Outcome Evaluation

It is often difficult to evaluate nausea and vomiting when chemotherapy is given as an outpatient. After drug administration, patients return home and may or may not report inadequate control of emesis. Subsequent chemotherapy cycles may also be poorly controlled, especially if patients do not state their experience with the previous cycle. To ameliorate this problem, patients' experiences with CINV should be assessed, particularly after the first and second cycle of chemotherapy. Patients should be asked about their previous emesis control with subsequent cycles of chemotherapy, and a prophylaxis regimen may need to be adjusted. Patients should also be encouraged to self-report poor control of emesis while at home. Side effects of the antiemetic regimen should also be assessed and reported.

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