The importance of assessment rating scales for chemotherapy-induced oral mucositis.

PURPOSE/OBJECTIVES To review the literature related to chemotherapy-induced oral mucositis and highlight four empirically supported oral mucositis rating scales that oncology nurses can use. DATA SOURCES CINAHL and MEDLINE databases, published articles, and supplemental publications. DATA SYNTHESIS Various oral mucositis rating scales have been developed; however, a lack of consensus exists regarding their use in clinical practice. CONCLUSIONS To date, standards of practice for the assessment of oral mucositis do not exist, yet clinical measures are necessary for oncology nurses to manage the side effect effectively. The selection of a valid and reliable rating tool is necessary for routine oral assessment and for facilitating optimal patient outcomes related to oral mucositis. IMPLICATIONS FOR NURSING Knowing patient risk factors and the circumstances that exacerbate oral mucositis are keys to performing quality oral assessments. Oncology nurses should make performing oral assessments with a valid and reliable rating scale a priority. Further research regarding oral mucositis rating scales is needed.