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Findings from this study provide preliminary evidence for a decision support tool to improve the discharge planning process by reducing individual decision-making variability through systematic matching of patient needs to service delivery.

Aromatherapy is an integrative intervention that uses essential oils to address symptom management, potentially as a first-line intervention or as a complement to other medical treatments. Aromatherapy is gaining widespread acceptance and increased scientific evidence of efficacy. Integrative and holistic nursing care uses integrative therapies such as aromatherapy and the principle of moving from a less invasive intervention to a more invasive intervention according to patient needs, symptoms, and preferences. Aromatherapy is often provided as a minimally invasive, independent, and integrative nursing intervention. This article describes the process used to introduce essential oils into practices at a large Midwestern academic medical center.

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Introduction: Postoperative management of patients following surgical procedures has become increasingly standardized to optimize the effectiveness of care provided Methods: A review of the hospital length of stay and postsurgical pain management following minimally invasive pectus excavatum repair was done at a large tertiary referral center in the Midwest before and after implementation of a standardized postoperative order set, protocol for postoperative activity, revision of patient education materials, and collaboration with the pediatric pain service.Results: Statistically significant differences were shown in the hospital length of stay of patients following standardization and then again with collaboration with the pediatric pain service.Discussion: Continuous review of current processes with implementation of innovative practice changes has led to improved quality of care of patients following minimally invasive pectus excavatum repair.