A randomized clinical trial was performed to determine the effectiveness of scalp hypothermia in the prevention of hair loss associated with doxorubicin. Twenty‐six patients were randomized to receive scalp hypothermia or chemotherapy alone. Data were analyzed on 25 patients: 12 in the treatment group and 13 in the control group. There was acceptable hair preservation in 75% of the patients who received the scalp hypothermia; only 8% of the patients in the control group had acceptable hair preservation (P = 0.0009). The data were further broken down into patients receiving low‐dose doxorubicin and high‐dose doxorubicin. Side effects were minimal. The results support the use of scalp hypothermia in reducing doxorubicin‐induced alopecia.
Orientation to a new job can be an anxiety-producing experience, particularly when the job is specialized, such as that of an infusion therapy nurse at a comprehensive cancer center. With a team approach and using a variety of teaching/learning strategies, as well as individualizing the education plan on the basis of the learner, the orientation process at The University of Texas M.D. Anderson Cancer Center has evolved. The current orientation program fosters the initial development of nurses who, in time, are recognized as experts in infusion therapy.
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