Development of an oral care guide for patients undergoing autologous stem cell transplantation

Prisco T. Salvador

Abstract


Nurses identified oral mucositis as a recurring issue in clinical practice. To meet this challenge, a group of nurses took a leadership role in developing an oral care guide. The University Health Network Nursing Research Utilization Model and the Neuman Systems Model served as conceptual frameworks. A flowchart was developed to ensure a coordinated and continuous provision of oral care. Educational presentations were conducted to familiarize nurses and members of the multidisciplinary team of the practice changes. The introduction of the oral care regimen as primary prevention, plus systematic oral assessment and monitoring had the potential to reduce the occurrence and severity of oral mucositis in patients undergoing autologous stem cell transplantation.


Full Text:

PDF

References


Barker, G. (1999). Current practices in the oral management of the

patient undergoing chemotherapy or bone marrow transplantation.

Support Care Cancer, 7, 17-20.

Bellm, L., Epstein, J., Rose-Ped, A., Martin, P., & Fuchs, H. (2000).

Patient reports of complications of blood and marrow

transplantation. Supportive Care in Cancer, 8, 33-39.

Berger, A., & Eilers, J. (1998). Factors influencing oral cavity status

during high-dose antineoplastic therapy: A secondary data

analysis. Oncology Nursing Forum, 25, 1623-1626.

Borowski, B., Benhamou, E., Pico, J., Laplanche, A., Margainaud, J.,

& Hayat, M. (1994). Prevention of oral mucositis in patients treated

with high-dose chemotherapy and bone marrow transplantation: A

randomized controlled trial comparing two protocols of dental

care. European Journal of Cancer, 30B(2), 93-97.

Borbasi, S., Cameron, K., Quested, B., Olver, I., To, B., & Evans, D.

(2002). More than a sore mouth: Patients’ experience of oral

mucositis. Oncology Nursing Forum, 29, 1051-1057.

Dodd, M., Dibble, S., Miaskowski, C., MacPhail, L., Greenspan, D.,

Paul, S., et al. (2000). Randomized clinical trial on the

effectiveness of three commonly used mouthwashes to treat

chemotherapy-induced mucositis. Oral Surgery, Oral Medicine,

Oral Pathology, 90, 39-47.

Eilers, J., Berger, A.M., & Peterson, M.C. (1988). Development,

testing, and application of the oral assessment guide. Oncology

Nursing Forum, 15, 325-330.

Kenny, S. (1990). Effect of two oral care protocols on the incidence of

stomatitis in hematology patients. Cancer Nursing, 13, 345-353.

National Cancer Institute. (2003). Oral complications of

chemotherapy and head/neck radiation (PDQ). Retrieved

October 30, 2003, from http://www.cancer.gov/cancerinfo/

pdq/supportivecare/oralcomplications/HealthProfessional

Neuman, B., & Fawcett, J. (Eds.). (2002). The Neuman systems

model (4th ed.). Upper Saddle River, NJ: Prentice Hall.

Ruescher, T., Sodeifi, A., Scrivani, S., Kaban, L., & Sonis, S.

(1998). The impact of mucositis on a-hemolytic streptococcal

infection in patients undergoing autologous bone marrow

transplantation for hematologic malignancies. Cancer, 82(11),

-2281.

Salvador, P. (2005). Facteurs déterminant la fréquence et la sévérité

de la mucosite buccale chez les patients subissant une autogreffe

de cellules souches. Revue canadienne de soins infirmiers en

oncologie, 15(1), 32-34.

Sonis, S., Oster, G., Fuchs, H., Bellm, L., Bradford, W., Edelsberg, J.,

et al. (2001). Oral mucositis and the clinical and economic

outcomes of hematopoietic stem cell transplantation. Journal of

Clinical Oncology, 19, 2201-2205.

Stricker, C., & Sullivan, J. (2003). Evidence-based oncology oral care

clinical practice guidelines: Development, implementation, and

evaluation. Clinical Journal of Oncology Nursing, 7(2), 222-227.

University Health Network. (2002). Nursing research utilization

model. Unpublished manuscript. Toronto, ON.

Yeager, K., Webster, J., Crain, M., Kasow, J., & McGuire, D. (2000).

Implementation of an oral care standard for leukemia and

transplantation patients. Cancer Nursing, 23, 40-47.


Refbacks

  • There are currently no refbacks.