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54 Cards in this Set

  • Front
  • Back
ACUTE SURVIVAL- (cancer)- Starts with _______. Diagnostic and theraputic efforts dominate. Fear and anxiety
diagnosis
EXTENDED SURVIVAL- Remission or has ended the rigorous course of treatment and enters phase of watchful waiting. Period of physical ________. Fatigue, pain, nausea
limitations
PERMANENT SURVIVAL- CURE BUT problems with insurance and ________. Long-term secondary effects of cancer treatment
employment
DIMENSIONS OF QUALITY OF LIFE EFFECTED BY CANCER-1
PHYSICAL WELL BEING AND SYMPTOMS
functional ability strength, fatigue, sleep, nausea, appetite, and constipation
DIMENSIONS OF QUALITY OF LIFE EFFECTED BY CANCER-2
PSYCHOLOGICAL WELL BEING
Control, anxiety, depression, enjoyment/leisure, cognition/attention; distress of diagnosis and treatment
DIMENSIONS OF QUALITY OF LIFE EFFECTED BY CANCER-3
SOCIAL WELL BEING
Family distress
Roles and relationships
affection/social function
appearance
enjoyment
finances/work
DIMENSIONS OF QUALITY OF LIFE EFFECTED BY CANCER- 4
SPIRITUAL WELL BEING
Meaning of illness
Religiosity
Transcendence
Hope
Uncertainty
Does life exp of cancer surviver differ with culture?
Lower accultured Hispanic survivors have higher survival rates
Latina breast survivors
lower levels of social support and quality of life
older AA survivors and social support
influenced by fears and stigma exp by fam and friends
Need to be aware of and respect cultural
differences
Assess social support and beliefs about cancer and incorporate these beliefs into nursing
care
______ beliefs, in add to cultural affect cancer experience
spiritual
Survivors- pain, psychosocial distress, and ______ healing
Ex of Late Effects of Surgery Adult Cancer Survivors- Any surgical procedure
wound
Ex of Late Effects of Surgery Adult Cancer Survivors- surgery involving brain or spinal cord- impaired cognitive function; motor sensory alterations, altered vision, swallowing, language, bowel, and _____ control
bladder
Ex of Late Effects of Surgery Adult Cancer Survivors-
HEAD AND NECK SURGERY- difficulties with communication, ________, and breathing
swallowing
Ex of Late Effects of Surgery Adult Cancer Survivors-
ABDOMINAL SURGERY-risk of intestinal ______, hernia, altered bowel function
obstruction
Ex of Late Effects of Surgery Adult Cancer Survivors-
LUNG RESECTION- difficulty breathing, fatigue, and generalized w________
weakness
Ex of Late Effects of Surgery Adult Cancer Survivors-
PROSTATECTOMY- urinary incontinence, sexual ______, and poor self image
dysfunction
PARETHESIAS- hearing loss, and problems with thinking and m_______
memory
NEUROPATHY- cancer tx cause painful p______
peripheral
Symptom cl_______
clusters
CRF cancer related fatigue- most frequent complaints and sleep ______
disturbances
CHEMOTHERAPY RELATED COGNITIVE IMPAIRMENT CRCF- occurs during all phases of the cancer _____
treatment
PTSD another common problem- challenge helpful; social and emotional support; emotional impressive coping all ______
helpful
For adol- affects social skills, body image, and sexual deve_______
development
Adults- cancer changes f_______
families
EXAMPLES OF ASSESSMENT QUEST for CANCER SURVIVORS - SYMPTOMS
Tell me about the ---------that you are having from your tx.
symptoms
EXAMPLES OF ASSESSMENT QUEST for CANCER SURVIVORS - SYMPTOMS- Describe any pain or ------- in the area where you had surgery or radiation; unsual sensations in hands or feet;
discomfort
EXAMPLES OF ASSESSMENT QUEST for CANCER SURVIVORS - SYMPTOMS- Exp fatigue, sleeplessness, or ______ of breath?
shortness
EXAMPLES OF ASSESSMENT QUEST for CANCER SURVIVORS - SYMPTOMS- Sometimes people have prob after chemotherapy such as paying attention, remembering things or _____ words.
finding
EXAMPLES OF ASSESSMENT QUEST for CANCER SURVIVORS - PSYCHOSOCIAL PROB- How distressed are you feeling on a scale of 0 to ----?
10
EXAMPLES OF ASSESSMENT QUEST for CANCER SURVIVORS - PSYCHOSOCIAL PROB- Tell me how you think your ------ is doing with your cancer?
family
EXAMPLES OF ASSESSMENT QUEST for CANCER SURVIVORS - PSYCHOSOCIAL PROB- What do you see in your family members responses to cancer that ______ you?
concern
EXAMPLES OF ASSESSMENT QUEST for CANCER SURVIVORS -Sexuality Problems How have you tried to make things better and has it ______
worked
EXAMPLES OF ASSESSMENT QUEST for CANCER SURVIVORS -Sexuality - Would you be open to a health care provider who knows how to help
you
EXAMPLES OF ASSESSMENT QUEST for CANCER SURVIVORS -Sexuality Since your cancer, do you see your self ______
differently
TRANSACTIONAL MODEL OF CANCER FAM CAREGIVING SKILL
Effect Cargiver Resp- emotions, physical and ____ abilities, knowledge, previous exp, personal def of caregiving, affinity for caregiving- AFFECT CAREGIVER RESP
cognitive
TRANSACTIONAL MODEL OF CANCER FAM CAREGIVING SKILL
Factors affecting Pt responses: emotions, physical and cognitive abilities, knowledge, and previous _____
exp
TRANSACTIONAL MODEL OF CANCER FAM CAREGIVING SKILL
Demands of illness situation and pattern of _____ affect caregiver resp and patient resp.
care
TRANSACTIONAL MODEL OF CANCER FAM CAREGIVING SKILL
Caregiver processes affect caregiver resp and ____ resp
pt
SURVIVORSHIP CARE PLAN written by principle provider for ____
pt
SURVIVORSHIP CARE PLAN - upon discharge rec a record of all care from oncologist and follow up plan incorp evidence based _____
plans
SURVIVORSHIP CARE PLAN Care summary includes diagnostic tests performed and results, tumor charac, dates tx started and stopped, surgery, _____, radiotherapy, transplant, hormone therapy, and gene therapy.
chemotherapy
SURVIVORSHIP CARE PLAN Follow up Plan- Likely course of ______ Description of recommended cancer screening and other periodic testing exams.
recovery
SURVIORSHIP CARE PLAN - FOlLOW UP PLAN- Late and long term effects of treatment and symptoms of such effects. Signs of _______ and second tumors
recurrence
1
2
SURVIVORSHIP CARE PLAN FOLLOW-UP - effects of cancer upon sexual/marital partner;sexual functioning, work and _______
parenting
SURVIVORSHIP CARE PLAN- followup- insurance, employment, and ______ conseq of cancer referral to legal aid etc
fiancial
SURVIVORSHIP CARE PLAN- Follow-up specific recomm for healthy ______
behaviors
SURVIVORSHIP CARE PLAN- follow-up genetic counseling and testing as ______
appropriate
SURVIVORSHIP CARE PLAN- Follow-up effective chemoprevention strategies for secondary _______
prevention
SURVIVORSHIP CARE PLAN- referrals to specific follow-up care _________
providers
SURVIVORSHIP PLAN- listing of cancer-related resources and
info