formulation originale sous forme d'un modèle de programmation linéaire en nombres mixtes (MIP) et une approche en 3-étapes. II. L'affectation des nouveaux patients qui détermine le jour de la chimiothérapie pour chaque patient entrant. Nous avons présenté trois stratégies de planification et nous avons décrit un algorithme de simulation pour évaluer ces stratégies de planification. Les stratégies de planification proposées exploitent les informations contenues dans les protocoles de soins des patients et utilisent l'optimisation Monte Carlo III. La planification des rendez-vous. Nous avons présenté deux méthodes pour la résolution de ce problème : une approche basée sur la relaxation Lagrangienne et une heuristique basée sur une optimisation par recherche localeIV. La planification des jours fériés : permet de remédier au problème des semaines comportant des jours fériés. Nous avons développé un modèle en programmation linéaire en nombres mixtes permettant de répartir rapidement la charge du jour férié sur les jours en amont et en aval sans trop dégradé l'efficacité du traitement, ni surcharger le travail de l'HDJ.
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Llerena, Arredondo Cecilia Hortencia. "Características de los estilos de vida de los pacientes oncológicos sometidos a quimioterapia ambulatoria en el Instituto de Enfermedades Neoplásicas, 2004." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2005. https://hdl.handle.net/20.500.12672/1014.
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Los estilos de vida son patrones de conducta individual o hábitos incorporados por las personas. Muchos de estos estilos de vida se ven afectados por la enfermedad más aún cuando esta es crónica como el cáncer. La quimioterapia es un tratamiento agresivo contra esta enfermedad, más ella trae consigo, si bien expectativas de vida, también repercuten los efectos adversos de los fármacos, los cuales irán deteriorando el estilo de vida, y al cual se tendrá que adaptar el paciente. Frente a este contexto se ve la necesidad de estudiar las Taracteristicas de los estilos de vida de los pacientes oncológícos sometidos a quimioterapia ambulatoria".
El objetivo del presente estudio fue el determinar las características de los estilos de vida del paciente oncológico sometido a quimioterapia ambulatoria.
Se consideró a 87 pacientes del Servicio de Quimioterapia ambulatoria del Instituto de Enfermedades Neoplásicas, para la respectiva entrevista encuesta en el cual se indicaban parámetros de estilo de vida.
Entre la conclusiones a las que se llegaron tenemos dentro del aspecto biológico el paciente presenta un cambio en su estilo de vida dado por el deterioro en su alimentación, presentan cansancio, ven alterado sus horas de sueño, disminuyen su actividad física en tareas complejas, y dejan de lado es aspecto sexual con su pareja. Dentro del aspecto psicológico el paciente presenta un cambio en su estilo de vida demarcado por el deterioro en su auto imagen, y por su dependencia en lo económico. Más se acepta así mismo pero tiende a veces a rechazar su enfermedad.
Dentro de¡ aspecto social el paciente siente el apoyo familiar, el cual lo estimula a seguir adelante en su recuperación, y en no dejarse ganar por la enfermedad, así también, no deja de lado el salir a recrearse, tal vez no como antes lo hacia pero conserva el estímulo de querer realizar su vida con total tranquilidad y positividad.The Ufe styles are patterns of individual conductor habits incorporated by the people. Many of these styles of fe are affected by the disease still more when this is chronic líke the cancer. The chemotherapy is an aggressive treatment against this disease, plus her brings with himself, although fe expectancies, also repel the adverse effects of the drugs, which will be deteriorating the lífe style, and to which it wíll have to adapt the patient. As opposed to this context the necessity is seen to study the Tharacterístics of the styles of Ufé of the oncology patients submissive ambulatory chemotherapy". The objective of the present study was to determine the characterístics of the styles of /te of the oncology patient submissíve ambulatory chemotherapy. One considered 87 patients of the Service of ambulatory Chemotherapy of the Institute of Neoplasm Diseases, for the respective interview survey in which parameters of life style were indicated. Between the conclusions at which they were arrived we have within the biological aspect the p atient presents/displays a change in its style of fife given by the deterioration in its feeding, they present/display fatigue, they see altered its hours of dream, they diminish its physical actívity in complex tasks, and leave of side is sexual aspect with its pair. Within the psychological aspect the patient presents/displays a change in his style of life demarcated by the deterioration in hís car image, and by its dependency in the economic thíng. He accepts hirríself more also sometimes but he tends to reject his disease. Within the social aspect the patíent féels the familiar support, which stimulates ¡t to follow ahead in its recovery, and not letting ítself win by the disease, thus also, it does not leave of síde leaving to, recreate, perhaps not as before towards but it conserves the stimulus to want to make his fife with total tranquillity and positivity.
