Cancer and its treatment reduce the immune system’s power to fight infection. The patient will have an increased risk of infection for the duration of therapy. Steps can be taken to reduce the risk of infection. Most of these steps follow common sense rules of good hygiene.
Keep kids and adults who do not live with the patient and who have signs of infection (such as fever, severe cough, sneezes, sore throat or a rash) away from the patient. If people with these symptoms must be around the patient, they should limit their time, wear a mask and practice good hand washing.
The patient should still go to school unless directed otherwise by your physician. Most of the minor illnesses in the school environment do not create a significant risk.
If household members are sick, we do not usually recommend keeping them away from the patient. Use common sense to prevent the spread of infection among household members:
Contact your treatment team immediately if household members are suspected to have or are diagnosed with chicken pox, shingles, measles or mumps.
If the patient has a central line, venous port or PICC line, follow instructions carefully for dressing changes and line care. Always wash your hands before handling the line. Refer to your central line book for specifics.
Contact your treatment team immediately if the patient has signs of infection. Keep a close eye on the patient’s mouth, rectal area, biopsy or surgical sites, and areas of injury (e.g., cuts in the skin, burns or rash). Watch for redness, fluid drainage, heat or an unusual degree of pain at the site of a wound.
Do not leave band-aids or bandages in place for more than 24 hours, unless you are instructed by the treatment team to do so.
Even when reasonable steps are taken ahead of time, the patient may still develop fevers or infections. If fever or infection develops, contact the treatment team immediately for further instructions.
Viruses usually cause relatively minor infections, such as the common cold, but certain viruses can cause serious infections. Because the source of infection is difficult to find in patients receiving cancer treatment, those with low blood counts and signs of infection will be treated with antibiotics if a virus is suspected.
If the patient develops any rash, talk with your treatment team immediately. A rash may be caused by a serious infection, chicken pox or shingles. Do not bring the patient to the medical center if they have a rash unless the doctor or nurse tells you to do so.
Patients may experience pain during treatment. Some causes of pain may be:
Pain can be managed using medications, distraction, music, massage, role-playing, relaxation and art therapy. The treatment team will work with patients and caregivers to develop the best pain relief plan.
Avoid pain medicines that contain aspirin and ibuprofen (unless directed by your health care team), as they may increase bleeding problems and irritate the stomach. You should call the treatment team before giving the patient any medicines not ordered by the doctor or previously discussed.
If the patient has severe pain, pain that persists, or pain and fever at the same time, please call the treatment team for further instructions.
A severe headache during times of low platelet counts or a stiff neck accompanied by fever should be reported to the treatment team immediately.
Patients will experience changes in physical appearance due to the side effects of cancer treatment. Expected side effects of treatment include:
Cancer treatment can cause changes in skin color. Please call if the patient has:
Previously listed side effects are the ones which occur most commonly in treatment. Other side effects are possible. Your treatment team will discuss other potential side effects of specific medications with you before treatment.