Nurses Can Lead the Management of GI Toxicities

Video

Nurses can lead the healthcare team when it comes to managing immune-related GI toxicities.

Gastrointestinal (GI) toxicities are common for patients taking immunotherapy agents, and nurses can be key in managing these adverse events, explained Marianne Davis, DNP, ACNP, AOCNP, associate professor at Yale School of Nursing and oncology nurse practitioner at Smilow Cancer Hospital at Yale New Haven.

TRANSCRIPTION

One of the most common immune-related adverse events might be diarrhea or colitis for patients. Nurses need to be able to assess the patient for what their standard bowel pattern is. So the nurse has a lot of contact with the patient, so understanding what their pattern is, are they on other medications that might influence the bowel pattern, that will help really provide that objective and subjective data that we need to help grade the colitis.

We then look at the nurse's assessment of patients' other medications [and] co-morbid medical conditions. The nurses are very involved in counseling patients about other medications that might influence this toxicity, dietary patterns. And then also empowering the nurse to encourage the patient in terms of hydration and dietary modifications and supportive care interventions that can help manage the toxicity is really important.

The nurse really looks at the patient holistically, and can help really relay that symptom profile to other members of the healthcare team, and then also work with other members of the healthcare team to provide interventions that can successfully manage the toxicity for patients.

Related Videos
Colleen O’Leary, DNP, RN, AOCNS, EBP-C, LSSYB, in an interview with Oncology Nursing News.
Michelle H. Johann, DNP, RN, PHN, CPAN, WTA, in an interview with Oncology Nursing News explaining surgical path cards
Jessica MacIntyre, DNP, MBA, APRN, NP-C, AOCNP, in an interview with Oncology Nursing News
Andrea Wagner, M.S.N., RN, OCN, in an interview with Oncology Nursing News discussing her abstract on verbal orders for CRS.
John Rodriguez in an interview with Oncology Nursing News discussing his abstract on reducing nurse burnout
Alison Tray, of Hartford Healthcare, discusses her team's research on a multidisciplinary team approach to manage the cancer drug shortage
Cancer-Related Cognitive Impairment
Related Content
© 2024 MJH Life Sciences

All rights reserved.