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Asselin, Philippe. "Perceptions des infirmières en hémato-oncologie ambulatoire face au dépistage systématique de la détresse et ses effets sur les soins centrés sur la personne." Thesis, Université Laval, 2012. http://www.theses.ulaval.ca/2012/29463/29463.pdf.
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Loizeau, Etienne Thomaré Patrick. "Assurance qualité du circuit de gestion des chimiothérapies anticancéreuses préparées en unité centralisée et administrées au domicile des patients expérience du réseau régional de cancérologie Oncologie Pays de la Loire /." [S.l.] : [s.n.], 2008. http://castore.univ-nantes.fr/castore/GetOAIRef?idDoc=47881.
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Miranda, Nam Sulamita Kidarim. "Efecto de la atención farmacéutica sobre el número y grado severidad de eventos adversos en pacientes en tratamiento con quimioterapia en un servicio de oncología ambulatoria." Tesis, Universidad de Chile, 2015. http://repositorio.uchile.cl/handle/2250/131710.
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Título de Profesional Especialista en Farmacia Clínica y Atención FarmacéuticaAutor no autoriza el acceso a texto completo de su documento
Antecedentes: El cáncer es una de las principales patologías en nuestro país, una de las alternativas terapéuticas más usada, es la quimioterapia, la cual debido a su estrecho margen terapéutico produce a lo menos 1 evento adverso en aquellos pacientes que la reciben. El químico farmacéutico participando activamente en el equipo de salud, puede disminuir en un 50% el número de eventos adversos. Aquellas acciones que contribuyen a mejorar el perfil de seguridad de los fármacos, se engloban en la denominada atención farmacéutica. Objetivo General: Determinar el efecto del plan de atención farmacéutica sumado al manejo habitual de pacientes en tratamiento con quimioterapia, en el número y grado de severidad de eventos adversos. Metodología: Durante agosto 2012 a abril 2013 se realizó un estudio secuencial prospectivo en el Servicio de Oncología del Complejo Asistencial Barros Luco Trudeau (CABL). El estudio contó con 2 grupos, uno control y otro intervenido. Durante los primeros 2 meses fue enrolado y evaluado el grupo control, quienes recibieron la atención habitual entregada por el Servicio de Oncología de CABL y los posteriores 2 meses se realizó lo mismo para el grupo intervenido, donde la intervención fue la provisión de atención farmacéutica sumado a la atención habitual entregada por CABL. A cada grupo se le efectuaron 2 evaluaciones, donde se registraron el número y grado de severidad de los eventos adversos presentados por los pacientes. La severidad fue categorizada de acuerdo a la Common Terminology Criteria for Adverse Events versión 3.0(CTCAE v3.0). El efecto de la intervención del farmacéutico fue medido como la disminución del 50% en el número de eventos adversos por paciente y la disminución en a lo menos en 1 grado, la severidad de éste, calculado con datos de la segunda evaluación versus la primera evaluación (separadas entre sí por 21 días). El plan de atención farmacéutica incluyó educación al paciente, evaluación de farmacoterapia, recomendaciones al paciente y equipo de salud y seguimiento telefónico. El análisis estadístico fue de estadística descriptiva, para variables cuantitativas se usó (promedios, mediana y desviación estándar). Para comparaciones de parámetros se utilizó test-student. Para variables cualitativas se usaron los test de Mann-Whitney y Prueba de Fisher. Para la evaluación del efecto se presentó en OR, mediante un análisis de regresión logística multivariado. Donde el éxito fue la diminución en al menos 1 punto el grado de severidad del evento adverso entre las 2 evaluaciones. Resultados: Cada grupo contó con 20 pacientes, compuesto mayoritariamente por mujeres. La edad promedio de la muestra fue para 53+16 años en el grupo control y 55+16 años para grupo intervenido. La principal terapia previa recibida por el grupo control fue la radioterapia (N=4) y XELOX (capecitabina y oxaliplatino) para el grupo intervenido (N=3). Al momento de ingresar al estudio, en ambos grupos el principal grupo terapéutico prescrito fueron los antieméticos solos o en combinación (N=21 en grupo control y 23 en grupo intervenido). En una primera evaluación el grupo control presentó 146 eventos adversos versus 120 del grupo intervenido, de los cuales 11 fueron de grados 3-4 para grupo control versus 5 en grupo intervenido (G° 3-4), sin embargo, esta distribución, a pesar de que fue menor en grupo intervenido, no fue estadísticamente significativa (p=0,3305). La principal intervención realizada fue la incorporación de terapia (48%), donde los antieméticos fueron los mayormente implicados (N=8/29). El efecto medido en disminución del 50% del número de evento adverso, resultó en una respuesta de 25% para el grupo intervenido y 12% en grupo control, sin embargo esta diferencia no fue estadísticamente significativa (p=0,1577). Por otra parte el efecto en relación a la disminución en grado de severidad, el OR fue 0,87 (IC 95% 0,2227-3,428), donde el riesgo fue evaluado como probabilidad de fracaso. Conclusión: Es posible implementar un plan de atención farmacéutica inserto en un Servicio de Oncología ambulatoria. Ésta permite detectar precozmente eventos adversos, educar al paciente en relación a su terapia, realizar seguimiento farmacoterapéutico. Existe una tendencia al beneficio en la disminución de grado de severidad y número de evento adverso en pacientes que reciben atención farmacéutica, sin embargo no estadísticamente significativo
Background: Cancer is major pathologies in our country, one of the most widely used alternative therapies, is chemotherapy, which because of its narrow therapeutic range produces at least one adverse event in patients who receive it. The pharmacist actively participating in the health team can reduce the number of adverse events by 50%. Those actions that improve the safety profile of drugs fall into the so-called pharmaceutical care. General Objective: To determine the effect of pharmaceutical care plan in addition to the usual management of patients undergoing chemotherapy, in the number and severity of adverse events. Methodology: During August 2012 to April 2013 a prospective study sequential in Oncology Service in Barros Luco Trudeau Care Complex (CABL). The study involved two groups, one control and one intervened. During the first two months was enrolled and evaluated the control group who received usual care delivered by the Oncology Service CABL and subsequent two months the same was done for the intervention group, where the intervention was the provision of pharmaceutical care added usual care delivered by CABL. Each group was conducted two evaluations, where the number and severity of adverse events presented by the patients were recorded. The severity was categorized according to the Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v3.0). The effect of pharmaceutical intervention was measured as the 50% decrease in the number of adverse events for patients and decreased at least 1 degree, its severity, calculated data of the second evaluation versus initial evaluation (separated by 21 days). The pharmaceutical care plan included patient education, evaluation of pharmacotherapy recommendations to the patient and health team and telephone follow-up. The statistical analysis was descriptive statistics for quantitative variables (mean, median and standard deviation) were used. For comparisons parameters used t test. For qualitative variables the Mann-Whitney and Fisher test were used. For evaluation of the effect was presented in OR, using a multivariate logistic regression analysis. Where success was the decrease in at least 1 point the degree of severity of adverse events between the 2 assessments. Results: Each group had 20 patients, mostly composed of women. The average age of the sample was 53 + 16 years for the control group and 55 + 16 for intervention group. The principal prior therapy received by the control group was radiotherapy (N = 4) and XELOX (capecitabine and oxaliplatin) for the intervention group (N = 3). Upon entering the study, in both groups