Documentation - Guidelines for Providers & Patients

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Provider Guidelines

• Daily discussion of rinsing with normal saline
• Use of cryotherapy when appropriate
• Use of L-glutamine in children and/or adolescents that either have mucositis or at high risk* for mucositis
  ?*High Risk Patients:
  • High-Dose Methotrexate therapy
  • Autologous or Allogeneic Stem Cell Transplant
  • Radiation therapy to head and neck or mediastinal regions (to be confirmed with radiation oncologist)

Smart Phrases

• Chemotherapy: Mucositisprophylaxis & mucositiscare
• Radiation Oncology: Mucositisprophylaxisheadandneck & mucositiscareheadandneck

Grades of Mucositis

Patient Guidelines

Part 1

This will be used for enrollment and patient education in RED CAP/ MyCap.

1. Pre Test
2. Video
3. Dental Specialist
4. Oncologist/Provider discussion
5. Post Test

Part 2

Recording of Daily Practices in RED CAP/ MyCap

• Basic Oral Care Questionnaire

Part 3

Daily Recording in RED CAP/ MyCap if Mucositis Develops

• Mucositis Questionnaire

MyCap

Patients can access the pre- and post-test after using the MyCap App.

• Pre & Post-Test