Challenges in the Management of Pediatric Central Venous Access Devices in the Community.

Hdl Handle:
http://hdl.handle.net/10147/235111
Title:
Challenges in the Management of Pediatric Central Venous Access Devices in the Community.
Authors:
Wallace, Elaine; Twomey, Marie; O'Reilly, Maeve
Affiliation:
Department of Palliative Medicine, Our Lady's Hospital for Sick Children , Crumlin, Dublin , Ireland.
Citation:
Challenges in the Management of Pediatric Central Venous Access Devices in the Community. 2012:notPediatr Hematol Oncol
Journal:
Pediatric hematology and oncology
Issue Date:
25-May-2012
URI:
http://hdl.handle.net/10147/235111
DOI:
10.3109/08880018.2012.684135
PubMed ID:
22632142
Abstract:
Central venous access devices (CVADs) play an essential role in the care of critically ill children. Significant challenges exist for teams in managing CVADs particularly in a community setting. The authors aimed to assess the experience of general practitioners (GPs) caring for children with CVADs. From 200 CVADs inserted in a pediatric hospital in 2009, 50 patients were randomly selected and 44 GPs were forwarded a questionnaire. Twenty (46%) GPs responded. The main reasons (n = 22) for using CVADs were medication administration (n = 11), nutrition (n = 6), and blood sampling (n = 5). Thirteen (65%) GPs had no education in CVAD management and 14 (70%) were unaware of existing guidelines. Those identified by GPs as having primary responsibility for care of CVADs in the community included hospital/pediatric teams (n = 9), parents (n = 3), GPs (n = 2), public health nurses (n = 1), and palliative care ("home care") teams (n = 1). The main challenges (n = 15) identified by GPs were lack of education (n = 4), line management difficulties (n = 3), infection risk (n = 3), infrequent exposure to CVADs (n = 3), and poor communication (n = 1). GPs felt that these challenges could be addressed through: education (n = 8), increased manpower and community support (n = 1), and improved communication (n = 1). This study highlights the inconsistency and challenges for GPs surrounding CVAD use in children. Further education and support is necessary to assist GPs in their use particularly when providing end-of-life care for children in the community.
Item Type:
Article
ISSN:
1521-0669

Full metadata record

DC FieldValue Language
dc.contributor.authorWallace, Elaineen_GB
dc.contributor.authorTwomey, Marieen_GB
dc.contributor.authorO'Reilly, Maeveen_GB
dc.date.accessioned2012-07-23T09:15:54Z-
dc.date.available2012-07-23T09:15:54Z-
dc.date.issued2012-05-25-
dc.identifier.citationChallenges in the Management of Pediatric Central Venous Access Devices in the Community. 2012:notPediatr Hematol Oncolen_GB
dc.identifier.issn1521-0669-
dc.identifier.pmid22632142-
dc.identifier.doi10.3109/08880018.2012.684135-
dc.identifier.urihttp://hdl.handle.net/10147/235111-
dc.description.abstractCentral venous access devices (CVADs) play an essential role in the care of critically ill children. Significant challenges exist for teams in managing CVADs particularly in a community setting. The authors aimed to assess the experience of general practitioners (GPs) caring for children with CVADs. From 200 CVADs inserted in a pediatric hospital in 2009, 50 patients were randomly selected and 44 GPs were forwarded a questionnaire. Twenty (46%) GPs responded. The main reasons (n = 22) for using CVADs were medication administration (n = 11), nutrition (n = 6), and blood sampling (n = 5). Thirteen (65%) GPs had no education in CVAD management and 14 (70%) were unaware of existing guidelines. Those identified by GPs as having primary responsibility for care of CVADs in the community included hospital/pediatric teams (n = 9), parents (n = 3), GPs (n = 2), public health nurses (n = 1), and palliative care ("home care") teams (n = 1). The main challenges (n = 15) identified by GPs were lack of education (n = 4), line management difficulties (n = 3), infection risk (n = 3), infrequent exposure to CVADs (n = 3), and poor communication (n = 1). GPs felt that these challenges could be addressed through: education (n = 8), increased manpower and community support (n = 1), and improved communication (n = 1). This study highlights the inconsistency and challenges for GPs surrounding CVAD use in children. Further education and support is necessary to assist GPs in their use particularly when providing end-of-life care for children in the community.en_GB
dc.languageENG-
dc.rightsArchived with thanks to Pediatric hematology and oncologyen_GB
dc.titleChallenges in the Management of Pediatric Central Venous Access Devices in the Community.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Palliative Medicine, Our Lady's Hospital for Sick Children , Crumlin, Dublin , Ireland.en_GB
dc.identifier.journalPediatric hematology and oncologyen_GB
dc.description.provinceLeinsteren

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