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- Title
Integration of Physician and Nursing Professional Efforts to Deliver Supportive Scalp Cooling Care to Oncology Patients at Risk for Alopecia.
- Authors
Peterson, Lindsay L.; Lustberg, Maryam; Tolaney, Sara M.; Ross, Mikel; Salehi, Elahe; Isakoff, Steven J.
- Abstract
Scalp cooling (SC) is an effective and generally well-tolerated method for prevention of chemotherapy-induced alopecia (CIA). Initially studied in early-stage breast cancer, these devices have expanded US Food and Drug Administration (FDA) clearance in a broad range of solid tumors including ovarian, colorectal, and prostate. Introducing SC to eligible patients, including those distraught by concerns of CIA, requires an integrated effort on the part of the physician, nursing, and care manager medical team. This article presents a pragmatic workflow for collaborative efforts from physicians and allied health professionals in the USA to deliver supportive SC to reduce CIA in patients undergoing treatment regimens known to impact hair follicles. It further highlights the efforts required to identify appropriate patients, educate, and set expectations of patients. The supervisory role of the physician during the procedure, the nursing role in monitoring and documentation, and the post-procedure decision-making by the physician are also addressed. Lastly, it suggests that integrated physician and nursing efforts necessary for scalp cooling are similar to other care used in oncology.
- Subjects
UNITED States. Food &; Drug Administration; ALLIED health personnel; HEALTH care teams; PATIENT care; PHYSICIANS; SCALP; MEDICAL quality control; AXILLA
- Publication
Oncology & Therapy, 2020, Vol 8, Issue 2, p325
- ISSN
2366-1070
- Publication type
Article
- DOI
10.1007/s40487-020-00120-6