High dose chemotherapy and haematopoietic stem cell transplant
|
|
- Alan Perry
- 8 years ago
- Views:
Transcription
1 High dose chemotherapy and haematopoietic stem cell transplant Gloucestershire Haematopoietic Stem Cell Transplant Service 14 GHPI1326_07_15 Department: Haematology Review due: July BETTER FOR FOR YOU
2
3 Contact information We hope that the information given in this leaflet gives you great confidence and improves your understanding of high dose chemotherapy and stem cell transplant. Please remember that if you have any problems or questions, however small, we will do our best to answer them for you. Transplant Co-ordinator Tel: Monday to Friday, 9:00am to 5:00pm For further information please contact your clinical nurse specialist. Further information This information leaflet is available in large print and on computer disk (it is also available in Braille, other languages and on audio tape on request). Please contact the Patient Advice & Liaison Service (PALS). Patient Advice & Liaison Service (PALS) Gloucestershire Royal Hospital Tel: Text: Monday to Friday, 9:00am to 5:00pm Content reviewed: July 2015 Introduction This leaflet will explain more about high dose chemotherapy and peripheral stem cell rescue (sometimes referred to as stem cell transplantation). We hope that you and your family, friends and carer (if appropriate), will find the leaflet useful and that it will help to answer any questions. Your treatment will take place in Rendcomb Side Rooms which is on the 1 st Floor of the Oncology Centre, at Cheltenham General Hospital. Your consultant and Clinical Nurse Specialist will meet you before your admission, to go through the treatment process with you and answer any questions you may have. In order to treat your disease further, we need to give you high doses of chemotherapy which will destroy your bone marrow. Your stem cells, which were collected previously in Bristol, are then given back to you to rescue your bone marrow from the effects of the chemotherapy; this is often known as stem cell transplant. There will be some investigations before your stem cell transplant, such as blood tests, heart tests and lung function tests. Your team will discuss and explain each test to you. The tests are to make sure that you are fit to have the treatment. All test results will be made available to you and the health care team involved in your transplant, before your treatment. The results will remain confidential, only you and the team involved in your transplant will see them. 13 2
4 What does high dose chemotherapy and stem cell rescue involve? There are 4 main stages: 1. The collection of stem cells (the harvest) from you. This is an outpatient procedure carried out at the Therapeutic Apheresis Unit in Bristol. The cells will be processed, frozen and stored until you are admitted for treatment. You will be given some separate information about the details of this. 2. High dose chemotherapy (sometimes called conditioning regimen). Chemotherapy is usually given over a number of days depending on which regimen you are having. It is given into your blood stream through a central line. You may already have this line from a previous treatment. Your consultant haematologist or nurse specialist will explain everything to you in detail. 3. Stem cell rescue. After you have received all your chemotherapy, you will have a rest day when you do not receive any chemotherapy. The following day, your stem cells are brought over from Bristol and are thawed in a water bath before they are put back into your blood stream via your central line. This procedure takes approximately half an hour, depending on the number of bags that are re-infused. There is a preservative called DMSO in your bags of stem cells which may make you feel sick, so you will be given an anti-sickness tablet about an hour before the cells are returned. The DMSO can also leave a smell of sweetcorn in the room, which will soon pass. 3 We often look busy, but we can always find an opportunity to talk. Our clinical nurse specialist may be able to help you with your concerns. Haematology clinical nurse specialist You and your family, friends and/or carer will meet a clinical nurse specialist before you have high dose treatment. They will give you information about the treatment and your stay in hospital and answer any questions with the doctors help, if needed. You will be seen by a nurse specialist whilst you are on the ward and when you have been discharged home. The nurses will also be available on the telephone to offer you support and advice. They can also arrange for you to meet someone who has gone through having high dose chemotherapy if you wish. The haematology nurse specialist can give you advice about money and financial issues and, if necessary, can refer you for more specialist advice. Hospital chaplain You are welcome to meet with a hospital chaplain who can support you with the spiritual and religious aspects of your life. Please let the ward nurses know if you would like to meet a chaplain or representative of any religion. 12
