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In R.G. Hughes (Ed.),Patient safety and quality: An evidence-based handbook for nurses.Rock-ville, MD: Agency for Healthcare Research and Quality.Triage. (n.d.). InMerriam-Webster online dictionary. Retrieved from .com/dictionary/triageU.S. Department of Health and Human Services. (2003, May).Summary of the HIPAA Privacy Rule.Retrieved from files/privacysummary.pdfWest Pennsylvania Administrative Code. (2016). Title 49, Section 21.11. Code of Professional andVocational Standards.Retrieved from sylvaniaRegulations?guid=N643DB3208DD111DEA1A9CF3F7A575F80&contextData=(sc.Default)&transitionType=Default&VR=3.0&RS=cblt1.0Wicklund, E. (2016). Nurses’ group lobbies for telemedicine licensure. Retrieved fromhttps://mhealthintelligence.com/news/nurses-group-lobbies-for-telemedicine-licensureDownloaded on 08 18 2020. Single-user license only. Copyright 2020 by the Oncology Nursing Society. For permission to post online, reprint, adapt, or reuse, please email pubpermissions@ons.org. ONS reserves all rights.
Telephone Triage. . . . . . . . .71Telephone TriageProtocolsDownloaded on08182020. Single-user license only. Copyright2020 by the Oncology Nursing Society. For permission to post online, reprint, adapt, or reuse, please email pubpermissions@ons.org. ONS reserves all rights.
72. . . . . . . .Telephone TriageDownloaded on 08 18 2020.Single-user license only.Copyright 2020by the Oncology NursingSociety.For permission to post online, reprint, adapt, or reuse, please email pubpermissions@ons.org. ONS reserves all rights.
Telephone Triage for Oncology Nurses (Third Edition). . . . . . . .73AlopeciaPROBLEMAlopecia is the partial or complete absence of hair from areas of the bodywhere it normally grows. Distress resulting from cancer-related alopecia is verywell documented in the literature (Kadakia, Rozell, Butala, & Loprinzi, 2014).For most patients, it is a constant visual reminder to themselves and to others thatthey have cancer.Hair growth has three phases: anagen (the active growth phase), catagen (hairis no longer growing, and the hair follicle moves closer to the surface of the skin),and telogen (the resting phase). Scalp hair is in the anagen growth phase for two tosix years. Approximately 85%–90% of scalp hairs are in the anagen phase at anyone time (Nail & Lee-Lin, 2015). Because the scalp has the highest percentage ofhair in the anagen phase, the effects of systemic therapy on hair loss will occur inscalp hair sooner than any other place on the body.ASSESSMENT CRITERIA1. What is the cancer diagnosis, and what treatment is the patient receiving?a. Alopecia (hair loss) is a transient but often psychologically devastat-ing consequence of cancer chemotherapy. In addition to the scalp, pubic,and axillary hair, eyebrows and eyelashes may also be lost. Alopecia is ahallmark sign that someone has cancer. For some patients, the emotionaltrauma may be so severe that it leads to discontinuing or refusing treat-ment (Kadakia et al., 2014).

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Nursing, Oncology nurses

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