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Nursing Education 2018 Journal of Nursing and Health Studies
ISSN: 2574-2825 Page 45
April 23-25, 2018
Rome, Italy
27th Edition of World Congress on
Nursing Education &
Research
Introduction: The ongoing trend of using orally-administered
instead of intravenously-administered anti-cancer agents
might improve patients’ quality-of-life and sometimes reduces
costs. However, as this trend facilitates transition of patients to
the home-care setting, issues such as patient monitoring, and
addressing adverse events (AEs), become more challenging.
Thus, this trend requires remodeling patient care and the
communication between the ambulatory care staff and the
patients.
Objectives: To describe the development and implementation
of guidelines related to the treatment of cancer patients with
oral anti-cancer agents in a comprehensive cancer center.
Methods: Guideline development included several steps
such as performing a literature review, identifying safety
issues, evaluating the number of patients, developing patient
capabilities assessment tool, and creating relevant documents
(e.g. information and contacts orders for each treatment and
checklists/follow up sheets for the staff).
Results: Guidelines were developed and implemented during
2013-2014. At present, the ambulatory care nurses proactively
monitor the treatment of approximately 70 patients (per week),
who are being treated at home. The monitoring is performed by
phone/email/meetings, and includes confirming appropriate
drug handling and administration (e.g., issues related to
storage, dosage, and drug-food interactions), follow-up on
blood tests, symptoms assessment, and hospitalization, if
needed. Guidelines adoption by staff members improved
patients’ monitoring and decreased the rates of AEs (e.g., renal
failure) and hospitalizations (will be presented).
Conclusions: Proactive approach by developing and
implementing guidelines for managing patients treated with
OACA was associated with improved patient care.
Biography
Tal Granot, RN, MA, has completed Master’s in Nursing, Master of Philoso-
phy and serves as Nurse of the Breast Cancer Ambulatory Unit, Institute of
Oncology at the Davidoff Cancer Center (affiliated toTel Aviv University). She
guides women before and after chemotherapy, manage oral chemotherapy
clinic, coordinate during crisis issues, and promote learning and research
among nurses in the oncology center. She has relevant clinical, educational
and administrative experience as senior partner in the IONS for oral therapy
nursing care. She is a senior partner in national committee regarding job
development of experienced oncology nurses in the ambulatory setting and
a senior partner in the development of clinical safety standard guidelines in
Davidoff Cancer Center.
Proactive approach: developing and implementing guidelines
for treating patients with oral anti-cancer agents (OACA) in
the home-care setting: experience of a comprehensive cancer
center
Tal Granot, Hana Ferman, Sarit Ashkenazi, Yael Stern, Ruth Busani, Hiba R,
Ramiz A S, Orly F, Silvia Daniel, Juliet D and Amira M
Davidoff Cancer Center, Israel
Tal Granot et al., J Nurs Health Stud 2018, Volume 3
DOI: 10.21767/2574-2825-C1-002