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Chemotherapy-Induced Peripheral Neuropathy: Use of an Electronic Care Planning System to Improve Adherence to Recommended Assessment and Management Practices

Robert Knoerl

Celia M. Bridges

Gloria L. Smith

James Yang

Grace A. Kanzawa-Lee

Ellen M.L. Smith

clinical guidelines, chemotherapy-induced peripheral neuropathy, symptom assessment
CJON 2018, 22(5), E134-E140. DOI: 10.1188/18.CJON.E134-E140

Background: Chemotherapy-induced peripheral neuropathy (CIPN) is often inadequately assessed and managed by advanced practice providers.

Objectives: The aim is to explore the impact of CIPN assessment training and electronic care planning system (CPS) use on CIPN assessment documentation and guidelines adherence.

Methods: The authors used a pre-/post-test, prospective design with two retrospective chart reviews. Six providers received CIPN assessment training and used the CPS to manage CIPN for 75 women receiving neurotoxic chemotherapy.

Findings: CPS use significantly improved documentation of numbness and nonpainful CIPN management strategies but had no effect on documentation of additional assessment variables or painful CIPN management.

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