Nursing Care for Colorectal Cancer Patients Undergoing Chemotherapy
Keywords:
colorectal cancer patients, nursing care, chemotherapyAbstract
Victims of colorectal cancer are primarily asymptomatic; thus, most patients often go to see the doctor at a late stage of prognosis. The main treatment of colorectal cancer is surgery. However, cancer cells have likely spread to other parts of the body by this late stage of cancer. Chemotherapy plays a major role after surgery in terms of removing existing cancer cells and increasing the survival rate. During chemotherapy, patients have suffered with physical and mental health problems. Nurses on these health care teams are expected to play a major role of caring and having essential knowledge about chemotherapy administration following Thailand’s Nursing and Midwifery Council protocols, and should also be empathetic with patients undergoing chemotherapy based on the ethics of humanized health-care. This article presents nursing care in terms of pre-chemotherapy, intra-chemotherapy and post-remission stage.
References
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25. National Institutes of Health. Long term effect of oxaliplatin treatment in cancer survivors (PREVOX) [Internet]. 2016 [cited 2020 Jun 26]. Available from: https://clinicaltrials.gov/ct2/show/NCT02970526?id=NCT02970526&draw=2&rank=1&load=cart
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30. Wongpimoln B. Experiences of being nurses working at chemotherapy inpatient unit [Master Thesis of Nursing Science]. Bangkok: Chulalongkorn University; 2016. (in Thai)
31. Neuss MN, Gilmore TR, Belderson KM, Billett AL, Conti-Kalchik T, Harvey BE, et al. 2016 Updated American society of clinical oncology/oncology nursing society chemotherapy administration safety standards, including standards for pediatric oncology. J Oncol Pract 2016;12(12):1262-71.
32. O'brien C, O'Kane C, Cancer Therapy Medication Safety Working Group. COSA guidelines for the safe prescribing, dispensing and administration of systemic cancer therapy [Internet]. 2020 [cited 2020 Jun 25]. Available from:
https://wiki.cancer.org.au/australia Clinical_question:What_information_and_assessments_are_required_prior_to_administering_cancer_therapy%3F
33. Thamnipha P. Nursing guide: chemotherapy for ovarian cancer patients [Internet]. 2015 [cited 2020 Aug 1]. Available from https://www2.si.mahidol.ac.th/division/nursing/sins/attachments/article/221/sins_nursing_manual_2558_09.pdf (in Thai)
34. Provincial Health Services Authority. BC CANCER. Symptom management guidelines: fever and neutropenia [Internet]. 2018 [cited 2020 Jun 27]. Available from: http://www.bccancer.bc.ca/nursingsite/Documents/7.%20Fever%20and%20Neutropenia.pdf
35. Chanthawong S. Prevention of chemotherapy-induced nausea and vomiting.Srinagarind Med J 2019;34(1):115-26. (in Thai)
36. Provincial Health Services Authority. BC cancer. Symptom management guidelines: nausea and vomiting [Internet]. 2018 [cited 2020 Jun 27]. Available from: http://www. bccancer.bc.ca/nursing-site/Documents/11.%20Nausea%20and%20Vomiting.pdf
37. Drug Information Center Lumphun. Saline solutions - baking powder relieve oral mucositis in patients with chemotherapy [Internet]. 2019 [cited 2020 Aug 10]. Available from: http://www.lpnh.go.th/newlp/wp-content/uploads/2013/10/DIS_news-25-2561.pdf (in Thai)
38. Provincial Health Services Authority. BC cancer. Symptom management guidelines: oral mucositis [Internet]. 2019 [cited 2020 Jun 27]. Available from: http://www.bccancer.bc.ca/nursing-site/Documents/12.%20O ral%20Mucositis.pdf
39. Prasertsri N., Kaewmanee C, Khantichitr P, Teeyapan W, Smith EML, Wamalun C, et al. Chemotherapy-Induced Peripheral Neuropathy (CIPN): A Cross-Sectional Study in Cancer Patients. Nursing Public Health and Education Journal 2017;18(3):52-62. (in Thai)
40. American Cancer Society. Managing peripheral neuropathy [Internet]. 2019 [cited 2020 Jun 27]. Available from: https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/peripheral-neuropathy/managing-peripheral-neuropathy.html
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42. Pandiselvam R, Manikantan MR, Beegum S, Mathew AC. Virgin coconut oil infused healthy cosmetics. Indian Coconut Journal 2019;30-32.
