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The Spire Specialist Care Centre offers chemotherapy for head and neck cancers.
Our centre provides a full comprehensive support with head and neck CNS, dietitian and speech and a language therapist. All prophylactic PEG insertion and feeds are arranged through the aforementioned team or the patient’s GP. Our CNS nurse is also a nurse prescriber and oversees the medicine management alongside our SALT who is used for a pro-active approach to preserving swallowing complex. Each patient has a weekly follow-up post treatment, until they are handed back to their GP. To date, no head and neck patients (both concurrent with bilateral neck treatment) have required rescanning or preplanning.
Before your treatment you will need to see a dentist. Macmillan have provided a comprehensive overview of what to expect.
Chemotherapy can be used in the following ways:
The following is some general advice to make it easier for you to receive chemotherapy comfortably:
WI-FI is available and you can use mobile phones and laptops in the treatment unit, however, please be considerate to your fellow patients particularly when using your mobile phone.
The unit has coffee making facilities and lunch is provided if you are having treatment during the lunchtime period.
We strongly advise against travelling abroad. If you have already booked a holiday please discuss this with your doctor or nurse as soon as possible. It is also best to wait for at least a month after your last treatment before planning a holiday.
You will also need to make sure that you have travel insurance before going abroad.
Macmillan Cancer Support have up-to-date specialist travel insurance information. Their contact details are below:
Macmillan Cancer Support Direct
0808 808 0000
You should protect yourself from the sun. Chemotherapy makes your skin much more sensitive and you can get sunburn more quickly than before. You may find the following guidelines useful:
Choose your sunscreen wisely
Apply sunscreen liberally Apply sunscreen, about the size of a pingpong ball, to every part of your body exposed to the sun. Don’t forget your ears, feet, behind your neck, and at the top of your head if you have hair loss. Your skin can take up to 30 minutes to absorb sunscreens, so be sure to put it on about 30 minutes before you go outside.
In addition to wearing sunscreen, you should:
Different chemotherapy drugs cause different side effects. Everyone is individual and will react to chemotherapy differently. Some people have very few side effects and others may have more. You will be carefully assessed by your nurse who will ask you about side effects before each cycle of treatment to make sure that we know about them. This assessment and the results of your blood tests helps your nurse to know if it is safe for you to have treatment.
Your nurse will talk about specific side effects of the treatment before your treatment starts.
In case you have a problem while receiving treatment you will be given 24-hour contact details for the unit. We use a telephone triage system to deal with enquiries. Before calling it is helpful if you can have the following information available:
It is very important that, wherever possible, we speak directly to the patient. This allows us to give you the correct advice that you need. We will also ask a number of questions that may seem unrelated to the reason for your call, but these allow us to make sure we give you the correct advice.
Please do not use this number if you are not on treatment.
Chemotherapy can make it more difficult for you to fight infection. Because of this, what seems a minor illness can develop into a more serious or even life threatening illness. You must get in touch with us if you feel unusually hot or cold, shivery or more unwell than you would expect at any stage in your treatment. It is important to check your temperature. You can buy a digital thermometer from your local pharmacy.
A normal temperature is between 36-37°. If your temperature is above 37.5° it is essential that you are assessed urgently.
Please be aware you can have a normal temperature and still have an infection so if you feel unwell you should contact us even if your temperature is normal.
Some people work throughout their treatment. Others prefer to take time off or may be advised to take time off based on what they do. You should discuss this with your nurse or consultant. Chemotherapy side effects can build up with each cycle.
You should tell your employer as soon as possible that you will be on chemotherapy and that this will mean that you will need to take time off to come for appointments and that you may need time off without warning if you are feeling unwell. You and your employer can then decide what works best for both of you.
You may be able to get financial assistance while you are unable to work. Please speak to your nurse if you have any worries about money. Macmillan Cancer Support also offer financial advice. Their contact details are at the back of this booklet.
This will depend on the chemotherapy drugs you are on. You will be told before you start treatment if you are likely to lose your hair so that you can prepare for this. If you do lose your hair, it will grow back once you have finished your treatment but it may be a different colour or texture. Your nurse will be able to offer you help and advice on how to care for your hair and scalp when you are on treatment. We may be able to offer you a treatment called ‘scalp cooling’ that might help to prevent or reduce hair loss. However, this can only be offered to patients on certain regimes. If you would like to learn more about this or find out if this would be of use to you please speak to your doctor or nurse.