Oncologist Template

Chemotherapy visit

A professional Oncologist template for healthcare professionals.

About this template

The Chemotherapy Visit template is a comprehensive documentation tool designed for oncologists to efficiently record patient information during chemotherapy sessions. This template includes sections for general patient data, blood test results, and any problems experienced with previous chemotherapy cycles, such as fatigue, nausea, and neuropathy. It also covers symptoms related to the underlying malignancy, examination findings, special investigations, dose adjustments, and additional changes in treatment. This template is ideal for oncologists seeking to streamline their documentation process and ensure all critical aspects of a chemotherapy visit are captured accurately.

Preview template

General: - Regime: FOLFOX - Cycle: 3 - Day: 1 - Blood Pressure: 120/80 mmHg - Weight: 70 kg Blood test results: - Haemoglobin: 13.5 g/dL - White Blood Cell Count: 4.5 x 10^9/L - Platelets: 250 x 10^9/L Problems Experienced with Previous Cycles of Chemo: - Fatigue Gr (NCI CTC): 2 - Nausea Gr (NCI CTC): 1 - Vomiting Gr (NCI CTC): 0 - Diarrhoea Gr (NCI CTC): 1 - Constipation Gr (NCI CTC): 0 - Oral Mucositis Gr (NCI CTC): 1 - Palmar Planter Erythrodysesthesia Gr (NCI CTC): 0 - Neutropenia Gr (NCI CTC): 1 - Febrile Neutropenia Gr (NCI CTC): 0 - Paraesthesia Gr (NCI CTC): 0 - Motor Peripheral Neuropathy Gr (NCI CTC): 0 - Sensory Peripheral Neuropathy (NCI CTC): 0 - Tinnitus: No Symptoms relating to underlying malignancy: - General Comments: Patient reports mild abdominal discomfort. Examination: - General Comments: Physical examination unremarkable. Special investigations: - CT scan of the abdomen shows stable disease. Dose adjustments: - General Comments: No dose adjustments required. Additional changes: - New antiemetic medication added to manage nausea. Next visit: - General Comments: Scheduled for 15 November 2024.

General: - [Regime] (only include Regime if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Cycle] (only include Cycle if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Day] (only include Day if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Blood Pressure] (only include Blood Pressure if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Weight] (only include Weight if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Blood test results Problems Experienced with Previous Cycles of Chemo: - [Fatigue Gr (NCI CTC)] (only include Fatigue Gr (NCI CTC) if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Nausea Gr (NCI CTC)] (only include Nausea Gr (NCI CTC) if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Vomiting Gr (NCI CTC)] (only include Vomiting Gr (NCI CTC) if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Diarhoea Gr (NCI CTC)] (only include Diarhoea Gr (NCI CTC) if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Constipation Gr (NCI CTC)] (only include Constipation Gr (NCI CTC) if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Oral Mucositis Gr (NCI CTC)] (only include Oral Mucositis Gr (NCI CTC) if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Palmar Planter Erythrodysesthesia Gr (NCI CTC)] (only include Palmar Planter Erythrodysesthesia Gr (NCI CTC) if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Neutropenia Gr (NCI CTC)] (only include Neutropenia Gr (NCI CTC) if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Febrile Neutropenia Gr (NCI CTC)] (only include Febrile Neutropenia Gr (NCI CTC) if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Paraesthesia Gr (NCI CTC)] (only include Paraesthesia Gr (NCI CTC) if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Motor Peripheral Neuropathy Gr (NCI CTC)] (only include Motor Peripheral Neuropathy Gr (NCI CTC) if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Sensory Peripheral Neuropathy (NCI CTC)] (only include Sensory Peripheral Neuropathy (NCI CTC) if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Tinnitis] (only include Tinnitis if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) - [Other] (only include Other if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Symptoms relating to underlying malignancy: - [General Comments] (only include General Comments if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Examination: - [General Comments] (only include General Comments if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Special investigations: (like Radiology, Imaging, ECG, Echocardiogram. Only if explicitly mentioned the transcript) Dose adjustments: - [General Comments] (only include General Comments if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Additional changes: (any new medication added or other adjustments made) Next visit: - [General Comments] (only include General Comments if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information include in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.) relevant information from the transcript.)

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