c. Presentatoin of the guidelines at local, regional and national nursing conference and study day
d. Improve training for nurses on chemotherapy induced nausea and vomiting, including recognition of highly emetogenic chemotherapy and moderately emetogenic chemotherapy regimens,the role of patien related factors and the importance of optimal prophylactic treatment
Collaboration between the European oncology nursing society and national nursing organization to promote consistent practice in CINV management across Europe
5.the development of a chemotherapy toxicity toolkit would improve the supportive care offered across a range of side effects; it features would include
A.patient diaries
B.ready access to telephone support
C.regular update as new chemotherapy regimens and supportive care guidelines are introduced
6. Patients should be offered information on CINV and its management in an attractive, reader friendly form,emphasizing optimal management and offering practical tips on nutrition and meal preparation to help combat nausea
7.local audits of CINV management are needed to help healthcare practitioner understand how their policies and practices affect patient care
8. A survey of CINV management at local level between and with Europe countries would provide a snapshot of current practice and a focus for change
Conclusion
The inaugural meeting of the European CINV Forum has provided insight into areas of both commonality and difference between the countries represented, and generated a range of recommendations for improving the management of CINV.
First and foremost among these recommendations is that the CINV risk for every patient should be assessed before chemotherapy is administered,and appropriate prophylactic measure should be taken, based on the latest guidelines. However,we believe that the formation of the forum and our commitment to ongoing discussions and activity will help to improve cross-border communication of knowledge, idea and good practice, and raise the profile of an evidence -based approach to CINV management.