Quality Improvement Presentation Poster
Casey Free a
Capella University
Evidence-Based Practice for Patient-Centered Care and Population Health
Evidence-Based Practice Implementation Plan
November 2023
Background on Clinical Problem
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Increased ileuses noted in oncology patients
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Currently using one medication while inpatient
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No bowel regimen recommendations given on
discharge
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Cancer treatments such as chemotherapy can cause
constipation.
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Certain medicines, like pain medicine
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Changes in diet
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Not drinking enough fluids
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Being less active
Stakeholders
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Nurses
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Patient care tech
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Physical therapist
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Occupational Therapist
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Physician
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Caregiver
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Oncology patient
Potential Barriers
Outcome Measures
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Time
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Skill level
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Resistance to change
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Lack of knowledge
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Motivation
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Current Fall data
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Fall data at 1 month
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Fall data at 3 months
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Fall data at 6 months
PICOT Question
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(P) Oncology patients
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(I)
Bowel regimen
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(C) No bowel regimen
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(O) Decreased Ileus occurrence
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(T) 2 month period
Action Plan
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Staff will provide education regarding bowel regimens
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Diet changes will be implemented to help reduce bladder irritation and prevent UTIs.
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Lifestyle changes will be implemented to assist with voiding easier.
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Bladder retraining will occur every 2 hours during the day and every 4 hours during the
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evening
Quadruple Aim
References
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Patient experience
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Population health
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Reduce healthcare costs
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Health care provider work life
