The role of palliative care and its affect on the prognosis and quality of life of the oncologic patient

The following were located through CINAHL

“A Nurse Practitioner Directed Intervention Improves the Quality of Life of Patients with Metastatic Cancer: Results of a Randomized Pilot Study.” Journal of palliative medicine 15.8 (2012):890.

Brandstätter M ; Baumann U ; Borasio GD ; Fegg MJ Systematic review of meaning in life assessment instruments. Psycho-Oncology, 2012 Oct; 21 (10): 1034-52.

Joanna Briggs:
Click here to access Joanna Briggs resources

When Joanna Briggs opens cut & paste the following into the search box:
palliative care and oncology and (quality of life or prognosis)

Keywords to use for searching CINAHL & Joanna Briggs: palliative, oncology, quality of life, prognosis

Are unit based turn teams likely to reduce pressure ulcers in hospital stays?

A number of related articles can be found in PubMed using the search strategies listed below. To execute the searches:
1. Go to www.health.library.emory.edu and then click on the PubMed link on right side of page.
2. When PubMed opens, copy/paste this search strategy in the search box (articles):
(“Pressure Ulcer/prevention and control”[MAJR] AND “Patient Positioning”[MeSH]) AND English[lang]
3. For a broader search, copy/paste this: pressure ulcer AND (turning OR patient position) AND (English[lang])

When results appear, click on title to view abstract, then use the “Find It@Emory” button to link to full text, if available.

One article of note:

Still, Mary D, et al. “The turn team: a novel strategy for reducing pressure ulcers in the surgical intensive care unit.” Journal of the American College of Surgeons 216.3 (2013):373-379.

“At baseline, when frequent turning was encouraged but not required, a total of 42 pressure ulcers were identified in 278 patients. After implementation of the turn team, a total of 12 pressure ulcers were identified in 229 patients (p < 0.0001). The preintervention group included 34 stage I and II ulcers and 8 higher stage ulcers. After implementation of the turn team, there were 7 stage I and II ulcers and 5 higher stage ulcers. The average Braden score was 16.5 in the preintervention group and 13.4 in the postintervention group (p = 0.04), suggesting that pressure ulcers were occurring in higher risk patients after implementation of the turn team.”

Overview of peripherally inserted central catheters and central venous catheters

Abeloff: Abeloff’s Clinical Oncology, 4th ed. Copyright © 2008 Churchill Livingstone, An Imprint of Elsevier
CHOOSING THE RIGHT DEVICE

Go to Joanna Briggs and cut and paste the following phrases into the search box:
peripherally inserted central catheter
central venous catheter

Egan GM ; Siskin GP ; Weinmann R 4th ; Galloway MM. A Prospective Postmarket Study to Evaluate the Safety and Efficacy of a New Peripherally Inserted Central Catheter Stabilization System. Journal of Infusion Nursing, 2013 May-Jun; 36 (3): 181-8

Beghetto MG ; Victorino J ; Teixeira L ; de Azevedo MJ Parenteral nutrition as a risk factor for central venous catheter-related infection.
JPEN Journal of Parenteral & Enteral Nutrition, 2005 Sep-Oct; 29 (5): 367-73.

Baiocco, Graziella Gasparotto ; da Silva, Jefferson Luis Braga The Use of the Peripherally Inserted Central Catheter (Pice) in the Hospital Environment. Revista Latino-Americana de Enfermagem (RLAE) (REV LAT AM ENFERMAGEM), 2010 Nov-Dec; 18 (6): 1131-7.

Databases searched: Joanna Briggs, CINAHL, MDConsult. Keywords: peripherally inserted central catheter, central venous catheter, indications

What is the evidence on isolation gowns preventing the spread of infection?

Kressel, Amy B, et al. “Hospitals learn their collective power: an isolation gown success story.” American journal of infection control 39.1 (2011):76-78.

Srinivasan A ; Song X ; Ross T ; Merz W ; Brower R ; Perl TM A prospective study to determine whether cover gowns in addition to gloves decrease nosocomial transmission of vancomycin-resistant enterococci in an intensive care unit. Infection Control & Hospital Epidemiology, 2002 Aug; 23 (8): 424-8.

