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Initial Visit (Treatment (RT techniques (Breathing control (Abdominal…
Initial Visit
Treatment
Screen for adequate clinical trial
Screen for palliative care referral
Side effect of treatment
Evaluate baseline
Endocrine function
Pure tone audiogram
Carotid sonography
Cardiac echo
Lymphedema
Prevent treatment side effects
Dental consultation
Fertility preservation
Nutrition screening [MUST]
NG / PEG
Dietician consultation
HBV/HCV
RT techniques
2D / 3D / IMRT / SRS / SBRT
4D planning
Image guidance
Breathing control
Abdominal compression
ITV
Gating
DIBH with visionRT
Brachytherapy
MRI / PET registration
Treatment preparation
Coordination
Concurrent chemotherapy
Post-op interval
Optimal imaging
PET-CT
Necessary staging studies
Necessary tumor markers
Baseline hemogram and chem profile
Decide if multidisciplinary conference is needed
Patient as a whole
Psychosocial
Social
Home location (transport issues)
Family support
Financial issues
Social worker referral
Insurance
重大傷病卡
勞工保險
其他私人保險
Psycho
Depression screning [PHQ-9]
Anxiety screning [GAD-7]
Spiritual
Religion
Proxy
Advanced directive
Risk factors
Index cancer related
Alcohol
Betel nuts
Cigarettes
Refer to smoking cessation program
Future morbidity
CV risk
Anthracycline / herceptin
Genetic counseling
Underlying comorbidities
Performance status
IADL
Comorbidity evaluation [ACE-27]
Comprehensive geriatric assessment
QoL [EQ-5D]
Active medical problems
Infection
Inadequate wound healing
Patient Education
Understanding radiotherapy
How radiotherapy is done
Scheduling and time preference
Transportation
Care during radiotherapy course
Dietary supplements
Topical analgesics
Wound dressings
Other resources
Cancer center resource center
2nd opinion
Case manager
Satisfaction survey
Prognosis
Life expectancy
Comorbidity
Age
Other pre-existing cancer
Index cancer
Prognosis without treatment
Alternative treatment
Best estimate of prognosis
Goals of care
Curative / Salvage
Palliative (prolong PFS / prevent symptoms)
Palliative (symptom directed)
Lesions
Target lesion (treated this course)
Non-target lesions (not treated this course)