HEENT RadioChemoTherapy Treatment - Week 1
Day 1 - Chemo Day
Day 2 - Chemo +1
Day 3 - Chemo +2
Day 4 - Chemo +3
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 Zofran (odens): 1 evening tab
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effortful swallow: 10 rep 3x/day
🗹 🗹 🗹 Mendelsohn: 10 rep 3x/day
🗹 🗹 🗹 Masako: 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 🗹 🗹 Zofran (odens): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effortful swallow: 10 rep 3x/day
🗹 🗹 🗹 Mendelsohn: 10 rep 3x/day
🗹 🗹 🗹 Masako: 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 🗹 🗹 Zofran (odens): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effortful swallow: 10 rep 3x/day
🗹 🗹 🗹 Mendelsohn: 10 rep 3x/day
🗹 🗹 🗹 Masako: 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 🗹 🗹 Zofran (odens): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effortful swallow: 10 rep 3x/day
🗹 🗹 🗹 Mendelsohn: 10 rep 3x/day
🗹 🗹 🗹 Masako: 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Day 5
Day 6
Day 7
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effortful swallow: 10 rep 3x/day
🗹 🗹 🗹 Mendelsohn: 10 rep 3x/day
🗹 🗹 🗹 Masako: 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effortful swallow: 10 rep 3x/day
🗹 🗹 🗹 Mendelsohn: 10 rep 3x/day
🗹 🗹 🗹 Masako: 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effortful swallow: 10 rep 3x/day
🗹 🗹 🗹 Mendelsohn: 10 rep 3x/day
🗹 🗹 🗹 Masako: 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Mouthwash: gargle 1 cup water, ¼ tsp salt, ¼ tsp baking soda - Garge after eating
Mendelson: start a swallow but hold halfway through for 5 seconds
Masako: Gently bite tip of tonge and swallow hard, progressively stick out further
PRNs:
* Zofran (odensatron)
* Tylenol or Ibuprofen
* If sores: magic mouthwash
* Olive oil
HEENT RadioChemoTherapy Treatment - Week 2
Day 1 - Chemo Day
Day 2 - Chemo +1
Day 3 - Chemo +2
Day 4 - Chemo +3
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 Zofran (ondan): 1 evening tab
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effortful swallow: 10 rep 3x/day
🗹 🗹 🗹 Mendelsohn: 10 rep 3x/day
🗹 🗹 🗹 Masako: 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 🗹 🗹 Zofran (ondan): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effortful swallow: 10 rep 3x/day
🗹 🗹 🗹 Mendelsohn: 10 rep 3x/day
🗹 🗹 🗹 Masako: 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 🗹 🗹 Zofran (ondan): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effortful swallow: 10 rep 3x/day
🗹 🗹 🗹 Mendelsohn: 10 rep 3x/day
🗹 🗹 🗹 Masako: 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 🗹 🗹 Zofran (ondan): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effortful swallow: 10 rep 3x/day
🗹 🗹 🗹 Mendelsohn: 10 rep 3x/day
🗹 🗹 🗹 Masako: 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Day 5
Day 6
Day 7
Mouthwash: gargle 1 cup water, ¼ tsp salt, ¼ tsp baking soda - Garge after eating
Mendelson: start a swallow but hold halfway through for 5 seconds
Masako: Gently bite tip of tonge and swallow hard, progressively stick out further
PRNs:
* Zofran (ondansetron) 3x/day
* Compazine (prochlorperazine) q 6h r
* lidocaine 5ml PO 3x/day
* Tylenol or Ibuprofen
* If sores: magic mouthwash
* Olive oil
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effortful swallow: 10 rep 3x/day
🗹 🗹 🗹 Mendelsohn: 10 rep 3x/day
🗹 🗹 🗹 Masako: 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effortful swallow: 10 rep 3x/day
🗹 🗹 🗹 Mendelsohn: 10 rep 3x/day
🗹 🗹 🗹 Masako: 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effortful swallow: 10 rep 3x/day
🗹 🗹 🗹 Mendelsohn: 10 rep 3x/day
🗹 🗹 🗹 Masako: 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
HEENT RadioChemoTherapy Treatment - Week 3
Day 1 - Chemo Day
Day 2 - Chemo +1
Day 3 - Chemo +2
Day 4 - Chemo +3
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 Zofran (ondan): 1 evening tab
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 🗹 papaya ?3x/day?