the main therapeutic group were prescribed antiemetics alone or in combination (N = 21 in control group and 23 in the intervention group). In a first evaluation, the control group had 146 adverse events versus 120 intervention group, of which 11 were grade 3-4 for control group versus 5 in intervention group (G ° 3-4), however, this distribution, to Although it was lower in intervention group was not statistically significant (p = 0.3305). The main action taken was the incorporation of therapy (48%) where antiemetics were mostly involved (N = 8/29). The effect measured in 50% decrease in the number of adverse event resulted in a response of 25% for the intervention group and 12% in control group, however this difference was not statistically significant (p = 0.1577). Moreover, the effect in relation to the decrease in severity, the OR was 0.87 (95% CI 0.2227 to 3.428), where the risk was assessed as probability of failure. Conclusion: It is possible to implement a pharmaceutical care plan insert an outpatient oncology service. This allows early detection of adverse events; patient education regarding their therapy, pharmacotherapy follow performs. There is a tendency to benefit in reducing severity and number of adverse events in patients receiving pharmaceutical care, however, not statistically significant
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Moreno, Villamil María Lilia Esperanza. "Hipertensión arterial por método clínico y por monitorización ambulatoria de presión arterial(mapa) en niños y adolescentes obesos." Doctoral thesis, Universitat Autònoma de Barcelona, 2012. http://hdl.handle.net/10803/116215.
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En este estudio prospectivo tipo cohorte con una población de 129 niños y adolescentes (74 varones, 48 prepuberales), afectos de obesidad no sindrómica, edad media 11,95 ± 2,5 DE, se determinaron parámetros antropométricos, bioquímicos, test de tolerancia oral a la glucosa, presión arterial clínica y ambulatoria. Además se evaluó la caída fisiológica nocturna de la presión arterial “DIP”. Los pacientes fueron categorizados de acuerdo al índice de masa corporal – desviación estandar (IMC-DE) así: sobrepeso +1.6 a +1.9; obesidad moderada +2 a + 2.9; obesidad severa +3 a +3.9; obesidad mórbida > +4 DE.
Con esta población se encontró la prevalencia de HTA, HTA de bata blanca, HTA enmascarada mediante medición de PA por oscilometría y MAPA y se analizó la relación de HTA con el grado de obesidad y diferentes parámetros de laboratorio. Además se describió el comportamiento circadiano de la PA. Hallándose en la población estudiada una prevalencia de HTA sistólica y/o diastólica por método clínico de 36.4% (HTA sistólica 31% y HTA diastólica 7%) y por MAPA de 40.3% (HTA sistólica 31% y HTA diastólica 27.1%). El 34.2% de los pacientes presentó HTA severa. La prevalencia de HTA de bata blanca 20.2% y la prevalencia de HTA enmascarada 24%. El 34.2% de los pacientes presentan HTA severa, lo cual comporta un alto riesgo de compromiso de órgano blanco. El ritmo circadiano de la PA está alterado en el 76,7% de la población.
La prevalencia y la severidad de la HTA sistólica y/o diastólica por MAPA guarda una relación muy estrecha con el grado de obesidad y con la presencia de criterios de síndrome metabólico, siendo los pacientes con obesidad mórbida los que presentan una mayor prevalencia de HTA (74%) y un porcentaje más alto de HTA severa (56%) .
Por otro lado, se encontró que los promedios de PA sistólicos y diastólicos por MAPA, aumentan progresivamente con relación al grado de obesidad, insulinoresistencia y niveles de ácido úrico. Ademas, en un modelo univariado se encontró una correlación positiva entre HTA por MAPA y la presencia de IMC > 4 DE, HOMA >3 y concentraciones plasmáticas altas de ácido úrico, insulina, PCR y aldosterona.
Según el análisis de regresión logística el riesgo de desarrollar HTA en los niños y adolescentes obesos se incrementa de forma muy significativa cuando el IMC es superior a +4 DE, el índice HOMA es superior a 3 y las concentraciones de ácido úrico sérico son superiores a 5,3 mg/dL.
