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Nursing Care for Patients Treated with Chemotherapy for Bone Tumours

Nursing Care for Patients Treated with Chemotherapy for Bone Tumours EMSOS abstracts S47 NURSING CARE FOR PATIENTS TREATED WITH CHEMOTHERAPY FOR BONE TUMOURS ORAL PRESENTATIONS H130 A Structured and Effective way to Inform Sarcoma once more about the oncoming treatment and the side effects. Patients They also receive written information directly related to the treat- N.A.C. Leyerzapf, C. Mewe ment. Five patients were treated on our ward according to this new Dept. Of Orthopaedic Surgery, Leiden University Medical Center, protocol. One patient said, the treatment was physically as well as Leiden, The Netherlands psycho-social very intensive. The Orthopaedic department, in the University Medical Centre, is one of the main centres for the treatment of bone tumours in the Netherlands. Each year about 1000 operations are carried out on this department, approximately 200 of these are on patients with a H132 How to Inform the New Sarcoma Patient? bone tumour (benign as well malignant). The patient category is C. Forni, L. Loro, T. Mazzei, C. Beghelli, M. Tremosini, usually young and in an important period of their life (school/ A. Biolchini, A. Triggiani, C. Raspanti study, sport, relationships, children, etc). The investigations, diag- Istituti Ortopedici Rizzoli, Bologna, Italy nosis and treatment often have a (adverse) psychological/social effect on the patient and his/her environment. A mutilating opera- When a new patient comes to a Chemotherapy ward, there is a lot tion often results in an identity crisis. During the time in the of information he/she needs to know in a very short time. Nurses hospital, the patient comes into contact with various specialists (of play a key role in this field. During the last ten years the nursing all levels), this results in receiving a great deal of information in a team of the Chemotherapy Service at Rizzoli Institute have written short matter of time. We developed information folders and various educational booklets on this topic. We started with video’s for the patients to have more clearness about what will producing a patient’s booklet on Chemotherapy and the main role happen to them. This process of development is still going on. It’s and organization of our ward to be given at each new patient also possible to have contact with fellow cancer patients before or during the first admission in our ward. After several months we after operation. By using a protocol and an information checklist carried out a survey amongst patients at the end of their treatment. we reduce the risk that the patient has not understood certain items We wanted to check whether the information given at the begin- or received conflicting information concerning the plan of treat- ning of their treatment had been of any use. The survey results ment. Two days before discharge, the nurse assigned to the patient gave us useful suggestions for our further information booklets and will go through a checklist with him/her. This is to be certain that leaflets: everything is clear before discharge, to evaluate if the nursing and – What Chemotherapy is and the role of nurses, doctors and doctors care, or other relevant factors were satisfactory, and patients; suggestions for improvements in the future. – Specific information on drugs used: Methotrexate, Vincristine, Ifosfamide, Cisplatin and Adriamicina; – How the school service work in our word; – What GCSF is, the practical procedures of using them and their side effect; H131 Nursing Care for Patients Treated with – The differences between Peripheral and Central Venous Chemotherapy for Bone Tumours the ‘Euro-Ewing 99’ Catheter; Protocol – The differences between intravenous and intrarterial therapy: E.D. Ouwerkerk The up dating of our booklets and leaflets is an ongoing process. Leiden University Medical Center, Leiden, The Netherlands In this paper we would like to discuss and compare methodologies and materials with colleagues who work in the same field. Since December 1999 patients in the Leiden University Medical Center are being treated with the so called ‘Euro-Ewing 99’ protocol. Before this protocol the patients were treated with 14 cycles of chemotherapy with or without radiation therapy. The new protocols main objective is to enlarge the 5 years survival rate. In the new protocol all patients receive 6 cycles of chemotherapy, H133 Wound Healing Deficiencies after Major Tumour (induction treatment) with no restrictions for stage of the disease. Operations The cycles are given once every three weeks. After these first 6 Lübben, K. cycles the patients undergo orthopaedic surgery also in our Uniklinikum Münster, Orthopädie Station, Münster, Germany hospital. After the surgery the treatment choice is to be determined on according to the response of the tumour to the chemotherapy. Wound healing deficiencies after tumour operations especially by The follow-up treatment consists of another 8 cycles chemo- patients who are immune deficient and also because of a reduction therapy with or without radiation or high dose chemotherapy with of the bed facilities, are often seen in our daily practice. Due to this peripheral stemcel transplantation. Patients often hear their diag- we now have experience with the principle of treating these nosis on the outpatient clinic from their orthopaedic surgeon or wounds. We use the procedure of ‘wet wound treatment’. During from their oncologist. The oncologist will inform the patients our presentation we would like to introduce our patients, their about their oncoming treatment and the side effects (informed surgical procedure and our daily practice with the specific wound consent) At our department of clinical oncology the patients treatment. We will present the principle, the products and how to receive the chemotherapy for which they are admitted to the put it into daily practice. We will make use of documented photos hospital for four days. The category of patients are mainly of wound deficiencies seen in some of our patients and the progress adolescents and young adults. The nurse will inform the patient made by the treatment throughout the healing process. MEDIATORS of INFLAMMATION The Scientific Gastroenterology Journal of World Journal Research and Practice Diabetes Research Disease Markers Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 International Journal of Journal of Immunology Research Endocrinology Hindawi Publishing Corporation Hindawi Publishing Corporation http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 Submit your manuscripts at http://www.hindawi.com BioMed PPAR Research Research International Hindawi Publishing Corporation Hindawi Publishing Corporation http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 Journal of Obesity Evidence-Based Journal of Journal of Stem Cells Complementary and Ophthalmology International Alternative Medicine Oncology Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 Parkinson’s Disease Computational and Behavioural Mathematical Methods AIDS Oxidative Medicine and in Medicine Research and Treatment Cellular Longevity Neurology Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Sarcoma Hindawi Publishing Corporation

