New Patient Chemotherapy Class What you need to know Class video - - PowerPoint PPT Presentation

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new patient chemotherapy class what you need to know
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New Patient Chemotherapy Class What you need to know Class video - - PowerPoint PPT Presentation

Jul 27, 2023 430 likes •530 views

Today well talk about How chemotherapy works How to prevent and manage side effects What to do if you get side effects What to expect when you come in for treatment New Patient Chemotherapy Class What you need to know Class

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New Patient Chemotherapy Class What you need to know

A class for new patients having chemotherapy

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Last updated: September 1, 2017

Class video available online: http://bit.ly/SMRCPchemoclass

(weblink is case sensitive)

Today we’ll talk about

  • How chemotherapy works
  • How to prevent and manage side effects
  • What to do if you get side effects
  • What to expect when you come in for treatment

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Your supportive care team

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We are here for you!

Call 705-728-9090 x 43520 to meet with us. See flyer in your new patient package for more details,

  • r visit www.rvh.on.ca

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How does chemotherapy work?

  • Chemotherapy works by killing fast growing cells (cancer

cells and healthy cells)

  • Side effects happen because healthy cells are affected
  • Time between treatments allow your healthy cells to

recover

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Dry mouth Mouth sores Nausea Vomiting Diarrhea Constipation (Digestive system) Low blood cell counts Sexual health changes (reproductive system) Hair loss/changes Fatigue (blood cells)

Possible side effects of chemotherapy

Chemotherapy affects fast growing cells

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When do side effects start? How long do they last?

  • Side effects can happen any time during your treatment:

immediately, or up to days afterwards

  • They will slowly disappear when treatment is over and

your healthy cells start to recover

Remember: Each person reacts differently to chemotherapy You may not get these side effects

What to do when you have signs & symptoms: Call the symptom management phone service

Business hours Monday – Friday 8:00 am – 3:30 pm Cancer Centre Symptom Support

(provided by the Simcoe Muskoka Regional Cancer Centre team)

705-728-9090 x79565

  • Leave a message

After hours Monday – Friday 6:00 pm – 8:00 am Weekends and holidays 24 hours CAREpath

(provided by Bayshore HealthCare Ltd)

1-877-681-3057

  • Have your Patient Info

Sheet ready

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Symptom management phone service: what to expect

Cancer Centre Symptom Support

  • 1. Leave a message
  • 2. Triage clerk will call you

back to get more info

  • 3. A nurse will assess how

you’re feeling and help you with your symptoms

  • 4. You may be asked to

come to the Toxicity Assessment Clinic (Level 3, Cancer Centre) CAREpath

  • 1. A nurse will assess how

you’re feeling and help you with your symptoms

  • 2. You will need your

Patient Info Sheet

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What to do when you have signs & symptoms

Use the My Health Diary

  • Keeps track of how you’re feeling
  • Helps us understand your symptoms better
  • Copies in Level 2 waiting room and www.rvh.on.ca

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Low blood cell counts

  • Blood cell counts include:

– Red blood cells – White blood cells – Platelets

  • Your blood cell counts will be

checked before each chemo treatment

  • The blood cell counts must be

at a safe level for you to receive treatment

  • If the counts are not at a safe

level, we will delay your treatment until it is safe

Low white blood cell counts – what to do

Goal: prevent infections

  • Have a thermometer – check your temperature when

you feel unwell

  • Wash your hands often
  • Stay away from people who are not feeling well
  • Keep skin clean and healthy

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Fever

Temperature above 38.3ºC (100.9ºF) OR Above 38.0ºC (100.4ºF) for longer than an hour

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If you get an infection – what to do

Call Cancer Centre Symptom Support or CAREpath You can also try: Walk-in clinic Your family doctor Nearest emergency

Non-emergency issues:

White patches/coating in mouth Unusual sweating Diarrhea Burning feeling when urinating Severe cough/sore throat Chills

Call Cancer Centre Symptom Support or CAREpath Go to nearest emergency if

  • utside of phone hours

Bring Fever Card

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Fever Card

You will receive this card on your first day of treatment. Important! Show this card each time you need to go to emergency You can go to the emergency department closest to your home and you can still use this card. Please note: You still have to wait your turn in the ED. You may be asked to wear a mask while waiting.

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Fatigue (feeling tired)

  • Most common side effect

For help with fatigue:

  • One-on-one help with

dietitian – call 705-728-9090 x43520 to sign up

  • Watch video:

http://www.reframehealthlab. com/cancer-fatigue/

  • Book in Level 2 waiting room

and www.rvh.on.ca

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Nausea and vomiting

  • Nausea and/or vomiting can

happen after chemo treatment

  • r a few days after.
  • If your treatment is likely to

cause nausea and/or vomiting, we will give you medications to prevent/control it.

