Fecal Microbiota Transplantation in Patients With Cancer
Fecal Microbiota Transplantation in Patients With Cancer
Regardless of the source of stool or chosen route of administration, patients undergoing FMT need support and education prior to treatment. Because of the treatment's potentially offensive nature, psychological support may also be required. Pre-FMT nursing assessments must include a thorough review of gastrointestinal systems. The nurse should also clearly review and record related patient symptoms, such as abdominal pain, distension, cramping, bleeding, nausea, vomiting, and incontinence (Samuel, Crumb, & Duba, 2014). Practical preparation for the FMT procedure is similar to that of any other endoscopic procedure, including a standard bowel preparation. The bowel should be virtually free of contaminated stool prior to the donor stool instillation to ensure a healthy graft. To preserve the health of the FMT, antibiotics should be discontinued in the evening prior to the procedure, if possible.
Patient Preparation
Regardless of the source of stool or chosen route of administration, patients undergoing FMT need support and education prior to treatment. Because of the treatment's potentially offensive nature, psychological support may also be required. Pre-FMT nursing assessments must include a thorough review of gastrointestinal systems. The nurse should also clearly review and record related patient symptoms, such as abdominal pain, distension, cramping, bleeding, nausea, vomiting, and incontinence (Samuel, Crumb, & Duba, 2014). Practical preparation for the FMT procedure is similar to that of any other endoscopic procedure, including a standard bowel preparation. The bowel should be virtually free of contaminated stool prior to the donor stool instillation to ensure a healthy graft. To preserve the health of the FMT, antibiotics should be discontinued in the evening prior to the procedure, if possible.
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