14. National kidney foundation
Italy in 2oo6, they proved that
Strengthening the forearm by
using isometric exercises to
increase handgrip strength ,will
increase blood flow, thereby
enhancing vein maturation in
patients with av fistula
15. In a research conducted by Kirstin
N. Lane et al, Canada in
2006, Lymphoscintigraphy was
used to measure lymphatic
function at rest and during exercise
in breast cancer survivors with
lymphedema All groups displayed
similar increases in clearance rate
16. Purpose of the study:
Assess the effect of ball
squeezing exercise on
peripheral venous access
17. STATEMENT OF THE PROBLEM:
Assess the effect of ball squeezing
exercise on peripheral venous access of
upper extremity among patients
receiving chemotherapy from NMCH
Calicut.
18. OBJECTIVES
Assess the venous status of patients
receiving chemotherapy using vein
assessment tool before
intervention
Assess the venous status of patients
receiving chemotherapy using vein
assessment tool after intervention
19. Objectives:
Assess the effect of ball
squeezing exercise on
peripheral venous access of
patients receiving
chemotherapy
20. Objectives:
Find out the association between
variables such as nutritional status
, chemotherapy agent used ,age , sex
,socioeconomic status and effect of
ball squeezing on peripheral venous
access.
21. OPERATIONAL DEFINITIONS
EFFECT: In this study, effect refers
to the outcome of ball squeezing
exercise on peripheral veins of
patients receiving chemotherapy as
measured by vein assessment tool
22. Contues….
BALL SQUEEZING EXERCISE: : In
this study, ball squeezing exercise
refers to series of exercise done by
holding a squeeze ball as tight as
possible in hand and relaxing and the
exercise is practiced for 5 minutes
thrice daily for 2weeks.
23. COTUES…
PATIENTS RECEIVING CHEMOTHERAPY:
chemotherapy refers to the treatment of
cancer with an antineoplastic drug or with a
combination of such drugs into
a standardized treatment regimen. This
study considers only those patients who
receive intravenous chemotherapy as mode
of treatment for oncological problems.
24. Contues….
PERIPHERAL VENOUS ACCESS:In this
study peripheral venous access
means, accessibility of a peripheral
vein to insert a needle in to either to
withdraw sample blood or to infuse
fluids and IVmedications
26. ASSUMPTION
As the number of cycle of
chemotherapy increases compliance of
patients to ball squeezing also
increases
27. HYPOTHESIS:
H1: There will be a significant
difference in vein assessment
scores as per vein assessment
tool before and after ball
squeezing exercise
35. INCLUSION CRITERIA:
Patients who have completed 4th
cycle of chemotherapy
Patients with poor or fair vein
quality as per vein assessment tool
36. EXCLUSION CRITERIA
Patients who are not willing to
participate in the study.
Patients who are not able to do ball
squeezing exercise
37. TOOL AND TECHNIQUE OF DATA
COLLECTION:
Tool-1: semistructured
interview schedule by
interviewing
Tool-2: rating scale by
observation done by two
raters at different occassions
38. VEIN ASSESSMENT TOOL
BY JOAN WEBSTER
GOOD: Vein is easily visible and /or easy to
palpate when tournequet is applied
FAIR: Veins are small, scarred or difficult to
palpate
POOR:Veins unable to be seen or palpate
(requires heat pack to aid vaso dilation)