5 How can I prepare for high dose treatment? Smoking If you are a smoker we strongly advise you to try and give up before having treatment, particularly as smoking increases the risk of chest infections. We do realise that this can be difficult, but if you would like further advice or help please ask. Diet Try to eat a well balanced and nourishing diet. Normally, we advise people to try and maintain their present weight. Please let us know if you need further advice about diet and food. We can arrange for you to see the dietician. Dental care Visit your dentist for a check-up as soon as possible before high dose treatment, to allow for any necessary work to be carried out. It is very important that your teeth are in good condition, as the mouth can be a source of infection. If you do not have a dentist, please let your nurse specialist know. Telephoning It is best to have only 1 family member or friend telephoning the ward and feeding back information to your wider family and friends. High dose chemotherapy is a major procedure that has an impact on every aspect of your life. With it can come many different reactions and feelings, but we hope we can help, listen and be supportive Recovery period This is the time you spend in hospital waiting for the stem cells to recover and grow in your bone marrow. It is during this period that your white blood cell counts will be at their lowest, making you vulnerable to infections. How are stem cells transported from Bristol? Your stem cells come back from Bristol in a dry shipper which contains liquid nitrogen at a temperature of about centigrade. The Blood Transfusion Service will bring your cells to Cheltenham General Hospital on the day of treatment. How long will I be in hospital? The length of time spent in hospital varies greatly from person to person. As a rough guide, the length of stay is 3 to 5 weeks, depending on how long it takes for your new stem cells to work efficiently, and for you to recover from the side effects of treatment. You can expect to be off work for at least 3 months. What are the side effects of high dose treatment? Everyone having high dose chemotherapy will experience certain symptoms as a result of the conditioning treatment. These should be thought of as side effects, rather than set-backs or complications. 4
6 The side-effects may be unpleasant, but we have medication available and expertise to treat them. As everybody is different, it is difficult to predict exactly how you will feel. However, these are some side effects you are likely to experience: Nausea and vomiting This is a side effect which can be controlled. There are many anti-sickness drugs available now which are effective in most cases. Eating frequent small meals and snacks, such as a biscuit or a glass of milk, will also help. Sore mouth Chemotherapy works by attacking fast growing cells and there are plenty of these cells lining the mouth and gut. As a result, the mouth can become very sore and become ulcerated. It is not possible to prevent this from happening altogether, but you can help to reduce the problem by sucking ice pops when you are having one of your chemotherapy drugs called melphalan. Keeping your mouth and gums as clean as possible will also help. A sore mouth can make everyday tasks, such as talking, eating and drinking, very difficult and painful. We can give you strong pain relief, which is very effective for this type of pain. If your mouth does become sore, we can provide softer foods and nourishing drinks. You may also find that chemotherapy alters your sense of taste, but this will return to normal in time. Toiletries you will need a soft toothbrush, toothpaste, shampoo, liquid soap in a dispenser, body lotion, deodorant and flannels (we advise you to have a fresh one daily or we can provide disposable flannels) Wigs, hats or scarves, if you feel more comfortable with your head covered Electric razor. It is not advisable to wet shave as your platelets will be low and there is a risk of bleeding. How can I pass the time in hospital? Exercise - for most of the recovery period after high dose chemotherapy you should feel quite well and it is at this time that you can become very bored and lethargic. Gentle exercise helps to maintain the muscle tone, balance and posture that are required to perform normal activities such as getting out of bed, standing up and walking. Exercise can also help to release tension and help you to relax. Reading - bring in books that are easy to read as it can be difficult to concentrate. Hobbies - you may have a suitable hobby that is possible for you to do whilst you are in hospital. Music - CD player or an ipod for example, may be used in your room. Television- there will be a television / DVD player in your room. 5 10
7 These include cereals, milk, milk shakes, hot drinks and soups. Extra snacks such as sandwiches, cake, cheese and biscuits, yoghurts and fruit can also be obtained from the main hospital kitchen for you. You might like to bring in some of your own food and drink such as cartons or small bottles of squash, fizzy drinks, wrapped biscuits, sweets and crisps, fresh or tinned fruit. There is a fridge in each room for you to store foods that need to be kept cold. Please label food by putting the date when opened on it. What do I need to bring into hospital with me? As you will be in hospital for quite a while, you are welcome to make your room as comfortable and homely as you like. Some suggestions are: Your own pillow if you do bring this in, please bring in some spare pillow cases, but ideally not white so we know that it is yours and not the hospital s white bed linen Items such as photographs, posters, books, games, jigsaws, DVDs and silk flowers (but no fresh flowers or plants) Day clothes clothes that are comfortable and easy to wear. Track suits are ideal or you may wish to bring in