KA KAISER PERMANENTE Fresno Welcome to Chemotherapy Class With your Oncology Nurse and Social Worker Oncology Department 7300 North Fresno Street Fresno, Ca 93720 www.kp.org/mydoctor/fresno/cancer Kaiser Permanente Fresno
Group Class Confidentiality Agreement o Privacy is a concern for everyone in a group class. Each participant wants what is said in the group to be treated with respect and complete discretion. Along with Kaiser Permanente’s commitment to foster respect for all in the class, each participant also has a responsibility to respect and protect each other’s privacy. o Please share useful general information outside of the group, but what you hear and learn about individual group members should stay here. March 17, 2020 Kaiser Permanente San Francisco
PHONE NUMBERS Fresno Oncology Department 559-448-4475 Press 4 Press 2 Press 1 Press 3 Chemo Scheduling Line Non-Urgent- Return call Department Hours Prescription Refills w/in 24 hours When leaving a message Infusion Center Emergency include: 559-448-4277 911 Name, Medical M-F 8:30am-6pm Record #, Call back # After Hours Medical Advice RN Social Worker 559-448- 559-448- 4555 5361 Kaiser Permanente Fresno
WHAT TO EXPECT ON YOUR VISIT Page 12-13 Before: • Go to the laboratory 2 days prior to your appointments (not including your 1st appt) • Take your premedication(s), if prescribed • Arrive 10 minutes before your scheduled appointment time • Do not cancel appointments online, please call us directly What to wear and bring: • Wear comfortable/loose fit clothing • Snacks or a meal (excluding tuna or other strong smells) • Personal entertainment (e.g. book, music, knitting supplies, etc.) • 1 visitor Kaiser Permanente Fresno
WHAT TO EXPECT ON YOUR VISIT Example of a first day: • Register in the Oncology Department • Assessment - Weight, vital signs, and checking for symptoms • About a 30 minute wait for pharmacy - A RN will let you know as soon as your medication is ready • You will be informed of your appointment length when scheduled • At the end of your visit you will receive an after visit summary that includes a calendar, medication you received and medication prescribed. Kaiser Permanente Fresno
WHAT IS CHEMOTHERAPY? Page: 3 Chemotherapy is a type of cancer A tumor is forming treatment that uses drugs to destroy cancer cells. • Stops or slows the growth of cancer cells • Attacks rapidly growing cells • Can also harm healthy cells Goals • Control • Cure • Relieve/Palliate symptoms Kaiser Permanente Fresno
HOW IS CHEMOTHERAPY GIVEN? Pages: 7-8 Examples of administration: Intravenous Oral Pills Intravenous Injection Kaiser Permanente Fresno
EFFECT OF CHEMOTHERAPY ON BLOOD CELLS White blood cells (WBC): help fight infections • When the WBC is below normal you are at higher risk for infection - Avoid people who are ill - Practice good hygiene (especially handwashing) • Signs of infection - Temperature of 101°F or temperature over 100.4°F sustained over one hour - Chills or shaking with or without fever - New or worsening cough - Sore throat - Pain or burning during urination Please report any signs of infection or fever Kaiser Permanente Fresno
EFFECT OF CHEMOTHERAPY ON BLOOD CELLS Platelets: help blood to clot • Low number of platelets can cause bleeding • Signs of bleeding: - Unexpected or sudden bruising and bleeding - Black tarry stool - Report any excessive bleeding or bleeding that continues for more than 10 minutes despite applying direct pressure - Alcohol can increase blood thinning. Avoid consumption throughout treatment. Red blood cells (RBC): carry oxygen • Low RBC can cause anemia and fatigue • Report any chest discomfort, shortness of breath, or dizziness immediately Kaiser Permanente Fresno
SIDE EFFECTS THAT YOU MAY EXPERIENCE Hair Loss Mouth Sores Page: 24 Page: 22 Kaiser Permanente Fresno
SIDE EFFECTS THAT YOU MAY EXPERIENCE • Small frequent meals • Eat toast, crackers and clear fluids • Avoid sweets, spicy, fried and fatty foods • Eat a light meal before treatment • For more nutrition tips see page 26 Nausea/Vomiting Pages: 21 Kaiser Permanente Fresno
SIDE EFFECTS THAT YOU MAY EXPERIENCE Constipation • Increase fiber and fluids Diarrhea • BRAT: Banana, Rice, Apple Sauce, Toast • Increase fluids – clear is best Constipation Diarrhea For more nutrition tips see pages 14-15 Pages: 27-28 Page: 25 Kaiser Permanente Fresno
SIDE EFFECTS THAT YOU MAY EXPERIENCE Peripheral Neuropathy Skin Dryness/Sensitivity Fatigue Page: 26 Page: 23 Pages: 19-20 Kaiser Permanente Fresno
OTHER POTENTIAL SIDE EFFECTS Insomnia Depression Sexual Changes Page: 21 Pages:20-21 Page: 26 Kaiser Permanente Fresno
OTHER CONSIDERATIONS Flu Shot Dental Work Page: 14 Page: 22 Kaiser Permanente Fresno
NUTRITION Supplements Healthy Balanced Meal Maintaining Weight Pages: 14-15 Pages: 14-15, 26 Page: 31 Kaiser Permanente Fresno
ITEMS TO HAVE AT HOME Electrolyte Supplement Calendar with Tylenol Rapid Thermometer Pedialyte Symptom Notes Release and/or Powerade Soft toothbrush Docusate and Sunscreen SPF sodium and 30 or more Sensitive Imodium AD toothpaste Kaiser Permanente Fresno
Support Resources Kaiser Permanente Fresno
Support Services: • Practical Services - Financial Assistance - Time off work for patient and caregivers - Transportation - Help at home - Nutrition • Emotional Support - Individual Counseling - On-Line Support and Resources Contact Medical Social Worker for the services above. 559-448-5361 March 17, 2020 Kaiser Permanente San Francisco
Other Resources at Kaiser Permanente Fresno: Pages: 29-34 • Cancer Support Groups- 559-448-5361 - Hear from other patients - Registration required • Health Education Department- 559-448-4415 - Mind-Body Stress Classes - Life Care Planning • Organizations and Websites o www.kp.org/mydoctor/fresno/cancer March 17, 2020
Any Questions? Please call Oncology Dept 559-448-4475 Option 2 March 17, 2020
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