Maheshwari Apoorva, Shankar Abhishek, Tyagi Kashish, Verma Richa
Department of Dermatology, Lady Hardinge Medical College, New Delhi, India.
Department of Radiation Oncology, All India Institute of Medical Sciences, Patna, Bihar, India.
Indian J Palliat Care. 2022 Apr-Jun;28(2):216-220. doi: 10.25259/IJPC_147_2021. Epub 2022 Apr 27.
Modern cancer management has changed over the period of time and now shifted to multidisciplinary care approach to ensure a better quality of life (QOL) of the surfing patients. Every form of cancer treatment has side effects and affects the QOL. Many of the side effects have been discussed in detail because of the need for timely interventions to prevent the consequences of the side effects. Dermatological adverse events due to cancer treatment are important but most commonly ignored in our clinical practice. Nursing staffs have a critical role in the early identification of such events and by briefing and training of the nursing staff in the identification of adverse events which can aid in the prevention of complications. As dermatologists may not be available round the clock, nursing staff are looking after the patients round the clock can prove very vital in screening cutaneous AE and adequately setting up referrals to aid early recognition and treatment of not only mild but also potentially life-threatening complications. The nursing staff, which is a cadre of health caregivers that are intimately involved in cancer care, can be trained to identify timely, skin-related adverse events. A literature search of scientific publications was done using the electronic databases PubMed, Science Direct, Cochrane Library, and Google Scholar. The search included terms 'Adverse events (AEs) post-chemotherapy,' 'AE post-radiotherapy,' 'AE post-immunotherapy,' 'AE post-hormonal therapy for cancer' and 'AE post-cancer surgery.' Data obtained from these studies and case reports were compiled and interpreted to prepare this review. This review focuses on various ways in which skin can be involved adversely as a part of cancer management and their classic and tell-tale signs to help the nurses in their better and quicker identification so that dermatologists are timely intimated and the treatment can be instituted to improve the patient's QOL.
现代癌症管理在过去一段时间里发生了变化,现在已转向多学科护理方法,以确保癌症患者有更好的生活质量(QOL)。每种癌症治疗方式都有副作用,并会影响生活质量。由于需要及时干预以预防副作用的后果,许多副作用已得到详细讨论。癌症治疗引起的皮肤不良事件很重要,但在我们的临床实践中最常被忽视。护理人员在早期识别此类事件方面起着关键作用,通过对护理人员进行不良事件识别方面的培训,可以帮助预防并发症。由于皮肤科医生不可能随时都在,全天候照顾患者的护理人员在筛查皮肤不良事件以及妥善安排转诊以帮助早期识别和治疗不仅是轻微的而且可能危及生命的并发症方面可能非常重要。护理人员作为密切参与癌症护理的医疗保健人员队伍,可以接受培训以及时识别与皮肤相关的不良事件。使用电子数据库PubMed、ScienceDirect、Cochrane图书馆和谷歌学术对科学出版物进行了文献检索。检索词包括“化疗后不良事件(AEs)”、“放疗后AE”、“免疫治疗后AE”、“癌症激素治疗后AE”和“癌症手术后AE”。从这些研究和病例报告中获得的数据进行了汇总和解读,以撰写本综述。本综述重点关注皮肤在癌症管理过程中可能受到不良影响的各种方式及其典型和明显迹象,以帮助护士更好、更快地识别,从而及时通知皮肤科医生并开展治疗,以改善患者的生活质量。