Nursing Care for Patients Treated with Chemotherapy for Bone Tumours

Sarcoma , Volume 6 – Jan 1, 2002
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Publisher
Hindawi Publishing Corporation
Copyright
Copyright © 2002 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
ISSN
1357-714X
eISSN
1369-1643
DOI
10.1080/135771402753667718
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Abstract

EMSOS abstracts S47 NURSING CARE FOR PATIENTS TREATED WITH CHEMOTHERAPY FOR BONE TUMOURS ORAL PRESENTATIONS H130 A Structured and Effective way to Inform Sarcoma once more about the oncoming treatment and the side effects. Patients They also receive written information directly related to the treat- N.A.C. Leyerzapf, C. Mewe ment. Five patients were treated on our ward according to this new Dept. Of Orthopaedic Surgery, Leiden University Medical Center, protocol. One patient said, the treatment was physically as well as Leiden, The Netherlands psycho-social very intensive. The Orthopaedic department, in the University Medical Centre, is one of the main centres for the treatment of bone tumours in the Netherlands. Each year about 1000 operations are carried out on this department, approximately 200 of these are on patients with a H132 How to Inform the New Sarcoma Patient? bone tumour (benign as well malignant). The patient category is C. Forni, L. Loro, T. Mazzei, C. Beghelli, M. Tremosini, usually young and in an important period of their life (school/ A. Biolchini, A. Triggiani, C. Raspanti study, sport, relationships, children, etc). The investigations, diag- Istituti Ortopedici Rizzoli, Bologna, Italy nosis and treatment often have a (adverse) psychological/social effect on the patient and his/her environment. A mutilating opera- When a new patient comes to a Chemotherapy ward, there is a lot tion often results in an identity crisis. During the time in the of information he/she needs to know in a very short time. Nurses hospital, the patient comes into contact with various specialists (of play a key role in this field. During the last ten years the nursing all levels), this results in receiving a great deal of information in a team of the Chemotherapy Service at Rizzoli Institute have written short matter of time. We developed information folders and various educational booklets on this topic. We started with video’s for the patients to have more clearness about what will producing a patient’s booklet on Chemotherapy and the main role happen to them. This process of development is still going on. It’s and organization of our ward to be given at each new patient also possible to have contact with fellow cancer patients before or during the first admission in our ward. After several months we after operation. By using a protocol and an information checklist carried out a survey amongst patients at the end of their treatment. we reduce the risk that the patient has not understood certain items We wanted to check whether the information given at the begin- or received conflicting information concerning the plan of treat- ning of their treatment had been of any use. The survey results ment. Two days before discharge, the nurse assigned to the patient gave us useful suggestions for our further information booklets and will go through a checklist with him/her. This is to be certain that leaflets: everything is clear before discharge, to evaluate if the nursing and – What Chemotherapy is and the role of nurses, doctors and doctors care, or other relevant factors were satisfactory, and patients; suggestions for improvements in the future. – Specific information on drugs used: Methotrexate, Vincristine, Ifosfamide, Cisplatin and Adriamicina; – How the school service work in our word; – What GCSF is, the practical procedures of using them and their side effect; H131 Nursing Care for Patients Treated with – The differences