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Prevention of Acute Chemotherapy Induced Nausea and Vomiting — Non-Pharmacologic/Integrative Therapies — Clinical Pathway: Inpatient and Outpatient Specialty Care

Acute Chemotherapy Induced Nausea and Vomiting (CINV) Clinical Pathway — Inpatient and Outpatient Specialty

Non-Pharmacologic/Integrative Therapies

Non-pharmacologic therapies are to be used in conjunction with pharmacologic therapies to control CINV. The list below includes considerations for additional therapies.

Consult Integrative Oncology.

Psychology

  • Cognitive behavioral therapy
  • Progressive muscle relaxation
  • Hypnosis
  • Video distraction/virtual reality

Acupuncture/Acupressure

Yoga/Mindfulness Meditation

Creative Art Therapies

  • Music therapy
  • Art therapy

Nutrition Interventions

  • Eat smaller, more frequent meals with attempts to eat higher-protein meals
  • Reduce food aromas
  • Choose simple, bland foods (consider coconut water, congee, clear broths/soups at room temperature)
  • Take anti-emetics prior to meals
  • Comfort foods that have worked previously
  • Consider herbal teas with fresh ginger root, peppermint

Aromatherapy

Approved hospital inhalers with mandarin or lavender.

 

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