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8/3/2019 Health Education Piza
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CHEMOTHERAPY
PATIENTS
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COPING WITH CHEMOTHERAPYEach person with difference
experiences
Different chemotherapy, different
side effect
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EMOTIONAL SUPPORT
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BEFORE INITIATING CHEMOTHERAPY EMOTIONAL SUPPORT:
All patients with cancer struggle with
the challenges of coping and adjustingto these life changing event.
family members, friends or relativesproviding moral support.
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FEVER AND INFECTIONPRACTICAL HINTS
o If any infection associated symptomsdevelops, seek immediate medical
attention. prevent infection- making a habit of
frequent hand wash
Avoid from people with underlyingillnesses e.g- flu, chicken pox.
Avoid public/ minimize outdoor related
activities
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NAUSEA
Antiemetics or anti-nausea drugs are
used to prevent and treat nausea andvomiting
Before the chemotherapy appointment,consume small portion of meals
Drink plenty of fluids. Herbal teas, fruit
juices e.g- apple, grape juice.
Minimal ingestion of fluids and food, butfrequent .
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CONT
Take mints/ candies
Do not immediately sleep or lie flat post
meal.Avoid sweet, fried, fatty foods.
Avoid odors that are unappealing
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FATIGUE
A common symptom. May get worse withrepetitive cycles of chemotherapy.
Balance between activity and rest. Try to
maintain your everyday activities. The fatigue will spontaneously resolve
after completing chemotherapy.
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HAIR LOSS ( ALOPECIA )
Occurs two to three weeks after startingchemotherapy.
Variety degree of hair loss
cover your head with a wig, scarf, orturban, or you may not want to cover yourhead at all.
Use mild shampoo & conditioner tomaintain skin & hair moisture.
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CONT
Limit the use of hairdryers, curling irons& chemicals e.g perms, highlights
Before possible hair loss, some peoplelike to cut their hair short.
Put a towel over your pillow so that cleanup in the morning will be easier while you
are shedding your hair.
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CONT
Hair regret expected after completingchemotherapy
Two to three months
Slight different in hair : colour
texture
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DIARRHEA OR CONSTIPATION
DIARRHEAMote than three or four watery stools in
24 hours.
Consume low-fiber foods such as whitebread, noodles, rice.
Drink 8-12 glasses of water a day.
Avoid milk products & foods that aredifficult to digest e.g. cabbage, broccoli,corn & spicy food.
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CONSTIPATION
Drink more fluid in a day to preventconstipation.
Stay as active as you can. Consistentregular exercise can reduce constipation.
Consume low- fat, high fiber diet e.g.fruits & vegetables,
Medications e.g. daily stool softener/laxatives
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MUCOSITIS /STOMATITIS
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MUCOSITIS
Mouth sores and discomfort Practical Hints for Mouth Sores:-
Brush teeth with a soft toothbrush three
times daily.Rinse mouth with a solution of one
teaspoon of salt, diluted in a glass of
warm water, three or four times daily.
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CONT
Eat foods cold/room temperature. Eat soft e.g. ice cream, milkshakes,
mashed potatoes, yogurt.
Avoid irritating, acidic foods, juices e.gorange, lemon, spicy foods.
Suck on ice chips/ sugarless hard candy.
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NEUROPATHY
Tingling and burning, numbness or painin the affected areas, loss of your senseof position .
In cases of fingers numbness, be carefulwhen grasping sharp objects.
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MENOPAUSE & SEXUALITY
may temporarily stop your periods orresult in permanent menopause
Depend on the type of chemotherapyadministered.
Symptoms such as hot flashes,decreased libido, vaginal dryness,mood changes and sleepingdisturbances.
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CONT
Practical Hints for Menopausal Symptoms:-
take vitamin E (400 units only) to reduce
hot flashesUse vaginal moisturizers on a regular
basis or other water-based lubricants as
needed, especially during and beforesexual activity.
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SKIN & NAILS EFFECTS
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SKIN & NAILS EFFECTS
Nails- darkened, develops vertical lines. Skins redness, rashes & dryness.
Sunlight sensitivity- wear sunscreen SPF
>15Avoid direct sunlight.
Wear long sleeve cotton shirts
Use lip balm.
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THANK YOU