night clothes that can be worn during the day Indoor shoes or slippers with a non slip sole Diarrhoea This can occur during or following your chemotherapy. It can usually be controlled with tablets. Hair loss One of the effects of the chemotherapy on your body, which can be upsetting, is that you will lose most, if not all of your body and head hair. This is temporary, and your hair should grow back within 2 to 3 months. Your new hair may be darker, thicker and curlier than before. If you would like a wig during hair loss, let us know, and we will arrange this for you. Tiredness and lethargy You may feel very tired due to the effects of chemotherapy. Also, as the bone marrow is not producing sufficient red cells, you will be anaemic and may need a blood transfusion. You may also find you will have difficulty concentrating and have a reduced memory. Nose bleeds You may have nose bleeds and notice that you bruise easily. This is because your marrow is not producing platelets which are needed to help your blood to clot. For this reason you may need platelet transfusions. Infection It is very common to develop infection in the week following high dose treatment when your resistance is low. There are however, a wide range of antibiotic drugs available which can treat the majority of infections. 9 6
8 How can the risk of infection be reduced? In the week after your chemotherapy treatment, your white cell count will start to drop. As it drops, you will have less resistance to infection. For this reason, there are certain precautions which should be taken. You will be nursed in a single room until your bone marrow produces cells in normal numbers again. You are very welcome to have visitors at any time, but ideally limit the number of visitors to 2 or 3 at any one time. Also, it is a good idea to ask your friends and relatives to telephone before they come, to see whether you feel like having visitors. Children are allowed to visit, but not if they have been in contact with a cold or infectious illness such as chicken pox. It is better to ask adults with colds not to visit. However, it is worth remembering that the majority of infections arise from the micro-organisms which normally live happily on or in your body. These can get out of control when you have reduced resistance to infection. Hand washing has been found to be the single most important protection against infection. Therefore, you will find that staff wash their hands, or use alcohol gel as they come into your room and also before they touch you. You should insist that your visitors do the same. 7 Will treatment make me infertile? Patients undergoing high dose chemotherapy have a high risk of becoming either temporarily or, more likely, permanently infertile, especially if female and near to menopausal age. For male patients, sperm banking may be possible. This should be discussed with your haematology consultant at the earliest possible time. Unfortunately it is not yet possible to store female eggs but it is hoped that in the near future this facility will become available. Sexual performance may sometimes also be affected. Women may have an early menopause but symptoms from this can be treated with hormone replacement therapy. Oestrogen creams can be supplied for vaginal dryness. Men who have any problems with sexual performance after treatment should let a doctor know so that this can be addressed. What will I be able to eat? People undergoing high dose chemotherapy need to take extra care in order to reduce the risk of infection from foods. Our dietician has information which advises on the safe storage, preparation and cooking of foods. You will be offered the chance to meet with the dietician during your hospital stay. Another information sheet that is available to you gives a list of foods which are safe to eat and those which are not. You should follow these guidelines whilst your white blood count is low. Whilst on the ward there will be suitable foods for you to choose from the menu. There are also some foods freely available on the ward. 8
Temozolomide (oral) with concurrent radiotherapy to the brain
Temozolomide (oral) with concurrent radiotherapy to the brain Temozolomide (oral) with concurrent radiotherapy to the brain This leaflet is offered as a guide to you and your family. You will find it useful
More informationIodine-131 Treatment of Thyroid Cancer Information about your treatment November 2011 Great Staff Great Care Great Future
Department of Nuclear Medicine Iodine-131 Treatment of Thyroid Cancer Information about your treatment November 2011 Great Staff Great Care Great Future INTRODUCTION This leaflet has been produced to give
More informationA guide for children who are having a stem cell transplant (SCT) www.leukaemia.org.au
Ben s Stem Cell Transplant A guide for children who are having a stem cell transplant (SCT) www.leukaemia.org.au About you This booklet is yours to help you to understand why you need a stem cell transplant
More informationUnderstanding Cytotoxic Chemotherapy
Understanding Cytotoxic Chemotherapy Introduction Chemotherapy is part of your continuing treatment. This booklet has been compiled in an effort to help you understand cytotoxic chemotherapy. It is your
More informationWelcome to the Macmillan Unit
Welcome to the Macmillan Unit Information for patients, families and carers 1 Contents Welcome to the Macmillan Unit in Antrim... 3 About the Unit:... 4 The multiprofessional team...5 What to expect...6