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effort/Mend/Mas 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 🗹 🗹 Zofran (ondan): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 🗹 papaya ?3x/day?
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effort/Mend/Mas 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 🗹 🗹 Zofran (ondan): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 🗹 papaya ?3x/day?
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effort/Mend/Mas 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 🗹 🗹 Zofran (ondan): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 🗹 papaya ?3x/day?
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effort/Mend/Mas 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Day 5
Day 6
Day 7
*Mouthwash: gargle 1 cup water, ¼ tsp salt, ¼ tsp baking soda - Gargle after eating - *Mendelson: start swallow, hold halfway through for 5 seconds - *Masako: Gently bite tip of tonge and swallow hard, progressively stick out further
* Glutamine: 5gm/4ozH2O, swish/gargle/swallow 3x/day
PRNs:
* Zofran (ondansetron) 3x/day
* Compazine (prochlorperazine) q 6h r
* lidocaine 5ml PO 3x/day
* Tylenol or Ibuprofen
* If sores: magic mouthwash | olive oil
* prilosec
* papaya: chew 3 & swalloq 3x/day
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 🗹 papaya ?3x/day?
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effort/Mend/Mas 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 🗹 papaya ?3x/day?
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effort/Mend/Mas 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
Diet:
🗹 Fluid: 3000 ml (~50% electrolyte)
🗹 Calories: 2600
🗹 Protein: 130 gm
🗹 Fiber supplement
🗹 Multivitamin
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 🗹 papaya ?3x/day?
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effort/Mend/Mas 10 rep 3x/day
Other:
🗹 🗹 🗹 Calendula cream 3x/day
🗹 Vitals
HEENT RadioChemoTherapy Treatment - Week 4
Day 1 - Chemo Day
Day 2 - Chemo +1
Day 3 - Chemo +2
Day 4 - Chemo +3
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 Zofran (ondan): 1 evening tab
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 🗹 stretches 2x/day
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 🗹 🗹 Zofran (ondan): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 🗹 stretches 2x/day
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 🗹 🗹 Zofran (ondan): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 🗹 stretches 2x/day
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 🗹 🗹 Zofran (ondan): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 🗹 stretches 2x/day
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Journal:
Journal:
Journal:
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Treatment - Week 4
Day 5
Day 6
Day 7
Mouthwash: gargle 1 cup water, ¼ tsp salt, ¼ tsp baking soda - Gargle after eating
Effrt: effortful swallow - swallow hard
Mendelson: start swallow, hold halfway through for 5 seconds
Masako: Gently bite tip of tonge and swallow hard, progressively stick tongue out further
Glutamine: 5gm/4ozH2O, swish/gargle/swallow 3x/day
stretches: mandibular stretches & cervical ROM
PRNs:
Zofran (ondansetron) 3x/day
Compazine (prochlorperazine) q 6h
lidocaine 5ml PO 3x/day
Tylenol or Ibuprofen
If sores
magic mouthwash
olive oil
papaya: chew 3 & swallow 3x/day to thin mucus
stool softener (docusate sodium)
senna
norco
Journal: Word and Drawings to tell you and your team how your doing, feeling, looking. Include any part of body and life (mind, digestive, nerves, sleep, pain.)
