Managing Common Side Effects of Chemotherapy Debra Forman

Managing Common Side Effects of Chemotherapy Debra Forman, RN, BSN, OCN

Overview � Nausea and Vomiting � Taste and Smell � Constipation and Diarrhea � Neuropathy � Fatigue and Insomnia � Exercise, Skin Care � Survivorship

Nausea and Vomiting Types of Nausea Medications to combat Nausea › Acute � › Delayed › Anticipatory Compazine or Reglan � Kytril and Zofran � IV regime: Aloxie, Emend, Decadron, Benadryl � Additional Options: Ativan, Haldol, Marinol, Phenergan, Emend

Nausea and Vomiting Tips

Nausea and Vomiting: Options � Acupuncture � Acupressure Bands � Guided Imagery � Music Therapy � Ginger

Nausea and Vomiting: Congee Recipe Ingredients: � 1 cup uncooked Jasmine Rice � 10 cups water � 1 -2 carrots, chopped � 1 -2 stalks celery, chopped � 1 -2 servings protein (such as chicken, duck, tofu) � 5 -10 slices of fresh ginger Directions: � Bring rice to a boil and simmer for 30 minutes � Add carrots, celery, ginger and protein � Simmer 10 -15 minutes � Add seasoning, such as green onions, cilantro, sea salt and/or soy sauce � As the congee soaks after it is cooked, the rice will continue to expand by absorbing more water. � Each time you reheat, add more water

Taste

Taste: Tips � Use Magic Mouth wash › And avoid over the counter mouth washes � Rinse your mouth with Salt Water after meals � Use a soft Toothbrush

Smell � Lubricate with Ocean Nasal Mist

Diet Eat more of this: Eat less of this:

To beat the weight gain… � www. five 2 thrive. com › › › Spirit Movement Diet Rejuvenation Supplements

Constipation � Goal: to prevent painful fissures and hemorrhoids � Mush, Push and Gush � Stimulating laxatives: Ducolax, Senna, Doss, Miralax � Avoid Caster oil, Enemas

Hydrate, hydrate

Diarrhea � BRAT Diet › Bananas, Rice, Apple sause, Tea and Toast � Lomotil � Lactose Intolerance?

Avoid greasy, fried foods

Peripheral Neuropathy � Numbness, tingling, burning pain most common in fingers and toes � Suggestion: Glutamine Powder

Fatigue Why am I so tired? ?

Tips for Fatigue � Short Naps � Food is Fuel � Regular Bedtime � Daily Exercise � Ask a Buddy � Gum � Massage � Vanish the Vampires

Insomnia � Suggestions: › › › › › Cool, dark room Limit caffeine intake Warm bath Consider antidepressant Avoid spicy foods Layer clothing Void before bed Back rub Relaxing music

Exercise

Exercise � Tips: › Don’t expect instant results › Forget about your weight › Yoga › Find a walking buddy � Resources: › It’s not About the Bike, Lance Armstrong › It’s not about the Hair, Debra Jarvis

Skin: First Line of Defense � Lip Balm with Lanolin � Sunscreen � Eye drops � Replens

Skincare � Lotion, lotion � Hydrate, hydrate � Nail care › Burrow’s Solution � Make up

Turning a Corner Red Sunshine Kimberly Allison, M. D. Allison, K. Red sunshine: A story of strength and inspiration from a doctor who survived stage 3 breast cancer. Hobart, NY: Hatherleigh Press, 2011. 100 -101. Print.

Survivorship Treat yourself! Favorite Ice Cream Go Shopping Plan a Weekend Away

Thank you…