En conclusión este estudio confirma el riesgo de HTA que comporta la obesidad y la utilidad de MAPA para detectar alteraciones de PA en estos pacientes. Se encontró que la intensidad de la obesidad, la hiperuricemia y la insulinoresistencia pueden contribuir al desarrollo y severidad de la HTA. Existe una alteración del ritmo circadiano de la PA en una alta proporción de la población (76,9%).In this prospective cohort study with a population of 129 children and adolescents (74 males, 48 prepubertal), all suffering a nonsyndromic obesity and with mean age in year of 11.95 ± 2.5 SD. In this population were determined anthropometric, biochemical, oral tolerance test to glucose, blood pressure and ambulatory clinic. Also it was evaluated the physiological nocturnal fall in blood pressure "DIP". Patients were categorized according to Standard Deviation of Body Mass Index (BMI-SD) and following this BMI-SD ranges: overweight [1.6 to 1.9], moderately obese [2 to 2.9], severe obesity [3.9 to 4], morbid obesity > 4 SD. In this population we found the prevalence of hypertension, white coat hypertension, masked hypertension by measuring BP using oscillometry and ABPM, also we analyzed the relation between hy pertension, degree of obesity and different laboratory parameters, moreover it was described the BP circadian behavior. In the population studied was founded a prevalence of systolic hypertension and/or diastolic clinical method of 36.4% (31% systolic hypertension and diastolic hypertension 7%) and ABPM of 40.3% (31% systolic hypertension and diastolic hypertension 27.1%). The 34.2% of patients had severe hypertension. The prevalence of white coat hypertension 20.2% and the prevalence of masked hypertension 24%. Also, a 34.2% of patients had severe hypertension, which carries a high risk of target organ involvement. The circadian rhythm of BP is altered in 76.7% of the population. The prevalence and severity of systolic hypertension and/or diastolic ABPM maintains a close relation to degree of obesity and presence of metabolic syndrome criteria, on the other hand, patients with morbid obesity had a higher prevalence of hypertension (74%) and a higher percentage of severe hypertension (56% of patients). In addition, we found that the average systolic and diastolic BP by ABPM increased progressively with respect to obesity degree, insulin resistance and uric acid levels. Furthermore, in a univariate model, it was found a positive correlation between hypertension by ABPM and the presence of BMI > 4 SD, HOMA > 3 and high plasma concentrations of uric acid, insulin, CRP and aldosterone. According to logistic regression analysis, the risk of developing hypertension in obese children and adolescents, increases very significantly when the BMI is greater than +4 SD, the HOMA index is greater than 3 and serum uric acid concentrations are higher than 5.3 mg/dL. In conclusion, this study confirms the risk of hypertension due to obesity. Also, it confirms the usefulness of ABPM to detect changes in BP in these patients. It was found that the intensity of obesity, hyperuricemia and insulin resistance contributes to the development and severity of hypertension. Besides, it was found that there is a circadian rhythm of BP in a high proportion of the population (76.9%).
Books on the topic "Ambulatory oncology"
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First aid for the internal medicine boards. 3rd ed. New York: McGraw Hill Professional, 2011.
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Corcoran, Buchsel Patricia, and Yarbro Connie Henke, eds. Oncology nursing in the ambulatory setting: Issues and models of care. 2nd ed. Sudbury, Mass: Jones and Bartlett Publishers, 2005.
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Corcoran, Buchsel Patricia, and Yarbro Connie Henke, eds. Oncology nursing in the ambulatory setting: Issues and models of care. Boston: Jones and Bartlett Publishers, 1993.
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Buchsel, Patricia Corcoran. Oncology Nursing in the Ambulatory Setting: Issues and Models of Care. 2nd ed. Jones and Bartlett Publishers, Inc., 2004.
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I, Fitch Margaret, and Kennedy Gail M, eds. Ambulatory oncology nursing practice guidelines: A focus on patient outcome standards. Toronto: Toronto-Sunnybrook Regional Cancer Centre, 1994.
