Patient initial assessment and eligibility preservation
2
Consultation and obtaining written consent from the patient
3
Pre-chemotherapy evaluation and laboratory tests
4
Approval: Oncologist Review
5
Develop an individualized treatment plan
6
Prepare the patient physically and mentally for the procedure
7
Administrate premedication protocols
8
Perform percutaneous insertion for peritoneal access
9
Confirmation of successful catheter placement
10
Administer Intra Peritoneal chemotherapy
11
Monitor patient's vital during the procedure
12
Inspect for any immediate post-procedural complications
13
Transfer patient toPost-Anesthesia Care Unit (PACU) or Intensive Care Unit (ICU)
14
Conduct Post-operative assessments
15
Manage post-operative pain and other symptoms
16
Teach patient and caregivers on home care instructions
17
Regular follow-up appointments and lab tests for monitoring patient's progress
18
Approval: Process Completed
Patient initial assessment and eligibility preservation
During this task, the medical team will assess the patient's condition and determine their eligibility for intraperitoneal chemotherapy. The main goal is to ensure that the patient meets the necessary criteria and is fit for the procedure. The results of this assessment will determine whether the patient can proceed with the treatment. The team should consider the patient's medical history, current health status, and any pre-existing conditions. Potential challenges may include identifying potential contraindications or risks. Required resources include medical records, assessment forms, and qualified medical personnel.
1
Excellent
2
Good
3
Fair
4
Poor
5
Critical
1
Vital signs assessment
2
Medical imaging review
3
Laboratory test results
4
Review of previous treatments
5
Evaluation of current symptoms
Consultation and obtaining written consent from the patient
In this task, the medical team will have a detailed consultation with the patient to discuss the procedure, risks, and benefits. The medical team should provide clear explanations and answer any questions or concerns the patient may have. Obtaining written consent is essential to ensure that the patient understands and agrees to undergo the procedure voluntarily. This task plays a crucial role in patient education and shared decision-making, promoting transparency and trust between the medical team and the patient. Potential challenges may include language barriers or patient's anxiety. Required resources include consent forms, educational materials, and effective communication skills.
1
Completely understood
2
Mostly understood
3
Partially understood
4
Not understood
5
Not applicable
Pre-chemotherapy evaluation and laboratory tests
Before proceeding with the intraperitoneal chemotherapy, the patient needs to undergo a comprehensive evaluation and a series of laboratory tests. This task aims to assess the patient's overall health, identify potential risks, and determine the appropriate treatment approach. The medical team should review the patient's medical history, conduct physical examinations, and order specific laboratory tests. The results will help determine the patient's suitability for the procedure and guide the treatment plan. Potential challenges may include scheduling conflicts or difficulties in obtaining specific test results. Required resources include medical equipment, laboratory facilities, and trained medical personnel.
1
Physical examination
2
Blood tests
3
Imaging tests
4
Tumor marker tests
5
Cardiac evaluation
1
Excellent
2
Good
3
Fair
4
Poor
5
Critical
Approval: Oncologist Review
Develop an individualized treatment plan
Based on the patient's assessment, evaluation, and laboratory test results, the medical team will develop a tailored treatment plan for intraperitoneal chemotherapy. The plan should consider the patient's specific condition, tumor characteristics, and previous treatments. It should outline the dosage, duration, and frequency of the chemotherapy cycles. The team should also consider the potential side effects and develop strategies to manage them. The treatment plan aims to maximize the effectiveness of the chemotherapy while minimizing risks and complications. Potential challenges may include complex treatment decisions or adjusting the plan based on unexpected findings. Required resources include treatment guidelines, medical records, and collaboration between medical professionals.
1
Nausea and vomiting
2
Fatigue
3
Hair loss
4
Digestive problems
5
Peripheral neuropathy
1
Anti-emetic medications
2
Pain management protocols
3
Nutrition counseling
4
Psychosocial support
5
Physical activity recommendations
Prepare the patient physically and mentally for the procedure
In this task, the medical team will prepare the patient both physically and mentally for the intraperitoneal chemotherapy procedure. Physical preparation may include fasting instructions, bowel preparation, or other specific requirements to ensure optimal conditions for the procedure. Mental preparation aims to reduce anxiety and stress by providing clear instructions, addressing concerns, and offering emotional support. The team should create a calm and reassuring environment to enhance the patient's comfort and cooperation. Potential challenges may include patient's fear or discomfort in medical settings. Required resources include pre-procedure instructions, comfort measures, and empathy.
