Cancer Treatment, Symptom Monitoring, and Self-Care in Adults: A Pilot Study in Thailand

2.50
Hdl Handle:
http://hdl.handle.net/10755/153287
Type:
Presentation
Title:
Cancer Treatment, Symptom Monitoring, and Self-Care in Adults: A Pilot Study in Thailand
Abstract:
Cancer Treatment, Symptom Monitoring, and Self-Care in Adults: A Pilot Study in Thailand
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Piamjariyakul, Ubolrat, PhD, RN
P.I. Institution Name:University of Kansas Medical Center
Title:Research Assistant Professor
Co-Authors:Phoebe D. Williams, PhD, RN, FAAN; Daisy Guela, BSN, RN; Kathleen A. Ducey, ARNP, MS, AOCN
Aims/ Context: Examine symptoms experienced and self-care [Orem?s framework] strategies by adults during cancer treatments. Self-report of patients regarding symptoms experienced during cycles of treatment may allow early and more effective management of conditions threatening successful therapy. Methods: Pilot study done at 2 cancer centers in Thailand; adults receiving chemotherapy [n=23, mean age 56.6] primarily for breast cancer, gastrointestinal cancer, lymphomas; or radiation therapy, RT, [n=25, mean age 56] for head & neck, breast cancer, or cervical cancer). Used Williams? Therapy-Related Symptoms Checklist, TRSC; demographic and self-care interview forms. Results: Similar to Midwestern U.S. findings, severe symptoms on TRSC subscales Oropharynx, Eating, Nausea,  Numbness in fingers/ toes, Hair loss were reported by chemotherapy patients; and, severe symptoms on subscales Eating, Oropharynx, Pain, Skin changes, Nausea, Constipation; by RT patients.  Using complementary medicine categories, self-care strategies: Diet/ nutrition/ life-style change (e.g., modifications of food, eating habits; use of nutritional supplements; naps, sleep and rest); Mind/ body control (e.g., prayer, listen to Buddha preaching; music); Biologic treatments (vitamins); Herbal treatments/ Ethnomedicine (camphor ointment for numb fingers, bruising; sniff camphor inhaler for shortness of breath; chew mangosteen shell [fruit?s skin] for sore mouth; lime leaf shampoo for hair loss.  The first category was often used by all patients. Specific methods were used such as food-enhancers [e.g., fish sauce, other flavors] to improve taste and appetite; boiled rice and eggs; small frequent feedings; favorite fruits. Extremities were massaged to help with numb fingers and toes; and wigs, for hair loss. Mouth rinses, bland foods helped with sore mouths. Medicines were prescribed to help control symptoms (e.g., pain, nausea, difficulty sleeping). Conclusions/ Implications: Self care measures help with symptom management. The TRSC, a standardized, brief self-report checklist, can facilitate symptom monitoring. With reported symptom severity, caregivers can prioritize and evaluate interventions.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCancer Treatment, Symptom Monitoring, and Self-Care in Adults: A Pilot Study in Thailanden_GB
dc.identifier.urihttp://hdl.handle.net/10755/153287-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Cancer Treatment, Symptom Monitoring, and Self-Care in Adults: A Pilot Study in Thailand</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Piamjariyakul, Ubolrat, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Kansas Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Research Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">upiamjariyakul@kumc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Phoebe D. Williams, PhD, RN, FAAN; Daisy Guela, BSN, RN; Kathleen A. Ducey, ARNP, MS, AOCN</td></tr><tr><td colspan="2" class="item-abstract">Aims/ Context: Examine symptoms experienced and self-care [Orem?s framework] strategies by adults during cancer treatments. Self-report of patients regarding symptoms experienced during cycles of treatment may allow early and more effective management of conditions threatening successful therapy. Methods: Pilot study done at 2 cancer centers in Thailand; adults receiving chemotherapy [n=23, mean age 56.6] primarily for breast cancer, gastrointestinal cancer, lymphomas; or radiation therapy, RT, [n=25, mean age 56] for head &amp; neck, breast cancer, or cervical cancer). Used Williams? Therapy-Related Symptoms Checklist, TRSC; demographic and self-care interview forms. Results: Similar to Midwestern U.S. findings, severe symptoms on TRSC subscales Oropharynx, Eating, Nausea,&nbsp; Numbness in fingers/ toes, Hair loss were reported by chemotherapy patients; and, severe symptoms on subscales Eating, Oropharynx, Pain, Skin changes, Nausea, Constipation; by RT patients.&nbsp; Using complementary medicine categories, self-care strategies: Diet/ nutrition/ life-style change (e.g., modifications of food, eating habits; use of nutritional supplements; naps, sleep and rest); Mind/ body control (e.g., prayer, listen to Buddha preaching; music); Biologic treatments (vitamins); Herbal treatments/ Ethnomedicine (camphor ointment for numb fingers, bruising; sniff camphor inhaler for shortness of breath; chew mangosteen shell [fruit?s skin] for sore mouth; lime leaf shampoo for hair loss.&nbsp; The first category was often used by all patients. Specific methods were used such as food-enhancers [e.g., fish sauce, other flavors] to improve taste and appetite; boiled rice and eggs; small frequent feedings; favorite fruits. Extremities were massaged to help with numb fingers and toes; and wigs, for hair loss. Mouth rinses, bland foods helped with sore mouths. Medicines were prescribed to help control symptoms (e.g., pain, nausea, difficulty sleeping). Conclusions/ Implications: Self care measures help with symptom management. The TRSC, a standardized, brief self-report checklist, can facilitate symptom monitoring. With reported symptom severity, caregivers can prioritize and evaluate interventions.</td></tr></table>en_GB
dc.date.available2011-10-26T12:10:20Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:10:20Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.