2009. WHO IS A SURVIVOR? AN INDIVIDUAL IS A SURVIVOR FROM THE TIME OF THEIR DIAGNOSIS THROUGH THE...
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Transcript of 2009. WHO IS A SURVIVOR? AN INDIVIDUAL IS A SURVIVOR FROM THE TIME OF THEIR DIAGNOSIS THROUGH THE...
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2009
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WHO IS A SURVIVOR?AN INDIVIDUAL IS A SURVIVOR FROM THE TIME OF THEIR DIAGNOSIS THROUGH THE BALANCE OF THEIR LIFE.
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THE ISSUE:• CURRENTLY , THERE ARE 10.5 MILLION
SURVIVORS OF CANCER IN THE US TODAY.• COMMON MALIGNANCIES:
– BREAST CANCER– COLORECTAL CANCER– PROSTATE CANCER– HEMATOLOGICAL MALIGNANCIES– GYN/GU CANCERS– MELANOMA– LUNG CANCER
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WHAT SURVIVORS WANT? TREATMENT SUMMARYSURVIVORSHIP CARE PLANCOORDINATED CAREQUALITY CARE
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TREATMENT SUMMARY• STAGE OF DISEASE• PATHOLOGICAL DIAGNOSIS• TREATMENTS–SURGERY–RADIATION–CHEMOTHERAPY
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TREATMENT SUMMARY CONT.
• RECOMMENDED FOLLOW-UP GUIDELINES–FOLLOW-UP VISIT FREQUENCY–TESTS: LAB, XRAY
• INFORMATION ON LATE AND LONG TERM TOXICITY• GENETICS • SIGNS OF RECURRENCE
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TREATMENT SUMMARY cont.
• INFORMATION ON PSYCHOSOCIAL ISSUES-MARRIAGE -PARTNER, PARENTING• FERTILITY, SEXUALITY• PREVENTION STRATEGIES• DISABILITY, WORK, LEGAL ISSUES
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TREATMENT SUMMARY cont.
SURVIVOR CAN GO ANYWHERE AT ANYTIME AND HAVE THE NECESSARY INFORMATION FOR OTHER HEALTH CARE PROVIDERS
COORDINATION OF CARE AMONG DOCTORS
EMPOWERING TO THE PATIENT
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SURVIVORSHIP CARE PLANPREVENTION OF RECURRENT CANCER
AND NEW CANCERSSCREENINGDIETACTIVITIES
SURVEILLANCE FOR CANCERINTERVENTION FOR ACUTE AND LATE
EFFECTS OF CANCER AND TREATMENTPHYSICAL, EMOTIONAL, PSYCHOLOGICAL,
LEGAL
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QUALITY OF LIFEPSYCHOLOGICAL WELL-BEINGPHYSICALSOCIALSPIRITUAL
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PSYCHOLOGICALFEAR OF RECURRENCE
“DEMOCLES SWORD”FEAR OF A SECOND CANCERFEAR OF LATE OR LONG-TERM TOXICITIES
ANXIETY, DEPRESSION AND/OR WITHDRAWAL
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BARRIERS: FRAGMENTED HEALTH CARE SYSTEM
POOR COORDINATION AND DISTRIBUTION OF CARE
LOCUS OF RESPONSIBILITYCOMMUNICATIONVARIATION IN QUALITY
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BREAST CANCER• RISK OF RECURRENCE
– MASTECTOMY VS BREAST PRESERVATION• RISK OF SECOND BREAST CANCER
– GENETIC PREDISPOSITION– FAMILY HISTORY
• RISK OF SECOND CANCER• SCREENING
– EXAM– MAMMOGRAPHY– ULTRASOUND, MRI
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RISK REDUCTIONCOMPLIANCE WITH PRESCRIBED THERAPIES MEDICATIONSTAMOXIFEN, AROMATASE INHIBITORSDIETFAT REDUCTIONEXERCISELEVEL AND FREQUENCY OF PHYSICAL
EXERCISENUTRIENTS, VITAMINSVIT D
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BREAST CANCER / PYSCHOLOGY
