FROM ASSESSMENT TO ACTION: ENHANCING ORAL HEALTH TRIAGE IN ONCOLOGY PRACTICE.

Significance & Background: Oral health issues, such as mucositis, xerostomia, infections, and jaw pain, are common among cancer patients and can significantly delay treatment if not addressed promptly. At a large National Cancer Institute (NCI)-designated Comprehensive Cancer Center, nurses and dent...

Descripción completa

Detalles Bibliográficos
Publicado en:Oncology Nursing Forum Vol. 53; no. 2; pp. 46 - 48
Autores principales: Hill, Hannah, Burns, Mikki
Formato: Journal Article
Publicado: Oncology Nursing Society Mar2026
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194211201&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 194211201
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        0190535X
        4F0
      jtl: Oncology Nursing Forum
      issn: 0190535X
      maglogo: N
    pubinfo:
      dt: Mar2026
      vid: 53
      iid: 2
      pid: 12496
      pub: Oncology Nursing Society
      place: Pittsburgh, Pennsylvania
    artinfo:
      ui:
        194211201
        10.1188/26.ONF.e26535271
        194211201
      ppf: 46
      ppct: 2
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: FROM ASSESSMENT TO ACTION: ENHANCING ORAL HEALTH TRIAGE IN ONCOLOGY PRACTICE.
      aug:
        au:
          Hill, Hannah
          Burns, Mikki
        affil: BSN, RN, Fred Hutchinson Cancer Center, Seattle, WA
      sug:
      ab: Significance & Background: Oral health issues, such as mucositis, xerostomia, infections, and jaw pain, are common among cancer patients and can significantly delay treatment if not addressed promptly. At a large National Cancer Institute (NCI)-designated Comprehensive Cancer Center, nurses and dental hygienists are often the first to encounter these concerns. Despite their impact, no standardized triage tool exists for oral issues. This gap contributes to inconsistent assessments, underscoring the need for a dedicated oral health triage tool. Purpose: Develop a tool to support comprehensive oral health assessment to aid in prompt identification of oral issues and determine appropriate patient care. Interventions: Due to limited appointment availability, oral medicine began triaging referrals to prioritize urgent cases. This process was later expanded to include patients calling with acute oral symptoms, underscoring the need for a consistent way to assess urgency. Building on the cancer center's existing telephone triage guidelines, oral medicine partnered with nurse education to develop a triage tool tailored to the assessment of oral issues. The creation of this tool involved collaboration between subject matter experts from oral medicine, medical providers, and medical nutrition. Content was derived from the American Dental Association (ADA), NCI, and the National Comprehensive Cancer Network (NCCN). Results: Upon approval by the Clinic Nurse Practice Committee, the document was added to an organization-wide Telephone Triage policy and disseminated across multiple disease groups. Using this triage tool as a reference, the oral medicine team created a standardized electronic template to aid documentation. Clinical staff responded positively when presented with the triage tool and reported greater confidence when performing triage of oral issues. Baseline assessment, structured triage, and ongoing oral health monitoring are essential for minimizing pain, promoting treatment adherence, and preventing chronic complications in oncology patients. Discussion: Integrating oral health assessment into routine oncology workflows reinforces the importance of interdisciplinary collaboration and promotes a more holistic approach to cancer care. The development of triage tools has promoted standardization of triage practice among clinical staff. By equipping staff with clear, evidence-based guidance, these triage tools enhance early identification and management of complications, support treatment continuity, and improve patient outcomes.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N