Instructions for Patients
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Did you know that you can book your appointment online? Our Journal, Supportive Care in Cancer is a monthly publication and a MASCC member benefit available in print and online access. The first lists key questions to assess the patient’s knowledge of the treatment plan, current medications, and ability to obtain and take an oral cancer agent. The second section contains general patient teaching instructions applicable to all oral cancer agents, such as storage, handling, and disposal, identifying a system for remembering to take the drug, and actions to take for various situations, such as a missed dose.
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This User Guide provides background for patient education in general, as well as a framework and examples of the MOATT’s usefulness in clinical and research settings. Use of the MOATT requires written approval, as explained below. MASCC appreciates the unrestricted grants from Eli Lilly, OSI Pharmaceutical Company, and Celgene Corporation that were used to develop the MOATT. MOATT Card Style Format: Designed for printing double sided on 8. This card contains the guidelines, an evaluation section and a cut-off section to be given to the patient. 2 Update is currently is being translated in several languages and will be posted upon completion.
0 translations have been removed until they are updated. We would like to acknowledge the following translators for their efforts on the MOATT V1. MOATT and may do so free of charge. Commercial companies must obtain written approval from MASCC and will incur a nominal fee for using this tool. Please contact the Executive Director for additional information regarding the approval procedure at mascc. Jean Boucher and colleagues published the results of a study designed to evaluate a nurse-led intervention using the MOATT with the goals of increasing patient knowledge and adherence to therapy.
This was a longitudinal, descriptive, feasibility study conducted in an ambulatory thoracic oncology disease center at the Dana-Farber Cancer Institute in Boston, Massachusetts. The intervention consisted of structured, nurse-led education sessions using the MOATT, along with a a 72-hour follow-up telephone contact. Participants showed high knowledge levels and MMAS-8 scores. They reported a median of two side effects.
The structured education sessions and follow-up monitoring ranged from 14 to 30 minutes. Given the positive results, this intervention appears effective and feasible to integrate into the thoracic oncology setting. This study included no objective measures of treatment adherence, and the authors recommend that this should be done in the future. They also advocate the development of strategies for delivering supportive care to patients at home. ISOO Annual Meeting: Hooper C, Lucca J, Pedulla, LV, Boucher J.
Patients with Lung Cancer on Erlotinib. The published study appears in the July 2015 issue of Oncology Nursing Forum: Boucher J, Lucca J, Hooper C, Pedulla L, Berry DL. A Structured Nursing Intervention to Address Oral Chemotherapy Adherence in Patients With Non-Small Cell Lung Cancer. Boucher J, Lucca J, Hooper C, Pedulla L, Berry DL.
Development of teaching tool for patients receiving oral agents for cancer. Kav S, Nirenberg A, Schulmeister L, Barber L, Johnson J, Rittenberg C. Role of the nurse in patient education and follow-up of people receiving oral chemotherapy treatment: an International survey. Kav S, Barber L, Johnson J, Nirenberg A, Rittenberg C, Schulmeister L.
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For Questions or additional information, contact the Executive Director at mascc. The Brady Urological Institute, given through the generosity of James Buchanan Brady, opened January 21, 1915 and was the only one of its kind in the country. Books Autobiography of William Wallace Scott, Sr. Please click here for more details. For Completion Before Your First Visit With Dr. Click here to learn more about the variety of services and resources that are available to you and your child.
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Please follow the checklist for the appropriate admission type. All required documentation must be received by the Admissions and Records Office at least 90 days before the beginning of the term in which admission is desired. Create a login: Enter a valid e-mail address. Exit button to save your application for later completion. To re-access your application to continue work on it: return to the application menu, enter your login information in the Returning Users box. Once you have completed the application, click the Submit button located at the bottom of the page to send your application to LSUS!
Registration status and other student information: Log on to myLSUS. Once you submit your online application, be sure to submit all required supporting documents as soon as possible for a timely decision. Additional information may be requested after receipt of the Application for Admission. Login to the application using the Email Address and Password previously used for the application and click “Return to my Application.
Login to the application: Enter your Student ID. Security Question click on the link and follow the instructions. Please write this number down for future reference. Update your information: Make necessary changes to information displayed. Records Office for information on requirements for changing this information.
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The lingual frenulum is a piece of tissue that connects the tongue to the floor of the mouth. In some children, the frenulum is too tight. This may affect their speech or eating. In newborns, a tight frenulum may interfere with breastfeeding and cause discomfort for the mother. The frenulectomy releases a portion of this connection and will allow the tongue to move more freely. The surgery will only take a few minutes. Your doctor will decide whether it should be done in the office or in the operating room under general anesthesia.
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The maxillary frenulum is a piece of tissue that connects the upper lip with the upper jaw above the front teeth. This may affect the way that the permanent teeth come in. What to expect after the procedure:You may notice some bloody drainage from your child’s mouth. These will dissolve on their own. No stitches are used when the procedure is done in the office or when the maxillary frenulum is released.
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This blotchy, red color is a normal response to the medicine given during surgery. Most children will be briefly fussy after a frenulectomy. Taking liquids may soothe your child, but it may be uncomfortable at first. After the first hour your child will feel much better. A non-aspirin pain reliever may be given if needed. A slight fever is normal after surgery.
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Do not take your child’s temperature by mouth until the stitches have dissolved. When to call the doctor:Your child is having difficulty swallowing and has excessive drooling. Your child has a lot of bleeding from the mouth. A small amount of oozing is normal.
Your child has severe swelling under the tongue or chin. A small amount of swelling is normal. Your child’s rectal temperature is greater than 101. Your child vomits for more than 6 hours or if vomiting is severe.
Your child’s nurse will discuss this with you before you go home. Your child has signs of dehydration. A child can become dehydrated when he or she has prolonged or severe vomiting and is not able to drink enough to keep up with the loss of fluids. REMEMBER: Please call if you have any questions. Use the phone number your child’s nurse gives you.
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Disclaimer: This information is not intended to substitute or replace the professional medical advice you receive from your child’s physician. The content provided on this page is for informational purposes only, and was not designed to diagnose or treat a health problem or disease. Please consult your child’s physician with any questions or concerns you may have regarding a medical condition. Alerts There are no alerts at this time. The following Clinical Reference Document provides the evidence to support the Medication Adherence Time Tool. The following bookmarks are available to move around the Clinical Reference Document. You may also download a printable version for future reference.
Patient adherence to a medication regimen is central to good patient outcomes. Provider discussions help patients understand their illness and weigh the risks and benefits of treatment. Poor adherence to prescribed medication is associated with reduced treatment benefits and can obscure the clinician’s assessment of therapeutic effectiveness. Physicians play an integral role in medication adherence. Patients who trust their physicians have better two-way communication with their physician. Trust and communication are two elements critical in optimizing adherence. Numerous studies show that physician trust is more important than treatment satisfaction in predicting adherence to prescribed therapy and overall satisfaction with care .