High-Dose Gating Protocol for Deaf Patients In Radiation Oncology.
Background: This case study discusses a 37-year-old man who presented with stage IV (cT3N1M1a) sigmoid colon cancer that had metastasized to the liver. The patient underwent stereotactic body radiation therapy using real-time, fiducial-based, triggered-imaging guidance and amplitude-based respirator...
| Publicado en: | Radiation Therapist Vol. 33; no. 2; pp. 104 - 112 |
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| Autores principales: | , , , , , |
| Formato: | case study diagnostic images pictorial tables/charts Journal Article |
| Publicado: |
American Society of Radiologic Technologists
Fall2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=179441888&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 179441888 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10841911 GTK jtl: Radiation Therapist issn: 10841911 maglogo: N pubinfo: dt: Fall2024 vid: 33 iid: 2 pid: 7052 pub: American Society of Radiologic Technologists place: Alburquerque, New Mexico artinfo: ui: 179441888 179441888 179441888 179441888 ppf: 104 ppct: 8 formats: fmt: @attributes: type: P tig: atl: High-Dose Gating Protocol for Deaf Patients In Radiation Oncology. aug: au: Ashley, Alex Roytman, Mark Dumane, Vishruta Edwards, Keith Goodman, Karyn Skubish, Samantha sug: subj: Neoplasm Metastasis Radiotherapy Liver Neoplasms Radiotherapy Persons with Hearing Disabilities Deafness Patient Centered Care Protocols Radiotherapy, Conformal Methods Cultural Competence Male Adult Sigmoid Neoplasms Radiotherapy Health Services Needs and Demand Needs Assessment Multidisciplinary Care Team Visual Perception Communication Methods Sign Language Simulations Tomography, X-Ray Computed Patient Education Adult: 19-44 years Male ab: Background: This case study discusses a 37-year-old man who presented with stage IV (cT3N1M1a) sigmoid colon cancer that had metastasized to the liver. The patient underwent stereotactic body radiation therapy using real-time, fiducial-based, triggered-imaging guidance and amplitude-based respiratory gating at exhalation. In addition to the cancer diagnosis, the patient was deaf and had a substantial medical and surgical history for other comorbidities. Discussion: Although deaf patients account for a small percentage of those undergoing radiation therapy, this treatment has the potential to be more inclusive to this group, which the authors accomplished using a novel approach. Providing instructions to enable the patient to breathe in a consistent, periodic, and reproducible manner via sign-language interpretation and visual setup was key to providing equitable care. Conclusion: The multidisciplinary team must work to ensure that deaf patients are not excluded from gating treatment protocols typically achieved through verbal coaching. With appropriate visual setup, sign-language interpretation, and coaching through translation, culturally competent care can be provided successfully and seamlessly. pubtype: Academic Journal doctype: case study diagnostic images pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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