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Managing chemotherapy-induced nausea and vomiting. A paradigm for supportive care
1American Cancer Society, Inc., Atlanta, GA 30329.
Background:
Clinical research on the problem of chemotherapy-induced nausea and vomiting (N & V) originated out of the necessity of keeping patients engaged with aggressive treatment protocols. The degree of sophistication available today is reviewed.
Methods:
A supportive care model is proposed for describing the developments as a six-step paradigm, ending with the suggestion that institutionalization is a final critical step in applying the results of research.
Conclusions:
The proposed model for control of N & V is suggested as a paradigm for the diffusion of a new technology designed to alleviate some aspect associated with suffering from the effects of cancer or its treatments.
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