1. CHEMOTHERAPY INDUCED NAUSEA & VOMITING A LOOK INTO USE OF ADJUNCTIVE THERAPY & STRATEGIES IN NAUSEA MANAGEMENT FOR CHILDREN FACED WITH CANCER Presentation narration in notes

2. PICO APPLICATION AND RESULTS  PICO: Compared to the sole use of standard pharmaceutical management of nausea, does enlistment of adjuvant therapies in combination to standard anti- emetics offer improved nausea control to pediatric cancer patients?  Search terms use in CINAHL and PubMed: nausea control, nausea management, nausea intervention, nausea and vomiting, pediatric, children, childhood, oncology, cancer, complementary, alternative, nonpharamacologic, adjuvant, therapy, modalities. and treatment.  Search products: 17 total articles resulted published from 1984 - 2012

3. SELECTED ARTICLES  Gregurich, Mary Ann, et al. (2012). Children's coping strategies for chemotherapy-induced nausea and vomiting. Oncology Nursing Forum, 39(2), 202-209.  Rheingans, J. (2007). A systematic review of nonpharmacologic adjunctive therapies for symptom management in children with cancer. Journal of Pediatric Oncology Nursing, 24(2), 81-94.

4. ARTICLE SELECTION MOTIVES  Quantitative- conclusive review of efficacy  Statistical analysis- comprehensive answer  Provision of practice implication- studies resulting from qualitative data findings  Collective evaluation- inclusion of multiple methods, assessment not fixated to a single modality.  Purpose/hypothesis

5. STUDY ANALYSIS Children's coping strategies for chemotherapy-induced nausea and vomiting. In Oncology Nursing Forum  Theory: Symptom management theory  Study type: Descriptive research  Design: Prospective cohort study  Method:  Setting and Sample  Instruments  Procedure  Data Analysis

6. STUDY ANALYSIS A systematic review of nonpharmacologic adjunctive therapies for symptom management in children with cancer. In Journal of Pediatric Oncology Nursing  Theory: Unidentified  Study type: Quantitative  Design: Systematic Review  Method:  Research synthesis  Results: Study topics, funding, and designs

7. STUDY ANALYSIS Findings Children’s Coping Strategies for Chemotherapy-Induced Nausea and Vomiting  Chemotherapy Induced Nausea and Vomiting  Coping Frequency  Coping Efficacy A Systematic Review of Nonpharmacologic Adjunctive Therapies for Symptom Management in Children with Cancer  Summarized by Symptom  Effective NAT Approaches

8. ETHICAL INTERESTS Children’s Coping Strategies for Chemotherapy-Induced Nausea and Vomiting  Both consent and assent were secured  Recall bias potential  Caucasian males numbers dominated study

9. CREDIBILITY Children's coping strategies for chemotherapy-induced nausea and vomiting. In Oncology Nursing Forum  Strength:  Quality:  Credibility  Criteria and EBP Contribution:

10. CREDIBILITY A systematic review of nonpharmacologic adjunctive therapies for symptom management in children with cancer. In Journal of Pediatric Oncology Nursing  Strength:  Quality:  Credibility

11. RELEVANCE OF FINDINGS TO PRACTICE Children's coping strategies for chemotherapy-induced nausea and vomiting. In Oncology Nursing Forum  Communication method:  Quality and safety practice alterations implied:  Potential barriers:  Additional PICO question uncovered:

12. RELEVANCE OF FINDINGS TO PRACTICE A systematic review of nonpharmacologic adjunctive therapies for symptom management in children with cancer. In Journal of Pediatric Oncology Nursing  Communication method:  Quality and safety practice alterations implied:  Potential barriers:  Additional PICO question(s) uncovered:

13. CONCLUSION While the limited studies suggest there is evidence support that alternative to pharmaceutical management in chemotherapy induced nausea/vomiting can be successful, further research is needed to strengthen the findings of efficacy.