reaching consensus established as a 100% agreement through
blinded reiterations and votes.
THE ALGORITHM
The algorithm is organized as follows: Before cancer treatment (education, skin care, and behavioral measures), cancer treatment, evaluation of cAEs by the oncology nurse-led triage, determining the condition (life threatening, severe, or not severe), followed by a tailor-made approach to treatment (Figure 1).
The algorithm starts with the oncology nurse's education before cancer treatment on behavioral measures and skin care for cancer survivors and cAEs.4,13-16 The following section focuses on cancer treatment interventions and observation of skin conditions during routine treatment evaluations. The oncology nurse is central in coordinating the individual cancer patient’s care and performing triage of the cAEs, seeking urgent care via an oncologist and/or emergency department (ER) if needed.4,13-16
The care organization of the presented cAEs depends on the patient's general condition and skin conditions and the health care system.4 For example, whether an oncology nurse proactively contacts a dermatologist or consults with an oncologist first depends on the health care system of the different countries.
The role of the interdisciplinary oncology team members is to drive the organization of care and delivery.4,13-26 The structure of an interdisciplinary team can differ from country to country, but the minimal requirements (the core of the team) are oncologists, including medical, surgical, and radiation, as well as oncology nurses.4 If there is an available dermatologist, this strengthens the interdisciplinary care team.18-26 Each team member's role should be clear and must be accepted by all team members and health care providers involved in the patient's cancer care.4 The algorithm highlights the oncology nurse's central role in patient education and triage of cancer treatment-related AEs including cAEs and skin concerns.4,24-26
The algorithm starts with the oncology nurse's education before cancer treatment on behavioral measures and skin care for cancer survivors and cAEs.4,13-16 The following section focuses on cancer treatment interventions and observation of skin conditions during routine treatment evaluations. The oncology nurse is central in coordinating the individual cancer patient’s care and performing triage of the cAEs, seeking urgent care via an oncologist and/or emergency department (ER) if needed.4,13-16
The care organization of the presented cAEs depends on the patient's general condition and skin conditions and the health care system.4 For example, whether an oncology nurse proactively contacts a dermatologist or consults with an oncologist first depends on the health care system of the different countries.
The role of the interdisciplinary oncology team members is to drive the organization of care and delivery.4,13-26 The structure of an interdisciplinary team can differ from country to country, but the minimal requirements (the core of the team) are oncologists, including medical, surgical, and radiation, as well as oncology nurses.4 If there is an available dermatologist, this strengthens the interdisciplinary care team.18-26 Each team member's role should be clear and must be accepted by all team members and health care providers involved in the patient's cancer care.4 The algorithm highlights the oncology nurse's central role in patient education and triage of cancer treatment-related AEs including cAEs and skin concerns.4,24-26
