The patients with amyloid deposition in heart, kidneys and peripheral nerve are under stress from circulatory dynamics. The nurses should be aware of the risk of adverse events during the treatment period. They also have to understand the relationship between affected organs and symptoms. Further analysis is warranted to clarify the differences in frequency and severity of adverse events compared with the patients with multiple myeloma receiving HDM/ASCT.
process of daily bathing using wipes, documentation, patient/family education, and ordering of discharge bath supplies. Outpatient staff required instruction in the process for protocol consent, skin swab collection, review of a daily bath diary, and a patient satisfaction survey. Findings & Interpretation: Evaluation of the protocol's implementation process included monitoring of 12 study inpatients. Evaluation included 4 criteria: correct selection of bath wipe, maintaining blinding, correct process for bath administration, and proper documentation. Of the 12 patients, 7 met all 4 evaluation criteria. Of the 5 who did not, education was provided on site. Discussion & Implications: A critical component of research and maintaining internal validity of a study is ongoing monitoring to determine if the protocol is being implemented correctly. We plan to continue our evaluation on an ongoing basis and provide education as needed. We also plan to add the outpatient evaluation component.
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