Rituxan Reflective Report

Drugs are a double-edged sword by providing therapeutic effects with the potential to be toxic when it is not used properly. Medication safety has become a concern, especially with the rise in chronic illness and the aging population leading to polypharmacy, where a patient take multiple medications, increasing risk of drug related problems (Kwan & Farrell, 2013). As a solution, the Government of Ontario introduced and funded a pharmacist led medication review program called MedsCheck. Started in 2007, patients who take over three chronic medications are eligible for an annual 30 minute one-to-one medication consultation with the pharmacist to make sure medications are taken properly and safely. This program was expanded in 2010 to include

This cancer of the lymph nodes starts by destroying the cells apart of the body’s immune system and can be deadly. The 10 year survival rate for this cancer is 59% and requires years of therapy for recovery. When Kate first discovered she was sick, she had to undergo severe chemotherapy that has severely damaged her Kidney. She is currently doing dialysis to try and restore her damaged kidney, but only time will tell if she will need partial removal of her kidney or a complete transplant. When she is not in the hospital herself, she’s checking other patients in. Due to health care needs, Kimball currently works weekends as a receptionist at the Tallahassee Memorial Emergency Center.

The second option to explore would be continuing the dialysis treatments. While considering this option with the family it is very important to stress the hardships that go along with the aggressive treatment. Making the family fully aware of the

One notable hospital experience that is still on my mind deals with a woman in her 80s, who had been admitted for a few days. The unit secretary informed me of this story. While she was hospitalized, her family came to visit her everyday, and one of those nights the patient asked

The JFK Cancer Institute has an outstanding Oncology team that works closely with patients to ensure the best possible experience during what can be a very difficult at the time.

Rigorous chemotherapy treatments lasted over a year, and every one of those days I teetered with doubt. Every appointment, I

Renal History: The patient learned that he had kidney disease a few years ago. He had a biopsy in October 2012 that showed IgA nephropathy per TGH records. He started dialysis in 2013. Initially, he started peritoneal dialysis for seven months. He had a lot of side effects

These are the three bills that reference the days I got my treatment. I'm not going to say I'm in remission. That's not going to be the case until my numbers have normalized and that's the word that was used to me. I have more tests coming up in two months. I go back every 90 days. I don't get a scan every 90 days but I get blood work done every

Chemotherapy takes precedence over everything else in our lives. How do we cope ? R. S Gwynn presents a popular coping mechanism in his parody of Edgar Allen’s poem “The Bells.” Gwynn masterfully writes, “You may take the pledge, abstaining, thinking you can lick it all./But it’s hard when, ascertaining how diversions many enthrall,/ You’re still standing there draining one well past the final call:/ How it shows, shows, shows” (13-16). Gwynn’s use of rhythm, meter, and rhyme come together showing how abstaining from alcohol does not hold up against the treatment of cancer. Going through chemotherapy is like a roller coaster. Fighting against the monster looks likes it working, but ha, quickly a diversion, a new medical concern such as fungus in the lungs, seeps into the situation. When the chemo is not killing the cancer, when the bone marrow transplant is side-railed by fungus, wine

Haughey says he called the Medical Oncology department and told them to discontinue the chemo therapy drugs. The treatment was stopped for one round, and then continued at the direction of the medical oncology unit. Two to three weeks later, the patient was having problems tolerating the chemo treatment and was vomiting. He was admitted and developed bleeding. Haughey was called almost 36 hours after the patient was admitted, and the bleeding started. By the time Haughey became aware of the issues, the patient had

John Doe is a 57-year-old male who was diagnosed with Esophageal Cancer in January of 2017. He attended the St. Bernards Cancer Center located in Jonesboro, AR for consultation and treatments. His initial consultation was February 9, 2017 with one of the oncologists. At the first appointment, John met with the registrar personnel to complete all required paperwork, met with a nurse, nurse practitioner, cancer navigator, and oncologist. After his initial visit, the treatment plan was completed by staff members and he would begin treatments in the following weeks. John received both radiation and chemotherapy to treat his diagnosis. He began radiation and chemotherapy treatments on February 27, 2017 and finished on April 6, 2017. His radiation treatment was scheduled daily and his chemotherapy treatments were scheduled twice weekly for six weeks. He has a two-week follow-up appointment scheduled for April 21, 2017. At this follow-up visit, John will meet with a nurse, cancer navigator, and oncologist. This visit is solely

To date, Patient C has had approximately 91 IVIG treatments, 6 rounds of chemotherapy, 5 years worth of steroid shots, 9 spinal taps, numerous x-ray swallow studies, CT scans, and MIBG scans, and he just finished having his 3rd porta catheter placed (S. Berkley, personal communication, December 1,

2014 AHA/ACC/HRS Guideline for the management of patients with atrial fibrillation recommends a dose of 15 mg of rivaroxaban daily with the evening meal for treatment of nonvalvular atrial fibrillation in patients with renal impairment (CrCL 15 – 50 mL/min).

So we get to the chemo center at 3:30 in the afternoon which we never do. We always like to get a morning appointment but that didn't happen this time. Everyone kept saying how busy it was that day. They were so busy, busy, busy and so I knew we were going to wait, wait, wait. Usually when a place is so busy it means it’s a success. When a chemo center is beyond capacity it’s sad sign there’s a cancer epidemic that is not going away We waited 45 min to get into not a room but a short infusion space which is kind of like in a hallway. So this chemo was supposed to last two hours Ha! No, there was a mistake and they said it's going to be longer because they want to do it very slowly. So they decided because it's going to be longer we would get

4- Was the transplant given for recurrent PB or one time occurrence with other signs of failed Fontan.