Chemotherapy can also damage the cells that line mucous membranes throughout the body, including those inside the mouth, throat and stomach. This article describes a nurse-led project that consisted of developing bespoke management guidelines covering the main immune-related adverse events (irAEs) seen in patients treated with immunotherapy. Sign Up to Receive Our Free Coroanvirus Newsletter, How to Manage Side Effects of Chemotherapy, Chemotherapy Side Effects - Tips for Managing Chemotherapy Side Effects, Liver Cancer: Symptoms, Tests, and Treatments. Guidance for PPE use in the COVID-19 pandemic. Learn about steps you can take to prevent or manage the side effects listed below: Anemia; Appetite Loss Luckily, these cells can be Sometimes you may need to try different drugs until you find one that helps you the most. If you think you'd want a wig, shop for it before you lose your hair. Red meat may taste different to you. Eat five or six small meals rather than three big ones. Already a member? National Cancer Institute: "Nausea and Vomiting;" "Hair Loss;" "Skin and Nail Changes;" and "Fatigue." © 2020 Wolters Kluwer Health, Inc. and/or its subsidiaries. Abstract: Chemotherapy services in the UK have been the subject of national policy directives for the past decade. So for example, doxorubicin or sometimes called Adriamycin as a super common chemo given for lots and lots of things, it turns the patient’s urine red, orange. To allow for easy reference, a tabular format is used to present systematically organized adverse reactions related to cancer chemotherapy. Cutting your hair short may make it look thicker and fuller. Immunotherapy is a relatively new type of treatment in cancer services and its side-effects are still unfamiliar to staff. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts. To manage so-called âchemo brain,â try these tips: Some, but not all chemo treatments, can lead to hair loss. Some people feel short-term mental fog after treatment. Damage to healthy blood cells can lead to side effects such as fatigue or infection. Use a sweet marinade to help bring flavor to your main dish. Targeted Therapy Side Effect Management. CHEMO-SUPPORT is a nursing intervention aimed at reducing symptom burden of chemotherapy using coaching, brochures, and access to online or on-call nursing services. Cancer Care: "Possible Side Effects of Chemotherapy" and "Combating Chemo Brain. Side effects are problems that occur when treatment affects healthy tissues or organs. Implications concerning adverse drug reactions consists of precise information regarding nursing interventions and the rationale for implementation. After chemotherapy, use soft-bristle brushes. Apple juice, tea, and flat ginger ale may help. Talk to your doctor about the best anti-nausea drug for you. This can lead to mouth sores, diarrhea or other issues with the digestive system. Your scalp may feel tender and dry. Try these tips to help manage some common side effects. Drink an hour before or after meals rather than when you eat. Introduction. Feel Your Best During Treatment for Breast Cancer, How to Manage Your Emotions During Chemotherapy, Alternative Therapies for Chemo Side Effects. Instruct patient to seek medical attention immediately to rule out an allergic reaction, Use sunscreen at all times when outdoors due to increased susceptibility to sunburn, Wear protective gloves for gardening and house cleaning, Chemo may affect or damage the bladder and kidneys, Chemo can cause a change in the color or smell of urine, Monitor for signs of urinary tract infection: pain, burning on urination, red or cloudy urine, fever, back or abdominal pain, inability to urinate, Encourage patient to drink a minimum of 8 cups of fluid each day and avoid caffeine, alcohol and tobacco, Chemo may induce hormonal changes and alter adipose tissue causing insulin resistance (Shapiro, 2019), Encourage a proper diet and physical activity, Teach patient to salt intake and high-calorie foods, Encourage high-calorie and high-protein foods including snacks, Administer antiemetics and antidiarrheals as needed. vaginal gels, creams, lubricants), Teach patient to perform Kegel pelvic muscle exercises, Advise patients to use condoms to prevent partner exposure to chemo in vaginal fluids, Non-estrogen treatments: gabapentin, selective serotonin reuptake inhibitors (SSRI) and selective serotonin norepinephrine reuptake inhibitors (SSNRIs) (Shapiro, 2019), Discuss fertility preservation options (egg or embryo cryopreservation), The cause is unknown but there may be a toxic or allergic basis. That way, you can better match it to your hair. Damage to healthy blood cells can lead to side effects such as fatigue or infection. So the patient needs to know the difference between expected side effects and unexpected side effects. Use a daily planner to help you manage -- and remember -- appointments, names, addresses, numbers, and to-do lists. Side effects are unpredictable and depend on the type of chemo drug a person is using. Stay out of direct sunlight, especially when the sun's rays are the strongest (between 10 a.m. and 4 p.m.). Chemotherapy or “chemo” medications may cure cancer, decrease relapse rates, and shrink tumors that cause pain and other symptoms (National Cancer Institute [NCI], 2015). Chemotherapy can prolong a person’s life, and potentially rid them of cancer. If you just can't shake the feeling of being tired, check with your doctor. Wash it with mild moisturizing shampoos and conditioners, and apply gentle lotions.