Cytotoxic chemotherapy for incurable colorectal cancer: living with a PICC-line

Journal of Clinical Nursing
Doreen MolloyTom Aitchison

Abstract

(i) To determine which aspects of living with a peripherally inserted central catheter (PICC) line cause Modified de Gramont (MdG) patients most difficulty. (ii) To explore MdG patients' views of the PICC-line experience. (iii) To determine if patients view PICC-lines as a benefit or a burden when receiving ambulatory MdG chemotherapy. A two-stage, descriptive study. Phase 1 comprised semi-structured interviews. Phase 2 surveyed the MdG population. Phase 1 interview data informed the Phase 2 questionnaire. The setting was a West of Scotland Cancer Care Centre and the sample was: Phase 1, a convenience sample of 10 MdG patients; Phase 2, 62 consecutive patients. A response rate of 93.9% for Phase 2. The majority of PICC-line patients held favourable views towards having a PICC-line and adapted well with minimal disruption to daily life. Concerns were evident regarding coping at home with a PICC-line, chemotherapy spillage, dealing with complex information and the responsibility of patients/carers regarding PICC-line management. Patients preferred ambulatory chemotherapy to in-patient treatment. PICC-lines should be considered for more chemotherapy patients but service development is necessary to ensure individual needs are addre...Continue Reading

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Mar 16, 2012·European Journal of Cancer Care·C van MosselM E Purkis
Aug 15, 2014·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Paolo CotogniMauro Pittiruti
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Jul 22, 2021·British Journal of Nursing : BJN·Linda J Kelly, Austyn Snowden

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