Supportive Care in Cancer

, Volume 11, Issue 7, pp 435–441

Barriers and strategies in implementation of oral care standards for cancer patients

Review Article

DOI: 10.1007/s00520-003-0466-4

Cite this article as:
McGuire, D.B. Support Care Cancer (2003) 11: 435. doi:10.1007/s00520-003-0466-4


Oral complications of cancer therapy include mucositis, oral pain, poor oral intake, infection, bleeding, and difficulty communicating. Use of oral care standards can help manage these problems, but their systematic implementation is relatively rare. The purpose of this paper is to discuss barriers to implementing oral care standards, and to make suggestions for how such standards might be implemented in clinical settings. These purposes are accomplished through a review of relevant literature from various health-care disciplines, and discussion of one institution's implementation of an oral care standard for leukemia and bone marrow/stem cell transplant patients. Key principles underlying this successful institutional effort were recognition of the medical necessity of oral care, collaboration among health-care disciplines, and use of evidence-based practice wherever possible.


Oral care standardsOral hygieneCancer treatmentMucositisStomatitisBarriers

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  1. 1.University of Pennsylvania School of NursingPhiladelphiaUSA