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Related Concept Videos

Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

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The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
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Guidelines for Writing Outcome01:11

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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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Related Experiment Video

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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
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First Phase Development of a Patient-reported Outcome Measure for Midface Oncology.

Amanda E Yung1,2, Jason Luong1,2, Gareth Crouch1,2

  • 1From the Sydney Medical School, University of Sydney, NSW, Australia.

Plastic and Reconstructive Surgery. Global Open
|March 25, 2024
PubMed
Summary

A new patient-reported outcome measure (PROM) was developed for midface cancer surgery patients to better capture functional, aesthetic, and psychosocial impacts. This 31-item PROM addresses deficiencies in current measures for periocular and nasal reconstruction outcomes.

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Area of Science:

  • Oncology
  • Plastic Surgery
  • Patient-Reported Outcomes

Background:

  • Midface cancer surgery significantly impacts patients' functional, social, and psychological well-being.
  • Existing patient-reported outcome measures (PROMs) inadequately capture midface-specific symptoms.
  • PROMs are crucial for patient care, quality improvement, and outcome reporting.

Purpose of the Study:

  • To develop a novel, midface-specific patient-reported outcome measure (PROM).
  • To address the limitations of current PROMs in assessing outcomes after midface cancer surgery.
  • To focus on periocular and nasal reconstruction outcomes.

Main Methods:

  • Development followed international PROM guidelines.
  • Phase 1 involved identifying key issues and generating items through interviews with 15 patients and 10 clinicians.
  • Thematic analysis and clinician focus groups were used for item pool development and scale refinement.

Main Results:

  • Patient and clinician interviews identified aesthetic, functional, and psychosocial domains.
  • Ninety-nine draft items were generated from qualitative data.
  • The final midface-specific PROM consists of 31 items (13 eye, 10 nose, 8 general midface).

Conclusions:

  • A new midface-specific PROM has been developed.
  • This PROM is valuable for assessing outcomes in complex midface resections and reconstructions.
  • The PROM is currently undergoing field testing.