The BC Cancer Library's main webpage offers additional patient resources and websites under the "Pathfinders" section and accessible through the Support Pathfinders accordion. Be sure to view both the "Key Resources" and "Looking for More" tabs. 

• Emotional Support [Coping with Cancer]
• Cancer & the Family [Coping with Cancer]
• Facts4Teens [Coping with Cancer]
• Coping with Cancer Pathfinder (BC Cancer Library)
• Coping with Grief and Loss Pathfinder (BC Cancer Library)
• Coping With a Recent Diagnosis Pathfinder (BC Cancer Library)

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Exercise and Cancer Treatments

Patient Information

• Exercise Support [Coping with Cancer]
• Exercise: Maximizing Energy and Reducing Fatigue 
• Exercise and Fitness Pathfinder [BC Cancer Library)
  
  

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Extravasation

Health Care Professionals

• Parenteral Drug Delivery [Clinical Pharmacy Guide - Modules - Module 4]
  • Vesicants, page 5
    
• Systemic Therapy Procedure III-20: Prevention and Management of Extravasation of Chemotherapy [SHOP] Systemic Therapy Document Index
  

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Fatigue

Health Care Professionals

• Fatigue [Nursing -  Symptom Management Guidelines]
  

Patient Information

• Managing Fatigue (Tiredness) [Managing Symptoms & Side Effects]
• Fatigue and Sleep Pathfinder (BC Cancer Library)
  
• Cancer Related Fatigue (video)  Dr. Mike Evans
  

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Febrile Neutropenia

• See Neutropenia and Febrile Neutropenia

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Fertility and Sexual Health

Health Care Professionals

• Intimacy and Sexuality [Nursing - Symptom Management Guidelines]
  

Patient Information

• Sexual Health [Managing Symptoms & Side Effects]
• Sex, Intimacy and Cancer (Canadian Cancer Society)
  
• Sexuality and Partner Support Pathfinder (BC Cancer Library)
  
• Vaginal Dryness and Painful Intercourse (Oncolink)
  

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Financial Support

• Financial Assistance 
• Financial Information for Cancer Patients [Booklet]
  
• Financial Assistance and Other Practical Supports Pathfinder (BC Cancer Library)
  

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Fistula

Patient Information

• Fistula (Macmillan Cancer Support UK)
  

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Flatulence/Gas

• Flatulence (Passing Gas) Oncolink
  
• Managing Gas and Bloating During Cancer Treatment (Stanford Health Care)
  
• Bowel and Bladder Pathfinder (BC Cancer Library)
  

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Fluorouracil Overdose

• Management of 5-Fluorouracil (5FU) Infusion Overdose at BC Cancer  [Gastrointestinal Cancer - Fluorouracil Overdose +] - scroll down

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Graft Versus Host Disease (GVHD)

Health Care Professionals 

• Graft Versus Host Disease (Stat Pearls)
  

Patient Information

• Graft Versus Host Disease (Cancer Research UK)
  

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Hand-Foot Syndrome

Health Care Professionals

• Palmar Plantar Erythrodysesthesia [Nursing  - Symptom Management Guidelines]
  

Patient Information

• Hand-Foot Syndrome and Hand-Foot Skin Reaction  (Memorial Sloan Kettering)
  

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Hair Loss

• See Alopecia

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Hematological Toxicity 

• Hematology Lab Tests [Clinical Pharmacy Guide - Modules - Module 3]
• See Neutropenia) 
  

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Hepatitis B Reactivation

Health Care Professionals

• Hepatitis B Reactivation and Screening FAQ
• SCHBV - Hepatitis B Virus Reactivation Prophylaxis Protocol -Chemotherapy  Protocols [Supportive Care] (all lymphoma and myeloma patients should be screened for Hepatitis B reactivation.)
  

 Patient Information 

• Hepatitis B Reactivation and Cancer Medications handout
  

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Hepatotoxicity

• Liver Function Tests [Clinical Pharmacy Guide - Modules - Module 3]
  

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Home Care - Managing Chemotherapy Patients at Home

Health Care Professionals

• Home Infusors (Elastomeric Infusion Devices)
  • BC Cancer Nursing Practice Document Index  [SHOP] Appendix 1: Patient Teaching Standards - Managing at Home with an Elastomeric Infusion Device [Systemic Therapy Administration for Registered Nurses Procedure - C-252: Chemotherapeutic Agents, Administration of] 
    
  •  Baxter Elastomeric Pumps: Clinician Guide
    

Patient Information

• Drug Index [F - Fluorouracil Infusor]
  
  • Your Infusor: A guide for patients (multilingual handouts)
  • Discontinuing an Infusor™ from an IVAD
    
  • Discontinuing an INFUSOR™ from a PICC line
    
• Safe Handling [Cancer Drug Manual] scroll down to: 
  
• Guidelines for Handling Cancer Drugs and Body Fluids in the Home 
• Guidelines for Disposal of Sharp Medical Supplies (Sharps)