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 🗹 stretches 2x/day
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 🗹 stretches 2x/day
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 🗹 stretches 2x/day
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Journal:
Journal:
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Treatment - Week 5
Day 1 - Chemo Day
Day 2 - Chemo +1
Day 3 - Chemo +2
Day 4 - Chemo +3
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 Zofran (ondan): 1 evening tab
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 🗹 🗹 Zofran (ondan): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 🗹 🗹 Zofran (ondan): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 🗹 🗹 Zofran (ondan): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Journal:
Journal:
Journal:
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Treatment - Week 5
Day 5
Day 6 (nighttime zofran?)
Day 7
Mouthwash: gargle 1 cup water, ¼ tsp salt, ¼ tsp baking soda - Gargle after eating
Effrt: effortful swallow - swallow hard
Mendelson: start swallow, hold halfway through for 5 seconds
Masako: Gently bite tip of tonge and swallow hard, progressively stick tongue out further
Glutamine: 5gm/4ozH2O, swish/gargle/swallow 3x/day
jaw, cheek, & neck stretches:
palm over jaw, gentle pressure down 30 sec x10/day (or more)
palms push same-side jaw to other side 30 sec x10/day (or more)
draw “C” inside cheek to stretch
gentle massage outside cheeks
from temples down, drag down, relax shoulders
cervical ROM, ear to right shoulder, hold (and to left)
tongue out “village idiot”
PRNs:
Zofran (ondansetron) 3x/day
Compazine (prochlorperazine) q 6h
lidocaine 5ml PO 3x/day
Tylenol or Ibuprofen
If sores, magic mouthwash, olive oil
papaya: chew 3,3x/day thin mucus
stool softener (docusate sodium)
senna
norco
Journal: Word and Drawings to tell you and your team how you’re doing, feeling, looking. Include any part of body and life (mind, digestive, nerves, sleep, pain.)
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 Dexamethason: ½ 1x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 Dexamethason: ½ 1x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 Dexamethason: ½ 1x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Journal:
Journal:
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Treatment - Week 6
Day 1 - Chemo Day - Thursday
Day 2 - Chemo +1 - Friday
Day 3 - Chemo +2 - Saturday
Day 4 - Chemo +3 - Sunday
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 Zofran (ondan): 1 evening tab
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 🗹 🗹 Zofran (ondan): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 🗹 🗹 Zofran (ondan): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 🗹 🗹 Zofran (ondan): 3x/day
🗹 🗹 Dexamethason: 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Journal:
Journal:
Journal:
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Treatment - Week 6
Day 5 - Monday
Day 6 (nighttime zofran?) - Tuesday
Day 7 - Wednesday
Mouthwash: gargle 1 cup water, ¼ tsp salt, ¼ tsp baking soda - Gargle after eating
Effrt: effortful swallow - swallow hard
Mendelson: start swallow, hold halfway through for 5 seconds
Masako: Gently bite tip of tonge and swallow hard, progressively stick tongue out further
Glutamine: 5gm/4ozH2O, swish/gargle/swallow 3x/day
jaw, cheek, & neck stretches:
palm over jaw, gentle pressure down 30 sec x10/day (or more)
palms push same-side jaw to other side 30 sec x10/day (or more)
draw “C” inside cheek to stretch
gentle massage outside cheeks
from temples down, drag down, relax shoulders
cervical ROM, ear to right shoulder, hold (and to left)
tongue out “village idiot”
PRNs:
Zofran (ondansetron) 3x/day
Compazine (prochlorperazine) q 6h
lidocaine 5ml PO 3x/day
Tylenol or Ibuprofen
If sores, magic mouthwash, olive oil
papaya: chew 3,3x/day thin mucus
stool softener (docusate sodium)
senna
norco
Journal: Word and Drawings to tell you and your team how you’re doing, feeling, looking. Include any part of body and life (mind, digestive, nerves, sleep, pain.)
