Clinical Manual for Management of the HIV-Infected ... - myCME.com
Clinical Manual for Management of the HIV-Infected ... - myCME.com
Clinical Manual for Management of the HIV-Infected ... - myCME.com
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Patient Education<br />
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Successful treatment <strong>of</strong> NHL requires meticulous<br />
adherence to <strong>the</strong> treatment plan. Patients who<br />
sporadically receive treatment put <strong>the</strong>mselves at risk<br />
<strong>for</strong> <strong>the</strong> adverse effects <strong>of</strong> treatment but may receive<br />
little <strong>of</strong> <strong>the</strong> benefit. Advise patients to take all <strong>of</strong><br />
<strong>the</strong>ir medications exactly as prescribed and to attend<br />
all <strong>of</strong> <strong>the</strong>ir scheduled chemo<strong>the</strong>rapy and follow-up<br />
clinic appointments.<br />
Different chemo<strong>the</strong>rapy regimens have different<br />
side effect pr<strong>of</strong>iles. Not all patients who receive<br />
chemo<strong>the</strong>rapy will be nauseous or lose <strong>the</strong>ir hair.<br />
Educate patients about <strong>the</strong> possible side effects <strong>of</strong><br />
chemo<strong>the</strong>rapy and o<strong>the</strong>r medications and advise<br />
<strong>the</strong>m to call <strong>the</strong>ir health care providers if <strong>the</strong>y<br />
develop <strong>the</strong>se.<br />
Encourage patients who are not taking ART to<br />
agree to start; emphasize <strong>the</strong> importance <strong>of</strong> close<br />
adherence.<br />
Emphasize to patients <strong>the</strong> importance <strong>of</strong><br />
medications in preventing OIs, if <strong>the</strong>se are indicated.<br />
References<br />
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Section 6—Disease-Specific Treatment | 6–83<br />
Biggar R, Engels E, Ly S, et al. Survival after cancer<br />
diagnosis in persons with AIDS. J Acquir Immune<br />
Defic Syndr. 2005 Jul 1;39(3):293-9.<br />
Bonnet F, Jouvencel AC, Parrents M, et al. A<br />
longitudinal and prospective study <strong>of</strong> Epstein-Barr virus<br />
load in AIDS-related non-Hodgkin lymphoma. J Clin<br />
Virol. 2006 Aug;36(4):258-63. Epub 2006 Jun 9.<br />
Cassidy J, Bissett D, Spence RAJ, eds. Ox<strong>for</strong>d<br />
Handbook <strong>of</strong> Oncology. Ox<strong>for</strong>d Press: New York.<br />
2002:551-570.<br />
Diamond C, Taylor TH, Im T, et al. Highly active<br />
antiretroviral <strong>the</strong>rapy is associated with improved<br />
survival among patients with AIDS-related primary<br />
central nervous system non-Hodgkin’s lymphoma. Curr<br />
<strong>HIV</strong> Res. 2006 Jul;4(3):375-8.<br />
Pazdur R, Coia L, Hoskins W, et al, eds. AIDS-<br />
Related Malignancies. In: Cancer <strong>Management</strong>: A<br />
Multidisciplinary Approach. 9th ed. CMP Healthcare<br />
Media: Manhasset, NY. 2005;639-663.<br />
Pazdur R, Coia L, Hoskins W, et al, eds. Non-<br />
Hodgkin’s Lymphoma. In: Cancer <strong>Management</strong>: A<br />
Multidisciplinary Approach. 9th ed. CMP Healthcare<br />
Media: Manhasset, NY. 2005;697-747.
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