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- Title
High-Dose Gating Protocol for Deaf Patients In Radiation Oncology.
- Authors
Ashley, Alex; Roytman, Mark; Dumane, Vishruta; Edwards, Keith; Goodman, Karyn; Skubish, Samantha
- Abstract
Background: This case study discusses a 37-year-old man who presented with stage IV (cT3N1M1a) sigmoid colon cancer that had metastasized to the liver. The patient underwent stereotactic body radiation therapy using real-time, fiducial-based, triggered-imaging guidance and amplitude-based respiratory gating at exhalation. In addition to the cancer diagnosis, the patient was deaf and had a substantial medical and surgical history for other comorbidities. Discussion: Although deaf patients account for a small percentage of those undergoing radiation therapy, this treatment has the potential to be more inclusive to this group, which the authors accomplished using a novel approach. Providing instructions to enable the patient to breathe in a consistent, periodic, and reproducible manner via sign-language interpretation and visual setup was key to providing equitable care. Conclusion: The multidisciplinary team must work to ensure that deaf patients are not excluded from gating treatment protocols typically achieved through verbal coaching. With appropriate visual setup, sign-language interpretation, and coaching through translation, culturally competent care can be provided successfully and seamlessly.
- Subjects
LIVER tumors; MEDICAL protocols; PATIENT education; RADIOTHERAPY; CULTURAL competence; COMPUTED tomography; METASTASIS; PATIENT-centered care; COLON tumors; SIMULATION methods in education; DEAFNESS; COMMUNICATION; MEDICAL needs assessment; NEEDS assessment; VISUAL perception; HEARING impaired; HEALTH care teams; SIGN language
- Publication
Radiation Therapist, 2024, Vol 33, Issue 2, p104
- ISSN
1084-1911
- Publication type
Article