43. Provincial Health Services Authority. BC cancer. Symptom management guidelines: chemotherapy – induced peripheral neuropathy (CIPN) [Internet]. 2018 [cited 2020 Jun 27]. Available from: http://www.bccancer.bc.ca/nursing-
site/Documents/15.%20Peripheral%20Neuropathy.pdf
44. Piriyakoontorn S, Balthip Q, Naka K. Experiences of the rural elderly with chronic illnesses in applying the Buddha’s teachings to their life. Songklanagarind Journal of Nursing 2014; 34(2):39-52. (in Thai)
45. Hansasiripoj B. Development quality of life index: happiness. Journal of Politics, Administration and Law 2013;5(1):107-29. (in Thai)
46. Tian D, Tian M, Han G, Li JL. Increased glucocorticoid receptor activity and proliferation in metastatic colon cancer. Sci Rep 2019;9(1):11257.
47. Worasiri J. The factors predicting postoperative recovery after colon resection surgery among cancer patients [Master Thesis of Nursing Science]. Pathum Thani: Thammasat University; 2016. (in Thai)
2. Ministry of Public Health, Strategy and Planning Division. Public health statistics A.D. 2018 [Internet]. 2018 [cited 2019 Nov 1]. Available from: http://bps.moph.go.th/ new_bps/sites/default/files/statistic%2061.pdf (in Thai)
3. Brouwer NPM, Bos ACRK, Lemmens VEPP, Tanis PJ, Hugen N, Nagtegaal ID, et al. An overview of 25 years of incidence, treatment and outcome of colorectal cancer patients. Int J Cancer 2018;143(11):2758–66.
4. Chulalongkorn Comprehensive Cancer Center, King Chulalongkorn Memorial Hospital. KCMH Tumor registry: Annual report 2014. vol. iv. Bangkok: Chulalongkorn University Press; 2019. (in Thai)
5. Chulalongkorn Comprehensive Cancer Center, King Chulalongkorn Memorial Hospital. KCMH Tumor registry: Annual report 2015. vol. v. Bangkok: Chulalongkorn University Press; 2019. (in Thai)
6. Chulalongkorn Comprehensive Cancer Center, King Chulalongkorn Memorial Hospital. KCMH Tumor registry: Annual report 2016. vol. vi. Bangkok: Chulalongkorn University Press; 2019. (in Thai)
7. Panjan W, Sukarayodhin S, Chaiwerawattana A, Imsamran W, editors. Guideline for screening diagnosis and treatment of colorectal cancer. Bangkok: National Cancer Institute; 2015. (in Thai)
8. American Cancer Society. Colorectal cancer risk factors [Internet]. 2020 [cited 2020 Jun 25]. Available from: https://www.cancer.org/cancer/colon-rectal-cancer/causes-risks-prevention/risk-factors.html
9. Wong MCS, Ding H, Wang J, Chan PSF, Huang J. Prevalence and risk factors of colorectal cancer in Asia. Intest Res 2019;17(3):317-29.
