Post-treatment Fatigue in Breast Cancer Survivors

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Publisher :
ISBN 13 :
Total Pages : 238 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Post-treatment Fatigue in Breast Cancer Survivors by : Rajni Banthia

Download or read book Post-treatment Fatigue in Breast Cancer Survivors written by Rajni Banthia and published by . This book was released on 2004 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: The majority of women with breast cancer experience persistent fatigue during or following treatment. The present study contributes to the understanding of post-treatment breast cancer-related fatigue by exploring the relationship to fatigue of psychosocial factors such as depressed mood and sleep quality. Seventy breast cancer survivors who were between one month and three years post-treatment for breast cancer, and who were reporting clinically elevated levels of general fatigue, were asked to complete the Multidimensional Fatigue Symptom Inventory, Center for Epidemiological Studies-Depression Scale, and Pittsburgh Sleep Quality Index. Discriminant function analyses were employed to predict fatigue subgroup membership (high, low on five subscales) from the following variables: age, stage of cancer, depressed mood, and sleep. Significant linear discriminant functions were found for all subscales. Depressed mood predicted higher fatigue group membership for General, Mental, Emotional, and Physical Fatigue, and lower Vigor group membership. Poor sleep quality predicted higher General and Physical Fatigue, and lower Vigor. Less severe stage of cancer predicted higher Mental Fatigue and lower Vigor. Younger age predicted higher Mental and Emotional Fatigue, and lower Vigor. Hierarchical cluster analyses yielded four profiled subtypes of fatigue expression. The first cluster scored higher than the sample average on General, Physical, and Mental fatigue, at the average on Emotional fatigue, and below average on Vigor, while the second cluster was below average on all fatigue reports and above average on Vigor. The third was high in emotional and cognitive dimensions and low on physical or somatic aspects. The fourth showed the most severe fatigue across all five dimensions. In follow-up analyses, which did not include the third and fourth clusters due to disproportionate size, the first two clusters were significantly different on depressed mood but not on sleep quality, age, stage of cancer, or length of treatment. Findings suggest that age, stage, depressed mood, and sleep are all important predictors of fatigue, but there may be differential relationships between predictors and fatigue when subtypes of fatigue are considered. It is suggested that interventions targeting depressed mood and sleep may have the potential to reduce post-treatment fatigue given current limitations in treating fatigue directly.

Cognitive-Behavioral Stress Management

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Publisher : Oxford University Press
ISBN 13 : 0190450029
Total Pages : 144 pages
Book Rating : 4.1/5 (94 download)

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Book Synopsis Cognitive-Behavioral Stress Management by : Michael H. Antoni

Download or read book Cognitive-Behavioral Stress Management written by Michael H. Antoni and published by Oxford University Press. This book was released on 2007-09-10 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: Living with HIV can be stressful, which can affect both your emotional and physical well-being. You may feel a loss of control over your life, socially isolated, or anxious and depressed. Studies have shown that prolonged stress can negatively impact the immune system, making it less effective in fighting illness. If you are concerned about the impact stress has on your life and on your health, this book can help you learn to relax and manage stress more effectively. This book presents a group treatment program that has been scientifically proven to reduce stress in individuals living with HIV. Written by the developers of this groundbreaking program, this workbook is based on the principles of Cognitive-Behavioral Stress Management (CBSM). You will learn a variety of relaxation techniques, all designed to help you reduce tension and stress. As you become more aware of stress and its effects, stress management skills will increase your ability to cope. This workbook comes complete with user-friendly monitoring forms and homework exercises designed to help reinforce the skills learned in group. It also includes instructions for relaxation practice that will remain useful long after you've completed the program. Used in conjunction with the group program described in the corresponding facilitator guide, this workbook will help you successfully manage stress and lead a more healthy life. TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! · All programs have been rigorously tested in clinical trials and are backed by years of research · A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date · Our books are reliable and effective and make it easy for you to provide your clients with the best care available · Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated · A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources · Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

Persistent Fatigue in Disease-free Breast Cancer Survivors

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Publisher :
ISBN 13 :
Total Pages : 139 pages
Book Rating : 4.:/5 (967 download)

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Book Synopsis Persistent Fatigue in Disease-free Breast Cancer Survivors by : Monica Elissa Lindgren

