Assessment, Interprofessional Care and Public Health Strategies for Cancer Prevention and Control

NURSING ASSIGNMENT
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1. Assessment
Betty experiences side effects of chemotherapy that are vomiting, nausea, sore
mouth, fatigue and diarrhoea. Even after recovery from chemotherapy side effects the
issue of nausea and vomiting still remained as an issue of concern. The below
described as two of the most workable assessment process to detect Chemotherapy-
induced nausea and vomiting (CINV).
MASCC Antiemesis Tool (MAT)
Labianca et al. (2013) studied that MAT developed by MASCC members
(Multinational Association of Supportive Care in Cancer members) is a suitable tool
to detect chemotherapy-induced nausea and vomiting. The basic concept of this
assessment tool involves easy-to-evaluate and easy-to-use tool providing best results
based on repeated patient observations. According to Matsuda et al. (2015) research,
MAT is an eight-term scale assessment tool used to detect the CINV after every
chemotherapy course. This tool can specifically detect the acute or delayed CINV.
Further, Nordlinger et al. (2013) indicated that MAT is basically an observation based
quality improvement tool. It consists of MAT form that is required to be completed by
patients themselves. The information filled in the MAT form is further analysed by
experts and the proper result is detected for CINV assessment. Navari & Aapro (2016)
tested the validity of MAT tool showing 86.2% concordance rate between patient
dairy and MAT assessment results. In the provided case, Betty is suffering CINV after
every chemotherapy session as well as even after disappearance of other side effects
of therapy. Therefore, this tool will effectively work to assess her experience after
each therapy session.
Morrow Assessment of Nausea and Emesis (MANE)
The MANE is patient self-report based assessment tool where symptoms of
nausea and vomiting are detected using a questionnaire session with the patient.
Through the assessment, the patient report about CINV symptoms, acute as well as
severe (Karagozoglu, Tekyasar & Yilmaz, 2013). The questionnaire involves self-
reporting to assess duration, severity and occurrence of nausea and emesis (Marx et
al. 2013). This tool can also work in a beneficial manner to understand Betty’s
condition.
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2. Interprofessional Care
Dietician
Betty required dietary restrictions and fluid intake instructions to manage her
present condition and attain best outcomes from her surgery. Gustavsson et al. (2015)
indicated that proper diet intake plays a very important role to overcome
chemotherapy side effects. The proper diet intake provided by dietician shall help
Betty to recover possibly sooner than expected as well as manage her infection
condition. As Betty is even feeling weaker after her surgery, proper diet provided by
professional dietician shall help to gather required strength in the body (Nordlinger et
al. 2013).
Support group carer
Betty joined a colorectal cancer survivors support group in a town near her
location. There she attained a lot of support for recovery as well as she performed
voluntary activities herself for people newly diagnosed with colorectal cancer.
Nordlinger et al. (2013) indicated that support care group provides a platform for
carers to come together, discuss, socialise, offer support and share information
regarding the café of people suffering a particular disease or condition. Support group
carer in case of Betty can work to educate her regarding her situation, help in
recovery, and provide different strengthening exercises and relaxing exercises. As this
care group is specifically for colorectal cancer survivors, the carer will particularly
focus on recovery of this specific condition. Hence, Betty will get help to overcome
her therapy side effects and gain back her body strength.
3. Public Health, health promotion and cancer prevention.
There is a lot effort implemented by the Australian government for public
health promotion and cancer prevention. Some of the most workable and successful
public cancer health promotion and prevention strategies are discussed below: -
The National Cancer Work Plan
The National Cancer Expert Reference Group (NCERG) developed this plan
in 2012. This plan focuses on three principles to manage cancer that are building
jurisdictional cancer plans, underpinning best evidence-based treatments and
recognising fiscal environment (Department of Health | National action - cancer
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