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.
Full textGilmartin, 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.
Full textSantos, 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/.
Full textIntroduction: 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.
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.
Full textThe 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
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.
Full textLlerena, 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.
Full textThe 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.
Tesis
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.
Full textLoizeau, 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.
Full textMiranda, 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.
Full textAutor 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
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.
Full textIn 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%).
Cabrejos, Ipanaque Rosa Beatriz. "Conocimiento de los pacientes oncológicos sobre el autocuidado en la Unidad de Quimioterapia Ambulatoria del Hospital Nacional Almanzor Aguinaga Asenjo Essalud – Chiclayo 2013." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2014. https://hdl.handle.net/20.500.12672/11816.
Full textDetermina los conocimientos de los pacientes oncológicos sobre el autocuidado en la Unidad de Quimioterapia Ambulatoria del Hospital Nacional Almanzor Aguinaga Asenjo Es Salud – Chiclayo 2013. El estudio es de tipo cuantitativo, nivel aplicativo, método descriptivo de corte trasversal. La población estuvo conformada por 42 pacientes. La técnica fue la encuesta y el instrumento un formulario tipo cuestionario aplicado previo consentimiento informado. Del 100% (42), 52%(22) conoce y 48%(20) no conoce. En la dimensión física, 52%(22) conoce y 48%(20) no conoce, en la psicológica 60%(25) conoce y 40%(17) no conoce, en social 60%(25) conoce y 40%(17) no conoce. Los conocimientos de los pacientes oncológicos sobre el autocuidado en la Unidad de Quimioterapia Ambulatoria en su mayoría conocen referido a que en caso de estreñimiento es necesario aumentar el consumo de agua de 8 a 10 vasos al día, es conveniente mantener una actitud optimista durante la quimioterapia, continuar con actividades recreativas: ver televisión, escuchar el radio, mientras un porcentaje significativo no conocen los aspectos referidos al uso de cremas para evitar que se reseque y/o agrieten sus labios, realizar enjuagues bucales con bicarbonato de sodio, tener información sobre el tratamiento disminuye el miedo y temor a la quimioterapia, y es necesario continuar con actividades laborales después de la quimioterapia.
Trabajo académico
Hoberg, Deborah. "Patient satisfaction in the ambulatory oncology setting: are patients' needs being met? A descriptive study." Thesis, 2011. http://hdl.handle.net/2440/67325.
Full textThesis (M.NursPrac.) -- University of Adelaide, School of Nursing, 2011
Horsman, Susan. "Symptoms and quality of life assessment in ambulatory oncology: the evaluation of a clinical assessment tool." Master's thesis, 2009. http://hdl.handle.net/10048/570.
Full textHorsman, Susan Elisabeth Anne. "Symptoms and quality of life assessment in ambulatory oncology the evaluation of a clinical assessment tool /." 2009. http://hdl.handle.net/10048/570.
Full textA thesis submitted to the Faculty of Graduate Studies and Research in partial fulfillment of the requirements for the degree of Master of Nursing, Faculty of Nursing. Title from pdf file main screen (viewed on September 20, 2009). Includes bibliographical references.
Passos, Patricia Martins. "Validação de um sistema de classificação de pacientes para a prestação de cuidados de enfermagem em ambulatório de oncologia." Master's thesis, 2019. http://hdl.handle.net/10071/19535.
Full textThe present study encompasses concepts and contextualizations of a care model for the nursing staff in a chemotherapy outpatient clinic validating a sufficient number of nurses to provide excellent care to patients undergoing cancer treatment. One of the biggest challenges in a chemotherapy outpatient clinic is to find the ideal number of nurses who are qualified and provide quality care to the cancer patient. Ongoing training and capacity building are the key points for a qualified team and the time to provide complete assistance. The methodology of criticality classification of cancer patients was studied because it offers more focus on the processes associated with the provision of professional nursing care, taking into consideration the performance status of cancer patients on an outpatient basis. The use of criticality levels helps care planning, with the highest level applied to patients as a representation of greater attention to be given by nurses to their patients. In conclusion, the methodology that uses the criticality of the patient characterized by levels, showed that the use of 21 daily points is ideal to obtain the adequate number of nurses in a chemotherapy outpatient clinic.