Personalized Lymphoma Management Plan

Patient Information

Name: _________________ Date: _________________ Treating Oncologist: _________________

Diagnosis Details

• Type of Lymphoma: _________________
• Stage: _________________
• Date of Diagnosis: _________________

Treatment Plan

Primary Treatment

• Chemotherapy
  • Regimen: _________________
  • Frequency: _________________
  • Duration: _________________
• Radiation Therapy
  • Target Area: _________________
  • Number of Sessions: _________________
• Immunotherapy
  • Medication: _________________
  • Schedule: _________________

Supportive Care

1. Medications

   • Anti-nausea drugs: _________________
   • Pain management: _________________
   • Other supportive medications: _________________

2. Follow-up Schedule

   • Blood tests: Every ___ weeks
   • Imaging: Every ___ months
   • Office visits: Every ___ weeks

Side Effect Management

Common Side Effects to Monitor

• Fatigue
• Nausea/vomiting
• Decreased blood counts
• Hair loss
• Infection risk

Emergency Contact Information

• Clinic Hours: (xxx) xxx-xxxx
• After Hours: (xxx) xxx-xxxx
• Emergency: 911

Lifestyle Recommendations

• Maintain good nutrition
• Get adequate rest
• Exercise as tolerated
• Practice infection prevention
• Keep all scheduled appointments

Notes and Special Instructions

Next Appointments

1. Date: _______ Time: _______ Purpose: _______
2. Date: _______ Time: _______ Purpose: _______

Patient Resources

• Support group information
• Nutritional services
• Social work services
• Financial counseling