PSYCHOLOGICALDISTRESS LEVELS AND TRANSITIONS
RISK FACTORS: PREVIOUS ANXIETY OR DEPRESSIONAFFECTED BY SOCIAL AND FAMILY
SUPPORTINTERVENTIONS:
SUPPORT GROUPS PSYCHOLOGISTRETREATS-HARMONY HILL
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LYMPHEDEMASYMPTOMS:
SWELLING OF ARM, CHEST, AXILLARY TISSUES
PAIN, PARESTHESIAS, INFECTION, LYMPHATIC DYSFUNCTION
RISK: EXTENT OF TREATMENT-SURGERY,
RADIATIONTREATMENT:
MASSAGEMANUAL DRAINAGECOMPRESSION GARMENTS
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PREMATURE MENOPAUSESYMPTOMS:
HOT FLASHES, SWEATS, VAGINAL DRYNESS, LIBIDO, URINARY SYMPTOMS, SLEEP AND/OR MOOD DISTURBANCES
RISK: CHEMO, AGE, ANTI-ESTROGEN THERAPY
THERAPYESTROGEN REPLACEMENTSUPPORTTIME
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OTHER IMPORTANT ISSUES:WEIGHT GAINOSTEOPOROSISHEART DISEASEMUSCULOSKELETAL PAINFATIGUECOGNITIONNEUROPATHY
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FOLLOW–UP CLINICAL VISIT EACH OF 3 MONTHS, FOR
3 YEARSSUBSEQUENT VISITS EVERY 6 MONTHS
FOR YEARS 4-10TALK, EXAMLABS, MARKER STUDIESIMAGING
MAMMOGRAMMRI IN CERTAIN INSTANCESOTHER SCANS
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PROSTATE CANCERMOST COMMON CANCER FOR MEN
GREAT VARIATION IN TREATMENT OPTIONSSURGERYRADIATIONHORMONAL ANTI-ANDROGEN
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RECURRENCERISK: STAGE, AND GRADELOCAL RECURRENCE VS DISTANT (BONE)
SURVEILLANCEFOR RECURRENCE - PSA AND EXAM
SECOND CANCER-BLADDER, RECTAL CANCER
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TOXICITYSEXUAL DYSFUNCTIONBLADDER:
INCONTINENCEPAINURGENCY
BOWEL FUNCTIONOSTEOPOROSISSLEEPCOGNITION
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FOLLOW-UPCLINIC VISIT EVERY 3 MONTHS FOR 2 YEARS WITH EXAM
PSA EVERY 6 MONTHSLONG TERM FOLLOW-UP EVERY 6 MONTHS
MEDICATION = COMPLIANCE
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PREVENTIONLIFE-STYLE
WEIGHT REDUCTIONDIETEXERCISE
ANTI-ANDROGEN THERAPY
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COLO-RECTAL CANCERSECOND MOST COMMON CAUSE OF CANCER DEATH
EASILY SCREENED80% DIAGNOSED WITH CURABLE STAGES OF DISEASEStage 1, 2 or 3.
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COLO-RECTAL CANCERRECURRENCE-40% RISK BASED
ON STAGE AND GRADESECOND COLON CANCER: RISK-
1.5%/5YRANOTHER CANCER:
FAMILY HISTORYGENETICS-FAMILIAL POLYPOSIS, HNPCC
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TOXICITY OF TREATMENTBOWEL FUNCTIONCOLOSTOMYPSYCHOSOCIAL DISTRESSSEXUAL DYSFUNCTIONNEUROPATHY
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FOLLOW-UP CARECOLONOSCOPY –PRESURGERY,
POST-SURGERY EVERY 1-3 YEARS, THEN EVERY 5 YRS
LABS-CEACT SCANSVISITS EVERY 3 MONTHSFOR 2
YEARS THEN EVERY 6 MONTHS FOR 3 YEARS, THEN ANNUALLY
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PREVENTIONLIFE-STYLE
DIET, EXERCISE-SIMILAR STUDIES SUGGESTING BENEFIT
ASPIRINKEEP APPOINTMENTS FOR FOLLOW-UP
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CONCLUSIONSURVIVORSHIP WILL BE PART OF OUR
LIVESEXPECTATIONS FOR GOOD HEALTH CARE
SHOULD BE HIGHFOCUS ON USING THE CANCER
EXPERIENCE AS A “WINDOW OF OPPURTUNITY”TO HELP DIRECT FURTHER HEALTHCARE