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Biomedical subjects

L Schulmeister

Publications and source records attributed to L Schulmeister.

13 recordsLinked to original sources

Establishing a cancer patient education system for ambulatory patients.

Communication, coordination, and education are fundamental components of ambulatory care nursing. Yet the level of activity in most ambulatory care settings prohibits focusing exclusively on patient education. Rather, patient teaching procedures, tools, and programs must be incorporated with other activities. Several considerations for effective outpatient education include learning needs, barriers to learning, assessment of available resources (eg, environmental, human, financial), delineating roles for providing information, and selecting teaching tools and methods.

Ambulatory Care

Dosage error.

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Humans

An overview of continuous infusion chemotherapy.

Chemotherapy administered by continuous infusion has been shown to be more effective and less toxic than bolus therapy in many instances. Because of advances in infusion-pump and access-device technology, most patients receive their chemotherapy as outpatients. Careful patient selection and comprehensive patient teaching are essential to ensure the success of continuous infusion chemotherapy delivery.

Antineoplastic Agents

Developing guidelines for bleomycin test dosing.

Anaphylactoid systemic reactions to bleomycin are potentially lethal. Test dosing is recommended to prevent or quickly detect immediate hypersensitivity reactions in patients receiving bleomycin for the first time. Specific test dosage recommendations vary but general considerations include the patient's age, body size, and previous allergy history, and the care setting. Facilities administering bleomycin should implement guidelines that address bleomycin test dosing since the prevention and recognition of anaphylactoid reactions is a primary responsibility of the nurse administering chemotherapy.

Bleomycin

Needle dislodgement from implanted venous access devices: inpatient and outpatient experiences.

A common complication of port-based infusions is needle dislodgement from the port. This study sought to determine if a difference exists in the incidence of needle dislodgements between patients receiving continuous infusions via port in the hospital versus outpatient setting. The two groups of patients were similar in age, diagnosis, treatment regimen, and information recall. Needle dislodgement occurred once in the outpatient group and twice in the hospital group. Contributing factors include unusual tugging on I.V. tubing and nonocclusive dressings. Maintenance of secure dressings, using taping precautions, and providing intensive patient teaching may minimize the risk of needle dislodgement from implanted ports.

Adult

Oral self-hydration.

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Beverages