Download or read book Persistent Fatigue in Disease-free Breast Cancer Survivors written by Monica Elissa Lindgren and published by . This book was released on 2016 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Breast cancer survivors with histories of depression experience heightened fatigue long after treatment. The mechanisms by which prior depression influences persistent post-treatment fatigue are not fully understood; however, psychological processes are hypothesized to influence this relationship. This study investigated how cancer-specific avoidance, a coping strategy whereby survivors intentionally deny and avoid negative thoughts and emotions about cancer, may explain this association. Further, the study tested if past depression’s indirect effects on fatigue (through avoidance coping) intensified when women also experienced more severe physical symptoms during treatment. Effects of pretreatment depression histories on survivors’ fatigue trajectories from diagnosis to 18-months after treatment were also examined. Women with newly-diagnosed breast cancer (N = 209) were followed across three time points, at diagnosis, then 6-months and 18-months post-treatment. At each assessment, women completed self-report questionnaires, including the Multidimensional Fatigue Symptom Inventory-Short Form to measure fatigue, the Impact of Events Scale to measure avoidance coping, and the Center for Epidemiological Depression Scale to measure concurrent depressive symptoms. Depression before treatment was assessed via a clinical interview. Severity of physical symptoms during treatment were collected from medical records and measured as: (1) number of acute treatment side-effects and toxicities, and (2) nurse-assessed, objective ratings of patients’ physical disability (performance status scores). Hierarchical linear growth modeling was used to examine the shape of survivors’ fatigue trajectories over time. Moderated mediation was used to examine whether greater post-treatment avoidance coping explained associations between pretreatment depression and post-treatment fatigue, conditioned upon severity of survivors’ physical symptoms during treatment. Analyses controlled for factors with previously-established relationships to persistent cancer-related fatigue. As expected, previously-depressed women’s fatigue did not decline as much as never-depressed women’s fatigue across assessments. However, there was no evidence that greater avoidance coping, even when following more severe physical symptoms during treatment, explained associations between pretreatment depression histories and post-treatment fatigue levels. Findings suggest early fatigue interventions for patients with pretreatment depression may prevent persistently elevated fatigue in the 18-months following treatment. Results also suggest cognitive-behavioral treatment models for cancer-related fatigue, which focus on correcting dysfunctional coping strategies like cancer-specific avoidance, may have limited therapeutic relevance for breast cancer survivors with pretreatment depression histories.

After the Cure

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Publisher : NYU Press
ISBN 13 : 0814707351
Total Pages : 196 pages
Book Rating : 4.8/5 (147 download)

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Book Synopsis After the Cure by : Emily K. Abel

Download or read book After the Cure written by Emily K. Abel and published by NYU Press. This book was released on 2010-08-30 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the book jacket: Chemo Brain. Fatigue. Chronic Pain. Insomnia. Depression. These are just a few of the ongoing, debilitating symptoms that plague some breast cancer survivors long after their treatments have officially ended. After The Cure is a compelling read filled with fascinating portraits of women who are living with the aftermath of breast cancer. Having heard repeatedly that the problems are all in your head, many don't know where to turn for help. The doctors who now refuse to validate their symptoms are often the very ones they depended on to provide life-saving treatments. Sometimes family members, who provided essential support through months of chemotherapy and radiation, don't believe them. Their work lives, already disrupted by both cancer and its treatment, are further undermined by the lingering symptoms. And every symptom is a constant reminder of the trauma of diagnosis, the ordeal of treatment, and the specter of recurrence. Most narratives about surviving breast cancer end with the conclusion of chemotherapy and radiation, painting stereotypical portraits of triumphantly healthy survivors, women who not only survive but emerge better and stronger than before. After The Cure allows us to hear the voices of those who are silenced by the optimistic breast cancer culture, women who live with a broad array of health problems long after therapy ends. Here, at last, survivors step out of the shadows and speak compellingly about their real stories, giving voice to the complicated, often bittersweet realities of life after the cure.