10. American Cancer Society. Colorectal cancer facts & figures 2020-2022 [Internet]. 2020 [cited 2020 Jun 25]. Available from: https://www.cancer.org/content/dam/cancer-org/ research/cancer-facts-and-statistics/colorectal-cancer-facts-and-figures/colorectal-cancer- facts-and-figures-2020-2022.pdf
11. Wild CP, Weiderpass E, Stewart BW, editors. World cancer report: cancer research for cancer prevention [Internet]. 2020 [cited 2020 Jun 25]. Available from: https://www.iccp-portal.org/sites/default/files/resources/IARC%20World%20Cancer%20Report%202020.pdf
12. Sloan E. Cancer & neural-immune regulation [Internet]. 2020 [cited 2019 Nov 1]. Available from: https://www.monash.edu/pharm/research/areas/drug-discovery/labs/cancer-neural- immune-regulation
13. Colorectal Cancer Alliance. 2018 Young-onset colorectal cancer survey report [Internet]. 2019 [cited 2020 Jun 26]. Available from: https://www.ccalliance.org/about/never-too-young/survey/2018-young-onset-colorectal-cancer-survey-report
14. ClinRisk Ltd. The QCancer® (15yr, colorectal) risk calculator [Internet]. 2019 [cited 2019 Nov 1]. Available from: http://qcancer.org/15yr/colorectal
15. Kittrongsiri K, Praditsittikorn N, Chaikledkaew U, Teerawattananon Y. Economic evaluation of colorectal cancer screening among Thai population. Bangkok: National Health Security office; 2015. (in Thai)
16. American Cancer Society. Colorectal cancer stages [Internet]. 2020 [cited 2020 Jun 25]. Available from: https://www.cancer.org/cancer/colon-rectal-cancer/detection-diagnosis-staging/staged.html
17. Prasongsook N. Targeted therapy & immunotherapy [Internet]. 2016 [cited 2020 Jun 25]. Available from: http://thethaicancer.com/Webdocument/GP_article/GP_article_005.html (in Thai)
18. Tuvayanon W. Perioperative nursing for laparoscopic colectomy [Internet]. 2008 [cited 2019 Nov 1]. Available from: https://www2.si.mahidol.ac.th/division/nursing/sins/attachments/article/165/sins-manual-2551-01.pdf (in Thai)
19. Department of Radiology, Chulalongkorn. Colorectal cancer [Internet]. 2016 [cited 2020 Jun 25]. Available from: https://www.chulacancer.net/patient-knowledge-inner.php?gid =30 (in Thai)
20. National Cancer Institute. Standard hand book of working of chemotherapy and patient care after treatment [Internet]. 2017 [cited 2020 Jun 26]. Available from: http://www.nci.go.th/th/File_download/drug/NCI-Standard%20FOR%20PDF.pdf (in Thai)
21. American Cancer Society. Chemotherapy for colorectal cancer [Internet]. 2020 [cited 2020 Jun 25]. Available from: https://www.cancer.org/cancer/colon-rectal-cancer/treating/chemotherapy.html
22. Chemo Experts, Inc. Treatment name: FOLFOX (Folinic acid + Fluorouracil + Oxaliplatin)[Internet]. 2018 [cited 2020 Jun 26]. Available from: https://www.chemoexperts.com/ folfox-folinic-acid-fluoro%C2%ADuracil-oxali%C2%ADplatin.html#tip6
23. Provincial Health Services Authority. BC cancer agency cancer drug manual: drug name: Oxaliplatin [Internet]. 2016 [cited 2020 Jun 26]. Available from: http://www.bccancer. bc.ca /drug-database-site/Drug%20Index/Oxaliplatin_monograph_1Dec2016.pdf
24. Praserdsri N, Keawmaneephanatchaya C, Treeyapan K, Smith EML, Wamalun C, Manautsa B. Chemotherapy-Induced Peripheral Neuropathy (CIPN): a cross-sectional study in cancer patients. Nursing Public Health and Education Journal 2017;18(3):52–62. (in Thai)
25. National Institutes of Health. Long term effect of oxaliplatin treatment in cancer survivors (PREVOX) [Internet]. 2016 [cited 2020 Jun 26]. Available from: https://clinicaltrials.gov/ct2/show/NCT02970526?id=NCT02970526&draw=2&rank=1&load=cart
26. Roche Thailand. Colorectal cancer [Internet]. 2020 [cited 2020 Jun 25]. Available from: https://www.roche.co.th/th/disease-areas/colorectal-cancer.html (in Thai)
27. National Cancer Institute. Colon cancer treatment (PDQ®)–patient version. 2020 [cited 2020 Jun 22]. Available from: https://www.cancer.gov/types/colorectal/patient/colon-treatment-pdq
28. American Cancer Society. Targeted therapy drugs for colorectal cancer [Internet]. 2020 [cited 2020 Jun 25]. Available from: https://www.cancer.org/cancer/colon-rectal- cancer/treating/targeted-therapy.html
29. American Cancer Society. Immunotherapy for colorectal cancer [Internet]. 2020 [cited 2020 Jun 25]. Available from: https://www.cancer.org/cancer/colon-rectal-cancer/treating/immunotherapy.html
30. Wongpimoln B. Experiences of being nurses working at chemotherapy inpatient unit [Master Thesis of Nursing Science]. Bangkok: Chulalongkorn University; 2016. (in Thai)
31. Neuss MN, Gilmore TR, Belderson KM, Billett AL, Conti-Kalchik T, Harvey BE, et al. 2016 Updated American society of clinical oncology/oncology nursing society chemotherapy administration safety standards, including standards for pediatric oncology. J Oncol Pract 2016;12(12):1262-71.
