Utilizing an order set in a computerized provider entry system to increase speech pathology referrals in adult head and neck cancer patients
Carly A. Gerretsen RN, FNP-C, RNFA, Kappa Gamma chapter; Corrine Jurgens PhD, RN, ANP, FAHA, FHFSA, FAAN
- Sigma Affiliation
- Kappa Gamma
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Gerretsen, Carly A. by View
Popular Works for Gerretsen, Carly A. by Download
Introduction. Treatment of head and neck cancers may include radiation therapy and side effects will result in swallowing difficulties that can lead to feeding tube use, malnutrition, and reductions in quality of life. Rehabilitation therapies are available and should be started before radiation treatment. Computerized ordering supports standardization of evidence- based order sets.
Objectives. The purpose of this study is to increase speech pathology referrals in adult patients undergoing radiation treatment for head and neck cancer.
Methods. A quality improvement project aimed at increasing speech pathology referrals was implemented using the PDSA (Plan Do Study Act) format. Chart review was completed to assess the baseline rate of speech pathology consults. An educational program was presented to providers after which an order set linking radiation and speech referrals was implemented. Post intervention data was collected, and chi square analysis was used to compare the difference.
ResultsPreliminary data analysis noted an increase in speech pathology referrals from 18% pre-intervention to 82% post-intervention, which is a 450% increase. The sample was mostly Caucasian, married, and had a diagnosis of larynx cancer. Almost all of the patients received chemotherapy with their radiation.
Conclusion. Using order sets will encourage referrals to underutilized services. Nurses should be aware of the benefits of speech therapy in radiation patients and should be encouraged to advocate for services and collaboration to provide improved outcomes for oncology patients.
This work has been approved through a peer-review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
|Type||DNP Capstone Project|
|Review Type||Peer-review: Single Blind|
|Evidence Level||Quasi-Experimental Study, Other|
|Research Approach||Quantitative Research|
Head and Neck Cancer;
Computerized Order Entry
|CINAHL Subject(s)||Head and Neck Neoplasms--Complications;
Head and Neck Neoplasms--Radiotherapy;
Referral and Consultation--Trends;
Head and Neck Neoplasms;
Referral and Consultation
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Oral care for head and neck cancer symptom management Cullen, Laura; Baumler, Sharon; Farrington, Michele Marie; Dawson, Cindy; Folkmann, Peggy; Brenner, Loraine (Lippincott, Williams & Wilkins, 2018-01)An evidence-based practice change at a radiation oncology center in a large academic medical center was designed to reduce the severity of oral mucositis in adults receiving radiation treatment for head and neck cancer. ...
Impact of different types of oral care on oral mucositis and quality of life for head and neck cancer patients during radiotherapy Huang, Yi-Ying; Liu, Hsueh-Erh; Chi, Kwan-Hwa; Hao, Sheng-Po; Tsay, Pei Kwei (2014-11-17)Session presented on Saturday, July 26, 2014: Aim: The purpose of this longitudinal study was to examine the impact of different types of oral care on grades of radiation-induced oral mucositis, body weight, and quality ...
The lived experience of the primary family caregiver for a person with head and neck cancer Fronczek, Ann E.Family caregivers are crucial persons in the successful rehabilitation of persons with head and neck cancer, as they are often providing needed physical and emotional care that these persons will require. Caregiving for a ...
Efficacy of aloe vera gel topical application on radiation induced mucositis in head and neck malignancy Lakhani, Rita; Kshirsagar, A. Y.; Chedha, Rupal (8/8/2017)INTRODUCTION: One word that is even more daunting than the death itself and eats up a person from the inside is cancer. Head and neck malignancy (HNM) is a heterogeneous disease characterized by complex clinical and ...
IMRT-Induced Acute Fatigue in Patients With Head and Neck Cancer: A Prospective Study Xiao, Canhua; Higgins, Kristin; Bruner, Deborah; Beitler, Jonathan; Ong, Luke; Miller, Andrew H. (2014-11-17)Session presented on Sunday, July 27, 2014: Purpose: Fatigue profoundly impacts a cancer patient's quality of life, 1 treatment adherence, 2 and health care utilization. 3'Pre or post radiotherapy (RT) fatigue is a ...