DOCSLIB.ORG

Guide to Outpatient Autologous Stem Cell Transplant

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Guide to Outpatient Autologous Stem Cell Transplant Outpatient Autologous Stem Cell Transplant: A Guide for Patients & Caregivers 1 Table of Contents Welcome & Overview About This Guide 4 Bone Marrow Basics 5 Autologous Stem Cell Transplant 6 The Five Phases of Transplant 7 Outpatient Autologous Stem Cell Transplant 8 Your Transplant Team 9 Before Your Transplant Summary and Checklist 11 Meeting Your Team 12 The Role of Your Caregiver 13 Financial Clearance 15 Pretransplant Medical Evaluation 15 Making Decisions About Your Fertility 16 Speaking to Your Children About Your Transplant 18 Making Arrangements for Childcare 19 Making Arrangements for Your Pets 19 Moving Into a Nearby Apartment or NY Presbyterian Guest Facility 20 Mobilization and Harvesting 21 Having Your Central Venous Catheter (CVC) Inserted 25 During Your Transplant Summary and Checklist 31 The Outpatient BMT Clinic 31 If You Are Admitted to the Hospital 33 The Conditioning Regimen: Receiving Your Chemotherapy 36 Monitoring Your Temperature and Liquid Intake 37 Rest Day 38 Transplant Day 38 After Your Transplant Summary and Checklist 40 Post-transplant Care at the Outpatient BMT Clinic 41 Side Effects From Chemotherapy 41 Living With a Low White Blood Cell Count (Neutropenia) 44 Living With a Low Platelet Count (Thrombocytopenia) 47 Living With a Low Red Blood Cell Count (Anemia) 49 Receiving a Transfusion 45 The Importance of Communication 52 Coping With Separation From Children 52 2 Exercise 53 Changes to Sexual Activity 54 Engraftment 55 Returning Home After Your Transplant Before Going Home 57 Going Home 57 Preventing Infection 58 Resuming Your Activities 65 Sexual Health 66 Drinking Alcohol and Using Tobacco 68 Follow-up Care 68 Common Medications to Avoid 70 Caregivers’ Guide for Bone Marrow/Stem Cell Transplant Glossary Additional Resources 3 Welcome & Overview Welcome to the Outpatient Autologous Stem Cell Transplant program at Memorial Sloan Kettering Cancer Center (MSK). About This Guide The information in this guide will complement the information your healthcare team will share with you. What’s in this guide This guide will help you learn about autologous stem cell transplantation: what it is, why it is being recommended for you, and what happens in each phase of the transplant. How to use this guide You should read this entire guide at least once, as well as the additional materials included at the back of the guide. Refer to this guide as your treatment progresses. As you read through this guide, make a note of any questions that come to mind. Your healthcare team can answer your questions the next time you see them. We value your feedback We are always trying to improve the information we give to our patients, their families, and their friends. After you've read this guide, you may think of ways it could be improved (maybe there’s something that was missing or wasn’t completely clear). Please e-mail your suggestions to us at [email protected]. We will incorporate your feedback into the next version of this guide. Glossary We’ve done our best to limit the number of medical terms in this guide. However, there are some words that we need you to understand. With this in mind, we’ve included a glossary of useful terms at the back of this guide. 4 Bone Marrow Basics What Is Bone Marrow? What Are Stem Cells? Your stem cells divide and change into the different types of blood cells in your body. Bone marrow is a substance found in the spaces in the center of the larger bones in your body—your hip, breastbone, and pelvis. Bone marrow contains a large number of stem cells. Stem cells are immature cells that produce all of the blood cells in your body—the white blood cells that fight infection, red blood cells that carry oxygen, and platelets that stop you from bleeding. Your stem cells are constantly dividing and changing into these different types of blood cells in your body, replacing older blood cells. Some stem cells also circulate in your bloodstream. You’ll hear your transplant referred to as a “bone marrow transplant” or a “stem cell transplant.” Technically, stem cell transplant is the more correct term, as you’ll be receiving an infusion of stem cells. 