More informationDepartment of Gynaecology Early medically induced termination of pregnancy. Information for patients
Department of Gynaecology Early medically induced termination of pregnancy Information for patients Medically induced termination of pregnancy In this procedure the termination of pregnancy is brought
More informationIn-Patient Radioactive Iodine ( 131 I) Treatment
In-Patient Radioactive Iodine ( 131 I) Treatment Information for patients and families Princess Margaret Read this booklet to learn: what radioactive iodine treatment is what to expect instructions to
More informationPatient Information Leaflet
Patient Information Leaflet METHOTREXATE We hope this fact sheet will provide you with some information about Methotrexate and answer some of the questions you may have. Methotrexate is available in tablet
More informationHow To Deal With The Side Effects Of Radiotherapy
Radiotherapy to the Bowel (Colo-Rectal Tumours) Information for patients Northern Centre for Cancer Care Freeman Hospital Introduction Your oncologist has advised you to have a course of radiotherapy to
More informationRadiotherapy for a mesothelioma
Oxford University Hospitals NHS Trust The Radiotherapy Department Radiotherapy for a mesothelioma Information for patients Introduction This leaflet is for people who have been recommended treatment with
More informationDental care for patients with head and neck cancer
Dental care for patients with head and neck cancer This leaflet explains why it is important to see a dentist before and after your treatment for head and neck cancer. It also explains what you can expect
More informationRecovery plan: radical cystectomy Information for patients
Recovery plan: radical cystectomy Information for patients Help for you following a bereavement 5 This leaflet will help you know what to expect during your time with us. Please take some time to read
More informationStroke Care at Princess Royal University Hospital
Networked Services Stroke Care at Princess Royal University Hospital Information for patients, relatives and carers This leaflet explains the care we provide in our stroke centre, which is one of eight
More informationWelcome to the acute medical unit. A patient guide
Welcome to the acute medical unit A patient guide Contact us AMU 1 (green) 023 8120 6496 AMU 2 (purple) 023 8120 5127 AMU 3 (pink) 023 8120 8609 Please note, confidential information cannot be communicated
More informationLaparoscopic cholecystectomy. Golden Jubilee National Hospital NHS National Waiting Times Centre. Patient information guide
Golden Jubilee National Hospital NHS National Waiting Times Centre Laparoscopic cholecystectomy Patient information guide Agamemnon Street Clydebank, G81 4DY (: 0141 951 5000 www.nhsgoldenjubilee.co.uk
More informationChemotherapy for non-small cell lung cancer
Chemotherapy for non-small cell lung cancer This information is an extract from the booklet Understanding lung cancer. You may find the full booklet helpful. We can send you a free copy see page 3. Contents
More informationChemotherapy for acute myeloid leukaemia
Chemotherapy for acute myeloid leukaemia This information is an extract from the booklet Understanding acute myeloid leukaemia. You may find the full booklet helpful. We can send you a free copy see page
More informationBackground (cont) World Health Organisation (WHO) and IDF predict that this number will increase to more than 1,3 million in the next 25 years.
Diabetes Overview Background What is diabetes Non-modifiable risk factors Modifiable risk factors Common symptoms of diabetes Early diagnosis and management of diabetes Non-medical management of diabetes
More informationStapedectomy / Stapedotomy / Surgery for Otosclerosis
Patient information Stapedectomy / Stapedotomy / Surgery for Otosclerosis Ear, Nose and Throat Directorate PIF 230 V6 Your Consultant / Doctor has advised you to have a Stapedectomy / Stapedotomy / Surgery
More informationPERIPHERAL STEM CELL TRANSPLANT INTRODUCTION
PERIPHERAL STEM CELL TRANSPLANT INTRODUCTION This booklet was designed to help you and the important people in your life understand the treatment of high dose chemotherapy with stem cell support: a procedure
More informationHair loss. During chemotherapy and radiotherapy. Information for patients Weston Park Hospital
Hair loss During chemotherapy and radiotherapy Information for patients Weston Park Hospital page 2 of 12 Cancer treatments such as chemotherapy and radiotherapy can cause total hair loss or thinning.
More informationRadiotherapy to the chest wall
Oxford University Hospitals NHS Trust The Radiotherapy Department Radiotherapy to the chest wall Information for patients Introduction This leaflet is for people who have had surgery for breast cancer
More informationEnhanced recovery after laparoscopic surgery (ERALS) programme: patient information and advice 2
This booklet is funded by, and developed in collaboration between University Hospital Southampton NHS Foundation Trust and Pfizer Limited. NPKAM0198 March 2014 Enhanced recovery after laparoscopic surgery
More informationChemotherapy for lung cancer
This information is an extract from the booklet Understanding lung cancer. You may find the full booklet helpful. We can send you a free copy see page 8. Contents Chemoradiation Small cell lung cancer
More informationAdvice about MRSA for people not in hospital. If you have MRSA, this leaflet tells you about things you should do in your everyday life.