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Porter, Heather B. A COMPARISON OF AMBULATORY ONCOLOGY NURSING PRACTICE MODELS AND THEIR ASSOCIATED DIFFERENCES ON HEALTH RESOURCE UTILIZATION (ONCOLOGY). 1993.
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(Editor), Connie Henke Yarbro, and Patricia Corcoran Buchsel (Editor), eds. Oncology Nursing in the Ambulatory Setting: Issues and Models of Care (Jones and Bartlett Series in Nursing). Jones & Bartlett Pub, 1993.
Find full textBook chapters on the topic "Ambulatory oncology"
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Hooker, Louise, and Sarah Palmer. "Paediatric Oncology Ambulatory Care." In Innovations in Paediatric Ambulatory Care, 90–102. London: Macmillan Education UK, 1998. http://dx.doi.org/10.1007/978-1-349-14367-2_7.
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De La Cruz, Anthony, Richard Brown, and Steve Passik. "Ambulatory care nurses responding to depression." In Handbook of Communication in Oncology and Palliative Care, 439–48. Oxford University Press, 2010. http://dx.doi.org/10.1093/acprof:oso/9780199238361.003.0037.
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Davies, Pamela Stitzlein, and Kathleen Broglio. "Palliative Care Nursing in the Outpatient Setting." In Oxford Textbook of Palliative Nursing, edited by Betty Rolling Ferrell and Judith A. Paice, 639–51. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190862374.003.0052.
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Most healthcare in the United States is provided in ambulatory care clinics. Yet, outside of the arena of oncology, palliative care clinics are rare in the outpatient setting. This is an area of great need, and one that is expected to see significant growth, given the complexities of issues managed by primary clinicians. Palliative care can assist with decisions related to initiating or discontinuing left ventricular assist devices for destination therapy or renal replacement therapy and address the multimorbidity, frailty, and dementia associated with the growing population of elder adults. This chapter addresses the benefits and challenges faced when providing palliative care in the ambulatory care setting. Practical aspects of initiating or expanding an outpatient palliative care program are discussed, as well as unique aspects of providing palliative care to various clinical specialties in the outpatient setting. Additionally, best practices for monitoring opioid and other controlled substances are reviewed, including methods to implement Universal Precautions for screening and monitoring patients receiving these prescriptions.
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"ASHP-HOPA Guidelines on the Roles and Responsibilities of the Pharmacy Technician in Ambulatory Oncology Pharmacy." In Best Practices, 501–8. American Society of Health-System Pharmacists, 2019. http://dx.doi.org/10.37573/9781585286560.283.
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Wu, Carrie C., Jennifer Temel, and William Pirl. "Psychosocial Benefits of Early Palliative Care Intervention." In Handbook of Psychiatry in Palliative Medicine 3rd edition, edited by Harvey Max Chochinov and William Breitbart, 225—C15.P66. 3rd ed. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780197583838.003.0015.
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Abstract There is increasing recognition that palliative care interventions should be offered concurrent to cancer diagnosis and treatment. The model of service delivery has evolved throughout the years, from a primarily inpatient and crisis-driven service model to a model that encompasses both inpatient and ambulatory settings. This shift has allowed for the progression and development of early integrated palliative and oncology care. Studies using a variety of palliative care interventions, from traditional provider-based referrals to educational and case-management interventions, have shown clinically significant benefits for patients. Patients receiving early palliative care services demonstrate a more proactive approach-oriented coping style, report reduced rates of depression, report better quality of life, and use less aggressive treatments at the end of life, without detriment to survival. Although psychiatry has not been formally included in early palliative care trials, collaborative efforts with psychiatrists may offer creative ways of addressing psychosocial issues at the onset of cancer diagnosis.
Conference papers on the topic "Ambulatory oncology"
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Therasakvichya, Suwanit, and Siree Limtiamchareon. "Ambulatory chemotherapy in epithelial ovarian cancer patients." In The 7th Biennial Meeting of Asian Society of Gynecologic Oncology. Korea: Asian Society of Gynecologic Oncology; Korean Society of Gynecologic Oncology; Japan Society of Gynecologic Oncology, 2021. http://dx.doi.org/10.3802/jgo.2021.32.s1.o28.