5 Autologous Stem Cell Transplant An autologous stem cell transplant is being recommended for you because your doctors feel that a transplant is the best treatment for your specific disease. Autologous means “from yourself.” When you have an autologous stem cell transplant, your stem cells are harvested (collected) from your body and then frozen before you receive chemotherapy. You will receive a very high dose of chemotherapy to kill any remaining cancer cells in your body. This chemotherapy will also destroy most of the blood cells in your bone marrow and bloodstream. Harvesting your stem cells beforehand allows us to give you this high dose of chemotherapy. Once we return your stem cells to you, they will slowly start to make new blood cells. You are literally receiving a stem cell transplant “from yourself.” This booklet is divided into 3 sections about the autologous stem cell transplant experience. Before You will prepare for your stem cell transplant. You will receive medications that stimulate your body to make more stem cells than normal and encourage those stem cells to circulate in your bloodstream. Your stem cells will then be harvested from your bloodstream and stored. You will have a central venous catheter (CVC) placed into your upper chest wall for your transplant. It may also be used to collect the stem cells. Your veins will be checked to determine the best time for the CVC to be inserted. During You will receive your chemotherapy (the “conditioning regimen”) to kill any cancer cells that remain in your body through your CVC. The stem cells remaining in your body and other blood cells will also be killed, and you will lose your ability to make new blood cells. Your immune system will be severely compromised. Your stem cells will be taken from storage, thawed, and infused into your body through your CVC. This is your stem cell transplant. After The infused stem cells will find their way through your bloodstream to your bone marrow. They will begin to divide and create healthy new blood cells. This process is called engraftment. Your immune and vital systems will begin to return to normal. This process takes time, and varies from patient to patient. 6 The Five Phases of Transplant Description Time Period Phase 1: Chemotherapy Chemotherapy will be given Day -10* to Day 0 to kill any cancer cells that You will receive high-dose are left, which will make *Start date varies chemotherapy with or room for new stem cells. depending on without radiation. Phase 1 will be finished when which conditioning you receive the infusion of regimen you will stem cells. receive. Phase 2: Neutropenia Your white blood cell, red Day 0 to blood cell, and platelet Engraftment You will feel the effects of counts will be low. the chemotherapy you You may have diarrhea, (usually between received. nausea, and/or mouth sores. Day +12 and Day Your risk of developing an +30) infection will be high. Phase 3: Early Recovery You may develop a fever, Day +5 to Day +7 rash, and pulmonary Your neutrophils will start infiltrates, known as to recover. “engraftment syndrome.” Phase 4: Early You will still be at risk of Day +30 to 6 to 12 Convalescence developing life-threatening months infections. Your immune system will You will remain on antiviral You will continue to still not be working medications to prevent be monitored properly, even though infections. closely by your your blood counts are transplant team. normal. Phase 5: Late Your immune system will be 12 months and Convalescence almost fully recovered. onward There will still be a chance You will return to your that you could develop late You will begin normal activities. complications, such as organ receiving dysfunction or recurrence of vaccinations you the original disease. may have had during childhood. 7 Outpatient Autologous Stem Cell Transplant Depending on your condition and treatment, you may receive part of your care as an inpatient in the hospital and part of it as an outpatient in the BMT clinic. While you’re being cared for in the outpatient clinic, you will stay locally at a NY Presbyterian Guest Facility furnished apartment or at an apartment previously approved by your primary doctor. You will be admitted to the hospital only if you develop complications. While each patient’s transplant is different, below is a typical timeline for someone having an outpatient transplant. You’ll see that the days leading up to the transplant are given minus numbers, such as Day −3, Day −2, etc. The day of the transplant is Day 0, and the days that follow are Day +1, Day +2, etc. Your healthcare team will use this format when they explain your transplant to you. Day −4: You and your caregiver will check into the NY Presbyterian Guest Facility or apartment close to MSK’s main hospital in Manhattan. Day −3: If a CVC hasn’t already been inserted, you and your caregiver will come to MSK’s Interventional Radiology department at the main hospital, where one will be inserted in your upper chest wall. You will return to your NY Presbyterian Guest Facility or apartment in the evening. Day −2: You will come to the Outpatient BMT Clinic to receive your chemotherapy. You will return to your NY Presbyterian Guest Facility or apartment in the evening. (In some cases, patients will need several days of chemotherapy. Your healthcare team will explain your specific treatment plan to you.) Day −1: This is a rest day.