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Hot Flashes

Men

• Living with the Effects of Hormone Therapy (Prostate Cancer Research UK) 
• Hormone Deprivation Symptoms in Men (American Cancer Society)

Women

• Menopause Pathfinder (BC Cancer Library)
  
• Hot flushes and night sweats (Breast Cancer Now, Britain)
• Menopause [Managing Symptoms]

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 Hypersensitivity and Infusion Reactions

• SCDRUGRX Protocol - Management of Hypersensitivity Reactions to Chemotherapeutic Agents
  

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Immunizations and Infection Prophylaxis

• BC Cancer Influenza Vaccine Recommendations [Supportive Care - scroll to bottom of page]
• Measles Vaccine Guidelines [Supportive Care - scroll to bottom of page]
  
• Hepatitis B 
  • See Hepatitis B Reactivation
    
• Herpes zoster (shingles) reactivation prophylaxis information can be found in Multiple Myeloma Protocols containing bortezomib
• BC CDC Post Hematopoietic Stem Cell Transplantation (HSCT) and Chimeric Antigen Receptor T-cell (CART) Therapy Immunization Guidelines
• Immunizations (Health Link BC)
  
• Influenza (flu) vaccine (BC gov)
  
• COVID - 19 Immunizations (Health Link BC )
  
• Immunizations (Canadian Cancer Society)
  
• Vaccines and Flu Shots for People with Cancer (American Cancer Society)
• Immunizations for Patients with Lymphoma, Hodgkin, Myeloma and Leukemia [Cancer Management Manual - Blood and Lymphatic Cancers Appendices - Appendix III]
  

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Immunotherapy - Checkpoint Inhibitors

• Immunotherapy Checkpoint Inhibitor
  
• Immunotherapy Alert Card
  
• Immunotherapy Patient Letter
  

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Interpreting

• PHSA Interpreting Service
  

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Laryngospasm Patient Information

• Oxaliplatin Patient Handout for Cold Dysesthesias [Drug Index - O]
  

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 Lymphedema

Health Care Professionals

• Lymphedema [Nursing - Symptom Management Guidelines]
  

Patient Information

• Lymphedema - Breast Cancer 
  
• Lymphedema (Swelling) in the arm or leg (multilingual handouts)[Managing Symptoms & Side Effects] 
  
• Lymphedema Pathfinder (BC Cancer Library)
  

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 Marijuana

• See Cannabis - Medicinal

   

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Memory/Thinking Problems

• See Cognitive Disorders

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 Methotrexate Rescue

• Supportive Care [Clinical Pharmacy Guide - Modules - Module 5]
  • Urine Alkalinization, page 18
    
  • Protectants, page 20
    

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Mucositis

Health Care Professionals

• Oral Mucositis [Nursing - Symptom Management Guidelines]
  
• Mucositis  [Nutrition Resources - Guidelines] 
  
• Mucositis Algorithm [Cancer Care Ontario Guideline and Algorithm - Oral Care] - scroll down
  
• Topical Products for Mucositis
  •  SCMMW Protocol, Frequently Asked Questions and Magic Mouthwash prescription templates [Supportive Care]
    
  • Oral/Dental Care [Products & Resources +]
  
  

Patient Information

• Dry Mouth and Mouth Pain (multilingual handouts)  [Management of Symptoms & Side Effects]
• Mucositis - Mouth Sores (Oncolink)
  
• Mouth and Jaw Problems Pathfinder (BC Cancer Library)
  

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 Myelosuppression

• Dosage Modification for Myelosuppression [Cancer Drug Manual - Appendix 6] - scroll down 
  

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Natural Health Products

• See Complementary and Alternative Medications

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Nausea and Vomiting

Health Care Professionals

• Nausea and Vomiting [Nursing - Symptom Management Guidelines]
  
• SCNAUSEA Protocol - Guidelines for Prevention and Treatment of Chemotherapy-Induced Nausea and Vomiting in Adults [Supportive Care]
  
• Nausea [Nutrition Resources - Guidelines] 
  
• Supportive Care Medications [Clinical Pharmacy Guide - Modules - Module 5] 
  
• Antiemetics page 8

Patient Information

• Nausea & Vomiting (multilingual handouts) [Managing Symptoms & Side Effects]
• Nausea and Vomiting Pathfinder (BC Cancer Library)
  
• See also Cannabis - Medicinal
  

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Nerve Pain/Neuropathy

Health Care Professionals

• Chemotherapy - Induced Peripheral Neuropathy [Nursing - Symptom Management Guidelines]
  
• Oxaliplatin-Associated Neuropathy (Oncolink)
  

Patient Information

• Nerve Damage (multilingual handouts) [Managing Symptoms & Side Effects] 
• Peripheral Neuropathy (Nerve Damage) (Oncolink)
  
• Pain and Peripheral Neuropathy Pathfinder (BC Cancer Library)
  
• Peripheral Neuropathy (American Cancer Society)

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Neutropenia & Febrile Neutropenia

(See Hematological Toxicity)

Health Care Professionals

• Febrile Neutropenia
  
• Febrile Neutropenia for Adults with Solid Tumour and Lymphoma Protocol [SHOP]
  
