Overview of radiation- and chemoradiation-induced diarrhea

Abstract

Objectives: To describe the pathophysiology, incidence, and impact of radiation-induced diarrhea (RID), and to highlight the radiation oncology nurse's role.

Data sources: Primary and tertiary literature, and clinical experience.

Conclusion: RID is a frequent complication of pelvic radiation, both when given alone and with chemotherapy. RID can significantly affect patient quality of life. Since diarrhea may be a difficult topic for patients to discuss, special care needs to be taken to avoid underdiagnosis of this problem.

Implications for nursing practice: The oncology nurse is uniquely situated to monitor patients for the development of RID, assess its severity and provide guidance to the health care team on the patient's status.