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Caring for the carersession three Managing treatment side effects.

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Presentation on theme: "Caring for the carersession three Managing treatment side effects."— Presentation transcript:

1 Caring for the carersession three Managing treatment side effects

2 Disclaimer: This material is published by Queensland Health and Mater Misericordiae Health Services Brisbane Limited (Mater) with the intention of providing information of interest. It is not intended to be a substitute for specific professional or clinical advice. Information may contain or summarise the views of others, and not necessarily reflect the view of Queensland Health or Mater. Although Queensland Health and Mater endeavour to publish accurate information, there is no guarantee that this information is up-to-date, complete or correct, and it must not be relied upon without verification from an authoritative source. Queensland Health and Mater do not accept any liability incurred by use of or reliance on this information.

3 Managing treatment side effects

4 Side effects all treatments cause side effects of some type side effects depend on which organ is being affected by the treatment in question your loved one will not experience all the side effects we discuss in this talk side effects are experienced by each individual according to their own health and sensitivities.

5 Fatigue

6 Strategies to help education exercisegentle and building activity and rest patterns nutrition and hydration consult health professionals if problem continues.

7 Cognitive changes

8 Symptoms of chemo brain difficulty concentrating memory loss inability to think clearly word finding difficulties taking longer to complete tasks that were once quick and easy to do difficulty with new learning.

9 Help with cognitive changes discuss memory and thinking changes openly with your loved one suggest keeping a journal of chemobrain symptoms to discuss with their doctor suggest asking the doctor if chemobrain symptoms could be related to anything that could be easily treated.

10 Help with cognitive changes encourage good nutrition, exercise and sleep encourage use of memory promptsdiaries, calendars, lists, memory boxes encourage memory exercises refer to Managing treatment side effects fact sheet for further strategies.

11 Mouth problemsmucositis inflammation of lining of mouth and throat can cause painful ulcerated lesions with bleeding and infection can make it difficult to swallow, eat and drink temperature should be monitored four hourly report any elevation near 38 o C if over 38 o C come into hospital.

12 Strategies to help education encourage oral care: –bland mouth washes –brush teeth with soft toothbrush and gentle toothpaste –remove and brush dentures –flossing pain control assist with dietary modification.

13 Dietary tips for sore mouth ensure food is soft and soothing encourage person to keep mouth moist avoid offering: –irritating, acidic foods and juices –spicy or salty foods –rough or dry foods refer to Help with eating and drinking problems and Sore mouth and throatwhat can I eat? fact sheets.

14 Mouth problems Xerostomia (dry mouth) encourage person to keep mouth moist and clean increase water intake no lemon/glycerine swabs or alcohol mouthwash refer to Eating and Drinking Problems fact sheet.

15 Mouth problems taste changes encourage good oral hygiene offer new foods and flavour combinations sauces, gravies and marinades to add flavour use straws to bypass taste buds try other sources of protein if red meat tastes strange.

16 Mouth problemsoral thrush fungal infection of the mouth side effect of chemotherapy or antibiotics common if white blood cell count is low and mouth is dry can cause: –oral discomfort –bad taste in mouth –decreased oral intake.

17 Strategies to help encourage good oral hygiene assist with taking anti-fungal medication encourage fluids and keeping mouth moist encourage removal of dentures when medication is used discourage eating or drinking for 15 to 20 minutes after application.

18 Vaginitis or Enteritis wash bottom area thoroughly after every toilet visit may require salt baths if area becomes inflamed discourage sexual intercourse whilst these membranes are inflamed.

19 Nausea, vomiting and retching nauseafeeling sick in your stomach vomitingthrowing up stomach contents retchingunproductive involuntary motion of vomiting

20 Strategies to help education relaxation and stress management previously useful strategies reduce smells and noises offer small frequent meals medications as prescribed.

21 Problems with eating dysphagiadifficulty swallowing mouth problems: –mucositis –taste alterations –Xerostomiadryness of mouth –oral thrush Cachexia weight gain from treatments anorexiaabnormal loss of desire to eat

22 Tips to avoid weight loss small regular meals and snacks avoid too much fluids with meals nutritious high energy foods and drinks.

23 High energy, high protein food

24 Constipation excessively hard and dry bowel movements often with abdominal and rectal pain may be from: –reduced physical activity, lack of time or privacy for toileting, low amount of fibre and/or fluid in the diet –complications of disease or treatment.

25 Strategies to help educationdiet, perianal hygiene, relaxation, increase physical activity if possible watch for fatigue and weakness exerciseassist with mobility and daily routine as needed monitor intake and output and consult health professionals if problem continues.

26 Diarrhoea increase in stool volume, frequency, or fluid contentdifferent to usual pattern may be result of disease, infection, diet, treatment.

27 Strategies to help education watch for fatigue and weakness assist as needed watch intake and output medications if diarrhoea does not settle, or pain, or change in contentsseek medical advice.

28 Blood changesanaemia Reduced amount of red blood cells circulating in the body which decreases the amount of oxygen in the system.

29 Strategies to help educationsigns and symptoms, treatment plan, self-care strategies: –nutrition –patterns of activity and rest –adequate sleep –self-administration of any medications health professionals for blood transfusions as needed.

30 Blood changesneutropenia white cells are part of the immune system. Neutrophils are one of the white cells health professionals watch the neutrophil count as a low count means the person is at risk of infection neutropenia is a low neutrophil count.

31 Strategies to help education if friends/family illshould not visit strict hand washing and food safety no fresh flowers/plants wear gloves and a mask when gardening shopping check temperature consult health professionals.

32 Blood changesthrombocytopaenia low platelet count risk of bleeding.

33 Strategies to help see health professionals to check blood counts may require platelet transfusion if the count is really low or if bleeding occurs avoid activities where cuts, bumps, scrapes may occur.

34 Pain unpleasant sensory and emotional experience may be actual or possible tissue damage pain is whatever the person who is experiencing it says it is, and exists when they say it does not everyone with cancer experiences pain.

35 Strategies to help pain relief note pain that does not settle and report note when pain does occur note relief measures that work at times eating and drinking.

36 Alopecia Hair loss –range in severity –other sites –not all drugs cause this.

37 Strategies to help education wigs, scarves, hats, caps, turbans hair regrowth may differ scalp care hat/head covering Look Good Feel Better programThe Cancer Council Queensland

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