Advice about MRSA for people not in hospital If you have MRSA, this leaflet tells you about things you should do in your everyday life. Easy read This booklet is about a germ called MRSA. It is an Easy
More informationVincristine by short infusion Doxorubicin by injection Cyclophosphamide by injection Rituximab by an infusion over between 60 minutes to a few hours
R-CHOP R-CHOP This leaflet is offered as a guide to you and your family. The possible benefits of treatment vary; for some people chemotherapy may reduce the risk of the cancer coming back, for others
More informationSquint Surgery in Children. Patient Information
Squint Surgery in Children Patient Information Author ID: KW Leaflet Number: Orth 014 Version: 4 Name of Leaflet: Squint Surgery in Children Date Produced: August 2014 Review Date: August 2016 What is
More informationOther treatments for chronic myeloid leukaemia
Other treatments for chronic myeloid leukaemia This information is an extract from the booklet Understanding chronic myeloid leukaemia. You may find the full booklet helpful. We can send you a copy free
More informationCommon nutritional problems and cancer
Information Prescriptions Information Prescriptions are a quick and easy way to provide information about your condition and local services. www.nhs.uk/ips Acknowledgement With many thanks to the Queensland
More informationLiving With Congestive Heart Failure
Living With Congestive Heart Failure Information for patients and their families Patient information developed by EPICORE Centre, Division of Cardiology, University of Alberta The REACT study: supported
More informationTHE ROYAL HOSPITAL DONNYBROOK. General Rehabilitation Unit Information Leaflet
THE ROYAL HOSPITAL DONNYBROOK General Rehabilitation Unit Information Leaflet Patient s Name: Admission Date: Information pack given by (Sign): Table of Contents 1.0 Welcome... 3 2.0 About the General
More informationDischarge Information Information for patients This leaflet is intended to help you, your carer, relatives and friends understand and prepare for
Discharge Information Information for patients This leaflet is intended to help you, your carer, relatives and friends understand and prepare for your discharge or transfer from hospital. Healthcare professionals
More informationChemotherapy. What is chemotherapy? How does it work? What is cancer? How will I be given chemotherapy? Cannula
INFORMATION SHEET This information sheet has been written to help you understand more about chemotherapy. The sheet discusses the support and information your doctors, nurses and the Cancer Society can
More informationChemotherapy What It Is, How It Helps
Chemotherapy What It Is, How It Helps What s in this guide If your doctor has told you that you have cancer, you may have a lot of questions. Can I be cured? What kinds of treatment would be best for me?
More informationPatient identifier/label: Page 1 of 6 PATIENT AGREEMENT TO SYSTEMIC THERAPY: CONSENT FORM FEC-T. Patient s first names. Date of birth.
Patient identifier/label: Page 1 of 6 PATIENT AGREEMENT TO SYSTEMIC THERAPY: CONSENT FORM FEC-T Patient s surname/family name Patient s first names Date of birth Hospital Name: Guy s Hospital St. Thomas
More informationTestosterone & Testosterone Replacement Therapy
your PR.i.VATES Testosterone & Testosterone Replacement Therapy www.yourprivates.org.uk CONTENTS TESTOSTERONE & TRT Contents Introduction 3 Purposes of testosterone 4 How will I be affected by an orchidectomy?
More informationHigh Dose Radioactive Iodine (I-131) Therapy for Treatment of Thyroid Cancer
12 High Dose Radioactive Iodine (I-131) Therapy for Treatment of Thyroid Cancer Please arrive 15 minutes early to allow for parking and registration. If you have questions or need to cancel your appointment
More informationManage cancer related fatigue:
Manage cancer related fatigue: For People Affected by Cancer In this pamphlet: What can I do to manage fatigue? What is cancer related fatigue? What causes cancer related fatigue? How can my health care
More informationManaging Side Effects of Palliative Radiation Therapy
RADIATION THERAPY SYMPTOM MANAGEMENT Managing Side Effects of Palliative Radiation Therapy In this booklet you will learn about: Common side effects when you receive palliative radiation therapy Tips on
More informationUlnar Nerve Decompression/Transposition
Department of Neurosurgery Ulnar Nerve Decompression/Transposition What happens when you are in hospital page 2 Ulnar Nerve Decompression/Transposition This leaflet explains what to expect when you are
More informationInformation for patients receiving short-term hormone treatment and radiotherapy for prostate cancer
Information for patients receiving short-term hormone treatment and radiotherapy for prostate cancer Northern Centre for Cancer Care (NCCC) Freeman Hospital Introduction This leaflet has been written to
More informationCentral Venous Catheter Care For Haemodialysis
Central Venous Catheter Care For Haemodialysis Information For Parents and Carers Haemodialysis Unit 01 878 4757 Main Hospital Number 01 878 4200 Central Venous Catheters We hope this booklet will help
More informationSTEM CELL TRANSPLANTS
UAMS Information on STEM CELL TRANSPLANTS What is a Stem Cell Transplant? A stem cell transplant is an infusion of stem cells following high-dose chemotherapy. The infused cells effectively rescue the
More informationAnswering your questions on Chronic Myeloid Leukaemia (CML)
Answering your questions on Chronic Myeloid Leukaemia (CML) Your guide to understanding CML and Glivec (imatinib) treatment The information in this booklet is designed to help you understand chronic myeloid
More informationWHAT YOU SHOULD KNOW ABOUT. low blood counts.