Load more

Recommended publications
  • Night Visit Standing on the Curb Outside Baggage Claim at LAX, I Shifted the Weight of My Overnight Bag on My Shoulder, Looking for My Brother, Peter
    Night Visit Standing on the curb outside baggage claim at LAX, I shifted the weight of my overnight bag on my shoulder, looking for my brother, Peter. His white Toyota nosed its way through the congested airport traffic, and there he was! Blond and blue, eyes bright and twinkling as usual, skin clear, his handsome face crossed with only the smallest lines betraying the fact that he was at the tail end of his forties. We hugged and laughed, smiling into one another's eyes. Parting, I slipped my bag to the pavement, we grasped hands and jumped in a small circle as we did when we were children. He, still, eternally boyish. As for me, well, I’ve always been loathe to give up my "Peter Pan complex". He's my Peter, and I one of his lost boys, even if I am his older sister. Or maybe I’m his Wendy-bird: forever pre-pubescent innocents, I followed him, and we ran away from Florida to California, our Never-land. My sister's eyes, anxious but furtive, searched for signs of failing. Peter had been living with AIDS for such a long time now. Thankfully, as usual, I found myself relieved by his apparent glowing health. While I’d grabbed the brass ring, blue chip law firm, partner, fancy schmancy - since shortly after graduating from law school himself, Peter has been on disability. I feel it’s incumbent upon me to share the wealth and, while appreciating the help, I know he could care less about the money.
    [Show full text]
  • Volunteer Pilot Handbook
    VOLUNTEER PILOT HANDBOOK As an AFC Pilot YOU are “Giving Hope Wings” to children and adults in need. The Mission of Angel Flight Central “Serving people in need by arranging charitable flights for access to health care and for other humanitarian purposes.” May 2012 INSPIRATION ! Volunteer pilots have said that the “opportunity to give back to those less fortunate”, “the joy of helping others” and the “reward of flying for a worthy cause” are some of the reasons why they volunteer to fly on behalf of Angel Flight Central. As you meet passengers, pilots and friends of AFC; be sure to capture your own stories and share them with us. Here’s some inspiration to get you started! Volunteer Pilots Give Hope & Help to Families AFC Serves Disaster Response “Mark would not have seen his daughter ”I just thought everybody forgot about us. th get married, celebrated our 11 wedding Then suddenly there was a plane and a pilot th anniversary, or celebrated his 49 flying us here to be with my mom.” birthday without your service. I will never forget all of the wonderful pilots Hurricane Katrina Survivor, AFC Passenger Danielle and flights we made with you. Your pilots and ground angels really are Angels! Thank you, thank you so much.” Marilyn, wife of AFC Passenger Volunteer Pilots Give their Time, Talent & Treasure Pilots help Special Needs Campers “A diagnosis of a rare form of liver with Flights cancer rocked our world… when I began to feel I no longer could continue “AFC is an outstanding organization to to make my trips to the Mayo Clinic work with and the level of their God sent angel flight.
    [Show full text]
  • The MSHC Newsletter Published by the Maywood Station Historical Committee for Its Members and Friends
    Vol. 5, No. 1 Winter 2007 The MSHC Newsletter Published by the Maywood Station Historical Committee for its Members and Friends Maywood Station Gets a Baggage Cart The General Lee Visits Maywood Station After 4 years of searching, Maywood Station Historical Visitors to the September 24, 2006 Maywood Station Committee members finally found an exact match of the Museum Open House were treated to The General Lee, original circa 1900-1920 baggage cart that was at from the hit 1970's TV series and recent movie, The Maywood Station. In late August 2006, MSHC member Dukes of Hazard, and antique automobiles. The Open Ed Kaminski located the baggage cart for sale in House was one of the largest held at the Maywood Buzzards Bay, MA. After purchasing the baggage cart, Station Museum thus far. Nearly 300 visitors attended the MSHC member Matt Greco was able to secure a 3-hour event. Another antique car show will be planned donation from YRC Worldwide Chief Executive Officer, during 2007. The MSHC wish to thank Tony Pizzanelli for William Zollars to transport the baggage cart on their bringing the General Lee to Maywood Station and Yellow Freight trucking division from Buzzards Bay to George Lewer and Ed Quinn for the antique automobiles Maywood Station. On September 11th, the baggage cart that were on display. was delivered to the station by Yellow Freight and moved by MSHC members Ed Quinn & Matt Greco onto the trackside of the Maywood Station for display. The circa-1910 baggage cart is quite large and measures 10 -feet in length by 39-inches wide.
