Current Approaches in Nausea and Vomiting Management in Children Undergoing Chemotherapy

Abstract

Despite advances in the treatment of nausea and vomiting in children receiving chemotherapy, nausea and vomiting remains the most important treatment side effect in children. This undesirable side effect significantly affects the quality of life of the child and the caregiving parents, compliance of the child to the treatment, course of the treatment, psychological well-being of the child, treatment process, compliance of the treatment and coping level of the caregiving parents. For this reason, pediatric oncology nurses are the professionals who interact and provide direct care to the child receiving cancer treatment; It has important roles and responsibilities in providing the necessary care, guidance, support and complementary interventions to alleviate unwanted side effects and minimizing the symptoms seen in the child. Pediatric oncology nurses; evaluate the child's treatment protocol, the emotogenicity of the given protocols, the effects on the child, the previous experiences of the child with nausea and vomiting through detailed evaluation criteria and follow the evidence-based care guidelines, evaluation criteria, algorithms and nursing interventions, planned pharmacological treatment, side effects. In addition, pharmacological methods should be supported by non-pharmacological methods according to current evidence-based guidelines. It should support nursing care with established non-pharmacological modalities that are effective in preventing nausea and vomiting in children, and should follow current randomized controlled trials evaluating their efficacy and integrate them into their clinical trials. It is also recommended that pediatric oncology nurses plan follow-up studies, longitudinal studies and randomized controlled experimental studies evaluating the effectiveness of non-pharmacological interventions for nausea and vomiting in children. In this review, current approaches to nausea and vomiting in children receiving chemotherapy were evaluated.

Keywords

• Nausea and vomiting,nursing practices,chemotherapy,pediatric oncology,symptom management

References

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