WHAT YOU SHOULD KNOW ABOUT low blood counts. 1 INTRODUCTION Overview It is important for you to be aware that cancer, and some treatments for cancer, may affect your blood counts. Radiation therapy and
More informationFEC chemotherapy. The drugs that are used. How treatment is given
Macmillan and Cancerbackup have merged. Together we provide free, high quality information for all. FEC chemotherapy This fact sheet is about a chemotherapy treatment for breast cancer called FEC. It describes
More informationThe Menopause and Subtotal Hysterectomy
Oxford University Hospitals NHS Trust Women s Health The Menopause and Subtotal Hysterectomy Information for patients The menopause At the menopause the ovaries stop working. This means that the female
More informationHelping you manage symptoms and side effects associated with metastatic breast cancer treatment
Helping you manage symptoms and side effects associated with metastatic breast cancer treatment 2015 AstraZeneca. All rights reserved. 3156710 Last Updated 9/15 with metastatic breast cancer treatment
More informationCancer Care Oral Mucositis Managing Oral Care After Radiation or Chemotherapy. May 08
Cancer Care Oral Mucositis Managing Oral Care After Radiation or Chemotherapy May 08 Halton Region Health Department Mission Statement Together with the Halton community, the Health Department works to
More informationGoing home with a urinary cathether
Going home with a urinary cathether A patient s guide 1 Your doctor has advised that you require a urinary catheter so that urine can be drained from your bladder. This leaflet provides advice to help
More informationCyclophosphamide treatment and stem cell collection. Bone Marrow Transplant Unit Information for patients
Cyclophosphamide treatment and stem cell collection Bone Marrow Transplant Unit Information for patients i Important dates Outpatient appointment for counselling and consent. Date for day case appointment
More informationVAD Chemotherapy Regimen for Multiple Myeloma Information for Patients
VAD Chemotherapy Regimen for Multiple Myeloma Information for Patients The Regimen contains: V = vincristine (Oncovin ) A = Adriamycin (doxorubicin) D = Decadron (dexamethasone) How Is This Regimen Given?
More informationDietary advice for people starting treatment for Hepatitis C. Information for patients Sheffield Dietetics
Dietary advice for people starting treatment for Hepatitis C Information for patients Sheffield Dietetics Do I need to follow a special diet? You don t need to have a special diet but you should try and
More informationCardiac Catheter Lab Information for patients having a Coronary Angiogram
Cardiac Catheter Lab Information for patients having a Coronary Angiogram Page 1 of 5 What is a Coronary Angiogram? This is a test that uses dye and special x-rays to show the inside of your coronary arteries.
More informationWhat to Do When Receiving Radiation Therapy to the Pelvis
What to Do When Receiving Radiation Therapy to the Pelvis UHN For patients with gynecological cancer Learn the main steps in planning radiation treatment and how to manage side effects during radiation
More informationX-Plain Preparing For Surgery Reference Summary
X-Plain Preparing For Surgery Reference Summary Introduction More than 25 million surgical procedures are performed each year in the US. This reference summary will help you prepare for surgery. By understanding
More informationRehabilitation Unit 4C
If you have any questions please do not hesitate to ask any team member for assistance Your Room Phone Number is: Rehabilitation Unit 4C Rehab 4C Trillium - Mississauga 100 Queensway West Mississauga,
More informationTERMINATION OF PREGNANCY- MEDICAL
TERMINATION OF PREGNANCY- MEDICAL Information Leaflet Your Health. Our Priority. Page 2 of 8 You have been offered a medical termination of pregnancy using mifepristone. You will have been given some verbal
More informationDocetaxel (Taxotere) This booklet explains what docetaxel is, when it may be prescribed, how it works and what side effects may occur.
Docetaxel (Taxotere) This booklet explains what docetaxel is, when it may be prescribed, how it works and what side effects may occur. Treatment Lorem ipsum and dolore side effects estes 2 Call our Helpline
More informationLaparoscopic Hysterectomy
Any further questions? Please contact the matron for Women s Health on 020 7288 5161 (answerphone) Monday - Thursday 9am - 5pm. For more information: Royal College of Obstetrics and Gynaecology Recovering
More informationTooth Decay. What Is Tooth Decay? Tooth decay happens when you have an infection of your teeth.
Tooth Decay What Is Tooth Decay? Tooth decay happens when you have an infection of your teeth. When you eat food and drink, it is broken down into acid. This acid helps to make plaque (a sticky substance).
More informationFEC chemotherapy Factsheet
FEC chemotherapy Factsheet This factsheet explains what the chemotherapy combination FEC is, when it may be prescribed, how it works and what side effects may occur. 2 What is FEC? Visit www.breastcancercare.org.uk
More informationCHOP Chemotherapy Regimen for Lymphoma Information for Patients
CHOP Chemotherapy Regimen for Lymphoma Information for Patients The Regimen Contains: C: Cytoxan (cyclophosphamide) H: Adriamycin (hydroxy doxorubicin) O: vincristine (Oncovin ) P: Prednisone How Is This
More informationYes, Tuberculosis is a serious problem all over the world. Between 6 and 10 million in South Africa are infected by the TB germ.