    [Show full text]
  • Transplant Education Book Disclaimer the Purpose of This Education Book Is to Give Guidelines for Pre- and Post-Transplant Care at Texas Children’S Hospital
    KIDNEY Transplant Education Book Disclaimer The purpose of this education book is to give guidelines for pre- and post-transplant care at Texas Children’s Hospital. It does not provide specific medical advice and does not replace medical consultation with a qualified health or medical professional. Our education book is updated frequently, but with the rapidly changing healthcare system, this information could be out of date and/or contain inaccuracies or typographical errors. Please consult with the transplant team for questions. Acknowledgments Transplant Services would like to thank everyone who contributed their time to the development of this patient and family education notebook, both past and present. In addition to the core team who completed the extensive revisions, this book was made possible by an endowment from the John L. Hern (JLH) Foundation. The mission of the JLH Foundation is to support the financial needs of transplant patients and their families, to promote the need for organ donation and offer support to transplant programs. It is the hope of the transplant team at Texas Children’s Hospital that the information outlined in this book will help you make the best possible decision for your entire family. Welcome from Texas Children’s Hospital! Welcome from Transplant Services at Texas Children’s Hospital! You are an essential part of the care team, and we have designed this education book to guide you throughout the transplant process. This book is a resource to assist you, but it will not answer all your questions. You will continue to learn from all the members of the care team throughout the transplant process.
    [Show full text]
  • Norway Invests in the Future
    CONOCOPHILLIPS Third Quarter 2012 Norway invests in the future Real Estate and Facilities Services moves forward Defining the “New” ConocoPhillips Health, Safety & Environment Protecting the Healthof our workforce. ConocoPhillips has a well established process for evaluating the workplace for health hazards and tracking metrics related to industrial hygiene. The ultimate goal of our occupational health process is to ensure that we are effective in protecting the health of our workforce, and that our employees suffer no adverse health effects either now or later in life resulting from exposure to stressors in the workplace. What can you do? • Identify and eliminate health exposure risks • Implement engineering controls to mitigate risks • Apply administrative controls to limit access • Ensure use of personal protective equipment Sharing Insights Operations in Norway and Indonesia provide two great examples of how Conoco Phillips will realize its goal of combining our legacy strengths with a compelling new culture to be the explora- tion and production company of choice for all stakeholders. Both of these legacy business units have long and illustrious histories of success. Both are building for the future through strategic investments as well as an intense focus on safety, people, integrity, responsibility, innovation and teamwork. In this issue of spirit Magazine, the second since our repositioning into an independent exploration and production company, we take a close look at how these two key business units are defining our Matt Fox Executive Vice President future of Smart Growth, Superior Returns and SPIRIT Values. Exploration and In the Norway cover story (Page 10), we examine how – in a place Production where operations began more than 41 years ago – near-term, organic growth will rely on innovation and increased production from existing fields, including the venerable-but-prolific Greater Ekofisk Area.
    [Show full text]
  • March 2015 Bulletin
    Kayruv “Judaism for Today In a Warm and Caring Environment” March 2015 Adar/Nisan5775 that Purim is over, it is time to prepare for FROM THE RABBI Passover – and that is how many do it, beginning now and growing progressively more frantic as time flies by. I hear that every Dear Friends, so often a homemaker or two shows up for the seder with obvious signs of PTSD. But it We are about to embark does not have to be so: If you want a guide on what is probably the that will help you clean by setting your own most ambivalent time of pace and depth, you will find one on page 7. the year for an observant Jew, regardless the stripe: But the question is always why. Why are we Passover cleaning. One of doing this? What is the change we want to my kids’ favorite songs is Pesach a la mano accomplish? What is the symbolic universe (Pesach is just around the corner) by Flory that the tradition is inviting us to access? Jagoda1. The gist of the song is clear: now What is the difference between one pound of matza and one pound of bread? Only the hot air inside the bread which is a product of the TABLE OF CONTENTS fermentation process. That can happen in two ways: by letting flour and water mix and just Rabbi’s Message Pg. 1 President’s Message Pg. 4 sit there, or by adding something to that Passover Schedule Pg. 5 mixture, nowadays usually yeast, back in the Passover Kitchen Makeover Pg.