between Peripheral and Central Venous Chemotherapy for Bone Tumours the ‘Euro-Ewing 99’ Catheter; Protocol – The differences between intravenous and intrarterial therapy: E.D. Ouwerkerk The up dating of our booklets and leaflets is an ongoing process. Leiden University Medical Center, Leiden, The Netherlands In this paper we would like to discuss and compare methodologies and materials with colleagues who work in the same field. Since December 1999 patients in the Leiden University Medical Center are being treated with the so called ‘Euro-Ewing 99’ protocol. Before this protocol the patients were treated with 14 cycles of chemotherapy with or without radiation therapy. The new protocols main objective is to enlarge the 5 years survival rate. In the new protocol all patients receive 6 cycles of chemotherapy, H133 Wound Healing Deficiencies after Major Tumour (induction treatment) with no restrictions for stage of the disease. Operations The cycles are given once every three weeks. After these first 6 Lübben, K. cycles the patients undergo orthopaedic surgery also in our Uniklinikum Münster, Orthopädie Station, Münster, Germany hospital. After the surgery the treatment choice is to be determined on according to the response of the tumour to the chemotherapy. Wound healing deficiencies after tumour operations especially by The follow-up treatment consists of another 8 cycles chemo- patients who are immune deficient and also because of a reduction therapy with or without radiation or high dose chemotherapy with of the bed facilities, are often seen in our daily practice. Due to this peripheral stemcel transplantation. Patients often hear their diag- we now have experience with the principle of treating these nosis on the outpatient clinic from their orthopaedic surgeon or wounds. We use the procedure of ‘wet wound treatment’. During from their oncologist. The oncologist will inform the patients our presentation we would like to introduce our patients, their about their oncoming treatment and the side effects (informed surgical procedure and our daily practice with the specific wound consent) At our department of clinical oncology the patients treatment. We will present the principle, the products and how to receive the chemotherapy for which they are admitted to the put it into daily practice. We will make use of documented photos hospital for four days. The category of patients are mainly of wound deficiencies seen in some of our patients and the progress adolescents and young adults. The nurse will inform the patient made by the treatment throughout the healing process. MEDIATORS of INFLAMMATION The Scientific Gastroenterology Journal of World Journal Research and Practice Diabetes Research Disease Markers Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 International Journal of Journal of Immunology Research Endocrinology Hindawi Publishing Corporation Hindawi Publishing Corporation http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 Submit your manuscripts at http://www.hindawi.com BioMed PPAR Research Research International Hindawi Publishing Corporation Hindawi Publishing Corporation http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 Journal of Obesity Evidence-Based Journal of Journal of Stem Cells Complementary and Ophthalmology International Alternative Medicine Oncology Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 Parkinson’s Disease Computational and Behavioural Mathematical Methods AIDS Oxidative Medicine and in Medicine Research and Treatment Cellular Longevity Neurology Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation Hindawi Publishing Corporation http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014 http://www.hindawi.com Volume 2014

Journal

Sarcoma – Hindawi Publishing Corporation

Published: Jan 1, 2002

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