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 Dexamethason: ½ 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 Dexamethason: ½ 2x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 3000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 Dexamethason: ½ 1x/day
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Journal:
Journal:
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Treatment - Week 7
Day 1 - Thursday
Day 2 - Friday
Day 3 - Saturday
Day 4 - Sunday
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 Dexamethason: ½ 1x/day (2mg)
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 Dexamethason: ½ 1x/day (2mg)
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 Dexamethason: ½ 1x/day (2mg)
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Journal:
Journal:
Journal:
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Treatment - Week 7
Day 5 - Monday
Day 6 (nighttime zofran?) - Tuesday
Day 7 - Wednesday
Mouthwash: gargle 1 cup water, ¼ tsp salt, ¼ tsp baking soda - Gargle after eating
Effrt: effortful swallow - swallow hard
Mendelson: start swallow, hold halfway through for 5 seconds
Masako: Gently bite tip of tonge and swallow hard, progressively stick tongue out further
Glutamine: 5gm/4ozH2O, swish/gargle/swallow 3x/day
jaw, cheek, & neck stretches:
palm over jaw, gentle pressure down 30 sec x10/day (or more)
palms push same-side jaw to other side 30 sec x10/day (or more)
draw “C” inside cheek to stretch
gentle massage outside cheeks
from temples down, drag down, relax shoulders
cervical ROM, ear to right shoulder, hold (and to left)
tongue out “village idiot”
PRNs:
Zofran (ondansetron) 3x/day
Compazine (prochlorperazine) q 6h
lidocaine 5ml PO 3x/day
Tylenol or Ibuprofen
If sores, magic mouthwash, olive oil
papaya: chew 3,3x/day thin mucus
stool softener (docusate sodium)
senna
norco
Journal: Word and Drawings to tell you and your team how you’re doing, feeling, looking. Include any part of body and life (mind, digestive, nerves, sleep, pain.)
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 Dexamethason: ½ 1x/day (2mg)
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Fiber supplement
🗹 Multivitamin
Medicine:
🗹 omeprazole: 1hr bef.breakfast
🗹 Dexamethason: ½ 1x/day (2mg)
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day
🗹 🗹 🗹 glutamine 3x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
Journal:
HEENT RadioChemoTherapy Post-Treatment
Day 3 - Saturday
Day 4 - Sunday
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹 Norco: 10-325 PRN (< 9/day total)
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹 Ulcer Ease PRN q 2 hrs swish/cargle/spit
Nausea:
🗹 omeprazole: 1hr bef.breakfast
🗹 🗹 🗹 Zofran PRN
🗹 Dexamethasone: ½ 1x/day (2mg)
🗹 Composine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
Poop:
🗹 🗹 🗹 🗹 🗹 Senna PRN
🗹 🗹 Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (maybe in magic wash)
🗹 🗹 🗹 🗹 Carafate 4x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹 Norco: 10-325 PRN (< 9/day total)
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹 Ulcer Ease PRN q 2 hrs swish/cargle/spit
Nausea:
🗹 omeprazole: 1hr bef.breakfast
🗹 🗹 🗹 Zofran PRN
🗹 Dexamethasone: ½ 1x/day (2mg)
🗹 Composine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
Poop:
🗹 🗹 🗹 🗹 🗹 Senna PRN
🗹 🗹 Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹 Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (maybe in magic wash)
🗹 🗹 🗹 🗹 Carafate 4x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹 jaw, cheek & neck stretches
🗹 🗹 🗹 Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
🗹
Journal:
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment
Day 5 - Monday
Day 6 - Tuesday
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 omeprazole: 1hr bef.breakfast? (or later)
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 🗹 🗹 Carafate 4x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 omeprazole: 1hr bef.breakfast? (or later)
🗹 🗹 🗹 Zofran PRN
🗹 Dexamethasone: ½ 1x/day (2mg)
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 🗹 🗹 Carafate 4x/day
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
Journal:
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment
Day 7 - Wednesday
Day 8 - Thursday
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 omeprazole: 1hr bef.breakfast? (or later)
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 omeprazole: 1hr bef.breakfast? (or later)
🗹 🗹 🗹 Zofran PRN
🗹 Dexamethasone: ½ 1x/day (2mg)
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
🗹
Journal:
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment
Day 9 - Friday
Day 10 - Saturday
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 omeprazole: 1hr bef.breakfast? (or later)
