Page 113 - CPG - Clinical Practice Guidelines - Management of Cancer Pain

Management of Cancer Pain (Second Edition)
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• Ensure that the skin is completely dry and clean before applying the
patch. Use only water to wash the skin. Do not apply soap, cream,
oil or ointment on the area.
• Do NOT apply the patch over your Totally Implantable Venous
Catheter (e.g. chemoport)/over a joint area/on irradiated skin.
• Body hair should be clipped with scissors IF necessary and NOT
shaved.

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• Each patch is sealed in its own sachet. Tear or cut open the sachet
at the notch/arrow. Do NOT cut across the middle of the sachet.
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• Peel one half of the plastic backing away from the centre of the
patch. Try not to touch the sticky side of the patch. Press the sticky
part of the patch onto the skin.
• Remove the other half of the plastic backing and press the whole
patch onto the skin. Hold for 30 seconds. Make sure it sticks well,
especially the edges.
• Change the patch every 72 hours. Remove the old patch before
applying a new one. The date and time of patch due change should
be written on the patch.
• Do NOT apply the patch on the same place twice in a row. Change
the site of application to allow the skin to rest.
• If you need to apply more than one patch at a time, place the
patches adequately apart so that the edges do not touch or overlap
each other.
• If the patch falls off/peels off before the date and time of due
change, apply a new patch on a new area of skin.

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• Fold used patch in half with the adhesive side inwards.
• Discard in clinical waste bin (in the hospital) or in a waste bin at
home and wash your hands.
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