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