A Personable Infusion Room Experience

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Background: A substantial percentage of veterans receiving chemotherapy in our infusion room reported some degree of feelings of distress. Distress can lead to patient dissatisfaction and an overall negative patient care experience.

Methods: We utilized the NCCN Distress Thermometer tool (scale 1-10) to gauge veterans self-reported level of distress after being seated in the infusion room. Of 88 veterans surveyed, 86% reported varying degrees of distress. Forty-two percent had scores of 4 or higher, and 18% with scores considered moderate to severe. Veterans reported that the fear of not knowing what to expect when starting treatment was a major contributor.

We created an informational video for veterans to view prior to their rst infusion room appointment. The video depicts a walk through the veterans shoes as they check into clinic, undergo a chemotherapy clearance appointment, access a peripheral vein or port, then ends with introducing the team of infusion nurses. Additionally, we have implemented chair-side service to veterans in the infusion room with physicians, volunteers and members of leadership rotating to offer coffee/tea, DVD players, electronic tablets, magazines, card games, and warm blankets.

Results: After implementation of this veteran centered initiative, there has been a reduction in overall distress levels. After implementation, 31% of scores were a 4 or higher, showing a decrease by 11%. Additionally, there were lower numbers of scores in the severe distress range, 4.4% compared to 6% before the intervention.

Conclusion: Helping veterans to understand what to expect with initiation of chemotherapy can help reduce distress and start their cancer journey on a positive note. Bringing members of the clinical team and leadership to the chair-side to serve our veterans creates a patient centric environment and supports the mission to enhance veterans’ experience.

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Correspondence: Jennifer Duff (jennifer.duff1@va.gov)

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Background: A substantial percentage of veterans receiving chemotherapy in our infusion room reported some degree of feelings of distress. Distress can lead to patient dissatisfaction and an overall negative patient care experience.

Methods: We utilized the NCCN Distress Thermometer tool (scale 1-10) to gauge veterans self-reported level of distress after being seated in the infusion room. Of 88 veterans surveyed, 86% reported varying degrees of distress. Forty-two percent had scores of 4 or higher, and 18% with scores considered moderate to severe. Veterans reported that the fear of not knowing what to expect when starting treatment was a major contributor.

We created an informational video for veterans to view prior to their rst infusion room appointment. The video depicts a walk through the veterans shoes as they check into clinic, undergo a chemotherapy clearance appointment, access a peripheral vein or port, then ends with introducing the team of infusion nurses. Additionally, we have implemented chair-side service to veterans in the infusion room with physicians, volunteers and members of leadership rotating to offer coffee/tea, DVD players, electronic tablets, magazines, card games, and warm blankets.

Results: After implementation of this veteran centered initiative, there has been a reduction in overall distress levels. After implementation, 31% of scores were a 4 or higher, showing a decrease by 11%. Additionally, there were lower numbers of scores in the severe distress range, 4.4% compared to 6% before the intervention.

Conclusion: Helping veterans to understand what to expect with initiation of chemotherapy can help reduce distress and start their cancer journey on a positive note. Bringing members of the clinical team and leadership to the chair-side to serve our veterans creates a patient centric environment and supports the mission to enhance veterans’ experience.

Background: A substantial percentage of veterans receiving chemotherapy in our infusion room reported some degree of feelings of distress. Distress can lead to patient dissatisfaction and an overall negative patient care experience.

Methods: We utilized the NCCN Distress Thermometer tool (scale 1-10) to gauge veterans self-reported level of distress after being seated in the infusion room. Of 88 veterans surveyed, 86% reported varying degrees of distress. Forty-two percent had scores of 4 or higher, and 18% with scores considered moderate to severe. Veterans reported that the fear of not knowing what to expect when starting treatment was a major contributor.

We created an informational video for veterans to view prior to their rst infusion room appointment. The video depicts a walk through the veterans shoes as they check into clinic, undergo a chemotherapy clearance appointment, access a peripheral vein or port, then ends with introducing the team of infusion nurses. Additionally, we have implemented chair-side service to veterans in the infusion room with physicians, volunteers and members of leadership rotating to offer coffee/tea, DVD players, electronic tablets, magazines, card games, and warm blankets.

Results: After implementation of this veteran centered initiative, there has been a reduction in overall distress levels. After implementation, 31% of scores were a 4 or higher, showing a decrease by 11%. Additionally, there were lower numbers of scores in the severe distress range, 4.4% compared to 6% before the intervention.

Conclusion: Helping veterans to understand what to expect with initiation of chemotherapy can help reduce distress and start their cancer journey on a positive note. Bringing members of the clinical team and leadership to the chair-side to serve our veterans creates a patient centric environment and supports the mission to enhance veterans’ experience.

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Bone Graft Placement by Modified Plastic Syringe

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Bone Graft Placement by Modified Plastic Syringe

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Amar Patel, MD, Christopher Born, MD, and Eugene Koh, MD, PhD

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Peroneal Nerve Compression Secondary to an Anomalous Biceps Femoris Muscle in an Adolescent Athlete

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Peroneal Nerve Compression Secondary to an Anomalous Biceps Femoris Muscle in an Adolescent Athlete

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Kevin M. Kaplan, MD, Abhay Patel, MD, and Drew A. Stein, MD

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peroneal nerve, compression, biceps femoris, adolescent, basketball, electromyography, footdrop, nerve conduction, sports medicine, ajo, american journal of orthopedics
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Comparison of Single-Level Cervical Fusion and a Metal-on-Metal Cervical Disc Replacement Device

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Comparison of Single-Level Cervical Fusion and a Metal-on-Metal Cervical Disc Replacement Device

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Joseph Riina, MD, Amisha Patel, MS, ATC, LAT, John W. Dietz, MD, Jeffrey S. Hoskins, MD, Terry R. Trammell, MD, and David G. Schwartz, MD

Dr. Riina is Orthopaedic Spine Surgeon, Ms. Patel is Research Coordinator, and Dr. Dietz is Orthopaedic Spine Surgeon, Department of Spine Surgery, Indiana Orthopaedic Hospital, Indianapolis, Indiana.

Dr. Hoskins is Orthopaedic Spine Surgeon, Department of Spine Surgery, Orthopaedic Institute of Dayton, Dayton, Ohio.

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Joseph Riina, MD, Amisha Patel, MS, ATC, LAT, John W. Dietz, MD, Jeffrey S. Hoskins, MD, Terry R. Trammell, MD, and David G. Schwartz, MD

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cervical fusion, metal-on-metal, disc, disc replacement, device, anterior cervical discectomy and fusion, spine, ajo, american journal of orthopedics
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