  • Book in Level 2 waiting room

and www.rvh.on.ca If your anti-nausea medication isn’t working, call 705-728-9090 x79565 (Symptom Line)

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Tips on preventing nausea and vomiting

Drinking tips

  • Get enough fluids
  • Try: water, decaf tea, juice, jello, soup, popsicle,

Gatorade

  • Drink small amounts more often
  • Limit caffeine and alcohol

Instead of: 1 big glass of water all at once Try: sips of water throughout the day

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Tips on preventing nausea and vomiting

Eating tips

  • Eat small, frequent meals
  • Avoid sweet, fried or fatty foods
  • Try to avoid odors that bother you
  • Eat a light meal before your treatment

Instead of: a big meal Try: eating smaller amounts throughout the day

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Diarrhea and constipation

  • Diarrhea – watery/loose bowel

movements

  • Constipation - when your stools are

hard/dry and difficult to pass

  • Talk to us if you have any changes or

problems with your bowel routine

  • Books in Level 2 waiting room and

www.rvh.on.ca

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Oral health tips

  • See your dentist before starting chemo, if possible
  • Tell your oncologist or nurse before you have any dental

work

  • Brush your teeth and gums with a soft toothbrush after

every meal. Rinse toothbrush after use.

  • Use salt and baking soda water rinse 4x per day
  • Avoid commercial mouthwashes that contain alcohol

1 L of water 1 teaspoon salt 1 teaspoon baking soda

+ +

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Hair loss

  • Hair loss can occur on all areas of the

body.

  • Your hair may thin or fall out

completely depending upon what type

  • f chemotherapy you are receiving
  • Ladies and Gents: ask us about hair

prosthesis services in your community

  • Ladies: attend a Look Good

Feel Better session Call 705-728-9090 x43309 to register

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Let’s talk about sex…

  • It’s okay to have sex while on treatment
  • Practice safe sex: avoid pregnancy
  • Avoid all body fluid contact from your loved one on

chemo for 48 hours – E.g. urine, stool, blood, vomit, semen and vaginal fluid – Use a condom (free condoms at the chemo clinic)

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We’re here to help!

Ask Us About

Sex!

SHIC Clinic Private, confidential and professional support. Book an appointment: 705-728-9090 x43520 Group classes Call 705-728-9090 x43520 for upcoming sessions/register Books in waiting areas

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How to prepare for your treatment

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What to bring for your chemo visit

  • New Patient Package
  • Patient Info Sheet
  • Health Card
  • Appointment Sheet
  • List of medications
  • List of questions for your Care

Team

  • My Health Diary
  • Lunch/snacks
  • Earphones
  • No pets
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What to tell us

  • Changes to your medications

– Prescription medications – Herbal medications – Naturopathic remedies – Over-the-counter medications

  • Changes to/new allergies
  • Any cancer-related symptoms
  • Other hospital or emergency department (ED) visits

(since we last saw you)

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The 2-day system at the Regional Cancer Centre (RVH)

Check-Up Day

  • 1. If doing bloodwork at Cancer

Centre, come 2 hours before doctor appt time

  • 2. Register with a clerk on

Level 2 – Ask for a pager

  • 3. Have bloodwork done
  • 4. Complete symptom screening
  • 5. Assessment by a nurse
  • 6. See your oncologist

Treatment Day

  • 1. Come 15 mins before appt

time

  • 2. Register on Level 3
  • 3. Receive your chemotherapy

treatment

Symptom screening kiosk Video showing the 2-day system at RVH:

http://bit.ly/SMRCPchemotour1

Symptom Screening

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When: at each visit with a care

provider (e.g. doctor, nurse, social worker, dietician) Using kiosk Using tablet

Why?

  • Helps us manage your care
  • Track how you are feeling
  • Help you with your symptoms

early We see it in your electronic chart. Speak to us if your symptoms are not getting addressed.

Helpful tips from patients and caregivers

Brought to you by:

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Helpful tips

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Need a ride?

Canadian Cancer Society Wheels of Hope volunteer driver service $100 - $200 flat rate 1-800-263-6750

Buy multi-use parking pass at RVH

10-day pass $80 Visit the RVH parking office

  • r a pay station

Save your receipts and keep a travel log for tax time. Tired of driving?

Stay at the Rotary House Cancer Lodge at RVH $15/night call 705-739-5662

  • r visit www.rvh.on.ca

Thank you! Questions?

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For more information:

Online videos

Supporting You Through Chemotherapy Class (27 mins)

  • http://bit.ly/SMRCPchemoclass

Cancer Centre tour & 2-day system for chemo (6 mins)

  • http://bit.ly/SMRCPchemotour1

Tips from your fellow patients (5 mins)

  • http://bit.ly/SMRCPchemotips

Other online resources:

Simcoe Muskoka Regional Cancer Centre www.rvh.on.ca Canadian Cancer Society www.cancer.ca Cancer Information Services hotline, Peer Support, and list of Community Services 1-888-939-3333