NCT HEIDELBERG 10 If possible use a soft disposable nail file rather than a rougher metal one File your nails from the bottom up Do not push back your cuticles and avoid biting your nails Try using nail varnish or nail hardener to protect your nails You may also try to wear thin cotton gloves Certain cytostatic agents are known to have particularly nail damaging effects If you are receiving these we will recommend that you cool your hands during the infusion with ice packs The purpose of this is a narro wing of the blood vessels in the fingers limiting the effect of the chemotherapy in the nail bed Hand foot syndrome Hand foot syndrome is a specific side effect of some cytostatic drugs that affects the palms of the hands and or the soles of the feet Depending on the severity the symptoms are a sensation of tingling or burning redness heat sensation swelling as well as blisters ulcers or sores on the skin Permanent damage of the tissue may occur Treatment of hand foot syndrome must be individually adapted to the specific case It is important that you inform us when you notice any of the symptoms described We recommend Use moisturizing products on your hands and feet Avoid care products that contain essential oils or strong perfumes Avoid friction or pressure to the skin caused by tight footwear clothing and rough materials Avoid activities that cause pressure to the skin e g playing the violin or the piano archery or bowling Do not open jars or bottles with your bare hands Avoid skin contact with household detergents washing up liquid and washing powders Avoid extreme temperatures such as hot water sauna or steam baths During and in between chemotherapy cycles do not practice sports where you perspire heavily Avoid walking barefoot Use professional pedicure Fatigue Fatigue is a continuing tiredness that causes you to feel emotionally mentally and physically exhausted and is very difficult to overcome This type of fatigue is characterized by its onset which does not seem to be linked to your personal daily rhythm or any preceding physical efforts Sleep or rest does not seem to bring a noticeable improvement Many patients experience fatigue over the course of their illness and therapy and often feel that their quality of life is heavily compromised The causes are manifold The tumor itself may cause fatigue But the treatments such as chemotherapy ra dio therapy and surgery may also be responsible as well as illness related side effects such as anemia pain malnutrition hormonal changes or infections Psychological stress factors may also cause fatigue Even if it lasts for weeks or months fatigue generally improves over time As varied as the causes are the treatment recommendations Therefore we can only list some general tips at this point Depending on whether physical or mental psychological fatigue is prevalent we recommend that you speak to the Psycho oncological team or the Physical Activity and Cancer team at the NCT

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