Vascular access device securement for oncology patients and those with chronic diseases

Br J Nurs. 2021 Apr 22;30(8):S20-S25. doi: 10.12968/bjon.2021.30.8.S20.

Abstract

This article presents three case studies, each discussing securement issues as they relate to the use of long-term vascular access devices from the perspectives of the clinician and the patient. The choice of securement should be weighed against the patient's activity level, duration of the line placement, infection risks and inevitable skin irritation caused by repeated replacement of adhesive securement. Living with a chronic illness requiring frequent infusions is difficult enough-worrying about the device being dislodged should not be an additional stressor.

Keywords: Chronic conditions; Oncology; Peripherally inserted central catheter; Subcutaneous engineered securement device; Vascular access device securement.

MeSH terms

  • Adhesives
  • Catheterization, Central Venous*
  • Catheterization, Peripheral*
  • Central Venous Catheters*
  • Chronic Disease
  • Humans
  • Neoplasms*

Substances

  • Adhesives