LUT1
I. Introduction
a. Audience hook: Despite the widespread use of antiemetics, more than 70% of patients being treated with chemo therapy report experiencing nausea and vomiting. (Ryan, 2009)

b. Thesis Statement: Research suggests that adding Ginger to standard antiemetic regimens can decrease the incidence of nausea and vomiting in patients receiving chemotherapy. Less nausea and vomiting can improve the patients overall wellbeing.

c. Preview of main points:
i. Nausea continues to be reported by as many as 70 % of patients undergoing chemotherapy. This is despite the use of standard use of antiemetic medications. (Ryan, 2009) ii. Lingering and persistent nausea can affect overall quality of life as well as the patient’s overall health during chemo therapy. (Bloechel-Daum, Deuson, Mavros, Hansen, & Heretedts, September 20, 2006)
II. Nausea continues to be reported by as many as 70 % of patients undergoing chemotherapy

Show visual aid (Ryan, 2009)

The Phase II/III placebo-controlled, double-blind study included 644 cancer patients who would receive at least three chemotherapy treatments. They were divided into four arms that received placebos, 0.5 gram of ginger, 1 gram of ginger, or 1.5 grams of ginger along with standard antiemetics. (Ryan, 2009)
a. Patients took the ginger supplements three days prior to chemotherapy and three days following treatment. Patients reported nausea levels at various times of day during following their chemotherapy and those who took the lower doses had a 40 percent reduction.
b. Ginger is readily absorbed in the body and has long been considered a remedy for stomach aches

III Lingering nausea can impact a patient’s quality of life.
a. Nausea and vomiting must be controlled to maintain the patient's treatment and quality of life. (Bloechel-Daum et al., September 20, 2006)
b. It is very important to prevent and control nausea and vomiting in patients with cancer, so that they can continue treatment and perform activities of daily life. Uncontrolled nausea and vomiting can cause the following:
• Chemical changes in the body
• Fatigue
• Mental changes
• Loss of appetite
• Body mass index loss
• Malnutrition
• Dehydration
• Depression
All of the above can affect the patient and their normal daily life.
All types of nausea continue to negatively impact the QOL of patients receiving cancer therapies. It is absolutely essential that health care providers accurately acknowledge and treat this issue. In order to improve patient outcomes, health care providers must become familiar with and follow clinical practice guidelines, as well as current evidenced-based information. In the future additional research in non-pharmaceutical interventions would be useful. Evidence has shown that ginger can reduce nausea in patients.

lV. Conclusion:
a. Restatement of thesis: Research suggests that adding Ginger to standard antiemetic regimens can decrease the incidence of nausea and vomiting in patients receiving chemotherapy. Less nausea and vomiting can improve the patients overall wellbeing.

b. Summary of main points: Nausea continues to be a problem for cancer patients even with the use of 21st century antiemetics. Nurses and physicians must recognize this and seek alternative means to help patients reduce nausea and vomiting. Thereby allowing increased over all wellbeing and quality of life.
c. Closing comments: It is essential for nurses and physicians to recognize the incidence of linger nausea and vomiting and the impact that it has on the patient’s daily life and over all wellbeing. Nurses and physicians must assess nausea and vomiting using a standard tool and act accordingly. Remembering to consider adding non-standard ginger supplements when standard antiemetics are not effective. References
Bloechel-Daum, B., Deuson, R., Mavros, P., Hansen, M., & Heretedts, J. (September 20, 2006). Delayed Nausea and Vomiting Continue to Reduce Patients’ Quality of Life After Highly and Moderately Emetogenic Chemotherapy Despite Antiemetic Treatment [Entire issue]. Journal of clinical oncology, 24(27). Retrieved from http://hwmaint.jco.ascopubs.org
Ryan, J. (2009, may 16, 2009). Ginger quells cancer patient’s nausea from chemotherapy []. ScienceDaily. Retrieved from www.sciencedaily.com
National Cancer Institute. Retrieved from www.nci.gov NCI (National Cancer Institute) Common Toxicity Criteria Version 1