PMID- 23362656 OWN - NLM STAT- MEDLINE DCOM- 20130304 LR - 20191112 IS - 1181-912X (Print) IS - 1181-912X (Linking) VI - 22 IP - 4 DP - 2012 Autumn TI - Counselling and adverse event management for patients with myelodysplastic syndromes undergoing azacitidine therapy: a practice standard for Canadian nurses. PG - 222-34 AB - Azacitidine (5-azacytidine, VIDAZA) is a disease-modifying agent that improves survival, reduces transfusion dependence, and reduces progression to acute myeloid leukemia in patients with higher risk myelodysplastic syndromes. Azacitidine injection is associated with characteristic adverse events (AEs) that must be managed in order for patients to stay on therapy and achieve optimal therapeutic outcomes. These AEs include injection-site reactions, cytopenias, and gastrointestinal effects. Oncology nurses are uniquely positioned to provide patient support and counselling, thereby helping patients and their families set clear expectations for azacitidine therapy. This article presents a nursing standard designed to support Canadian oncology nurses in the key areas of counselling for patients initiating and continuing azacitidine, as well as nursing strategies for prevention and management of azacitidine-associated AEs. Many of the general principles discussed in this nursing standard can be applied broadly to many diseases and treatments. FAU - Murray, Cindy AU - Murray C AD - Princess Margaret Hospital, University Health Network, Toronto, ON. Cindy.Murray@uhn.on.ca FAU - Wereley, Annie AU - Wereley A FAU - Nixon, Shannon AU - Nixon S FAU - Hua-Yung, Carol AU - Hua-Yung C FAU - von Riedemann, Sarah AU - von Riedemann S FAU - Kurtin, Sandra AU - Kurtin S CN - Canadian Nurses Working Group on Azacitidine in MDS LA - eng LA - fre PT - Journal Article PL - Canada TA - Can Oncol Nurs J JT - Canadian oncology nursing journal = Revue canadienne de nursing oncologique JID - 9300792 RN - 0 (Antimetabolites, Antineoplastic) RN - M801H13NRU (Azacitidine) MH - Antimetabolites, Antineoplastic/adverse effects/*therapeutic use MH - Azacitidine/adverse effects/*therapeutic use MH - Canada MH - *Counseling MH - Myelodysplastic Syndromes/drug therapy/*nursing MH - *Oncology Nursing MH - *Practice Guidelines as Topic MH - Workforce EDAT- 2013/02/01 06:00 MHDA- 2013/03/05 06:00 CRDT- 2013/02/01 06:00 PHST- 2013/02/01 06:00 [entrez] PHST- 2013/02/01 06:00 [pubmed] PHST- 2013/03/05 06:00 [medline] AID - 10.5737/1181912x224222227 [doi] PST - ppublish SO - Can Oncol Nurs J. 2012 Autumn;22(4):222-34. doi: 10.5737/1181912x224222227.