Designing a multidisciplinary oral chemotherapy education and monitoring program.

2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 146-146
Author(s):  
Sharon Lane ◽  
Kimmie Ng ◽  
Robin Sommers ◽  
Carole Kathleen Dalby ◽  
Susanne Conley ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Side Effects ◽  
Patient Education ◽  
Monitoring Program ◽  
Oral Chemotherapy ◽  
Teaching Session ◽  
Dosing Schedule ◽  
Safety Risks ◽  
Adherence Monitoring ◽  
Satisfaction Surveys

146 Background: In 2013 ASCO and ONS published guidelines to promote safe practices for oral chemotherapy use. These agents can have significant toxicities and pose safety risks without proper adherence. Guided by the ASCO/ONS recommendations, Dana-Farber Cancer Institute (DFCI) designed a program to provide comprehensive patient education and adherence monitoring. Methods: To address patient safety risks associated with oral chemotherapy use, a multidisciplinary team assembled to design a process for timely and appropriate patient education and adherence monitoring. Physicians, Nurse Practitioners or Physician Assistants initiate education by reviewing the dosing schedule, side effects and providing a standard education sheet. Within 24 hours, a pharmacist contacts the patient and completes a teaching session utilizing a template based upon the MOATT Tool, a teaching tool developed by the Multinational Association of Supportive Care in Cancer. The MOATT Tool includes a review of the dosing schedule, side effects and management, drug handling, drug/food interactions and practice contact information for questions. Lastly, within five days of therapy initiation, a nurse calls the patient to reinforce education and to assess toxicity and adherence. To evaluate the effectiveness of the program, chart audits and patient satisfaction surveys were conducted. Results: To date 78% of patients started on oral chemotherapy have received a teaching session and 73% have received a follow up adherence call. Patient satisfaction surveys conducted demonstrate that 100% (N=12) of patients strongly agreed with the following statement; “following my counseling session with the Dana-Farber pharmacist, I understood how and when to take my oral chemotherapy medication(s)” and 94% agreed with the statement; “overall I feel that the oncology nurse phone session provided me with useful information.” Conclusions: Implementing a standard patient education and adherence monitoring program for patients initiating oral chemotherapy is essential to guarantee safe patient care. Compliance monitoring at the disease and provider level is necessary to ensure continual quality improvement.

Health care practitioner prescribing patterns and perspectives on oral chemotherapy management: A survey of cancer centers in Toronto, Canada.

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 48-48
Author(s):  
Mark Pasetka ◽  
Larissa Day ◽  
Maggie Ford ◽  
Angela Boudreau ◽  
Angie Giotis ◽  
...  
Keyword(s):  
Side Effects ◽  
Patient Education ◽  
Oral Cancer ◽  
Patient Adherence ◽  
Oral Chemotherapy ◽  
Cancer Therapies ◽  
Prescription Practices ◽  
Toxicity Monitoring ◽  
Improve Patient Adherence ◽  
Improve Patient

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.

Medication Data Sheets— An Aid to Patient Education

1976 ◽  
Vol 10 (8) ◽  
pp. 448-453 ◽  
Author(s):  
Patrick Thomas Paulson ◽  
Robert Bauch ◽  
Margaret Lamont Paulson ◽  
David A. Zilz
Keyword(s):  
Side Effects ◽  
Patient Education ◽  
Patient Knowledge ◽  
Verbal Instruction ◽  
Self Administration

The effect on patient knowledge of self-administration of medications was evaluated for verbal instruction versus verbal instruction reinforced with written Medication Data Sheets. Significant improvement in self-administration was noted with the use of written reinforcement of the pharmacist's verbal explanations concerning the proper way to correct for a missed dose of the medication (p<0.0005), foods or drinks to avoid while taking the prescribed medication (p<0.05), understanding of the purpose for taking the medication (p<0.005), and whether or not the prescribed medication was refillable (p<0.0005). In addition it was shown that informing patients in writing of the potential side effects of the medication did not increase the incidence of their occurrence (p = N.S.).

scholarly journals Family’s experience in Caring of Cancer Patient undergoing Oral Chemotherapy : A Study Phenomenology

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Nurul Huda ◽  
Erwin Erwin ◽  
Eka Febriyanti
Keyword(s):  
Health Care ◽  
Side Effects ◽  
Cancer Patient ◽  
Side Effect ◽  
Oral Chemotherapy ◽  
Family Experience ◽  
Home Setting ◽  
Manage Care ◽  
Improve Compliance ◽  
Chemotherapy Agents

