Page 69 - APPENDIX B: Trials Investigating the Management of Acute Radiation-Induced Skin Reactions Reading Qualitative Research
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               WOUND CARE

                       Decision-making to remove or radiate through dressings.  Table 4.7 shows that while

               five participants (31%) reported that the radiation oncologist makes the decision to remove or


               radiate through dressings, another five participants (31%) informed that the multidisciplinary

               team made the decisions.  However, another three participants (19%) reported that the radiation


               therapist makes the decision while two others (12%) conveyed don’t know.  The detail for the

               other response (6%) stated, “We never do XRT through a dressing”.  The descriptive statistics


               revealed that there is variation in this aspect of the survey results because it is unclear as to

               whose decision it is.  However, it is noteworthy that the registered nurse is not the sole decision


               maker in this aspect of patient care.



               Table 4.7

               Decision-making to Remove or Radiate Through Dressings
               Response                         Chart                           Percentage           Count

               Radiation Oncologist                                                   31%                 5

               Radiation Therapist                                                    19%                 3
               Registered Nurse                                                        0%                 0
               Team decision                                                          31%                 5

               Other, please explain                                                   6%                 1
               Don't know                                                             12%                 2

                                                Total Responses                                         16


                       Policy document.  In general, it appears that most centres (71%) did not have a reference

               document for when to remove a dressing during radiotherapy.  Although, one response reported

               the presence of a local policy, Clinical Practice Guideline or Best Practice Guideline, none was


               forwarded to me.  It was noted that of the 16 complete responses, two responses were missing in

               this section (See Table 4.8).
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