title: Ambulatory chemotherapy for teenagers and young adults.
abstract: Ambulatory chemotherapy allows high-dose chemotherapy to be delivered in an outpatient facility with multidisciplinary planning and management. At University College London Hospitals NHS Foundation Trust, this model of care has been successfully applied to a teenage and young adult population. A mobile infusion device, CADD-Solis VIP pump has allowed chemotherapy and supportive therapy administration in the ambulatory setting. Continuous and intermittent therapies have been delivered. Patients attend the ambulatory care unit daily for assessment and treatment set up. Overnight, they reside in nearby accommodation. Patients are educated to self-manage, promoting independence and empowerment; however, they also have 24-hour access to nursing and medical advice. Clear communication and patient education, adopting a multidisciplinary team approach and clear assessment guidance for patients and staff, is essential to make this model of care successful.
authors.affiliation: Macmillan Oncology Teenage Clinical Nurse Specialist, Children & Young Peoples Cancer Services, University College London Hospitals NHS Foundation Trust, London.
authors.forename: Caroline
authors.initials: C
authors.lastname: Newston
authors.affiliation: Teenage Cancer Trust Ambulatory Care Lead Nurse, Teenage and Young Adult Day and Ambulatory Care Unit; University College London Hospitals NHS Foundation Trust, London.
authors.forename: Bethan
authors.initials: B
authors.lastname: Ingram
mesh_terms: D000293:Adolescent; D000553:Ambulatory Care / Q000379:methods*; D000970:Antineoplastic Agents / Q000627:therapeutic use*; D002945:Cisplatin / Q000008:administration & dosage; D003561:Cytarabine / Q000008:administration & dosage; D005047:Etoposide / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D008131:London; D008297:Male; D008727:Methotrexate / Q000008:administration & dosage; D008775:Methylprednisolone / Q000008:administration & dosage; D016294:Models, Nursing; D009369:Neoplasms / Q000188:drug therapy* / Q000451:nursing*; D055815:Young Adult
chemical_list: D000970:Antineoplastic Agents; D003561:Cytarabine; D005047:Etoposide; D002945:Cisplatin; D008775:Methylprednisolone; D008727:Methotrexate