    [Show full text]
  • House Md S06 Swesub
    House md s06 swesub House M.D.. Season 8 | Season 7 | Season 6 | Season 5 | Season 4 | Season 3 | Season 2 | Season 1. #, Episode, Amount, Subtitles. 6x21, Help Me, 11, en · es. Greek subtitles for House M.D. Season 6 [S06] - The series follows the life of anti-social, pain killer addict, witty and arrogant medical docto. Hugh Laurie plays the title role in this unusual new detective series. Gregory House is an introvert, antisocial doctor any time avoid having any contact with their. House M.D. - 6x12 - Moving the Chainsp English. · House M.D. - 6x20 - English. · House M.D. House returns home to Princeton where he continues to focus on hi Sep 28, Harsh Lighting. Episode 3: The Tyrant. When a. Home >House M.D.. Share this video: House treats a patient on death row while Dr. Cameron avoids Sep 13, 44 Season 6 Show All Episodes. 20 House returns home to House M.D. Season 08 ﻣﺴﺤﻮﺑﺔ ﻣﻦ اﻟﻨﺖ" ,Princeton where he continues to focus Sep Arabic · House, M.D. Season 6 (p x Joy), 6 months ago, 1, B COMPLETE p BluRay x MB Pahe. House m d s06 swesub. No-registration upload files up MB claims there victim dying, but not from accident. House m d s06 swesub. Amd radeon hd g драйвер. House M.D. - Season 6: In this season, House finds himself in an And when House returns more obstinate. «House, M.D.» – Season 6, Episode 13 watch in HD quality with subtitles in different languages for free and without registration! «House, M.D.» – Season 6, Episode 2 watch in HD quality with subtitles in different languages for free and without registration! -Sabelma Romanian Subtitle.
    [Show full text]
  • Cessna 172SP
    CESSNA INTRODUCTION MODEL 172S NOTICE AT THE TIME OF ISSUANCE, THIS INFORMATION MANUAL WAS AN EXACT DUPLICATE OF THE OFFICIAL PILOT'S OPERATING HANDBOOK AND FAA APPROVED AIRPLANE FLIGHT MANUAL AND IS TO BE USED FOR GENERAL PURPOSES ONLY. IT WILL NOT BE KEPT CURRENT AND, THEREFORE, CANNOT BE USED AS A SUBSTITUTE FOR THE OFFICIAL PILOT'S OPERATING HANDBOOK AND FAA APPROVED AIRPLANE FLIGHT MANUAL INTENDED FOR OPERATION OF THE AIRPLANE. THE PILOT'S OPERATING HANDBOOK MUST BE CARRIED IN THE AIRPLANE AND AVAILABLE TO THE PILOT AT ALL TIMES. Cessna Aircraft Company Original Issue - 8 July 1998 Revision 5 - 19 July 2004 I Revision 5 U.S. INTRODUCTION CESSNA MODEL 172S PERFORMANCE - SPECIFICATIONS *SPEED: Maximum at Sea Level ......................... 126 KNOTS Cruise, 75% Power at 8500 Feet. ................. 124 KNOTS CRUISE: Recommended lean mixture with fuel allowance for engine start, taxi, takeoff, climb and 45 minutes reserve. 75% Power at 8500 Feet ..................... Range - 518 NM 53 Gallons Usable Fuel. .................... Time - 4.26 HRS Range at 10,000 Feet, 45% Power ............. Range - 638 NM 53 Gallons Usable Fuel. .................... Time - 6.72 HRS RATE-OF-CLIMB AT SEA LEVEL ...................... 730 FPM SERVICE CEILING ............................. 14,000 FEET TAKEOFF PERFORMANCE: Ground Roll .................................... 960 FEET Total Distance Over 50 Foot Obstacle ............... 1630 FEET LANDING PERFORMANCE: Ground Roll .................................... 575 FEET Total Distance Over 50 Foot Obstacle ............... 1335 FEET STALL SPEED: Flaps Up, Power Off ..............................53 KCAS Flaps Down, Power Off ........................... .48 KCAS MAXIMUM WEIGHT: Ramp ..................................... 2558 POUNDS Takeoff .................................... 2550 POUNDS Landing ................................... 2550 POUNDS STANDARD EMPTY WEIGHT .................... 1663 POUNDS MAXIMUM USEFUL LOAD ....................... 895 POUNDS BAGGAGE ALLOWANCE ........................ 120 POUNDS (Continued Next Page) I ii U.S.
