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Life after cancer PowerPoint Presentation

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Description : The medical presentation titled, "Life after cancer", talks about the prevalence of psychological distress in patients with cancer, the psychological distress in cancer survivors and the impacts of chronic distress on long-term survivorship.

Tags : Healthcare, medical, cancer, patients, psychological distress, cancer survivors, chronic distress

Published on : Jul 19, 2020 | Views : 1552 | Downloads : 1

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Slide 1-

Life after cancer Wendy Lam School of Public Health
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Prevalence of psychological distress in patients with cancer Active phase of illness trajectory Major depression (16%) Anxiety (10%) Mitchell, Chan, Bhatti, et al., 2011 Survivorship (at least 2 years post-diagnosis) Major depression (11.6%) Healthy controls (10.2%) Anxiety (17.9%) Healthy controls (13.9%) Mitchell, Ferguson, Gill, et al., 2013
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Psychological distress in cancer survivors Most patients were psychologically resilience in response to cancer diagnosis Chronic distress among cancer survivors 10% to 20% Predictors Poor social support Poor personal resources (e.g. pessimism, low self-esteem, negative intrusive thoughts) Unmanaged physical symptom distress Poor satisfaction with treatment decision making
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Impacts of chronic distress on long-term survivorship
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Self-image and appearance
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Self-image When I looked at myself from the mirror, I don’t know if that’s really me. (Mrs. D) I feel that I’m different from others. I’m different from those who are normal. That is, those women whose appearance or bodies are perfect. For myself, I’m imperfect. I had the surgery and lost one side (of the breast). (Mrs. A) I think my body changes had affected me the most. I gained a lot of weight. I lost my self-confidence as I am so fat. (Mrs. C) Regaining normalcy My friends didn’t know I had cancer. I didn’t want to tell them. I don’t want them to pay attention to me. If they don’t know you are sick, they’ll treat you as a normal person. They will ask you out. Otherwise, I would be left out as they thought you can’t do anything since you are sick. (Mrs. G) I think that keeping things under routine is the most helpful for me. I don’t want any special attention. It’s too artificial. It’s better for them (her family) to treat me as usual, just like the ‘previous’ mother, the ‘previous wife’ and ‘the previous’ me. Otherwise, I would feel like a patient. (Mrs. C) Lam WWT, Fielding R. The evolving experience of illness for Chinese women with breast cancer: a qualitative study. Psycho-oncology (2003) 12:127-140
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Physical symptom burden among cancer survivors
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Class 1: No symptom burden Class 2: Pain, fatigue, numbness insomnia, & itchy skin Class 3: Multiple oral- digestive symptom burden Class 4: Multiple somatic and emotional symptom burden Class 5: Multiple physical symptoms burden
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One in two cancer survivors experienced multiple symptom burden. Predominately pain, fatigue, neuropathy, sleep disturbance, and dry mouth. Greater symptom burden was associated with psychological distress, as well as inadequate support in managing physical and daily living at home. Effective symptom assessment and management in early post-treatment survivorship are essential in minimize preventable distress.
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Can Wellness Industry offer support to cancer survivors? Non-pharmaceutical intervention is preferred alternative in managing residual physical symptom burden. Physical exercise is effective in relieving physical symptoms such as pain, fatigue, and sleep disturbance. Cancer survivors report lack of confidence in performing physical activity. Yoga incorporates gentle movements, breathing and meditation techniques could be an alternative, improving physical and psychological well-being, thereby, regaining normalcy.
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“Self-confidence makes you pretty and beautiful” Yin Chun Club, Hong Kong Breast Cancer Self-help Group

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