ABSTRACTThe use of Oral Chemotherapy is increasing nowadays. Family who directly involve in caring the patient should be aware of the side effect and how to handle this agent safely. Phenomenology approach of qualitative study was conducted to get illustration regarding family experience in managing care of patient receiving oral chemotherapy. Data was collected by semi structured interviewed. Study gathered from 10 participants who meet criteria. The current study showed that three temathic item related to how they manage care to their family’s member. Those are 1) Lack of knolwedge about oral chemotherapy, 2) Confusing in handling safe oral chemotherapy and 3) lack of ability in caring patients when  side effect appeared and following adherence. These three things are considered lacked by the patients.  Therefore, health care professional especially nurses are expected to give more education and attention about administering oral chemotherapy agents, safe handling, adherence and managing side effects  both of in clinical and home setting. Multi-component interventions that include education, equipment, and technology can improve compliance with oral chemotherapy and will help families to secure and provide the appropriate affection to them.ABSTRAKPenggunaan kemoterapi oral semakin meningkat saat ini. Keluarga yang secara langsung terlibat dalam merawat pasien harus menyadari efek samping dan cara menangani terapi ini dengan aman. Penelitian kualitatif dengan pendekatan fenomenologi dilakukan untuk mendapatkan gambaran mengenai pengalaman keluarga dalam mengelola perawatan pasien yang menerima kemoterapi oral. Data dikumpulkan secara semi terstruktur melalui wawancara. Penelitian ini terdiri dari 10 partisipan keluarga yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan  terdapat tiga tema terkait bagaimana keluarga merawat pasien dengan oral chemotherapy di rumah. Ketiga tema tersebut adalah 1) kurangnya pengetahuan keluarga tentang oral kemoterapi, 2) kebingungan keluarga dalam penanganan keamanan oral chemotherapy dan 3) ketidakmampuan keluarga dalam menangani efek samping dan menjaga kepatuhan. Ketiga hal ini dianggap masih belum bisa dilakukan oleh keluarga dan membutuhkan bimbingan serta informasi dari petugas kesehatan. Oleh karena itu, petugas kesehatan professional terutama perawat diharapkan dapat memberikan edukasi dan perhatian yang lebih kepada keluarga  tentang bagaimana pemberian kemoterapi oral yang baik, penanganan yang aman serta peningkatan kepatuhan dalam menjalani perawatan. Memberikan intervensi multikomponen yang mencakup pendidikan, peralatan pendukung, dan teknologi dipercayai dapat meningkatkan kemampuan dalam perawatan dan kepatuhan dalam menjalani kemoterapi oral, sehingga  dapat membantu keluarga untuk memberikan rasa aman dan kasih sayang yang kepada pasien.

scholarly journals Patterns of medication use and adherence to medications among residents in the elderly homes

2020 ◽  
Vol 36 (4) ◽  
Author(s):  
Magda AlGameel
Keyword(s):  
Side Effects ◽  
Patient Education ◽  
Chronic Diseases ◽  
Kidney Diseases ◽  
Medication Use ◽  
The Elderly ◽  
Current Therapy ◽  
Creative Commons ◽  
National Medical ◽  
Liver And Kidney

Objective: To evaluate health care related to medication regimens among institutionalized elders in Damanhour, Beheira Governate, Egypt. Methods: A prospective, multi-centered, observational study was conducted in the two elderly residential homes in Damanhour between March and May 2017. A questionnaire was developed and validated to test for elderly socio-economic, chronic diseases, current therapy adherence, vaccination history and patient education. Descriptive and quantitative analysis were performed. Results: sixty-three elderly residents were included in the study. The sample showed broad socioeconomic variability posing a true reflection of Egyptian population. 63.5% had no hearing problems, 31.7% had proper vision and 57% could move with no help. More than three quarters had chronic diseases of which 58.7% were previously hospitalized. The most prevalent diseases were hypertension, diabetes and arthritis 46%, 41.3%, 26.9% respectively. Only 7.9% and 4.7% showed chronic liver and kidney diseases, respectively and less than 10% suffered from respiratory related diseases. No alcohol drinker, 25.3% were smokers and 58.7% drank caffeine. Only 25.3% of residents showed full adherence to their medication pattern. Approximately 80% of residents never received proper patient education. Forty-three residents did not know the indication of their medications and 92% ignored its side effects. Conclusion: Absence of proper medical care exposure for the elderly residents was reflected in their low medication adherence, adverse side effects and hospitalization. We suggest extension of the national medical insurance system to include larger number of elderly population. To monitor the care given concerning medication, a daily resident gerontological nurse needs to be assigned, visits by clinical pharmacists weekly or bi-weekly from the nearby governmental hospital can improve improper medication. doi: https://doi.org/10.12669/pjms.36.4.1923 How to cite this:Algameel M. Patterns of Medication use and adherence to medications among residents in the elderly homes. Pak J Med Sci. 2020;36(4):---------. doi: https://doi.org/10.12669/pjms.36.4.1923 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

The Impact of Pharmacist-Directed Patient Education and Anticoagulant Care Coordination on Patient Satisfaction

2013 ◽  
Vol 47 (6) ◽  
pp. 805-810 ◽  
Author(s):  
Charles T Makowski ◽  
Douglas L Jennings ◽  
Carrie W Nemerovski ◽  
Edward G Szandzik ◽  
James S Kalus
Keyword(s):  
Patient Satisfaction ◽  
Patient Education ◽  
Care Coordination ◽  
The Impact
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