What is TB? Do many people get tuberculosis (TB)? Yes, Tuberculosis is a serious problem all over the world. Between 6 and 10 million in South Africa are infected by the TB germ. It is infectious, so it
More informationYOU AND YOUR ANAESTHETIC
YOU AND YOUR ANAESTHETIC Information Leaflet Your Health. Our Priority. Page 2 of 8 This leaflet aims to answer some of the questions you may have about your anaesthetic and contains fasting instructions.
More informationUW MEDICINE PATIENT EDUCATION. Xofigo Therapy. For metastatic prostate cancer. What is Xofigo? How does it work?
UW MEDICINE PATIENT EDUCATION Xofigo Therapy For metastatic prostate cancer This handout explains how the drug Xofigo is used to treat metastatic prostate cancer. What is Xofigo? Xofigo is a radioactive
More informationTotal Hip Replacement Surgery Home Care Instructions
Total Hip Replacement Surgery Home Care Instructions Surgery: Date: Doctor: This handout will review the care you need to follow once you are home. If you have any questions or concerns, please ask your
More informationFor Pediatric Oncology Patients and Families
Atlantic Provinces Pediatric Hematology Oncology Network Réseau d oncologie et d hématologie pédiatrique des provinces de l Atlantique 5850/5980 University Avenue, PO Box 9700, Halifax, NS, B3K 6R8, 1.902.470.7429,
More informationUniversity College Hospital. Having total body irradiation (TBI) Radiotherapy Department Patient information series
University College Hospital Having total body irradiation (TBI) Radiotherapy Department Patient information series 12 2 If you need a large print, audio or translated copy of the document, please contact
More informationPeriurethral bulking agent for stress urinary incontinence (macroplastique)
PLEASE PRINT WHOLE FORM DOUBLE SIDED ON YELLOW PAPER Patient Information to be retained by patient affix patient label Who is this leaflet for? This leaflet provides information about having an injection
More informationTreating Mesothelioma - A Quick Guide
Treating Mesothelioma - A Quick Guide Contents This is a brief summary of the information on Treating mesothelioma from CancerHelp UK. You will find more detailed information on the website. In this information
More informationSpine and Orthopedic Surgery Unit Hamilton General Hospital. Information for patients and their families
Spine and Orthopedic Surgery Unit Hamilton General Hospital Information for patients and their families Curing - Caring - Comforting 905-527-4322, ext. 46650 Table of contents Page About 6 West... 1 Health
More informationIt can be devastating to be diagnosed with a cancer like multiple myeloma. But there are treatments that can help you live longer and feel better.
Patient information from the BMJ Group It can be devastating to be diagnosed with a cancer like multiple myeloma. But there are treatments that can help you live longer and feel better. What is multiple
More informationRadioactive Iodine Therapy Your Treatment Explained
Radioactive Iodine Therapy Your Treatment Explained Patient Information Introduction This leaflet tells you about the treatment known as radioactive iodine therapy. It explains what is involved and some
More informationMultiple Myeloma. This reference summary will help you understand multiple myeloma and its treatment options.
Multiple Myeloma Introduction Multiple myeloma is a type of cancer that affects white blood cells. Each year, thousands of people find out that they have multiple myeloma. This reference summary will help
More informationWhat Is. Norovirus? Learning how to control the spread of norovirus. Web Sites
Web Sites Centers for Disease Control and Prevention (CDC) http://www.cdc.gov/norovirus/index.html Your Local Health Department http://www.azdhs.gov/diro/lhliaison/countymap.htm What Is Ocument dn Norovirus?
More informationHygiene and Infection. Control advice in the home
Introduction The Infection Control Department Mid-Western Regional Hospital, Ennis, wrote this booklet with Clare Primary Community and Continuing Care and C-Diff Patients and Families Group. This booklet
More informationInformation for patients receiving chemotherapy
Information for patients receiving chemotherapy 1 Introduction This booklet has been produced to provide information for patients and their families about chemotherapy. It will address how chemotherapy
More informationSecondary liver cancer Patient Information Booklet
Secondary liver cancer Patient Information Booklet Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationThe Radiotherapy Department Radiotherapy to the chest wall and lymph nodes
Oxford University Hospitals NHS Trust The Radiotherapy Department Radiotherapy to the chest wall and lymph nodes Information for patients Introduction This leaflet is for people who have had surgery for
More informationAfter care following insertion of a suprapubic catheter
Other formats After care following insertion of a suprapubic catheter If you need this information in another format such as audio tape or computer disk, Braille, large print, high contrast, British Sign
More informationFollowing minor gynaecological surgery
Following minor gynaecological surgery Exceptional healthcare, personally delivered n Following your operation you should have an adult to take you home and remain with you overnight. Transport home should
More informationTreatment for pleural mesothelioma
Treatment for pleural mesothelioma This information is an extract from the booklet Understanding mesothelioma. You may find the full booklet helpful. We can send you a free copy see page 9. Contents Treatment
More informationTreating your abdominal aortic aneurysm by open repair (surgery)
Patient information Abdominal aortic aneurysm open surgery Treating your abdominal aortic aneurysm by open repair (surgery) Introduction This leaflet tells you about open repair of abdominal aortic aneurysm,
More informationWhy is radiation therapy used to treat prostate cancer? Is there anything that I have to do before my treatment planning appointment?
