ABSTRACT
Patients who have undergone acoustic neuroma surgery require expert, comprehensive nursing care. This article includes a standard of care and tables about neurological assessment, potential complications, home safety and discharge instructions. A holistic, multidisciplinary approach can enable nurses to promote the recovery of acoustic neuroma patients and ultimately improve their outcomes.
Subject(s)
Neuroma, Acoustic/nursing , Patient Care Planning , Postoperative Care , Humans , Neurologic Examination , Neuroma, Acoustic/surgery , Nursing Assessment , Nursing RecordsABSTRACT
Nursing management of the patient with an acoustic neuroma begins during the preoperative period and continues into the rehabilitative phase following hospital discharge. This article describes the process of developing and implementing an acoustic neuroma educational program. Program content was determined by a survey which identified the type of information acoustic neuroma patients wanted before and after surgery. The survey also described the problems patients encountered once home. Included in the program is a preoperative informational video, a discharge booklet, a multidisciplinary rehabilitation group for outpatients and educational sessions for nurses from the hospital and community.
Subject(s)
Neuroma, Acoustic/psychology , Patient Education as Topic/organization & administration , Quality of Life , Adaptation, Psychological , Curriculum , Humans , Neuroma, Acoustic/nursing , Neuroma, Acoustic/surgery , Pamphlets , Patient Care Planning , Patient Care Team/organization & administration , Patient Discharge , Patient Education as Topic/standards , Preoperative Care , Videotape RecordingABSTRACT
Acoustic neuromas are benign tumors originating from the Schwann cells of the eighth cranial nerve. Symptoms occur related to compression and stretching of cranial nerves which alters their function. Surgical management is by middle fossa, translabyrinthine, suboccipital or combined approach craniotomy. Prevention and early recognition of postoperative complications are important aspects of nursing care for these clients. A holistic approach to client and family nursing needs is presented. Discharge planning should include assessment of client learning and home care needs. The Acoustic Neuroma Association as a source of information and support for these clients is discussed.
Subject(s)
Neuroma, Acoustic/nursing , Postoperative Complications/nursing , Humans , Neurologic Examination , Neuroma, Acoustic/surgery , Nursing Assessment , Patient Education as TopicABSTRACT
Although the technical aspects of nursing care and management of acoustic neuroma patients have been discussed in literature, both the apparent and subtle neurological and psychological residuals of acoustic tumor have been largely overlooked. Long-term sequelae, unless acute, usually are not attended by the neuroscience nurse. However, nursing instruction and enhanced care while hospitalized can prepare the patient for self-care and improve final recovery. Responses of 541 members of the Acoustic Neuroma Association to a multipart questionnaire on aspects of the acoustic neuroma experience reveal the nurse plays an important role in preparing the patient for maximum recovery after hospital discharge.
Subject(s)
Neuroma, Acoustic/surgery , Postoperative Care/methods , Postoperative Complications/nursing , Humans , Neurologic Examination , Neuroma, Acoustic/nursing , Nurse-Patient Relations , Nursing Assessment , Patient Education as TopicABSTRACT
Individuals who undergo removal of an acoustic neuroma are usually apprehensive in spite of the intrinsically benign nature of the disease. Fears surrounding the experience are related to the real risks involved in surgery near the brain and the complications which can ensue. The intensity of the patients' feelings of anxiety and uncertainty might be decreased if nurses were aware of and attended to the informational needs of these patients. In order to describe the informational needs of acoustic neuroma patients, a retrospective survey of 21 subjects who had had removal of such a tumor six to eighteen months previously was carried out. The survey determined: (1) the type of information patients received preoperatively and postoperatively (2) the type of information patients wanted (3) the type of problems experienced postoperatively and (4) the length and severity of the problems if they occurred. Content analysis indicated that the majority of subjects experienced tiredness, depression, headache, and dryness of eyes and mouth in the postoperative and convalescent phases. The actual illness experience persisted much longer than the subjects had expected. Subjects expressed explicit informational needs related to self-management after the surgery. The implications for nursing care will be discussed and the recommendations for an interdisciplinary patient education programme will be outlined.
Subject(s)
Neuroma, Acoustic/nursing , Nursing Assessment , Patient Education as Topic , Female , Humans , Male , Middle Aged , Neuroma, Acoustic/psychology , Neuroma, Acoustic/surgery , Postoperative Care , Preoperative Care , Retrospective StudiesSubject(s)
Neuroma, Acoustic/surgery , Perioperative Nursing , Adult , Humans , Male , Neuroma, Acoustic/nursing , Postoperative CareSubject(s)
Anxiety/psychology , Neuroma, Acoustic/nursing , Nursing Process , Adult , Humans , Male , Neuroma, Acoustic/psychologyABSTRACT
Desde el año 1830 en que Charles Bell realizó el primer informe clínico de un neurinoma del acústico, esta entidad ha constituido un constante motivo de análisis y estudio por parte de los neurocirujanos y los investigadores de la Medicina en general. Motivados por estos antecedentes y por la experiencia adquirida en la atención a pacientes con este diagnóstico, realizamos la presente investigación. Efectuamos una revisión de las historias clínicas de 50 pacientes tratados quirúrgicamente en el Instituto de Neurología y Neurocirugía de Ciudad de la Habana por tumor de la región del ángulo pontocerebeloso, y basado en los resultados obtenidos, enfatizamos en la importancia de una atención calificada por parte del personal de enfermería en las etapas pre, trans y posoperatorias
Subject(s)
Adult , Middle Aged , Humans , Male , Female , Cerebellopontine Angle/surgery , Cerebellar Neoplasms , Neuroma, Acoustic/nursing , Postoperative Care/nursing , Preoperative Care/nursing , Intraoperative Care/nursingABSTRACT
Desde el año 1830 en que Charles Bell realizó el primer informe clínico de un neurinoma del acústico, esta entidad ha constituido un constante motivo de análisis y estudio por parte de los neurocirujanos y los investigadores de la Medicina en general. Motivados por estos antecedentes y por la experiencia adquirida en la atención a pacientes con este diagnóstico, realizamos la presente investigación. Efectuamos una revisión de las historias clínicas de 50 pacientes tratados quirúrgicamente en el Instituto de Neurología y Neurocirugía de Ciudad de la Habana por tumor de la región del ángulo pontocerebeloso, y basado en los resultados obtenidos, enfatizamos en la importancia de una atención calificada por parte del personal de enfermería en las etapas pre, trans y posoperatorias
