title: Why patients prescribed oral agents for cancer need training: a case study.
abstract: BACKGROUND
  Oral agents for cancer (OACs) are a common form of treatment. However, with OACs, the responsibility shifts from supervised healthcare providers who work in a clinic to patients and caregivers who must manage treatment on their own at home. Consequently, patients and caregivers must be knowledgeable about all aspects of care. In addition, most patients with cancer are older and have multiple comorbid conditions treated by several providers who prescribe medications, further complicating care.
  
  
  OBJECTIVE
  This purpose of this article is to present a patient perspective of managing treatment with OACs in the home setting.
  
  
  METHODS
  A case study format was used to describe challenges faced by a patient newly prescribed OACs.
  
  
  RESULTS
  Data from the patient interviews support the urgent need for patient and caregiver training; the outcome of treatment for patients taking OACs depends significantly on the patient or caregiver managing treatment in the home setting.
authors.affiliation: Michigan State University in East Lansing.
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Spoelstra
mesh_terms: D000225:Adenine / Q000031:analogs & derivatives; D000284:Administration, Oral; D000970:Antineoplastic Agents / Q000008:administration & dosage* / Q000009:adverse effects; D017028:Caregivers / Q000193:education*; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000175:diagnosis / Q000188:drug therapy* / Q000451:nursing; D008875:Middle Aged; D020380:Needs Assessment; D009859:Oncology Nursing / Q000193:education; D010353:Patient Education as Topic; D061214:Patient Safety; D010880:Piperidines; D011720:Pyrazoles / Q000008:administration & dosage* / Q000009:adverse effects; D011743:Pyrimidines / Q000008:administration & dosage* / Q000009:adverse effects; D018570:Risk Assessment
chemical_list: D000970:Antineoplastic Agents; D010880:Piperidines; D011720:Pyrazoles; D011743:Pyrimidines; C551803:ibrutinib; D000225:Adenine
keywords: adherence; oral agents for cancer; self-management; training