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 omeprazole: 1hr bef.breakfast? (or later)
🗹 🗹 🗹 Zofran PRN
🗹 Dexamethasone: ½ 1x/day (2mg)
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
🗹
Journal:
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment
Day 11 - Sunday
Day 12 - Monday
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 omeprazole: 1hr bef.breakfast? (or later)
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
★ 🗹 Prednisone: 1x/day (5mg) morning
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 omeprazole: 1hr bef.breakfast? (or later)
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
★ 🗹 Prednisone: 1x/day (5mg) morning
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
🗹
Journal: - first day tapering steroids
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment
Day 13 - Tuesday
Day 14 - Wednesday
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 omeprazole: 1hr bef.breakfast? (or later)
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
★ 🗹 Prednisone: 1x/day (5mg) morning
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 omeprazole: 1hr bef.breakfast? (or later)
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
🗹
Journal: - first day tapering steroids
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment
Day 15 - Thursday
Day 16 - Friday
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
🗹
Journal: - first day tapering steroids
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment
Day 17 - Saturday
Day 18 - Sunday
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
🗹 Miralax
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
🗹 Miralax
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
Journal: - first day tapering steroids
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment
Day 23 - Friday
Day 24 - Saturday
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 Miralax
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2600 _______
🗹 Protein: 130 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 Miralax
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
Journal: - first day tapering steroids
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment
Day 27 - Tuesday
Day 28 - Wednesday
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 Miralax
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Pain:
🗹 🗹 Oxycontin: 20 mg 2x/day (8am & 8pm)
🗹+ Ulcer Ease PRN q 2 hrs swish/cargle/spit
🗹 🗹 🗹 Lidocaine PRN gargle/swallow b4 eating
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x/day
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day (~8am & ~8pm)
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN (if not Mucinex or Cough syrup)
Poop:
🗹 Miralax
🗹 🗹 🗹+ Senna PRN
🗹 🗹+ Colace PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 🗹 🗹 🗹+ Mouthwash ~5x/day or more
🗹 🗹 🗹 glutamine PRN 3x/day
🗹 🗹 🗹 🗹 Nystatin 4x/day (?magic wash?)
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x 3x/day
🗹+ jaw, cheek & neck stretches
🗹 🗹 🗹+ Walk
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt______ t______ hr______
bp________ rr_____ bm________
🗹
🗹
🗹
Journal: - first day tapering steroids
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
Journal:
Journal:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment - Week 5
Day 32 - Sunday
Day 33 - Monday
Day 34 - Tuesday
Day 35 - Wednesday
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: 20 mg 2x/day (8 am&pm)
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: 20 mg 2x/day (8 am&pm)
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: 20 mg 2x/day (8 am&pm)
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: 20 mg 2x/day (8 am&pm)
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment - Week 5
Day 36 - Thursday
Day 37 - Friday
Day 38 - Saturday
Effrt: effortful swallow - swallow hard
Mendelson: start swallow, hold halfway through for 5 seconds
Masako: Gently bite tip of tonge and swallow hard, progressively stick tongue out further
jaw, cheek, & neck stretches:
palm over jaw, gentle pressure down 30 sec x10/day (or more)
palms push same-side jaw to other side 30 sec x10/day (or more)
draw “C” inside cheek to stretch
gentle massage outside cheeks
from temples down, drag down, relax shoulders
cervical ROM, ear to right shoulder, hold (and to left)
tongue out “village idiot”
PRNs:
Zofran (ondansetron) 3x/day
Compazine (prochlorperazine) q 6h
lidocaine 5ml PO 3x/day
Tylenol or Ibuprofen
If sores, magic mouthwash, olive oil
papaya: chew 3,3x/day thin mucus
stool softener (docusate sodium)
senna
norco
Journal: Word and Drawings to tell you and your team how you’re doing, feeling, looking. Include any part of body and life (mind, digestive, nerves, sleep, pain.)
