| Chapter 1. PEP Up Your Practice: An Introduction to the Oncology Nursing Society Putting Evidence Into Practice Resources |
1 |
| Introduction |
1 |
| Overview of the PEP Resources |
1 |
| History of the ONS PEP Project |
2 |
| ONS PEP Resource Development |
4 |
| Applying ONS PEP Resources to Practice |
6 |
| Summary |
7 |
| References |
7 |
| Chapter 2. Assessment and Measurement |
9 |
| Integration of the Putting Evidence Into Practice Resources With the Nursing Process |
9 |
| Nursing Assessment |
10 |
| Selection of Interventions |
10 |
| Why Should Nurses Be Concerned About Measurement? |
10 |
| Measurement Issues |
12 |
| Symptom Dimensions |
12 |
| Symptom Clusters |
13 |
| Clinical Utility |
13 |
| Barriers to Effective Symptom Measurement |
17 |
| Survey of Clinical Measurement Tools Used to Evaluate Oncology Patient Problems |
17 |
| Characteristics and Work Settings of Advanced Practice Nurses Surveyed |
17 |
| Clinical Measurement Tools |
18 |
| Reasons for Not Using a Clinical Measurement Tool |
18 |
| Selection of Tools for This Book |
18 |
| References |
22 |
| Chapter 3. Anorexia |
25 |
| Problem |
25 |
| Incidence |
25 |
| Assessment |
26 |
| Clinical Assessment and Measurement Tools |
26 |
| References |
27 |
| Case Study |
28 |
| ONS PEP Resource: Anorexia |
31 |
| References |
35 |
| Chapter 4. Anxiety |
37 |
| Problem |
37 |
| Incidence |
37 |
| Assessment |
37 |
| Clinical Measurement Tools |
39 |
| References |
41 |
| Case Study |
41 |
| ONS PEP Resource: Anxiety |
43 |
| References |
48 |
| Chapter 5. Caregiver Strain and Burden |
51 |
| Problem |
51 |
| Incidence |
51 |
| Assessment |
51 |
| Clinical Measurement Tools |
52 |
| References |
54 |
| Case Study |
54 |
| ONS PEP Resource: Caregiver Strain and Burden |
57 |
| References |
61 |
| Chapter 6. Chemotherapy-Induced Nausea and Vomiting |
63 |
| Problem |
63 |
| Incidence |
63 |
| Assessment |
64 |
| Clinical Measurement Tools |
64 |
| References |
67 |
| Case Study |
68 |
| ONS PEP Resource: Chemotherapy-Induced Nausea and Vomiting |
71 |
| References |
80 |
| Chapter 7. Constipation |
85 |
| Problem |
85 |
| Incidence |
85 |
| Assessment |
85 |
| Clinical Measurement Tools |
88 |
| References |
90 |
| Case Study |
90 |
| ONS PEP Resource: Constipation |
93 |
| References |
100 |
| Chapter 8. Depression |
105 |
| Problem |
105 |
| Incidence |
105 |
| Assessment |
105 |
| Clinical Measurement Tools |
106 |
| References |
106 |
| Case Study |
109 |
| ONS PEP Resource: Depression |
111 |
| References |
116 |
| Chapter 9. Diarrhea |
119 |
| Problem |
119 |
| Incidence |
119 |
| Assessment |
119 |
| Clinical Measurement Tools |
121 |
| References |
122 |
| Case Study |
123 |
| ONS PEP Resource: Diarrhea |
125 |
| References |
132 |
| Chapter 10. Dyspnea |
135 |
| Problem |
135 |
| Incidence |
135 |
| Assessment |
135 |
| Clinical Measurement Tools |
135 |
| References |
136 |
| Case Study |
138 |
| ONS PEP Resource: Dyspnea |
141 |
| References |
146 |
| Chapter 11. Fatigue |
149 |
| Problem |
149 |
| Incidence |
149 |
| Assessment |
149 |
| Clinical Measurement Tools |
149 |
| References |
150 |
| Case Study |
153 |
| ONS PEP Resource: Fatigue |
155 |
| References |
166 |
| Chapter 12. Lymphedema |
175 |
| Problem |
175 |
| Incidence |
175 |
| Assessment |
175 |
| Clinical Measurement Tools |
176 |
| References |
178 |
| Case Study |
179 |
| ONS PEP Resource: Lymphedema |
183 |
| References |
190 |
| Chapter 13. Mucositis |
193 |
| Problem |
193 |
| Incidence |
193 |
| Assessment |
193 |
| Clinical Measurement Tools |
194 |
| References |
198 |
| Case Study |
199 |
| ONS PEP Resource: Mucositis |
201 |
| References |
209 |
| Chapter 14. Pain |
215 |
| Problem |
215 |
| Incidence |
215 |
| Assessment |
215 |
| Clinical Measurement Tools |
215 |
| References |
216 |
| Case Study |
220 |
| ONS PEP Resource: Pain |
223 |
| References |
230 |
| Chapter 15. Peripheral Neuropathy |
235 |
| Problem |
235 |
| Incidence |
235 |
| Assessment |
235 |
| Clinical Measurement Tools |
235 |
| References |
236 |
| Case Study |
240 |
| ONS PEP Resource: Peripheral Neuropathy |
243 |
| References |
249 |
| Chapter 16. Prevention of Bleeding |
253 |
| Problem |
253 |
| Incidence |
253 |
| Assessment |
253 |
| Clinical Measurement Tools |
254 |
| References |
255 |
| Case Study |
255 |
| ONS PEP Resource: Prevention of Bleeding |
257 |
| References |
263 |
| Chapter 17. Prevention of Infection |
267 |
| Problem |
267 |
| Incidence |
267 |
| Assessment |
267 |
| Clinical Measurement Tools |
269 |
| References |
270 |
| Clinical Example |
271 |
| ONS PEP Resource: Prevention of Infection |
273 |
| References |
280 |
| Chapter 18. Sleep-Wake Disturbances |
285 |
| Problem |
285 |
| Incidence |
286 |
| Assessment |
286 |
| Clinical Measurement Tools |
287 |
| References |
289 |
| Case Study |
289 |
| ONS PEP Resource: Sleep-Wake Disturbances |
291 |
| References |
295 |
| Chapter 19. Evidence-Based Practice: Its Role in Quality Improvement |
299 |
| Creating an Evidence-Based Practice Environment Through Education |
300 |
| Clinical Example: “Spreading the PEP” Through Unit Bulletin Boards and Staff Team Huddles |
300 |
| Creating an Evidence-Based Practice Environment Through a System Change |
302 |
| Clinical Example: Putting PEP Into Practice: Formation of a Neutropenia Improvement Project Team in a Community-Based Hospital |
303 |
| Creating an Evidence-Based Practice Environment Through Performance Evaluation |
304 |
| Clinical Example: Competency Testing of the ONS PEP Resource Information |
305 |
| Clinical Example: Using the ONS PEP Process for Other Clinical Problems |
306 |
| Promoting Evidence-Based Practice in the Workplace |
307 |
| References |
307 |
| Epilogue |
309 |
| Index |
311 |