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Nasoenteric feeding discharge planning for cancer patients in a Brazilian teaching hospital: a best practice
Vanessa de Brito Poveda1,2, Adriana Marques da Silva3, Aline Cordeiro Toyama3
1School of Nursing, University of São Paulo, São Paolo, Brazil.
Objectives:
The objective of this project was to improve local practice in nasoenteric feeding discharge planning for cancer patients in a cancer teaching hospital in São Paulo, Brazil.
Introduction:
Nasoenteric tubes are commonly used for enteral nutrition in patients with cancer for over seven days during their recovery and this may be continued at home, with clear benefits.
Results:
Baseline audit results indicated poor compliance (between 0% and 22%) with the current evidence, although good compliance (100%) was observed for three audit criteria. Implementation of the strategies, including changes to achieve higher participation of caregivers, resulted in an improvement of the audited criteria (100% compliance was maintained for three criteria, compliance increased from 22% to 67% for a further three criteria, with 0% compliance for one criterion).
Conclusions:
Despite the short time frame of this study, an increase in compliance with best practices proposed by the Joanna Briggs Institute was observed. Implementing a multidisciplinary meeting before patient discharge remains a challenge.
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