PREVENTION [HAND FOOT SYNDROME]
According to the American Society of Clinical Oncology (ASCO), patients at risk for HFS and HFSR should be instructed on the following preventive measures:* Limiting exposure of hands and feet to hot water when washing dishes or bathing
Ref. http://www.oncologynurseadvisor.com/ce-courses/prevention-and-management-of-hand-foot-syndromes/article/174390/
* Taking cool showers or baths
* Avoiding exposure to sources of heat, including saunas, sitting in the sun, or sitting in front of a sunny window
* Avoiding activities that cause unnecessary force or friction on the feet, such as jogging, aerobics, and long walks
* Avoiding contact with harsh chemicals used in laundry detergents or household cleaning products
* Avoiding the use of rubber gloves to clean with hot water, as rubber traps heat against the skin
* Avoiding the use of tools or household items that require pressing the hand against a hard surface, such as garden tools, knives, and screwdrivers.7,11
A "3C" approach to TKI-associated HFSR outlines the following guidelines for prevention:
* Controlling for calluses: before and during treatment, prophylactic removal of hyperkeratotic areas with a manicure or pedicure
* Comfort with cushions: protection of tender areas, pressure points, and pressure-sensitive areas of the hands and feet through the wearing of well-padded, well-fitted, soft shoes; foam-type absorbing soles, and shock absorbers to relieve painful pressure points
* Cover with creams: use of an emollient or keratolytic agent on callused areas of the palms and soles to moisturize and aid in natural exfoliation.10
O Stoma Mia wrote:There are a couple of things related to HFS prevention that should be mentioned before the start of therapy. One of these is the recommendation to have a good pedicure/manicure before starting chemo. Other suggestions for minimizing the impact of HFS are given in the quote below. This might include minimizing use of gym machines that require pressing the hands against a hard surface, (Check with your doctor if you have any doubts.)
PREVENTION [HAND FOOT SYNDROME]
According to the American Society of Clinical Oncology (ASCO), patients at risk for HFS and HFSR should be instructed on the following preventive measures:* Limiting exposure of hands and feet to hot water when washing dishes or bathing
Ref. http://www.oncologynurseadvisor.com/ce-courses/prevention-and-management-of-hand-foot-syndromes/article/174390/
* Taking cool showers or baths
* Avoiding exposure to sources of heat, including saunas, sitting in the sun, or sitting in front of a sunny window
* Avoiding activities that cause unnecessary force or friction on the feet, such as jogging, aerobics, and long walks
* Avoiding contact with harsh chemicals used in laundry detergents or household cleaning products
* Avoiding the use of rubber gloves to clean with hot water, as rubber traps heat against the skin
* Avoiding the use of tools or household items that require pressing the hand against a hard surface, such as garden tools, knives, and screwdrivers.7,11
A "3C" approach to TKI-associated HFSR outlines the following guidelines for prevention:
* Controlling for calluses: before and during treatment, prophylactic removal of hyperkeratotic areas with a manicure or pedicure
* Comfort with cushions: protection of tender areas, pressure points, and pressure-sensitive areas of the hands and feet through the wearing of well-padded, well-fitted, soft shoes; foam-type absorbing soles, and shock absorbers to relieve painful pressure points
* Cover with creams: use of an emollient or keratolytic agent on callused areas of the palms and soles to moisturize and aid in natural exfoliation.10
Aqx99 wrote:I found that Press N Seal works a lot better for covering my port than regular plastic wrap. No tape is required and it sticks really well. I used it every time I put my lidocaine cream on for infusions.
Aqx99 wrote:I found that Press N Seal works a lot better for covering my port than regular plastic wrap. No tape is required and it sticks really well. I used it every time I put my lidocaine cream on for infusions.
NHMike wrote:Aqx99 wrote:I found that Press N Seal works a lot better for covering my port than regular plastic wrap. No tape is required and it sticks really well. I used it every time I put my lidocaine cream on for infusions.
Do you have to cover your port after every infusion? I thought that this was a one-time-only thing with the Saran Wrap after the installation.
mpbser wrote:I skimmed the last few pages of this thread and see that you had a port previously (this summer?) which was taken out and recently (yesterday?) put back in. I think I have that right. May I ask why you had it removed? I ask because I have read that many people keep theirs in for 6 months to a year or more after their "last" infusion in case they need more chemo infusions. My husband will likely have another couple/few rounds of "mop up" chemo after his liver procedure takes place at the end of January or beginning of February, so his is staying in for the meantime. After this spring, though, he might opt to have it taken out.
Robino1 wrote:Aqx99 wrote:I found that Press N Seal works a lot better for covering my port than regular plastic wrap. No tape is required and it sticks really well. I used it every time I put my lidocaine cream on for infusions.
A small piece of plastic wrap attaches well too, to the cream.
Mike: What he is talking about is putting Lidocaine cream on the port site to numb it so you do not feel ANYTHING when they stick the needle in for infusions. It is to protect the clothing and to keep the lidocaine on the area.
mpbser wrote:I skimmed the last few pages of this thread and see that you had a port previously (this summer?) which was taken out and recently (yesterday?) put back in. I think I have that right. May I ask why you had it removed? I ask because I have read that many people keep theirs in for 6 months to a year or more after their "last" infusion in case they need more chemo infusions. My husband will likely have another couple/few rounds of "mop up" chemo after his liver procedure takes place at the end of January or beginning of February, so his is staying in for the meantime. After this spring, though, he might opt to have it taken out.
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