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• W2021815554 abstract "Prolonged courses of high dose steroids are frequently used to manage graft vs. host disease (GVHD) following allogeneic stem cell transplant (SCT). Among the known complications of prolonged steroid treatment are mental status changes, effecting up to 40% of all transplant recipients. Five percent of these alterations are considered “severe”. Symptoms generally present within two weeks of initiating high-dose therapy. Often manifesting as a persistent, hallucinatory state, these episodes of “steroid psychosis” present significant nursing challenges. Patients can be combative, agitated and are usually noncompliant with treatment regimes. Inpatient SCT nurses often find themselves unprepared to manage the complex medical and psychosocial needs of patients with acute psychosis. Existing literature offers no standard protocols and little guidance to support an evidence-based approach to the nursing management of SCT patients with steroid induced psychosis requiring long-term hospitalization. A clear need exists to educate nurses coordinating care for this rare but serious side effect of transplant therapy. This poster will bridge the gap and provide nurses insight into the development and implementation of successful strategies to guide the care of patients with steroid induced psychosis. Successful nursing care plans for inpatients with acute psychosis must be multi-disciplinary, prioritized to both provide for the patient's safety and designed to ensure compliance with prescribed medications to avoid GVHD exacerbation and infection. When possible, the team should enlist the support of family members, who can provide invaluable insight into the patient's history and a more thorough assessment of home resources. Timely recognition of the signs and symptoms of psychosis, coupled with early intervention, is vital to ensuring successful management and resolution. Maintaining a consistent caregiver team, employing a 24 hour sitter, tracking sleep/wake patterns, and encouraging short term/goal directed activities have proven successful. Nurses play a key role in implementing each of these measures. A case study will be presented to illustrate nursing interventions used to manage a patient with steroid-induced psychosis at our comprehensive cancer center." @default.
• W2021815554 created "2016-06-24" @default.
• W2021815554 creator A5048129172 @default.
• W2021815554 date "2008-02-01" @default.
• W2021815554 modified "2023-09-26" @default.
• W2021815554 title "409: Mad about Steroids: Nursing Management of the SCT Patient with Steroid-induced Psychosis" @default.
• W2021815554 doi "https://doi.org/10.1016/j.bbmt.2007.12.419" @default.
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