Common Issues in Breast Cancer Survivors

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Publisher : Springer Nature
ISBN 13 : 3030753778
Total Pages : 350 pages
Book Rating : 4.0/5 (37 download)

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Book Synopsis Common Issues in Breast Cancer Survivors by : Gretchen G. Kimmick

Download or read book Common Issues in Breast Cancer Survivors written by Gretchen G. Kimmick and published by Springer Nature. This book was released on 2021-08-23 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a clinically useful resource for evaluation and management of the symptoms and issues that burden survivors of breast cancer. Improvements to breast cancer screening and treatment have resulted in more patients than ever before having been cured after local definitive and systemic therapies. Primary care providers and specialists must be increasingly familiar with the issues that breast cancer survivors routinely face. This is the first book to provide a single resource for common issues faced by breast cancer survivors from a truly multidisciplinary perspective; each chapter of this text is coauthored by at least one oncologist and one specialist outside the field of oncology in order to include the perspectives of relevant disciplines. User-friendly and clinically applicable to all specialties, individual chapters also include tables and figures that describe how best to conduct initial evaluation of the given symptom as well as an algorithm, where applicable, outlining the optimal management approach. Common Issues in Breast Cancer Survivors: A Practical Guide to Evaluation and Management empowers non-cancer specialists and practitioners who care for breast cancer survivors to address common issues that impact patient quality of life.

Fatigue in Patients with Cancer

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Publisher : Springer Science & Business Media
ISBN 13 : 3642514669
Total Pages : 236 pages
Book Rating : 4.6/5 (425 download)

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Book Synopsis Fatigue in Patients with Cancer by : Agnes Glaus

Download or read book Fatigue in Patients with Cancer written by Agnes Glaus and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Current literature shows that there is a gap in our knowledge about how tired ness/fatigue in cancer patients should be defined and measured. Existing fa tigue-related research in cancer patients shows conceptual and measurement differences (Piper 1993). There is no continuum of tiredness/fatigue in univer sal use. What do patients mean if they fill in a visual analogue scale indicating that they feel "very tired"? Is it an indicator of general well-being, and thus an 1993)? Most articles estimate of general quality of life (Hiirny and Bernhard written by English authors use the word fatigue to identify extreme tired ness. It could be said that in the English language, tiredness that is perceived as unusual, continuing distress is fatigue rather than tiredness. In the German language, tiredness (Mudigkeit) is not primarily a term for distress attributed to disease or unusual effort. But tiredness becomes a distressing phenomenon when it no longer regulates a healthy balance between rest and activity but represents unusual, abnormal or excessive whole-body tiredness that is dis proportionate to or unrelated to activity or excessive exertion (Piper 1993). As there is no word for fatigue in the German language, the definition "extreme, unusual tiredness" (in German: extreme, unubliche Mudigkeit), is used to explain the term "fatigue:' This clarification is needed to ensure that future fatigue research conducted in German-speaking countries can be com pared with such research carried out elsewhere.

Putting Evidence Into Practice

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Publisher :
ISBN 13 : 9781935864042
Total Pages : 129 pages
Book Rating : 4.8/5 (64 download)

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Book Synopsis Putting Evidence Into Practice by : Linda H. Eaton

Download or read book Putting Evidence Into Practice written by Linda H. Eaton and published by . This book was released on 2011 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: Supplement to "Putting Evidence into Practice: Improving Oncology Patient Outcomes" (Eaton and Tipton, 2009).

Cancer-Related Fatigue

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Publisher : Springer
ISBN 13 : 1907673768
Total Pages : 80 pages
Book Rating : 4.9/5 (76 download)

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Book Synopsis Cancer-Related Fatigue by : Joachim Weis

Download or read book Cancer-Related Fatigue written by Joachim Weis and published by Springer. This book was released on 2014-11-12 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cancer-related fatigue (CrF) is increasingly recognized as a significant problem for patients with cancer at all stages, including those undergoing therapy and in remission. In fact, studies have shown that CrF causes patients more distress than pain, nausea, or vomiting and yet fatigue is still often undertreated and rarely studied. However, several new treatments such as are being investigated to determine the most effective ways to manage this debilitating symptom and improve patient quality of life. Cancer-Related Fatigue will provide a concise overview of this condition, with an evidence-based discussion of diagnosis, treatment, and long-term management.

Methods in Observational Epidemiology

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Publisher : Monographs in Epidemiology and
ISBN 13 : 9780195083774
Total Pages : 458 pages
Book Rating : 4.0/5 (837 download)

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Book Synopsis Methods in Observational Epidemiology by : Jennifer L. Kelsey

Download or read book Methods in Observational Epidemiology written by Jennifer L. Kelsey and published by Monographs in Epidemiology and. This book was released on 1996 with total page 458 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the second edition of the first book to provide a complete picture of the design, conduct and analysis of observational studies, the most common type of epidemiologic study. Stressing sample size estimation, sampling, and measurement error, the authors cover the full scope of observational studies, describing cohort studies, case-control studies, cross-sectional studies, and epidemic investigation. The use of statistical procedures is described in easy-to-understand terms.

