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Biomedical subjects

D Camp-Sorrell

Publications and source records attributed to D Camp-Sorrell.

12 recordsLinked to original sources

Effects of continuing education. Pain assessment and documentation.

Even though greater than 60% oncology patients experience pain sometime during the course of their illness, management of this pain still remains an enormous clinical problem. Based on this report, it would appear that pain assessment and management would be a key concern in the care of oncology patients. Yet, from previous research, it is clear that a lack of pain assessment documentation exists, which essentially means legally assessment has not been performed. Because a lack of knowledge about pain could be a major reason for inadequate pain documentation, a continuing education class was designed for oncology nurses regarding pain assessment and the need for subsequent documentation of that assessment. This study evaluated the different groups of nurses: (a) a control group who attended the class, (b) an experimental group who attended the class and received a laminated pain assessment tool, and (c) a group who did not participate in the class; effects on pain assessment documentation. Effectiveness was measured by extracting pain assessment documentation from charts. No significant differences in documentation scores were noted across the three groups. Recommendations and nursing implications concerning continuing education strategies and pain assessment documentation are made.

Education, Nursing, Continuing

Implantable ports: everything you always wanted to know.

During the last decade, tremendous usage of intravascular drugs and fluids has increased the need for reliable venous access. Implantable ports have become a reliable access device that can be used to administer fluids, medications, and blood products, and to obtain blood samples. A variety of implantable ports is used clinically that varies in reservoir size, profile, portal body material, and the chemical composition of the catheter. While the implanted port needs little or no care by the patient, the nurse must be able to use this device safely, recognizing and intervening appropriately if they occur. In this article, types of implantable ports available on the market, nursing management of significant complications, and nursing responsibilities for care are reviewed.

Catheters, Indwelling

Advanced central venous access. Selection, catheters, devices, and nursing management.

The increased need for intravascular access in the care of a variety of patients is, in part, responsible for the diversity of central venous access devices. Various nontunneled catheters, tunneled catheters and implantable ports are available on the health care market. As the availability of these devices increases, so must the nurse's knowledge base in order to provide optimal safe care to patients using different devices. Learning which device is best suited for each patient and which has the fewest known complications can be a tedious process for the nurse specialized in venous access care.

Catheterization, Central Venous

Teaching oncology nurses about epidural catheters.

Medication administered through epidural catheters for control of acute and chronic pain is becoming a common practice in some hospitals. The care of epidural catheters usually is not included in basic nursing education curriculum. In settings where RNs will administer medication by this route or monitor patients receiving epidural medication, adequate preparation of the RN staff is vital to ensure that the catheter remains intact, that therapy is administered without complications, and that the patient has optimal pain relief. Instruction should include information on the catheter's purpose, administration techniques, pharmacology of the drug, side effects, and monitoring techniques. For program planning, a multidisciplinary group set criteria on which the policy and procedure for administration of epidural analgesia were based. The educational program focused on administering morphine sulfate through an epidural catheter and on safe discontinuation of the catheter.

Analgesia, Epidural