A nursing perspective on radiation-induced xerostomia.
Xerostomia during and following a course of head and neck irradiation profoundly impacts the quality of life of many patients. Xerostomia not only affects mucous membranes and teeth but also interferes with patient comfort, nutrition, and activities of daily living. A thorough evaluation of xerostomia is essential and should include providing anticipatory guidance to the patient and family. In addition, education on prophylactic oral care is necessary during the initial phases of treatment. As symptoms occur, various palliative interventions are tailored to the patient's and family's needs, promoting adherence to mouth care regimens and enhancing patient comfort. Long-term follow-up with education and counseling is critical for optimal patient management.
Iwamoto
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Section of Radiation Oncology, Virginia Mason Medical Center, Seattle, Washington, USA.
D000203:Activities of Daily Living; D003376:Counseling; D005500:Follow-Up Studies; D006258:Head and Neck Neoplasms / Q000532:radiotherapy; D006293:Health Promotion; D006801:Humans; D008137:Longitudinal Studies; D009747:Nutritional Physiological Phenomena; D010166:Palliative Care; D010353:Patient Education as Topic; D011788:Quality of Life; D011832:Radiation Injuries / Q000451:nursing*; D011878:Radiotherapy / Q000009:adverse effects*; D014987:Xerostomia / Q000209:etiology / Q000451:nursing* / Q000517:prevention & control