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: 20 mg 2x/day (8 am&pm)
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: 20 mg 2x/day (8 am&pm)
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: 20 mg 2x/day (8 am&pm)
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment - Week 6
Day 39 - Sunday
Day 40 - Monday
Day 41 - Tuesday
Day 42 - Wednesday
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: 20 mg 2x/day (8 am&pm)
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: 20 mg 2x/day (8 am&pm)
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: 20 mg 2x/day (8 am&pm)
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: 20 mg 2x/day (8 am&pm)
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment - Week 6
Day 43 - Thursday
Day 44 - Friday
Day 45 - Saturday
Effrt: effortful swallow - swallow hard
Mendelson: start swallow, hold halfway through for 5 seconds
Masako: Gently bite tip of tonge and swallow hard, progressively stick tongue out further
jaw, cheek, & neck stretches:
palm over jaw, gentle pressure down 30 sec x10/day (or more)
palms push same-side jaw to other side 30 sec x10/day (or more)
draw “C” inside cheek to stretch
gentle massage outside cheeks
from temples down, drag down, relax shoulders
cervical ROM, ear to right shoulder, hold (and to left)
tongue out “village idiot”
PRNs:
Zofran (ondansetron) 3x/day
Compazine (prochlorperazine) q 6h
lidocaine 5ml PO 3x/day
Tylenol or Ibuprofen
If sores, magic mouthwash, olive oil
papaya: chew 3,3x/day thin mucus
stool softener (docusate sodium)
senna
norco
Journal: Word and Drawings to tell you and your team how you’re doing, feeling, looking. Include any part of body and life (mind, digestive, nerves, sleep, pain.)
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: 20 mg 2x/day (8 am&pm)
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: 20 mg 2x/day (8 am&pm)
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: 20 mg 2x/day (8 am&pm)
🗹+ Dilaudid: 2mg PRN
🗹+ Norco: 10mg PRN ≤9x
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Coughing/Mucus:
🗹 🗹 Mucinex: pill 2x/day
🗹 🗹 🗹 Cough syrup PRN
🗹+ Guaifenesin PRN
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment - Week 7
Day 39 - Sunday
Day 40 - Monday
Day 41 - Tuesday
Day 42 - Wednesday
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: day:20mg,eve:10mg
🗹+ Norco: day: ~0mg
eve: ~20mg
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: day:20mg,eve:10mg
🗹+ Norco: day: ~0mg
eve: ~20mg
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: day:20mg,eve:10mg
🗹+ Norco: day: ~0mg
eve: ~15mg
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: day:10mg,eve:10mg
🗹+ Norco: day: ~10mg
eve: ~15mg
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment - Week 7
Day 43 - Thursday
Day 44 - Friday
Day 45 - Saturday
Effrt: effortful swallow - swallow hard
Mendelson: start swallow, hold halfway through for 5 seconds
Masako: Gently bite tip of tonge and swallow hard, progressively stick tongue out further
jaw, cheek, & neck stretches:
palm over jaw, gentle pressure down 30 sec x10/day (or more)
palms push same-side jaw to other side 30 sec x10/day (or more)
draw “C” inside cheek to stretch
gentle massage outside cheeks
from temples down, drag down, relax shoulders
cervical ROM, ear to right shoulder, hold (and to left)
tongue out “village idiot”
PRNs:
Zofran (ondansetron) 3x/day
Compazine (prochlorperazine) q 6h
lidocaine 5ml PO 3x/day
Tylenol or Ibuprofen
If sores, magic mouthwash, olive oil
papaya: chew 3,3x/day thin mucus
stool softener (docusate sodium)
senna
norco
Journal: Word and Drawings to tell you and your team how you’re doing, feeling, looking. Include any part of body and life (mind, digestive, nerves, sleep, pain.)
