Oral Cancer Chemotherapy: The Critical Interplay Between Patient Education and Patient Safety

2010 ◽  
Vol 12 (4) ◽  
pp. 247-252 ◽  
Author(s):  
Thorvardur R. Halfdanarson ◽  
Aminah Jatoi
2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 48-48
Author(s):  
Mark Pasetka ◽  
Larissa Day ◽  
Maggie Ford ◽  
Angela Boudreau ◽  
Angie Giotis ◽  
...  

48 Background: With an increasing number of patients receiving oral cancer therapies, evaluation of safe prescription practices, effective patient education, and toxicity monitoring of these agents is imperative. Methods: Multi-disciplinary oncology practitioners at several cancer centres in Toronto, Canada were surveyed using a web-based platform, to evaluate their prescription practices, use of patient education and symptom management tools, as well as their views on patient adherence and toxicity reporting. Results: Of 170 respondents, 43% were nurses, 34% were pharmacists, and 23% were physicians. Seventy nine percent considered patient education, medication adherence (76%), and toxicity management (78%) as “very important” components of oral chemotherapy management. Prescription methods varied: 59% of respondents used written prescriptions, 39% computerized physician order entry (CPOE), and 0% pre-printed orders, ≥50% of the time. Clinicians felt that patients report side effects from oral agents only “some of the time” (53%), and the most problematic toxicities were nausea (61%) and diarrhea (61%). Practitioners perceived the most common reasons for patient underreporting of side effects to be “fear of treatment interruption” (62%), and that “toxicities are part of the treatment” (66%). Seventy three percent of those surveyed felt individual counseling, follow-up calls (69%), and updated medication information (57%) would improve patient adherence and safety. Conclusions: A diverse group of surveyed oncology professionals expressed the importance of utilizing educational and toxicity monitoring tools for patients on oral cancer therapies, particularly as patients are thought to under-report symptoms. Prescription practices are variable, and CPOE use should be improved. The results of this survey will also be compared to a patient survey, to help develop better tools and policies to standardize practice, and improve patient adherence and toxicity management on oral cancer agents.


2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 57-57
Author(s):  
Marina Messinger ◽  
Udit Yadav ◽  
Romy Jose Thekkekara ◽  
Susan H. McDunn

57 Background: Studies of patient education and communication have been shown to affect patient health outcomes, including emotional and physical health. Effective patient education is challenged by limitations in patient literacy. As much as 20% of the American population was found to have a low literacy level at or below a 5th grade reading level. Our program was based in a public hospital treating underserved patients from lower socioeconomic backgrounds who often have low baseline health literacy and varying educational backgrounds. Methods: A cancer patient education program was organized for recently diagnosed cancer patients and their families. A lecture and interactive learning session was implemented to teach the basics of what cancer is, what chemotherapy is, social services available to patients, and counseling services available. A pre- and post-survey was administered to assess patients’ confidence in their understanding of cancer, chemotherapy, navigation of social and counseling services. Patients self rated their level of understanding as “poor”, “a little”, “average”, “good”, or “very good”. Results: Comparison of pre- and post-survey results showed self-assessed improvement of understanding of cancer, chemotherapy, social services, and counseling services by more than one level of understanding (1.29, 1.37, 1.18, 1.14 level of understanding improvement respectively). Conclusions: A patient education program for cancer patients teaching the basics of cancer and chemotherapy as well as giving patients and families resources for social services and counseling services is a very necessary resource. Better patient understanding of health issues may improve compliance with treatments, help alleviate anxiety, and enable patients and their families to participate actively in their care. This need is especially felt in a hospital treating an underserved population. Survey results show an improvement in patient self-assessed understanding of cancer, chemotherapy, and social services.


Drugs ◽  
1999 ◽  
Vol 58 (Supplement 3) ◽  
pp. 133-140 ◽  
Author(s):  
W Archie Bleyer ◽  
Martha G. Danielson

2021 ◽  
Vol 51 (1) ◽  
pp. 85-90
Author(s):  
Phey Shen Lee ◽  
◽  
Sara Koo ◽  
Simon Panter

Telemedicine use has expanded rapidly to cope with increasing demand on services by delivering remote clinical review and monitoring of long-term conditions. Triaging individual patients to determine their suitability for telephone, video or face-to-face consultations is necessary. This is crucial in the context of COVID-19 to ensure doctor-patient safety. Telemedicine was shown to be safe and feasible in managing certain chronic diseases and providing patient education. When reviewing newly referred or long-term patients, different specialty clinics have different requirements for physical examination. Clinicians prefer face-to-face consultations at the initial visit to establish a doctor-patient relationship; telephone or video consultations are reasonable options for long-term patients where physical examination may not be needed. Video consultations, often aided by sophisticated devices and apps or medical assistants, are useful to facilitate remote physical examination. Most patients prefer telemedicine as it saves time and travel cost and provides better access to appointments.


2015 ◽  
Vol 16 (8) ◽  
pp. 633-644 ◽  
Author(s):  
Javed Ahmad ◽  
Saima Amin ◽  
Mahfoozur Rahman ◽  
Rehan Rub ◽  
Madhur Singhal ◽  
...  

2019 ◽  
Vol 7 (2) ◽  
pp. 151-154
Author(s):  
Elizabeth Lerner Papautsky

Clinicians make decisions based on a large and complex patient information space in time pressured situations. Through continuity, experience, and privileged knowledge, the patient and caregiver(s) are in a position to support clinician decisionmaking through information delivery. For example, they may make salient relevant information or provide an integrated patient story to help clinicians overcome challenges of making decisions based on incomplete information. Recommendations of engaging patient/caregiver(s) include fostering a culture of listening by clinicians, speaking up by patient/caregiver(s), effective patient education and health information technology, and family-centered rounding and hand-offs. Using a lived experience, I illustrate the value of the potential impact of caregiver’s informational contribution to patient safety.


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