Abstract PS9-49: Comparison of the quality of life (QOL) of patients with an arm vein port (TIVAD) versus a peripherally inserted central catheter (PICC)

Author(s):  
Shahid Ahmed ◽  
Brent Burbridge ◽  
Lynn Dwernychuk ◽  
Ha Le ◽  
Tehmina Asif ◽  
...  
2021 ◽  
Vol 28 (2) ◽  
pp. 1495-1506
Author(s):  
Brent Burbridge ◽  
Hyun Lim ◽  
Lynn Dwernychuk ◽  
Ha Le ◽  
Tehmina Asif ◽  
...  

Introduction: Venous access is a crucial element in chemotherapy delivery. It remains unclear whether cancer patients prefer a port to a peripherally inserted central catheter (PICC). Our study aimed to assess cancer patients’ satisfaction with their venous access device and to compare the quality of life (QoL) of subjects with a PICC to those with a port. Methods: In this prospective cohort study, EORTC QLQ-C30, and a locally developed quality of life survey (QLAVD), designed to assess satisfaction with venous access devices, were administered to breast or colorectal cancer patients over a one-year period following the device insertion. Mixed effects models were used to assess changes on mean scores at different time points. Results: A total of 101 patients were recruited over a three-year period, (PICC group, n = 50; port group, n = 51). Survey response rates for months one and three were 72% and 48%, respectively. Overall, no significant differences were noted between the two groups in relation to EORTC QOL. At three months, the mean pain scores were 3.5 ± 2.3 for the port and 1.3 ± 0.75 for PICC (<0.001). The mean score for a negative effect of the venous access device on psychosocial well-being was 6.0 ± 4.1 for PICC and 3.0 ± 2.7 for the port (p = 0.005). Complications related to PICCs occurred in 38% patients versus 41% with a port (p > 0.24). Conclusions: Although subjects with a port experienced more pain during the device insertion or access for chemotherapy, it had a smaller negative impact on psychosocial scores than the PICC. No significant differences in complications rates were observed between the two devices.


Author(s):  
Ana Selma Pereira dos Santos ◽  
Luiz Faustino dos Santos Maia

O cateter central de inserção periférica é um procedimento indicado para o recém-nascido quando existe dificuldade para punção venosa. Trata-se de um estudo de revisão bibliográfica e qualitativa, cuja fonte foi as bases de dados da BDENF e os objetos foram artigos que atenderam aos critérios de inclusão estabelecidos. Infere-se que o profissional requer conhecimento, treinamento e habilidade para executar os cuidados com o cateter de PICC e realizar prevenção e intervenção de complicações infecciosas, assegurando uma técnica asséptica e segura observando diariamente o local da punção atentando-se a incidência de flebite para identificar as possibilidades associadas das complicações com relativas variáveis de infecção, pois ao prevenir à infecção de corrente sanguínea melhora a qualidade de vida dos neonatos, gerando menor tempo de permanência na instituição e redução dos gastos.Descritores: Enfermagem, Prevenção, Infecção de Cateter. Nurses and care in preventing bloodstream infections related to PICC catheter in newbornsAbstract: The central catheter peripherally inserted is a procedure indicated for the baby when it is difficult to venipuncture. This is a bibliographic review and qualitative, whose source was the the BDENF databases and objects were articles that met the inclusion criteria established. The professional up infers requires knowledge, training and ability to perform the care of the PICC catheter and perform prevention and intervention of infectious complications, ensuring aseptic and safe technique daily observing the location of paying attention to puncture the incidence of phlebitis to identify the possibilities of complications associated with infection related variables, as to prevent the infection of the bloodstream improves the quality of life of newborns, generating shorter length of stay in the institution and reduce spending.Descriptors: Nursing, Prevention, Catheter Infection. Enfermeras y la atención en la prevención de infecciones del torrente sangupineo relacionadas con el catéter PICC en neonatosResumen: El catéter central de inserción periférica es un procedimiento indicado para el bebé cuando es difícil punción venosa. Esta es una revisión bibliográfica y cualitativa, cuya fuente era las bases de datos y objetos BDENF eran artículos que cumplieron los criterios de inclusión establecidos. Los infiere profesionales hasta requiere conocimiento, la formación y la capacidad para llevar a cabo el cuidado del catéter PICC y llevar a cabo la prevención y la intervención de las complicaciones infecciosas, aséptica asegurar y técnica segura la observación diaria del lugar de prestar atención a la punción de la incidencia de flebitis a identificar las posibilidades de complicaciones asociadas a las variables relacionadas con la infección, como para prevenir la infección del torrente sanguíneo mejora la calidad de vida de los recién nacidos, la generación de más corta duración de la estancia en la institución y reducir el gasto.Descriptores: Enfermería, Prevención, Infección del Catéter. 


2006 ◽  
Vol 11 (3) ◽  
pp. 144-151 ◽  
Author(s):  
Gail A. Heckler-Medina

Abstract The author asks of the reader: Have you ever been called to start a peripheral intravenous (IV) catheter or place a peripherally inserted central catheter (PICC) in a child, and you wished someone else could do it? Performing vascular access procedures on children is considered by many one of the most stressful and difficult jobs. This article discusses the role of certified child life specialists (CCLSs) and some of the techniques used to assist children in coping with painful procedures as well as the necessity for proper assessment and pain management. The goal of this article is to eliminate the uncertainty of performing these procedures on pediatric patients. By making a few changes in your practice, one could dramatically increase successful outcomes and improve the overall quality of care provided to the patient.


