Nursing Issues in Colorectal Cancer Chemotherapy

Aderência dos pacientes com leucemia mielóide crônica à terapia com inibidores de tirosino quinase

“…There is no consensus on the optimal medication adherence rate in the treatment of chronic diseases [6,24]. In CML, studies have demonstrated high adherence rates for patients undergoing TKI treatment, especially when compared to treatment adherence for other chronic diseases [9,11,12,25]. The median adherence found in our study using the MPR was 96.5%; a rate that is consistent with other publications [9,11].…”

“…Através do desenvolvimento de uma relação de confiança com os pacientes e familiares, os enfermeiros, podem identificar, mais facilmente, a existência de barreiras que impedem o uso adequado da terapêutica e através disso, desenvolver estratégias de monitoramento e educacional para favorecer uma melhor aderência, principalmente em pacientes em tratamento antineoplásico [22,23,24,25] Os programas educacionais devem enfatizar além da importância do uso correto da medicação, outros tópicos como a melhor forma de armazenamento da medicação, eventos adversos e a importância de reconhecê los rapidamente e comunicar a equipe de saúde, abordar métodos que ajudem o paciente a lembrar de administrar a medicação nos horários adequados. Todas estas informações podem ser fornecidas ao pacientes e seu cuidador de forma oral ou através do uso de cartilhas.…”

The patient–provider discordance in patients’ needs assessment: a qualitative study in breast cancer patients receiving oral chemotherapy

“…Care plans at home will be central to the effective management of these patients. Patients may think of the oral chemotherapy as the ‘cancer pill’ and assume it is nontoxic (Hollywood & Semple ). Oncology healthcare providers should play a vital role to ensure patient understanding of oral chemotherapy administration, potential side effects and self‐care measures.…”

Oral Antineoplastic Chemotherapy

“…17 For patients taking multiple oral medicines, the addition of oral chemotherapy to their regimen may not be feasible, due to increased complexity or potential drug interactions. 23…”

“…14 A patient diary with a symptom management log may be an effective tool to help promote concordance and safe administration. 23 Devices, such as pill boxes, may be used, but appropriate safe handling techniques must be employed when these devices are filled.…”