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Kim, Hee Jin, Hye Jin Kim, and Kyung Ja Kang. "Analysis of Chemotherapy Telephone Helpline in the Ambulatory Oncology Unit." In Healthcare and Nursing 2013. Science & Engineering Research Support soCiety, 2013. http://dx.doi.org/10.14257/astl.2013.40.06.
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Revuelta Herrero, JL, MB Marzal-Alfaro, V. Escudero-Vilaplana, R. Collado-Borrell, A. de Lorenzo-Pinto, E. González Haba-Peña, R. García-Sánchez, MN Sánchez-Fresneda, A. Herranz-Alonso, and M. Sanjurjo-Saéz. "4CPS-127 Development of a stratification model for ambulatory oncology pharmacy patients." In 24th EAHP Congress, 27th–29th March 2019, Barcelona, Spain. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/ejhpharm-2019-eahpconf.276.
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Wang, Tianyi, Yash Huilgol, Jennifer James, Jeff Belkora, Janet Black, Carrie D'Andrea, and Laura Esserman. "Abstract PS9-17: Nurse navigation in the ambulatory oncology clinic: Patient-centered findings from a survey of 50 breast cancer patients." In Abstracts: 2020 San Antonio Breast Cancer Virtual Symposium; December 8-11, 2020; San Antonio, Texas. American Association for Cancer Research, 2021. http://dx.doi.org/10.1158/1538-7445.sabcs20-ps9-17.
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"PS-103 - ¿DEPENDENCIAS O DEPENDIENTES?" In 24 CONGRESO DE LA SOCIEDAD ESPAÑOLA DE PATOLOGÍA DUAL. SEPD, 2022. http://dx.doi.org/10.17579/abstractbooksepd2022.ps103.
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1. OBJETIVOS: Muy frecuentemente los pacientes que son tratados con éxito por una determinada dependencia a sustancias en Psiquiatría, vuelven a precisar tratamiento por otro tipo de trastorno mental (incluido otro tipo de dependencia). Sería por tanto aconsejable, que todos los pacientes que presentan trastornos por uso de sustancias, además de los protocolos habituales en relación con el proceso adictivo, fueran evaluados sistemáticamente desde el punto de vista de la personalidad. 2. MATERIAL Y MÉTODOS: Presentamos el caso clínico de un paciente de 50 años de edad, que fue remitido a Consultas Externas de Psiquiatría desde Oncología, para desintoxicación de FENTANILO, sustancia de la que abusaba desde hacía dos años y que había sido previamente pautada por dolor y disfagia en un tumor de amígdala, actualmente en resolución completa. Resultados: Tras una desintoxicación ambulatoria protocolizada y remisión completa de su dependencia, el paciente comenzó a aquejar lumbalgia para la que recibía tratamiento con alprazolam y tramadol. Posteriormente, ingresó por un TEP que precisó tratamiento con anticoagulantes. Finalmente, ingresó con una hemorragia cerebral, que resultó haber sido provocada por un consumo perjudical de metilfenidato. Dicho consumo inadecuado de un fármaco no prescrito, lo había realizado para paliar su lumbalgia y sentirse más motivado, ya que había sufrido una segunda ruptura sentimental y todavía no había recibido la incapacidad laboral total. 3. CONCLUSIONES: Los paciente que son derivados a consultas externas para desintoxicación de un tipo de sustancia puntual, a pesar de conseguir la abstinencia y la mejoría, deberían de recibir un tratamiento multidisciplinar, por parte de psiquiatría y psicología, que evaluara si debajo de esa dependencia podría encontrarse un trastorno afectivo, de ansiedad, un TDAH, o unos rasgos de personalidad con un perfil de búsqueda de sensaciones, impulsividad o sensibilidad a la recompensa, que les predispusieran a adquirir una dependencia.