Ignite Creation Date:
2024-05-06 @ 3:06 AM
Last Modification Date:
2024-10-26 @ 11:28 AM
Study NCT ID:
NCT02208908
Status:
COMPLETED
Last Update Posted:
2015-08-06
First Post:
2014-08-04
Brief Title:
Oral Care and Cancer Assessing the Contribution of Training Healthcare Teams to Support the Oral Status of Patients Hospitalized in Palliative Situation
Sponsor:
Centre Francois Baclesse
Organization:
Centre Francois Baclesse
Study Overview
Official Title:
Oral Care and Cancer Assessing the Contribution of Training Healthcare Teams to Support the Oral Status of Patients Hospitalized in Palliative Situation
Status:
COMPLETED
Status Verified Date:
2015-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to measure the impact of training on the practical assessment and management of the oral status of patients hospitalized in palliative situation
Detailed Description:
According to the French support and palliative care RFS Company palliative care are active in a holistic approach to the person with a serious illness progressive or terminal Their goal is to relieve physical symptoms and other pain and take into account the psychological social and spiritual suffering
He consensus among caregivers to recognize the importance and maintaining good oral hygiene for patients treated for cancer at all ages of life home and in hospital and consider that the oral hygiene is an integral part of nursing toilet and contributes to the health of patients This is primarily a comfort for the person to have a healthy mouth healthy with a clean mouth but also a tool that meets all its features
The feeding respiration and communication are three closely related to the proper functioning of the oral cavity needs Furthermore cancer various treatments age are possible disturbances oral integrity The nurse helped the caregiver has upstream of care the role of counseling and prevention However a review of the oral and or the establishment of procedures support oral hygiene status are largely neglected despite the existence of published recommendations This is particularly related to lack of information provided and continuing education offered to carers and the lack of written procedures Moreover the limited literature on the subject limit the possibility of initiatives the establishment of a procedure before relying on evidence-based practice Measure 43 Cancer Plan I and the establishment of mobile units or palliative care teams and management of pain in Residential Care especially CHU and Centres for the Fight Against Cancer PBC is an opportunity to implement an audit action
This project is part of a research program in several steps From November 2010 to August 2011 260 patients 107 hommes153 women median age 64 years 19-88 years were included J2 a healthy mouth moderately dry mouth and or dirty or severely fungal mouth and or painful ulcerated and or hemorrhagic was altered respectively observed for 61 235 139 535 and 60 230 patients Traceability of this oral assessment is found in 10 of cases The exit assessment was performed in 184 patients 46 deaths 30 non-assessed including 129 with a delay 5 days between J2 and output The mouth on the output shows a healthy mouth moderately and severely impaired in 33 26 70 54 and 26 20 of these 129 patients respectively Thus 27 21 patients showed deterioration in their oral condition during hospitalization 1331 42 for patients with a healthy mouth to J2 and 1472 19 for those with a mouth moderately altered to J2 In contrast 28129 22 patients including 1372 18 and 1526 58 respectively had a mouth moderately and severely impaired the initial assessment have improved access to oral output state
Following this audit action a tool Medical Assessment mouth has been prepared in collaboration with health care teams participating as well as recommendations for management of each type of mouth concerning both hygiene as drug and non-drug measures in agreement with those of learned societies a plan of care by type of mouth care
An inter centers presenting the results of the first stage inventory and definition of the training plan was held in March 2013 in the presence for each center doctor and nurse care manager and or scope of health involved in palliative care and research program The purpose of this meeting was to present the evaluation grid of mouth and recommendations developed state care and the plan and tools for training healthcare teams on site
From May to September 2013 personnel formed during this meeting provide training for paramedical and medical teams of their establishment
The purpose of this study is to measure the impact of training on the practical assessment and management of the oral status of patients hospitalized in palliative situation
Expected results We hope that the appropriate training of health care teams allow all patients during their hospitalization benefit systematically evaluate the oral condition the implementation of actions consistent with the recommendations and thus an improvement the care of their oral condition
Ultimately it is hoped that the management of the oral condition falls within the overall care of the patient
He consensus among caregivers to recognize the importance and maintaining good oral hygiene for patients treated for cancer at all ages of life home and in hospital and consider that the oral hygiene is an integral part of nursing toilet and contributes to the health of patients This is primarily a comfort for the person to have a healthy mouth healthy with a clean mouth but also a tool that meets all its features
The feeding respiration and communication are three closely related to the proper functioning of the oral cavity needs Furthermore cancer various treatments age are possible disturbances oral integrity The nurse helped the caregiver has upstream of care the role of counseling and prevention However a review of the oral and or the establishment of procedures support oral hygiene status are largely neglected despite the existence of published recommendations This is particularly related to lack of information provided and continuing education offered to carers and the lack of written procedures Moreover the limited literature on the subject limit the possibility of initiatives the establishment of a procedure before relying on evidence-based practice Measure 43 Cancer Plan I and the establishment of mobile units or palliative care teams and management of pain in Residential Care especially CHU and Centres for the Fight Against Cancer PBC is an opportunity to implement an audit action
This project is part of a research program in several steps From November 2010 to August 2011 260 patients 107 hommes153 women median age 64 years 19-88 years were included J2 a healthy mouth moderately dry mouth and or dirty or severely fungal mouth and or painful ulcerated and or hemorrhagic was altered respectively observed for 61 235 139 535 and 60 230 patients Traceability of this oral assessment is found in 10 of cases The exit assessment was performed in 184 patients 46 deaths 30 non-assessed including 129 with a delay 5 days between J2 and output The mouth on the output shows a healthy mouth moderately and severely impaired in 33 26 70 54 and 26 20 of these 129 patients respectively Thus 27 21 patients showed deterioration in their oral condition during hospitalization 1331 42 for patients with a healthy mouth to J2 and 1472 19 for those with a mouth moderately altered to J2 In contrast 28129 22 patients including 1372 18 and 1526 58 respectively had a mouth moderately and severely impaired the initial assessment have improved access to oral output state
Following this audit action a tool Medical Assessment mouth has been prepared in collaboration with health care teams participating as well as recommendations for management of each type of mouth concerning both hygiene as drug and non-drug measures in agreement with those of learned societies a plan of care by type of mouth care
An inter centers presenting the results of the first stage inventory and definition of the training plan was held in March 2013 in the presence for each center doctor and nurse care manager and or scope of health involved in palliative care and research program The purpose of this meeting was to present the evaluation grid of mouth and recommendations developed state care and the plan and tools for training healthcare teams on site
From May to September 2013 personnel formed during this meeting provide training for paramedical and medical teams of their establishment
The purpose of this study is to measure the impact of training on the practical assessment and management of the oral status of patients hospitalized in palliative situation
Expected results We hope that the appropriate training of health care teams allow all patients during their hospitalization benefit systematically evaluate the oral condition the implementation of actions consistent with the recommendations and thus an improvement the care of their oral condition
Ultimately it is hoped that the management of the oral condition falls within the overall care of the patient
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None