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: day:10mg,eve:10mg
🗹+ Norco: day: ~10mg
eve: ~15mg
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: day:10mg,eve:10mg
🗹+ Norco: day: ~5mg
eve: ~15mg
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 1900 _______
🗹 Protein: 95 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 🗹 Oxy: day:10mg,eve:10mg
🗹+ Norco: day: ~5mg
eve: ~15mg
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment - Week 7
Day 39 - Sunday
Day 40 - Monday
Day 41 - Tuesday
Day 42 - Wednesday
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2200 _______
🗹 Protein: 110 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 Oxy: day:10mg,eve:0
🗹+ Norco: day: ~0mg
eve: ~10mg
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2200 _______
🗹 Protein: 110 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 Oxy: day:10mg,eve:0
🗹+ Norco: day: ~0mg
eve: ~5mg
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2200 _______
🗹 Protein: 110 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 Oxy: day:10mg,eve:0
🗹+ Norco: day: ~0mg
eve: ~5mg
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2200 _______
🗹 Protein: 110 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹 Oxy: day:10mg,eve:0
🗹+ Norco: day: ~0mg
eve: ~0mg
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Journal, Questions, Concerns, & Challenges:
- This week: less Oxy, more calories
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
HEENT RadioChemoTherapy Post-Treatment - Week 8
Day 43 - Thursday
Day 44 - Friday
Day 45 - Saturday
Effrt: effortful swallow - swallow hard
Mendelson: start swallow, hold halfway through for 5 seconds
Masako: Gently bite tip of tonge and swallow hard, progressively stick tongue out further
jaw, cheek, & neck stretches:
palm over jaw, gentle pressure down 30 sec x10/day (or more)
palms push same-side jaw to other side 30 sec x10/day (or more)
draw “C” inside cheek to stretch
gentle massage outside cheeks
from temples down, drag down, relax shoulders
cervical ROM, ear to right shoulder, hold (and to left)
tongue out “village idiot”
PRNs:
Zofran (ondansetron) 3x/day
Compazine (prochlorperazine) q 6h
lidocaine 5ml PO 3x/day
Tylenol or Ibuprofen
If sores, magic mouthwash, olive oil
papaya: chew 3,3x/day thin mucus
stool softener (docusate sodium)
senna
norco
Journal: Word and Drawings to tell you and your team how you’re doing, feeling, looking. Include any part of body and life (mind, digestive, nerves, sleep, pain.)
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2200 _______
🗹 Protein: 110 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹+ Norco: day: ~10mg
eve: ~0
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2200 _______
🗹 Protein: 110 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹+ Norco: day: ~5mg
eve: ~0
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Diet:
🗹 Fluid: 2000 ml _______
🗹 Calories: 2200 _______
🗹 Protein: 110 gm _______
🗹 Multivitamin
Exercises:
🗹 🗹 🗹 Effrt/Mend/Mas 10x
🗹+ jaw/cheek/neck stretches
🗹 🗹 🗹+ Walk
Pain:
🗹+ Norco: day: ~5mg
eve: ~0
Nausea:
🗹 🗹 🗹 Zofran PRN
🗹 Compazine: 1x/day evening
Poop:
🗹 Miralax
🗹 🗹 🗹+ Sen+Col PRN
🗹 Fiber supplement
Mouth Care:
🗹 🗹 Brush 2x/day
🗹 Floss 1x/day
Other Interventions:
🗹 🗹 🗹 cream 3x/day
🗹 Vitals wt_____ t_____ hr_____
bp_______ rr_____ bm________
🗹
🗹
🗹
🗹
🗹
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges:
Journal, Questions, Concerns, & Challenges: