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PATIENT EDUCATION CYTOTOXIC THERAPY

Because of the serious side effects and potential long term risks associated with chemotherapy patients (and their significant others) must be carefully educated about their treatment, possible side effects and where to seek medical assistance if they become unwell.

No written consent is required for the administration of chemotherapy, but will be required if the patient is on a clinical trial.

1.       Prior to commencement of chemotherapy the most common side effects, risks and benefits of treatment must be explained by a medical officer. 

To ensure the patient is aware of the effects of treatment.

2.       Prior to the administration of chemotherapy, common side effects and their management should be explained to the patient and family by a specialist medical officer or specialist nurse. 

Assessment for the level of understanding must be undertaken so appropriate follow-up care is arranged.  Written information may be provided (do not assume all patient are literate) but must be supported by discussion.

 

To continue the patient/family education process.

 

 Assess level of understanding by eliciting feedback.

3.       Before the chemotherapy is administered, the patient should be told the methods of administration, any expected immediate side effects and to report these immediately to the person administering the chemotherapy. 

To ensure patient cooperation.

To ensure the patient is aware and what to report to ensure a safe procedure is performed.

4.       During the administration of chemotherapy, constant communication with the patient is maintained.

To ally anxiety and ensure patient safety and comfort.  To promote patient understanding.

5.       After administration of chemotherapy, the potential side effects that may be expected and those that must be reported are again explained.

To ensure the patient knows what to expect and what action to take.

6.       Ensure appropriate medications have been ordered to complete regime and control side effects.  These medications and any potential side effects must be explained.

To ensure the patient understands their medication and will be compliant.

7.       Ensure the patient understands where to seek medical assistance from if they become unwell and has follow-up blood tests and appointments.

To ensure adequate follow-up and prompt attention to any problems.

 

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