Nursing Management of the Common Side Effects of Chemotherapy03.08.10

A. Bone marrow suppression leads to:

1. Decreased WBC count (immunosuppression).

  • Avoid crowds; people with infections and small children when WBC count is low
  • Consume a low-bacteria diet. Avoid overcooked meat and raw fruits and vegetables

2. Decreased platelet count (thrombocytopenia)

  • When shaving use ellectirc razon only
  • Avoid contact sports and other activities that may cause trauma
  • If trauma does occur, apply ice to the area and seek medical assistance
  • Avoid dental work or other invasive procedures
  • Avoid aspirin and aspirtin-containing products

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Recommendations of the American Cancer Society for Early Cancer Detection10.15.09

1. For detection of breat cancer
- Beginning at age 30, routinely perform monthly breast self-examination (BSEs)
- Women aged 40 and older should have a yearly mammogram and breast examination by a healthcare provider

2. For detection of colon and rectal cancer
- All persons aged 50 and older should have a yearly fecal ocult blood test (more…)

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American Cancer Society’s Seven Warning Signs of Cancer10.13.09

(Uses the Acronym CAUTION)

Change in bowel or bladder habits
A sore that does not heal
Unusual bleeding or discharge
Thickening or lump in the breast or elsewhere
Indigestion or difficulty in swallowing
Obvious change in wart or mole
Nagging cough or hoarseness

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