1
Providing warm blankets
2
Playing soothing music
3
Offering relaxation techniques
4
Using numbing cream
5
Explaining each step of the procedure
Administrate premedication protocols
Before starting the intraperitoneal chemotherapy, the medical team will administer premedication protocols to manage potential side effects and enhance the patient's tolerance to the procedure. This task aims to minimize discomfort, reduce post-procedural complications, and improve the overall patient experience. The team should carefully follow the prescribed premedication protocols and ensure the patient's safety and well-being throughout the process. Potential challenges may include allergic reactions or drug contraindications. Required resources include premedication guidelines, medication administration tools, and vigilant monitoring.
1
Antiemetics (anti-nausea)
2
Analgesics (pain relief)
3
Anxiolytics (anxiety reduction)
4
Antihistamines (allergic reactions)
5
Antibiotics (infection prevention)
1
Vital signs monitoring
2
Pain assessment
3
Assessment of allergic reactions
4
Evaluation of sedation level
5
Preventing medication interactions
Perform percutaneous insertion for peritoneal access
In this task, the medical team will perform the percutaneous insertion procedure to gain access to the peritoneal cavity for chemotherapy administration. The team should follow aseptic techniques and ensure patient safety during the insertion process. This task is crucial for initiating the intraperitoneal chemotherapy and requires precision and attention to detail. Potential challenges may include patient discomfort or difficulties in achieving proper access. Required resources include sterile equipment, a sterile environment, and trained medical professionals.
1
Sterilizing the insertion site
2
Assembling the necessary equipment
3
Administering local anesthesia
4
Creating a small incision
5
Inserting the catheter into the peritoneal cavity
1
Veress needle technique
2
Open technique
3
Seldinger technique
4
Laparoscopic technique
5
Ultrasound-guided technique
1
1
2
2
3
3
4
4
5
5 or more
Confirmation of successful catheter placement
After the percutaneous insertion, the medical team needs to confirm the successful placement of the catheter in the peritoneal cavity before proceeding with chemotherapy administration. This task ensures that the catheter is in the correct position and there are no immediate complications. Confirming the placement is essential for the accuracy and effectiveness of the intraperitoneal chemotherapy. Potential challenges may include catheter dislodgement or the need for repositioning. Required resources include medical imaging tools, catheter placement guidelines, and trained medical professionals.
1
X-ray confirmation
2
Ultrasound confirmation
3
Fluoroscopy confirmation
4
Visual inspection
5
Physical examination
1
Checking catheter length
2
Verifying catheter position on imaging
3
Ensuring catheter stability
4
Assessing any signs of leakage
5
Assessing patient's comfort level
Administer Intra Peritoneal chemotherapy
The administration of intraperitoneal chemotherapy is the core element of this procedure. The medical team will carefully deliver the chemotherapy drugs into the peritoneal cavity using the established catheter. This task aims to maximize the therapeutic effects of the chemotherapy while minimizing systemic exposure. The team should strictly follow the prescribed chemotherapy protocol, monitor the infusion process, and ensure patient safety throughout. Potential challenges may include infusion-related complications or catheter malfunction. Required resources include chemotherapy drugs, infusion equipment, and vigilant monitoring.
1
Cisplatin
2
Doxorubicin
3
Paclitaxel
4
Carboplatin
5
Oxaliplatin
1
Preparing the chemotherapy drugs
2
Obtaining the required infusion volume
3
Programming the infusion pump
4
Ensuring consistent infusion rate
5
Monitoring patient's vital signs during infusion
Monitor patient's vital during the procedure
Continuous monitoring of the patient's vital signs during intraperitoneal chemotherapy is essential to detect and address any adverse events promptly. This task aims to ensure the patient's safety, assess their response to the treatment, and manage any potential complications. The medical team should closely monitor vital signs, including blood pressure, heart rate, temperature, and oxygen saturation. They should also address any signs or symptoms of distress or side effects. Potential challenges may include equipment malfunctions or patient discomfort. Required resources include monitoring devices, appropriate alarms, and trained medical personnel.
1
Blood pressure
2
Heart rate
3
Respiration rate
4
Temperature
5
Oxygen saturation
1
Every 15 minutes
2
Every 30 minutes
3
Every hour
4
Every 2 hours
5
Every 4 hours
1
Assessing for allergic reactions
2
Monitoring for signs of infection
3
Detecting signs of catheter-related complications
4
Evaluating nausea and vomiting
5
Managing any pain or discomfort
Inspect for any immediate post-procedural complications
After completing the intraperitoneal chemotherapy, it is essential to inspect for any immediate post-procedural complications. This task aims to identify and manage any adverse events or complications promptly. The medical team should closely observe the patient for signs such as bleeding, infection, or pain. Any unexpected findings should be documented and communicated with the appropriate healthcare professionals. Potential challenges may include delayed reactions or unforeseen complications. Required resources include a thorough inspection checklist, wound care supplies, and immediate access to medical support if needed.