Author(s):  
Ana Selma Pereira dos Santos ◽  
Luiz Faustino dos Santos Maia

O cateter central de inserção periférica é um procedimento indicado para o recém-nascido quando existe dificuldade para punção venosa. Trata-se de um estudo de revisão bibliográfica e qualitativa, cuja fonte foi as bases de dados da BDENF e os objetos foram artigos que atenderam aos critérios de inclusão estabelecidos. Infere-se que o profissional requer conhecimento, treinamento e habilidade para executar os cuidados com o cateter de PICC e realizar prevenção e intervenção de complicações infecciosas, assegurando uma técnica asséptica e segura observando diariamente o local da punção atentando-se a incidência de flebite para identificar as possibilidades associadas das complicações com relativas variáveis de infecção, pois ao prevenir à infecção de corrente sanguínea melhora a qualidade de vida dos neonatos, gerando menor tempo de permanência na instituição e redução dos gastos.Descritores: Enfermagem, Prevenção, Infecção de Cateter. Nurses and care in preventing bloodstream infections related to PICC catheter in newbornsAbstract: The central catheter peripherally inserted is a procedure indicated for the baby when it is difficult to venipuncture. This is a bibliographic review and qualitative, whose source was the the BDENF databases and objects were articles that met the inclusion criteria established. The professional up infers requires knowledge, training and ability to perform the care of the PICC catheter and perform prevention and intervention of infectious complications, ensuring aseptic and safe technique daily observing the location of paying attention to puncture the incidence of phlebitis to identify the possibilities of complications associated with infection related variables, as to prevent the infection of the bloodstream improves the quality of life of newborns, generating shorter length of stay in the institution and reduce spending.Descriptors: Nursing, Prevention, Catheter Infection. Enfermeras y la atención en la prevención de infecciones del torrente sangupineo relacionadas con el catéter PICC en neonatosResumen: El catéter central de inserción periférica es un procedimiento indicado para el bebé cuando es difícil punción venosa. Esta es una revisión bibliográfica y cualitativa, cuya fuente era las bases de datos y objetos BDENF eran artículos que cumplieron los criterios de inclusión establecidos. Los infiere profesionales hasta requiere conocimiento, la formación y la capacidad para llevar a cabo el cuidado del catéter PICC y llevar a cabo la prevención y la intervención de las complicaciones infecciosas, aséptica asegurar y técnica segura la observación diaria del lugar de prestar atención a la punción de la incidencia de flebitis a identificar las posibilidades de complicaciones asociadas a las variables relacionadas con la infección, como para prevenir la infección del torrente sanguíneo mejora la calidad de vida de los recién nacidos, la generación de más corta duración de la estancia en la institución y reducir el gasto.Descriptores: Enfermería, Prevención, Infección del Catéter. 


2020 ◽  
Vol 29 (4) ◽  
pp. 2097-2108
Author(s):  
Robyn L. Croft ◽  
Courtney T. Byrd

Purpose The purpose of this study was to identify levels of self-compassion in adults who do and do not stutter and to determine whether self-compassion predicts the impact of stuttering on quality of life in adults who stutter. Method Participants included 140 adults who do and do not stutter matched for age and gender. All participants completed the Self-Compassion Scale. Adults who stutter also completed the Overall Assessment of the Speaker's Experience of Stuttering. Data were analyzed for self-compassion differences between and within adults who do and do not stutter and to predict self-compassion on quality of life in adults who stutter. Results Adults who do and do not stutter exhibited no significant differences in total self-compassion, regardless of participant gender. A simple linear regression of the total self-compassion score and total Overall Assessment of the Speaker's Experience of Stuttering score showed a significant, negative linear relationship of self-compassion predicting the impact of stuttering on quality of life. Conclusions Data suggest that higher levels of self-kindness, mindfulness, and social connectedness (i.e., self-compassion) are related to reduced negative reactions to stuttering, an increased participation in daily communication situations, and an improved overall quality of life. Future research should replicate current findings and identify moderators of the self-compassion–quality of life relationship.


2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.


ASHA Leader ◽  
2010 ◽  
Vol 15 (15) ◽  
pp. 5-6
Author(s):  
Anne Skalicky ◽  
Brenda Schick ◽  
Donald Patrick
Keyword(s):  

Author(s):  
Nina Simmons-Mackie

Abstract Purpose: This article addresses several intervention approaches that aim to improve life for individuals with severe aphasia. Because severe aphasia significantly compromises language, often for the long term, recommended approaches focus on additional domains that affect quality of life. Treatments are discussed that involve increasing participation in personally relevant life situations, enhancing environmental support for communication and participation, and improving communicative confidence. Methods: Interventions that have been suggested in the aphasia literature as particularly appropriate for people with severe aphasia include training in total communication, training of communication partners, and activity specific training. Conclusion: Several intervention approaches can be implemented to enhance life with severe aphasia.


2017 ◽  
Vol 2 (3) ◽  
pp. 57-62
Author(s):  
Anna Maria Siciliano

This paper presents a successful behavioral case study in treatment of chronic refractory cough in a 60-year-old adult female. The efficacy for speech-language pathology treating chronic cough is discussed along with description of treatment regime. Discussion focuses on therapy approaches used and the patient's report of changes in quality of life and frequency, duration, and severity reduction of her cough after treatment.


Sign in / Sign up

Export Citation Format

Share Document