2015 Information for Patients Receiving Radiation Therapy: External Beam Treatment for Prostate Cancer Why is radiation therapy used to treat prostate cancer? Prostate cancer may be treated with a combination
More informationWelcome to 5 South Geriatric Psychiatry
Welcome to 5 South Geriatric Psychiatry Toronto Rehab For patients, families and caregivers Welcome to 5 South, the Geriatric Psychiatry Program at Toronto Rehab. This booklet will give you more information
More informationQMC campus Virtual Tour Script for DVD
QMC campus Virtual Tour Script for DVD Welcome to the Nottingham University Hospital NHS Trust maternity unit at Queen s Medical Centre Hospital campus This film has been made to provide you with information
More informationAdvice for those affected by MRSA outside of hospital
Advice for those affected by MRSA outside of hospital If you have MRSA this leaflet provides information and advice for managing your day-to-day life. 1 About MRSA There are lots of different types or
More informationFor the Patient: GDP Other names: LYGDP
1 For the Patient: GDP Other names: LYGDP G D P Gemcitabine Dexamethasone (taken by mouth) CISPlatin Uses: GDP is a drug treatment given for Non-Hodgkins and Hodgkin Lymphoma with the expectation of destroying
More informationSide Effects of Chemotherapy Treatment
Side Effects of Chemotherapy Treatment Chemotherapy drugs affect all body cells. They affect cancer cells and also normal cells. That's the reason for some of the side effects. Chemotherapy drugs especially
More informationCheekbone (zygoma) and/or eye socket (orbit) fracture surgery
Ambulatory Care & Local Networks Cheekbone (zygoma) and/or eye socket (orbit) fracture surgery Information for patients You have been treated in the Emergency Department for a broken (fractured) cheekbone
More informationCoping with Hormone Changes
Managing Symptoms After Prostate Cancer Coping with Hormone Changes from Prostate Cancer Treatment It s a challenge to manage side effects from hormone changes Having prostate cancer is a challenge. Coping
More informationTreatment for Stress Incontinence Patient Decision Aid
Treatment for Stress Incontinence Patient Decision Aid Patient Information Author ID: JD/NS Leaflet Number: Gyn 056 Version: 1 Name of Leaflet: Treatment for stress incontinence - Patient decision aid
More informationChemotherapy for head and neck cancers
Chemotherapy for head and neck cancers This information is from the booklet Understanding head and neck cancers. You may find the full booklet helpful. We can send you a free copy see page 7. Contents
More informationColon Cancer Surgery and Recovery. A Guide for Patients and Families
Colon Cancer Surgery and Recovery A Guide for Patients and Families This Booklet You are receiving this booklet because you will be having surgery shortly. This booklet tells you what to do before, during,
More informationPatient Information and Daily Programme for Patients Having Whipple s Surgery (Pancreatico duodenectomy)
Patient Information and Daily Programme for Patients Having Whipple s Surgery (Pancreatico duodenectomy) Date of admission Date of surgery Expected Length of Stay in hospital We will aim to discharge you
More informationClient Information For Maternity
Client Information For Maternity Community & Family Health Lions Gate Hospital Perinatal & Paediatric Services 231 East 15th Street North Vancouver BC V7L 2L7 Tel: 604-988-3131 How do I register for admission?
More informationGraft Versus Host Disease:
Graft Versus Host Disease: GvHD Information for young people having a donor stem cell transplant, and their families Children s Cancer and Leukaemia Group - www.cclg.org.uk Edited by Julie Guest, on behalf
More informationQuit plan. Your free guide on how to stop smoking. www.want2stop.info
Quit plan Your free guide on how to stop smoking www.want2stop.info Thinking? about stopping Around three quarters of those people in Northern Ireland who smoke say they would like to stop. If you are
More informationPaclitaxel and Carboplatin
PATIENT EDUCATION patienteducation.osumc.edu What is Paclitaxel (pak-li-tax-el) and how does it work? Paclitaxel is a chemotherapy drug known as an anti-microtubule inhibitor. Another name for this drug
More information