    [Show full text]
  • Caregivers' Guide for Bonemarrow/Stemcell Transplant
    egivers’ Guide f Car or Marrow/Stem ne Cel Bo Transplant l u Practical Perspectives egivers’ Guide f Car or arrow/Stem ne M Cel Bo Transplant l u Practical Perspectives There are only four kinds of people in the world: Those who have been caregivers Those who are currently caregivers Those who will be caregivers Those who will need caregivers. – Rosalynn Carter, Helping Yourself to Help Others This booklet is dedicated with admiration to BMT caregivers, past, present and future. The mission of the National Bone Marrow Transplant Link (nbmtLINK) is to help patients, as well as their caregivers, families and the health care community, meet the many challenges of bone marrow/stem cell transplant by providing vital information and support services. Founded in 1992, the nbmtLINK is an independent, non-profit organization funded entirely through the generosity of individuals, corporations and foundations. Tax-deductible contributions are welcomed and vital to ongoing programs and services. The information in this guide should not be construed as medical advice. Please con- sult with your physician regarding your medical decisions and treatment. The listed resources are not intended to be endorsements. For additional copies of this booklet, please contact: National Bone Marrow Transplant Link 20411 W. 12 Mile Rd., Suite 108 Southfield, MI 48076 Phone: 248-358-1886 Toll Free: 800-LINK-BMT (800-546-5268) Fax: 248-358-1889 [email protected] www.nbmtlink.org Copyright 2003, Revised 2007 The National Bone Marrow Transplant Link (nbmtLINK) would like to acknowledge the transplant patients, survivors, caregivers, and health professionals who generously shared their experiences and recommendations, and the other individuals who reviewed and edited sections of this booklet’s earlier edition.
    [Show full text]
  • Baggage Tracking IATA Resolution 753/A4A Resolution 30.53 Implementation Guide
    Baggage Tracking IATA Resolution 753/A4A Resolution 30.53 Implementation Guide Issue 3.0, 13 November 2017 1 INTRODUCTION 5 2 EXECUTIVE SUMMARY 7 3 RESOLUTION 753 8 CURRENT RESOLUTION 8 COMPLIANCE WITH RESOLUTION 753/30.53 9 4 DISCLAIMER 10 5 GLOSSARY OF TERMS 11 6 BAG TRACKING OPTIONS 14 CORE TRACKING POINTS 14 DEFINITION OF A TRACKING POINT 17 WHAT IS RECORDED AT A TRACKING POINT 17 WHERE AND HOW CAN A TRACKING POINT BE RECORDED 18 POTENTIAL RECORDING METHODS 21 END TO END BAGGAGE TRACKING 24 TRACKING IRREGULARITIES OPERATIONS 25 7 BAGGAGE DATA EXCHANGE 26 WHEN TO EXCHANGE BAGGAGE TRACKING DATA 26 HOW TO EXCHANGE BAGGAGE TRACKING DATA 27 8 REALISING THE BENEFITS OF BAGGAGE TRACKING 31 PREVENTING BAGGAGE MISHANDLING 31 MISHANDLING ROOT CAUSE ANALYSIS 32 ENSURING FAIRER PRO-RATIONING OF MISHANDLED BAG CHARGES 34 IMPROVE ON-TIME DEPARTURE 34 FASTER MISHANDLED BAGGAGE REPATRIATION 34 FRAUD PREVENTION/REDUCTION 35 MEASURING BAGGAGE PERFORMANCE 35 BETTER PASSENGER EXPERIENCE 36 BAGGAGE TRACKING DATA TO INTERNAL AIRLINE STAFF 37 Baggage Tracking | IATA 753/A4A 30.53 | Implementation Guide Issue 3.0 | 13 November 2017 | Page 1 of 85 9 BAGGAGE TRACKING PARTNERS 39 9.1 POTENTIAL TRACKING DATA PROVIDERS 39 AIRPORTS 40 INTERLINE AIRLINES 40 GROUND HANDLERS OR HANDLING PARTNERS 40 10 BEST PRACTICE FOR INFRASTRUCTURE 41 EVALUATING TRACKING STRATEGIES 41 CASE STUDIES 42 11 DATA CHARTER 43 12 APPENDIX A – FREQUENTLY ASKED QUESTIONS 45 13 APPENDIX B - SAMPLE PROCESS VIEWS 53 ACCEPTANCE PROCESS 53 LOAD PROCESS 54 TRANSFER PROCESS 55 ARRIVAL PROCESS 56
    [Show full text]
  • Abstract Book
