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Provided by the Meniscus Educational Institute


Faculty
Rita S. Wickham, PhD, MS, RN, AOCN
Oncology and Palliative Care Consultant
Associate Professor
College of Nursing
Rush University Medical Center
Chicago, Illinois

Harry Raftopoulos, MD
Associate Attending Physician
Monter Cancer Center
North Shore-LIJ Health System
Lake Success, New York
 


Intended Audience
This activity is intended for nurses, physicians, and pharmacists who care for patients receiving chemotherapy as part of their therapeutic regimen and other health care professionals interested in chemotherapy-induced nausea and vomiting (CINV).


Overall Purpose

The overall purpose of this activity is to

  • Familiarize oncology practitioners with best-practice recommendations

  • Build value for the need to routinely assess patients for risk of CINV

  • Facilitate the establishment of protocols that integrate national guidelines and standards of care for
    prevention of CINV

  • Aid in the development of comprehensive patient care plans

  • Effectively improve the overall quality of life for patients


Learning Objectives

After completing the educational activity, the learner should become competent to highly competent in

  • Distinguishing among acute, delayed, and anticipatory CINV

  • Describing best-practice recommendations for prophylaxis and treatment of CINV

  • Routinely assessing patients for risk of CINV

  • Establishing protocols that integrate evidence-based practice

  • Developing comprehensive patient care plans


Continuing Education
Statement of Credit—Participants who successfully complete this activity (including completion and submission of the evaluation form) will be issued a statement of credit via e-mail or US mail within 4 weeks.

Physicians. The Meniscus Educational Institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Meniscus Educational Institute designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
 
 
nurse Nurses. This activity for 1.4 contact hours is provided by the Meniscus Educational Institute.

The Meniscus Educational Institute is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Accreditation refers to recognition of educational activities only and does not imply approval or endorsement by the Meniscus Educational Institute or the American Nurses Credentialing Center’s Commission on Accreditation of any product mentioned.

Provider approved by the California Board of Registered Nursing, Provider No. 13164, for 1.4
contact hours.
 
ancc

Pharmacists. This educational activity is sponsored by the Meniscus Educational Institute.
The Meniscus Educational Institute is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. The ACPE Universal Program Number assigned to this program, for 1.5 contact hour(s) (0.150 CEU), is 429-000-08-006-H01-P.

 


ANCC Accreditation Feedback Line

1-866-262-9730

The Accreditation Program of the American Nurses Credentialing Center is interested in the opinions and perspectives of the participants in accredited continuing nursing education activities, particularly perspectives related to the presence of perceived bias* in an activity. For this reason, we provide a toll-free telephone number, which participants may call at any time to tell us about

  •  Any noted bias or conflict of interest in the education

  • Any concerns, compliments, or opinions

  • A great experience

  • An unpleasant experience

  • Your thoughts on the process

Just call and tell us!

1-866-262-9730

*Bias is defined as preferential influence that causes a distortion of opinion or facts. Commercial bias may occur when an educational activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc). This definition is not all inclusive, and participants may use their own interpretation in deciding wheather a presentation is biased.

NOTE: statements of commercial support and/or conflict of interest disclosures do not represent bias. Such statements inform the learner that the provider has implemented a mechanism to identify and resolve all conflicts of interest prior to delivery of the educational material.


Financial Disclosures

All individuals in positions to control the content of this program (eg, planners, faculty, content reviewers) are expected to disclose all financial relationships with commercial interests that may have a direct bearing on the subject matter of this continuing education activity. Participants have the responsibility to assess the impact (if any) of the disclosed information on the educational value of the activity. All faculty have been offered a modest honorarium from the accredited provider for their participation in this activity.

Rita S. Wickham, PhD, MS, RN, AOCN, Moderator, has nothing to disclose.

Harry Raftopoulos, MD, Speaker, receives honoraria from Lilly, Genentech, and Merck and receives grant or research funding from Pfizer.

Beth Taubes, RN, OCN, Nursing Education Committee Reviewer, acts as a consultant or has an advisory role for ImClone Systems, Lilly, Amgen, and Pfizer.

Barbara Conley, MD, Medical Education Committee Reviewer, receives grant or research funding from ImClone Systems, Amgen, Endocyte, Novartis, sanofi-aventis, and Wyeth.

Barry R. Goldspiel, PharmD, Pharmacy Education Committee Reviewer, has nothing to disclose.

Karen J. Abbas, RN, MS, AOCN, Nursing Education Director, has nothing to disclose.

Letitia A. O’Kicki, MD, Medical Director, has nothing to disclose.

Harleigh E. Willmott, PhD, VP, Educational Programming & Development, has nothing to disclose.

 


Disclaimer
This activity has been designed to provide continuing education that is focused on specific objectives. In selecting educational activities, clinicians should pay special attention to the relevance of those objectives and the application to their particular needs. The intent of all Meniscus Educational Institute educational opportunities is to provide learning that will improve patient care. Clinicians are encouraged to reflect on this activity and its applicability to their own patient population.

The opinions expressed in this activity are those of the faculty and reviewers and do not represent an endorsement by MEI of any specific therapeutics or approaches to diagnosis or patient management.


Product Disclosure
Reflecting standard oncology practice, which often requires the off-label or investigational use of some products, this educational activity includes information about many drugs. All faculty participating in continuing education activities are expected to disclose the approved or investigational status related to the subject matter of this publication (CINV) of all products and devices under discussion. This information, as of the time of printing, is summarized briefly in the paragraph below. In addition, primary references and full prescribing information should be consulted for complete information. Clinicians have the professional responsibility to ensure that drugs are prescribed and used appropriately, based on their own clinical judgment and accepted standards of care.

Aprepitant, dolasetron, fosaprepitant, granisetron, ondansetron, and palonosetron all are indicated in the treatment of CINV, either in prevention or treatment, or both. Aprepitant, dexamethasone, dolasetron, granisetron, ondansetron, and palonosetron all have indications for other uses. Casopitant, netupitant, SCH 619374, and vestipitant are all in clinical trials for treatment of CINV.

Adapted from Drug Facts and Comparisons. St Louis, Mo: Facts and Comparisons; 2008.


Release Date: November 2008
Termination Date: November 30, 2009

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