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Managing Common Side Effects of Chemotherapy

Managing Common Side Effects of Chemotherapy. Debra Forman, RN, BSN, OCN. Overview. Nausea and Vomiting Taste and Smell Constipation and Diarrhea Neuropathy Fatigue and Insomnia Exercise, Skin Care Survivorship. Nausea and Vomiting. Types of Nausea Acute Delayed Anticipatory.

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Managing Common Side Effects of Chemotherapy

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  1. Managing Common Side Effects of Chemotherapy Debra Forman, RN, BSN, OCN

  2. Overview • Nausea and Vomiting • Taste and Smell • Constipation and Diarrhea • Neuropathy • Fatigue and Insomnia • Exercise, Skin Care • Survivorship

  3. Nausea and Vomiting • Types of Nausea • Acute • Delayed • Anticipatory Medications to combat Nausea • Compazine or Reglan • Kytril and Zofran • IV regime: Aloxie, Emend, Decadron, Benadryl • Additional Options: Ativan, Haldol, Marinol, Phenergan, Emend

  4. Nausea and Vomiting Tips

  5. Nausea and Vomiting: Options • Acupuncture • Acupressure Bands • Guided Imagery • Music Therapy • Ginger

  6. Nausea and Vomiting: Congee Recipe Ingredients: • 1 cup uncooked Jasmine Rice • 10 cups water • 1-2 carrots, chopped • 1-2 stalks celery, chopped • 1-2 servings protein (such as chicken, duck, tofu) • 5-10 slices of fresh ginger Directions: • Bring rice to a boil and simmer for 30 minutes • Add carrots, celery, ginger and protein • Simmer 10-15 minutes • Add seasoning, such as green onions, cilantro, sea salt and/or soy sauce • As the congee soaks after it is cooked, the rice will continue to expand by absorbing more water. • Each time you reheat, add more water

  7. Taste

  8. Taste: Tips • Use Magic Mouth wash • And avoid over the counter mouth washes • Rinse your mouth with Salt Water after meals • Use a soft Toothbrush

  9. Smell • Lubricate with Ocean Nasal Mist

  10. Diet Eat less of this: Eat more of this:

  11. To beat the weight gain… • www.five2thrive.com • Spirit • Movement • Diet • Rejuvenation • Supplements

  12. Constipation • Goal: to prevent painful fissures and hemorrhoids • Mush, Push and Gush • Stimulating laxatives: Ducolax, Senna, Doss, Miralax • Avoid Caster oil, Enemas

  13. Hydrate, hydrate, hydrate

  14. Diarrhea • BRAT Diet • Bananas, Rice, Apple sause, Tea and Toast • Lomotil • Lactose Intolerance?

  15. Avoid greasy, fried foods

  16. Peripheral Neuropathy • Numbness, tingling, burning pain most common in fingers and toes • Suggestion: Glutamine Powder

  17. Fatigue Why am I so tired??

  18. Tips for Fatigue • Short Naps • Food is Fuel • Regular Bedtime • Daily Exercise • Ask a Buddy • Gum • Massage • Vanish the Vampires

  19. Insomnia • Suggestions: • Cool, dark room • Limit caffeine intake • Warm bath • Consider antidepressant • Avoid spicy foods • Layer clothing • Void before bed • Back rub • Relaxing music

  20. Exercise

  21. Exercise • Resources: • It’s not About the Bike, Lance Armstrong • It’s not about the Hair, Debra Jarvis • Tips: • Don’t expect instant results • Forget about your weight • Yoga • Find a walking buddy

  22. Skin: First Line of Defense • Lip Balm with Lanolin • Sunscreen • Eye drops • Replens

  23. Skincare • Lotion, lotion, lotion • Hydrate, hydrate, hydrate • Nail care • Burrow’s Solution • Make up

  24. Turning a Corner Red Sunshine Kimberly Allison, M.D. Allison, K. Red sunshine: A story of strength and inspiration from a doctor who survived stage 3 breast cancer. Hobart, NY: Hatherleigh Press, 2011. 100-101. Print.

  25. Survivorship Treat yourself! Favorite Ice Cream Go Shopping Plan a Weekend Away

  26. Thank you…

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