    Abstracts Critical Public Health WHITEHALL 2, CAMS Wednesday 07/09/2016 at 12:45 – 13:50 The Knowledge and Attitudes of UK University Students in Relation to Ultraviolet Radiation (UVR) Exposure and their Sun-Related Behaviours: A Qualitative Study Kirk, L., Greenfield, S. (University of Birmingham) Malignant melanoma is the fifth most common cancer in the UK and rising. With advances in accessibility to go abroad and use sunbeds, combined with the popularity to acquire a tan, young adults' sun-related behaviours are significantly increasing their risk of skin cancer. Understanding their knowledge and attitudes towards these behaviours would be key for developing effective skin cancer prevention campaigns. While existing evidence suggests appearance and health-related motives encourage the preference for tanning over sun-protection, evidence is inconclusive on whether knowledge affects sun-related behaviours. Equally, literature on attitudes has not been qualitatively studied in-depth pertinent to UK male and female students. 15 students from a UK University were individually interviewed to explore whether their knowledge on the harms of ultraviolet radiation influences their sun- related behaviours and to examine their attitudes towards: sun-protection, natural and artificial tanning behaviours. With thematic analysis using the Framework Method, analyst triangulation and member validation, five themes emerged. Knowledge did not strongly influence sun-related behaviours. Body image (Slade 1994) strongly motivated participants' sun-protection, natural and artificial tanning practices where implications on appearances affected self- confidence, owing to external influences from: peers, media and family. Unrealistic optimism appeared key in governing decisions towards harmful behaviours whereas perceived susceptibility (Health Belief Model; Becker 1974) to sunburn encouraged sun-protection.
    [Show full text]
  • To Download a Baggage, Personal Money and Documents Claim Form
    Baggage, Personal Effects and Money claim form Please complete all relevant sections of this Claim Form and return to: P J Hayman Claims Department, Stansted House, Rowlands Castle, Hampshire PO9 6DX Claim Number (for office use only) If you require a large print version, please call 02392 419 020 Please use BLOCK CAPITALS when filling in your form. If there is insufficient space for your answers please use a seperate sheet. Check List of Required Documents - for all claims Please send Originals (you should retain copies for your records). Please note that photocopies are not acceptable when processing your claim we must have the Original Documents. Some original documentation can be returned, if requested. If you do not enclose all the documentation we have listed any settlement of your claim may be delayed. Tick ü against documentation enclosed For all claims Insurance Schedule (if you have an Annual Insurance a copy would be sufficient). Holiday Booking invoice showing the date the holiday/trip was booked, who was booked to travel, travel dates, destination, amounts paid and purchase of your travel insurance (if applicable). The original receipts/proof of pre-loss purchase for the items you are claiming for, in the event you are claiming for delayed luggage please forward all the original receipts for the emergency purchases (we are unable to return the receipts for the emergency purchases). Claims for damaged items Written confirmation from a trade's person to confirm the cost to repair the item or to confirm the item is beyond economical repair. Claims where an airline/carrier is involved Incident report to confirm the loss/damage or delay has been reported to the carrier (as required) in the event the incident involves an airline this document is a Property irregularity report or PIR (we are unable to return this document).
    [Show full text]