1
Peritoneal access site
2
Catheter exit site
3
Abdominal distention
4
Any signs of infection
5
Assessing pain scores
Transfer patient toPost-Anesthesia Care Unit (PACU) or Intensive Care Unit (ICU)
After completing the intraperitoneal chemotherapy, the patient needs to be transferred to the appropriate care unit for post-procedure monitoring and recovery. This task aims to ensure a smooth transition and continuity of care. The medical team should closely monitor the patient's vital signs, manage any pain or discomfort, and ensure the patient's safety during the transfer process. The decision to transfer to the PACU or ICU will depend on the patient's condition and the hospital's protocols. Potential challenges may include patient instability or inadequate resources in the chosen unit. Required resources include appropriate transfer equipment, skilled nursing staff, and communication systems.
1
Post-Anesthesia Care Unit (PACU)
2
Intensive Care Unit (ICU)
1
Continuous vital signs monitoring
2
Pain management protocols
3
Fluid management guidelines
4
Wound care instructions
5
Early mobilization plans
1
Ensuring stable vital signs
2
Securing catheter and infusion lines
3
Using appropriate transfer equipment
4
Communicating patient information to receiving unit
5
Verifying destination unit's availability
Conduct Post-operative assessments
In this task, the medical team will conduct post-operative assessments to evaluate the patient's condition after intraperitoneal chemotherapy. The assessments aim to identify any complications, monitor the treatment response, and plan further care. The team should consider the patient's vital signs, pain levels, surgical site condition, and any potential signs of infection. The results of the assessments will guide the next steps in the patient's care. Potential challenges may include delayed complications or unexpected findings. Required resources include assessment tools, wound care supplies, and trained medical personnel.
1
Vital signs assessment
2
Pain assessment
3
Evaluation of surgical site
4
Assessment of potential complications
5
Evaluation of patient's overall comfort
1
Medication adjustments
2
Wound care protocols
3
Fluid management modifications
4
Additional laboratory tests or imaging
5
Consultations with other specialists
Manage post-operative pain and other symptoms
This task focuses on managing the patient's post-operative pain and other symptoms to enhance their comfort and overall well-being. The medical team should effectively address pain, nausea, vomiting, and any other side effects. Appropriate medications, non-pharmacological interventions, and patient education should be provided to optimize symptom management. Potential challenges may include medication side effects or inadequate pain relief. Required resources include pain assessment tools, antiemetic medications, and collaboration between the medical team and the patient.
1
Oral analgesics
2
Intravenous analgesics
3
Patient-controlled analgesia
4
Non-pharmacological techniques
5
Referral to pain management specialist
1
Breathing exercises
2
Positioning techniques
3
Cold or heat therapy
4
Distraction techniques
5
Guided imagery or relaxation exercises
Teach patient and caregivers on home care instructions
In this task, the medical team will provide detailed instructions to the patient and their caregivers regarding home care after intraperitoneal chemotherapy. The key goals are to promote proper wound care, manage potential side effects, and ensure a smooth transition from the healthcare facility to the home setting. The team should educate the patient and caregivers on medication administration, allowed activities, dietary restrictions, and when to seek medical assistance. Effective patient education plays a crucial role in enhancing recovery and promoting self-care. Potential challenges may include language barriers or limited patient/caregiver health literacy. Required resources include educational materials, translated instructions (if applicable), and effective communication strategies.
1
Restrictions on heavy lifting
2
Encouraging regular physical activity
3
Dietary guidelines (e.g., low-fiber diet)
4
Hydration recommendations
5
Avoiding specific foods or beverages
Regular follow-up appointments and lab tests for monitoring patient's progress
After the intraperitoneal chemotherapy, the medical team needs to schedule regular follow-up appointments and laboratory tests to monitor the patient's progress and response to the treatment. This task aims to ensure that the patient receives appropriate care, prevent potential complications, and optimize long-term outcomes. The team should inform the patient about the follow-up schedule, explain the purpose of each appointment, and provide clear instructions for any necessary preparations. Regular monitoring is essential for detecting any recurrence or treatment-related changes. Potential challenges may include scheduling conflicts or missed appointments. Required resources include appointment scheduling tools, laboratory request forms, and effective communication channels.