32. O'brien C, O'Kane C, Cancer Therapy Medication Safety Working Group. COSA guidelines for the safe prescribing, dispensing and administration of systemic cancer therapy [Internet]. 2020 [cited 2020 Jun 25]. Available from:
https://wiki.cancer.org.au/australia Clinical_question:What_information_and_assessments_are_required_prior_to_administering_cancer_therapy%3F
33. Thamnipha P. Nursing guide: chemotherapy for ovarian cancer patients [Internet]. 2015 [cited 2020 Aug 1]. Available from https://www2.si.mahidol.ac.th/division/nursing/sins/attachments/article/221/sins_nursing_manual_2558_09.pdf (in Thai)
34. Provincial Health Services Authority. BC CANCER. Symptom management guidelines: fever and neutropenia [Internet]. 2018 [cited 2020 Jun 27]. Available from: http://www.bccancer.bc.ca/nursingsite/Documents/7.%20Fever%20and%20Neutropenia.pdf
35. Chanthawong S. Prevention of chemotherapy-induced nausea and vomiting.Srinagarind Med J 2019;34(1):115-26. (in Thai)
36. Provincial Health Services Authority. BC cancer. Symptom management guidelines: nausea and vomiting [Internet]. 2018 [cited 2020 Jun 27]. Available from: http://www. bccancer.bc.ca/nursing-site/Documents/11.%20Nausea%20and%20Vomiting.pdf
37. Drug Information Center Lumphun. Saline solutions - baking powder relieve oral mucositis in patients with chemotherapy [Internet]. 2019 [cited 2020 Aug 10]. Available from: http://www.lpnh.go.th/newlp/wp-content/uploads/2013/10/DIS_news-25-2561.pdf (in Thai)
38. Provincial Health Services Authority. BC cancer. Symptom management guidelines: oral mucositis [Internet]. 2019 [cited 2020 Jun 27]. Available from: http://www.bccancer.bc.ca/nursing-site/Documents/12.%20O ral%20Mucositis.pdf
39. Prasertsri N., Kaewmanee C, Khantichitr P, Teeyapan W, Smith EML, Wamalun C, et al. Chemotherapy-Induced Peripheral Neuropathy (CIPN): A Cross-Sectional Study in Cancer Patients. Nursing Public Health and Education Journal 2017;18(3):52-62. (in Thai)
40. American Cancer Society. Managing peripheral neuropathy [Internet]. 2019 [cited 2020 Jun 27]. Available from: https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/peripheral-neuropathy/managing-peripheral-neuropathy.html
41. Fight Colorectal Cancer. Managing side effects [Internet]. 2019 [cited 2020 Jun 27]. Available from: https://fightcolorectalcancer.org/treatment/know-your-treatment-options/managing-side-effects/
42. Pandiselvam R, Manikantan MR, Beegum S, Mathew AC. Virgin coconut oil infused healthy cosmetics. Indian Coconut Journal 2019;30-32.
43. Provincial Health Services Authority. BC cancer. Symptom management guidelines: chemotherapy – induced peripheral neuropathy (CIPN) [Internet]. 2018 [cited 2020 Jun 27]. Available from: http://www.bccancer.bc.ca/nursing-
site/Documents/15.%20Peripheral%20Neuropathy.pdf
44. Piriyakoontorn S, Balthip Q, Naka K. Experiences of the rural elderly with chronic illnesses in applying the Buddha’s teachings to their life. Songklanagarind Journal of Nursing 2014; 34(2):39-52. (in Thai)
45. Hansasiripoj B. Development quality of life index: happiness. Journal of Politics, Administration and Law 2013;5(1):107-29. (in Thai)
46. Tian D, Tian M, Han G, Li JL. Increased glucocorticoid receptor activity and proliferation in metastatic colon cancer. Sci Rep 2019;9(1):11257.
47. Worasiri J. The factors predicting postoperative recovery after colon resection surgery among cancer patients [Master Thesis of Nursing Science]. Pathum Thani: Thammasat University; 2016. (in Thai)
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2021-03-10
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