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Clinical Insights: April 2018

Laura Metcalfe, MSN, RN, APN-C, AOCNS, John Theurer Cancer Center, Hackensack, NJ – For each patient, the decision about whether or not to have chemotherapy is a balance between the potential benefits and adverse effects. Further, encouraging patients who have either uncontrolled hypertension or diabetes to seek appropriate medical care and maintain better control could help decrease their risk. At the completion of adjuvant therapy, we provide all our patients with a survivorship care plan with recommendations for lifestyle changes that can decrease their risk of recurrence, as well as recommendations for routine medical follow-up and cancer surveillance. For patients aged 75 years and older, especially those with hypertension and/or diabetes, cardiovascular surveillance should be included in their care plans.

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