Abstract
Evidence suggests that exercise can have a profound impact on physiologic and quality-of-life outcomes for patients undergoing hematopoietic stem cell transplantation (HSCT). Despite this, implementation of a gym on inpatient HSCT units may be limited because of space, infrastructure, and budget. This article presents the design, implementation, and evaluation of the gym and highlights its use for individual and group patient activities. An interprofessional team at a National Cancer Institute-designated comprehensive cancer center collaborated to design and implement gym space on an inpatient HSCT unit servicing as many as 86 beds. Informal feedback from patients, as well as metrics on use of the space, indicates that the gym is well received and frequently used. Limitations include the absence of a designated physical therapy technician to supervise individual activity, which may limit patient access when a staff member is unavailable. The cost associated with the implementation of such space may be offset by benefits to patients, including enhanced conditioning, quality of life, and time to discharge, as evidenced in the literature.
References
Oct 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Cynthia J BrownRichard M Allman
Nov 21, 2007·Bone Marrow Transplantation·J Wiskemann, G Huber
Feb 24, 2009·Bone Marrow Transplantation·M JardenL Adamsen
Apr 14, 2009·Biology of Blood and Marrow Transplantation : Journal of the American Society for Blood and Marrow Transplantation·Navneet S MajhailDaniel J Weisdorf
May 5, 2010·Oncology Nursing Forum·Kristine L KwekkeboomBritt Wanta
Dec 1, 2010·Cancer Nursing·Eileen Danaher HackerLisa Gaston
Dec 8, 2010·BMC Cancer·Saskia PersoonFrans Nollet
Dec 28, 2010·Oncology Nursing Forum·Kathleen Doyle LyonsTim A Ahles
May 7, 2011·European Journal of Haematology·Freerk T BaumannWilhelm Bloch
Jun 16, 2012·Journal of Pain and Symptom Management·Marlene Z CohenCharles S Cleeland
Mar 15, 2013·Cancer Treatment Reviews·Saskia PersoonMai J M Chinapaw
Sep 27, 2013·Cancer Nursing·Kelly J BrassilGeri LoBiondo-Wood
Jul 30, 2014·Biology of Blood and Marrow Transplantation : Journal of the American Society for Blood and Marrow Transplantation·Karen K BallenNavneet S Majhail
Nov 16, 2014·Advances in Nutrition·Shelley McGuire