Welcome to Chemotherapy Class With your Oncology Nurse and Social - - PowerPoint PPT Presentation

Welcome to Chemotherapy Class

With your Oncology Nurse and Social Worker

Oncology Department 7300 North Fresno Street Fresno, Ca 93720

www.kp.org/mydoctor/fresno/cancer

KA KAISER PERMANENTE Fresno

Kaiser Permanente Fresno

March 17, 2020 Kaiser Permanente San Francisco

Group Class Confidentiality Agreement

• Privacy is a concern for everyone in a

group class. Each participant wants what is said in the group to be treated with respect and complete discretion. Along with Kaiser Permanente’s commitment to foster respect for all in the class, each participant also has a responsibility to respect and protect each other’s privacy.

• Please share useful general

information outside of the group, but what you hear and learn about individual group members should stay here.

PHONE NUMBERS

Kaiser Permanente Fresno

Fresno Oncology Department 559-448-4475 Press 1 Department Hours Press 2 Non-Urgent- Return call w/in 24 hours Press 3 Prescription Refills Press 4 Chemo Scheduling Line

Emergency 911 After Hours Advice RN 559-448- 4555 When leaving a message include:

Name, Medical Record #, Call back #

Medical Social Worker 559-448- 5361

Infusion Center 559-448-4277

M-F 8:30am-6pm

WHAT TO EXPECT ON YOUR VISIT

Page 12-13

Kaiser Permanente Fresno

Before:

• Go to the laboratory 2 days prior to your

appointments (not including your 1st appt)

• Take your premedication(s), if prescribed
• Arrive 10 minutes before your scheduled

appointment time

• Do not cancel appointments online, please

call us directly

What to wear and bring:

• Wear comfortable/loose fit clothing
• Snacks or a meal (excluding tuna or other strong smells)
• Personal entertainment (e.g. book, music, knitting

supplies, etc.)

• 1 visitor

WHAT TO EXPECT ON YOUR VISIT

Kaiser Permanente Fresno

• Register in the Oncology Department
• Assessment
• Weight, vital signs, and checking

for symptoms

• About a 30 minute wait for

pharmacy

• A RN will let you know as soon as

your medication is ready

• You will be informed of your

appointment length when scheduled

• At the end of your visit you will

receive an after visit summary that includes a calendar, medication you received and medication prescribed.

Example of a first day:

WHAT IS CHEMOTHERAPY?

Page: 3

Kaiser Permanente Fresno

Chemotherapy is a type of cancer treatment that uses drugs to destroy cancer cells.

• Stops or slows the growth of cancer

cells

• Attacks rapidly growing cells
• Can also harm healthy cells

Goals

• Control
• Cure
• Relieve/Palliate symptoms

A tumor is forming

Kaiser Permanente Fresno

Intravenous Oral

Examples of administration:

HOW IS CHEMOTHERAPY GIVEN?

Pages: 7-8

Injection Intravenous Pills

EFFECT OF CHEMOTHERAPY ON BLOOD CELLS

Kaiser Permanente Fresno

White blood cells (WBC): help fight infections

• When the WBC is below normal you are at higher risk for

infection

• Avoid people who are ill
• Practice good hygiene (especially handwashing)
• Signs of infection
• Temperature of 101°F or temperature over 100.4°F

sustained over one hour

• Chills or shaking with or without fever
• New or worsening cough
• Sore throat
• Pain or burning during urination

Please report any signs of infection or fever

Kaiser Permanente Fresno

EFFECT OF CHEMOTHERAPY ON BLOOD CELLS

Platelets: help blood to clot

• Low number of platelets can cause bleeding
• Signs of bleeding:
• Unexpected or sudden bruising and bleeding
• Black tarry stool
• Report any excessive bleeding or bleeding that

continues for more than 10 minutes despite applying direct pressure

• Alcohol can increase blood thinning. Avoid

consumption throughout treatment.

Red blood cells (RBC): carry oxygen

• Low RBC can cause anemia and fatigue
• Report any chest discomfort, shortness of breath, or

dizziness immediately

Kaiser Permanente Fresno

SIDE EFFECTS THAT YOU MAY EXPERIENCE

Hair Loss

Page: 24

Mouth Sores

Page: 22

Kaiser Permanente Fresno

SIDE EFFECTS THAT YOU MAY EXPERIENCE

Nausea/Vomiting

Pages: 21

• Small frequent meals
• Eat toast, crackers and clear

fluids

• Avoid sweets, spicy, fried and

fatty foods

• Eat a light meal before

treatment

• For more nutrition tips see

page 26

Kaiser Permanente Fresno

SIDE EFFECTS THAT YOU MAY EXPERIENCE

Constipation

Pages: 27-28

Diarrhea

Page: 25

Constipation

• Increase fiber and fluids

Diarrhea

• BRAT: Banana, Rice, Apple Sauce,

Toast

• Increase fluids – clear is best

For more nutrition tips see pages 14-15

SIDE EFFECTS THAT YOU MAY EXPERIENCE

Kaiser Permanente Fresno

Peripheral Neuropathy

Page: 26

Skin Dryness/Sensitivity

Page: 23

Fatigue

Pages: 19-20

Kaiser Permanente Fresno

OTHER POTENTIAL SIDE EFFECTS

Insomnia

Page: 21

Depression

Pages:20-21

Sexual Changes

Page: 26

Kaiser Permanente Fresno

OTHER CONSIDERATIONS

Flu Shot

Page: 14

Dental Work

Page: 22

Kaiser Permanente Fresno

NUTRITION

Healthy Balanced Meal

Pages: 14-15

Maintaining Weight

Pages: 14-15, 26

Supplements Page: 31

ITEMS TO HAVE AT HOME

Kaiser Permanente Fresno

Thermometer Soft toothbrush and Sensitive toothpaste Calendar with Symptom Notes Sunscreen SPF 30 or more Electrolyte Supplement Pedialyte and/or Powerade Docusate sodium and Imodium AD Tylenol Rapid Release

Kaiser Permanente Fresno

Support Resources

March 17, 2020 Kaiser Permanente San Francisco

Support Services:

• Practical Services
• Financial Assistance
• Time off work for patient and

caregivers

• Transportation
• Help at home
• Nutrition
• Emotional Support
• Individual Counseling
• On-Line Support and Resources

Contact Medical Social Worker for the services above. 559-448-5361

March 17, 2020

Other Resources at Kaiser Permanente Fresno:

Pages: 29-34

• Cancer Support Groups- 559-448-5361
• Hear from other patients
• Registration required
• Health Education Department- 559-448-4415
• Mind-Body Stress Classes
• Life Care Planning
• Organizations and Websites
• www.kp.org/mydoctor/fresno/cancer

March 17, 2020

Any Questions? Please call Oncology Dept 559-448-4475 Option 2