Community-acquired MRSA boosts need for awareness: hand hygiene, knowledge block cross-contamination. Same-Day Surgery, 2008 Feb; 32 (2): 17-9.

Kressel AB ; McVey JL ; Miller JM ; Fish LL Hospitals learn their collective power: an isolation gown success story. Department of Medicine, Division of Infectious Diseases, Indiana University School of Medicine, Indianapolis, IN

Lovitt SA ; Nichols RL ; Smith JW ; Muzik AC ; Pearce PF Isolation gowns: a false sense of security? Dept Surg, Tulane Univ School Med, 1430 Tulane Ave, New Orleans, LA 70112-2669 American Journal of Infection Control, 1992 Aug; 20 (4): 185-91.

McLane C Commentary on Isolation gowns: a false sense of security? AACN Nursing Scan In Critical Care, 1993 Jul-Aug; 3 (4): 23.

Databases searched: PubMed & CINAHL. Keywords: isolation (gown or gowns) and infection

What is the most recent evidence on the prevention of CLABSI?

Smith J. It’s Contagious! CLABSI Prevention is Spreading. American Journal Of Infection Control [serial online]. June 2012;40(5):e128-9. Available from: CINAHL, Ipswich, MA. Accessed June 5, 2013.

National Estimates of Central Line–Associated Bloodstream Infections in Critical Care Patients.” Infection control and hospital epidemiology 34.6 (2013):547.

Saffer M. Preventing Central Line Infections In Outpatients. Pediatric Nursing. November 2012;38(6):336. Available from: CINAHL, Ipswich, MA. Accessed June 5, 2013.

Prevention of catheter-related infection: toward zero risk?.” Current opinion in infectious diseases 24.4 (2011):377.

What is the latest evidence and nursing implications on the use of high frequency ocsillatory ventilation?

Mechanical Ventilation.  In:  DynaMed. 
See a summary of current evidence in the “Ventilator Settings (Evidence)” section>High Frequency Oscillatory Ventilation (HFOV).

A systematic review ( Cochrane Database Syst Rev 2013 Feb 28;(2):CD004085) of studies (N=419) with methodological limitations concluded that may reduce mortality and treatment failure.  However it did not include results of two recent RCTs:

1.  HFOV does not reduce mortality compared to conventional ventilation (N Engl J Med 2013 Feb 28;368(9):806)  RCT (N=795 adults with ARDS).  RESULTS:  All-cause mortality rate 41.7% for HFOV group v. 41.1% for conventional ventilation group (not significant).

2. HFOV may increase risk of mortality compared to conventional ventilation protocol.  RCT (N=548 adults with moderate to severe ARDS).  RESULTS:   12% of patients in control group received HFOV for refractory hypoxemia.  In-hospital mortality 47% for HFOV group vs. 35% for control group.

What information is available on patients with central venous catheters ambulating off the nursing unit/ward floor?

Standardizing central venous catheter care: hospital to home. The Nebraska Medical Center. Standardizing central venous catheter care: hospital to home. Omaha (NE): The Nebraska Medical Center; 2012. 8 p.

Chopra, Vineet, et al. “Hospitalist experiences, practice, opinions, and knowledge regarding peripherally inserted central catheters: A Michigan survey.” Journal of hospital medicine (2013)

Zhao, Vivian M, et al. “Characterization of post-hospital infections in adults requiring home parenteral nutrition.” Nutrition 29.1 (2013):52-59.

Ouanes, Islem, et al. “A model to predict short-term death or readmission after intensive care unit discharge.” Journal of critical care 27.4 (2012):422.e1-422.e9.

Jaffer, Amir K. “Update in hospital medicine: studies likely to affect inpatient practice in 2011.” Cleveland Clinic journal of medicine 78.7 (2011):430-434.

Simcock, L. “Central venous catheters: some common clinical questions.” Nursing times 97.19 (2001):34-36.