• Filgrastim (G-CSF) Pharmacare Coverage [Cancer Drug Manual - Reimbursement and Forms +]
  
• Supportive Care [Clinical Pharmacy Guide - Modules - Module 5] 
  • Anti-infective Agents, page 12
    
  • Granulocyte Colony Stimulating Factors, page 15
    
• Fever and Neutropenia [Nursing - Symptom Management Guidelines]
  

Patient Information

• Neutropenia (Low White Blood Cells)[Managing Symptoms & Side Effects]
• Neutropenia (Low White Blood Cells) Pathfinder (BC Cancer Library)
  

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Nutritional Support

Health Care Professionals

• Nutrition Resources  [Nutrition Resources - Guidelines] [Resources]
  

Patient Information

• Registered Dieticians  (HealthLink BC - 811)
  
• Email a HealthLink BC Dietician
  
• Food Sources of Calcium and Vitamin D (HealthLink BC)
• Iron in Foods (HealthLink BC)
  
• BC Cancer Nutrition Information [Resources] (multilingual handouts)
  
• Managing eating difficulties 
  
• Other Resources 
  
• BC Cancer Nutrition Information [Common Questions]
  
• BC Cancer Nutrition Information [Recipes]
  

• See Weight Gain

• Oral Complications of Cancer Therapies (PDQ) [Medication - Related Osteonecrosis of the Jaw] (National Cancer Institute)

Patient Information

• Osteonecrosis of the Jaw (Memorial Sloan Kettering Cancer Centre)
  
• Jaw problems (osteonecrosis) and cancer treatment (Cancer Research UK)
  
• Oral & Dental Care [Osteonecrosis of the Jaw +]
  
• Bisphosphonates and Oral Health (handout)
• Bisphosphonates and Oral Health in Multiple Myeloma (handout)
• Bisphosphonates and Osteonecrosis of the Jaw: Dental Care Protocols (handout)

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Osteoporosis

Health Care Professionals

• Bone Health Guide for Physicians and Allied Health Care Professionals 
  

Patient Information

• Guidelines for the Prevention of Osteoporosis For Men with Prostate Cancer on Hormone Therapy (handout) Oncology Nutrition
  
• Prevention of Osteoporosis in Women (handout) Oncology Nutrition
  
• Preventing Osteoporosis (handout) Oncology Nutrition
  
• Food Sources of Calcium and Vitamin D (HealthLink BC)
  

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Pain

(See Nerve Pain/Neuropathy)

Health Care Professionals

• Pain [Nursing - Symptom Management Guidelines]
  
• [Pain] BC Centre for Palliative Care - Symptom Management Guidelines 
  
• SCPAINLI Protocol [Supportive Care -Extreme Pain Therapy Using Parenteral Lidocaine]
  

Patient Information

• Pain from Cancer (multilingual handouts) [Managing Symptoms & Side Effects] 
• Pain and Peripheral Neuropathy Pathfinder (BC Cancer Library)
  
• See Cannabis - Medicinal

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Palliative Care

Health Care Professionals

• BC Centre for Palliative Care Symptom Management Guidelines
  

Patient Information

• Symptoms and Health Concerns (Canadian Virtual Hospice)
  
• BC Cancer Advanced Care Planning (multilingual handouts)
  
• Advance Care Planning Pathfinder 
  

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Palmar-Plantar Erythrodysesthesia (PPE)

• See Hand and Foot Syndrome

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Patient Counselling Resources

Health Care Professionals

• Systemic Therapy Patient Education [Materials]  - this Tool Kit contains the materials required for qualified health care professionals to facilitate a group chemotherapy patient education session for patients who are about to start chemotherapy. The session provides an overview of chemotherapy, the management of potential side effects and self care strategies.

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Pleural Effusion

Health Care Professionals

• Cardiopulmonary Syndromes (PDQ - National Cancer Institute)
  
• Malignant Pleural Effusion
  
• Malignant Pericardial Effusion
  

Patient Information

• Cardiopulmonary Syndromes (PDQ - National Cancer Institute)
  

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 Pregnancy and Lactation

Health Care Professionals

• Chemotherapy and Pregnancy [Cancer Drug Manual] - under revision
  
• Breast Cancer during Pregnancy [Breast - Cancer Management Manual] - Section 6.11.1 Special Circumstances
  
• LactMed (National Library of Medicine)
  

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Pulmonary Toxicity

Health Care Professionals

• Patient Safety Update: Bleomycin Toxicity in the Treatment Testicular Cancer Case [Systemic Therapy Update Newsletter - 2012 - February - page 4]
• Anthracycline and Bleomycin Lifetime Cumulative Doses [Pharmacy  FAQ]
• See Pleural Effusion
• See Dyspnea
  

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Weight Gain

Health Care Professionals

• Unwanted Weight Gain [Nutrition Resources for Health Professionals - Symptom Management - Nutrition Symptom Management Guidelines] 
  

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Weight Loss

• See Anorexia/Cachexia

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