Managing chemotherapy-induced nausea and vomiting. A paradigm for supportive care.
BACKGROUND
Clinical research on the problem of chemotherapy-induced nausea and vomiting (N & V) originated out of the necessity of keeping patients engaged with aggressive treatment protocols. The degree of sophistication available today is reviewed.


METHODS
A supportive care model is proposed for describing the developments as a six-step paradigm, ending with the suggestion that institutionalization is a final critical step in applying the results of research.


CONCLUSIONS
The proposed model for control of N & V is suggested as a paradigm for the diffusion of a new technology designed to alleviate some aspect associated with suffering from the effects of cancer or its treatments.
Laszlo
J
J
American Cancer Society, Inc., Atlanta, GA 30329.
Cotanch
P H
PH
D000970:Antineoplastic Agents / Q000009:adverse effects*; D003661:Decision Support Techniques; D006801:Humans; D009325:Nausea / Q000139:chemically induced / Q000517:prevention & control*; D009369:Neoplasms / Q000188:drug therapy*; D010353:Patient Education as Topic; D010819:Physician's Role; D014839:Vomiting / Q000139:chemically induced / Q000517:prevention & control*
D000970:Antineoplastic Agents