ISSN 1866-8836
Клеточная терапия и трансплантация

N-05. Chemotherapy: preparation and rehabilitation of the patient

Natalia A. Stolbova, Tatiana A. Tereshko, Svetlana V. Poponina

Kirov Research Institute of Hematology and Blood Transfusion, Kirov, Russia


Contact: Natalia A. Stolbova, phone: +7 (922) 918-47-25, e-mail: nat.stolbowa@yandex.ru

doi 10.18620/ctt-1866-8836-2023-12-3-1-176

Summary

Chemotherapy means a sufficient affection of malignant tumor by medical drugs. Cytostatic chemotherapy is used to suppress the growth of tumor cells. Chemotherapy does not always lead to a complete cure, but it allows you to restrain the growth of the tumor, significantly prolonging the patient’s life and improving his condition. Our purpose was to study the role of a nurse in the preparation and rehabilitation of patients before and after chemotherapy.

Methods

Preparation of the patient for treatment with cytostatics includes formation of the patient’s understanding and conscious choice of this method of treatment. A nurse, after consulting with a doctor and within the scope of her competence, introduces the patient to the concept of cytostatics, their effect on malignant cells, side effects on the body. The patient is instructed in details about the purpose, course of the procedure, possible feelings during the administration of cytostatics, duration of the procedure, and treatment course, possible perception of the procedures. The methods of interaction include verbal contacts, visual information (posters, memos, instructions). The patient should get answers to all questions, thus reducing the level of his anxiety and fear. To reduce the side effects of cytostatics, the patient’s body is being prepared for a course of chemotherapy. The nurse explains to the patient the need to fulfill the doctor’s prescriptions, diet, drinking regime. Preparation for chemotherapy is also required for relatives of patients. The nurse conducts conversations with the patient’s relatives, explaining the essence of chemotherapy and the need for family support, which should be effectively expressed in the organization of life, nutrition, the patient’s environment and psychological support.

Results

After completing the course of chemotherapy, it is required to restore normal physiological functions: cytostatics have no selectivity of exposure only to tumor cells, but affect many normal organs and tissues (bone marrow, gastrointestinal mucosa, hair follicles, skin, etc.). The purpose of rehabilitation after chemotherapy is to eliminate adverse effects of treatment, restoring body functions, and helping the patient to cope with psychological difficulties caused by the disease, to help adapt for further life, to restore working capacity. Medical rehabilitation is primarily aimed at restoring the function of internal organs and blood parameters. The nurse conducts dynamic monitoring of the patient and monitors the fulfillment of doctor’s prescriptions m, explains to the patient the need for proper nutrition (high-protein diet), compliance with the daily routine, physical activity, gives recommendations on lifestyle. After chemotherapy, the patient faces problems such as hair loss, dry skin, nausea, vomiting, depression. These complications cause impaired comfort state of the patient.

Conclusion

The nurse carries out psychological rehabilitation by convincing the patient for transient character of this treatment which, despite such losses and difficulties, is aimed for saving the patient’s life. The nurse helps the patient to find out the strength to restore health.

Keywords

Chemotherapy, cancer patient, role of a nurse, medical rehabilitation, psychological rehabilitation.


Supplement 12-3
09/30/2023

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doi 10.18620/ctt-1866-8836-2023-12-3-1-176

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