Women's Perceptions of Fatigue and Quality of Life Following Breast Cancer Surgery

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Publisher :
ISBN 13 :
Total Pages : 206 pages
Book Rating : 4.3/5 (129 download)

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Book Synopsis Women's Perceptions of Fatigue and Quality of Life Following Breast Cancer Surgery by : Linda Sue Eckerson Abent

Download or read book Women's Perceptions of Fatigue and Quality of Life Following Breast Cancer Surgery written by Linda Sue Eckerson Abent and published by . This book was released on 1998 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Adjuvant Therapy for Breast Cancer

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Publisher : Springer Science & Business Media
ISBN 13 : 0387751157
Total Pages : 483 pages
Book Rating : 4.3/5 (877 download)

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Book Synopsis Adjuvant Therapy for Breast Cancer by : Monica Castiglione

Download or read book Adjuvant Therapy for Breast Cancer written by Monica Castiglione and published by Springer Science & Business Media. This book was released on 2009-07-11 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adjuvant treatment is administered prior to or as follow up to surgical procedures for breast cancer. Proven success in using medical therapies allowing for breast conserving procedures or reducing risk of occurrence. Although there has been much progress towards a cure, including the introduction of new targeted therapies, metastasizing cancer remains highly incurable.

Fatigue in Cancer

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Publisher : Oxford University Press, USA
ISBN 13 : 9780192630940
Total Pages : 311 pages
Book Rating : 4.6/5 (39 download)

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Book Synopsis Fatigue in Cancer by : Jo Armes

Download or read book Fatigue in Cancer written by Jo Armes and published by Oxford University Press, USA. This book was released on 2004 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: '. . . worthy, scientifically-founded... will do a lot to reinvigorate clinicians who have tired of fatigue and help get this complex symptom out of the too-hard baskcet.' -IAHPC WebsiteFatigue in Cancer provides a comprehensive review of the key issues involved in the research and practical application of current evidence and best practice guidelines for addressing cancer-related fatigue. An international group of contributors draw together core topics relating to this complex area of cancer management, focusing on issues of definition, patho-physiology, treatment related variables and the psychological, social and emotional impact on patients, families and carers. Critical reviews of practical management strategies for both adults and children are included, as are the current approaches to the measurement of cancer-related fatigue in clinical and research contexts. The book contributes a multi-disciplinary overview of a problem increasingly overlooked by cancer scientists, researchers, and clinicians.This book demonstrates the considerable capacity of cancer-related fatigue to impact on quality of life. Its multi-disciplinary focus and consideration of prioritised areas of future research will ensure that it is will prove invaluable for all health professionals and researchers in oncology and palliative care.Readership: Palliative medicine and oncology physicians and other professionals caring for advanced stage cancer patients.

Mindfulness-Based Cancer Recovery

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Publisher : New Harbinger Publications
ISBN 13 : 1608822354
Total Pages : 210 pages
Book Rating : 4.6/5 (88 download)

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Book Synopsis Mindfulness-Based Cancer Recovery by : Linda Carlson

Download or read book Mindfulness-Based Cancer Recovery written by Linda Carlson and published by New Harbinger Publications. This book was released on 2011-02-03 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Mind-Body Approach to Healing If you have received a cancer diagnosis, you know that the hundreds of questions and concerns you have about what's to come can be as stressful as the cancer treatment itself. But research shows that if you mentally prepare yourself to handle cancer treatment by getting stress and anxiety under control, you can improve your quality of life and become an active participant in your own recovery. Created by leading psychologists specializing in oncology, the Mindfulness-Based Cancer Recovery program is based on mindfulness-based stress reduction (MBSR), a therapeutic combination of mindfulness meditation and gentle yoga now offered to cancer survivors and their loved ones in hundreds of medical centers, hospitals, and clinics worldwide. Let this book be your guide as you let go of fear and focus on getting well. With this eight-week program, you'll learn to: • Use proven MBSR skills during your treatment and recovery • Boost your immune function through meditation and healing yoga • Calm feelings of fear, uncertainty, and lack of control • Mindfully manage difficult symptoms and side effects • Discover your own capacity for healing and thriving after adversity

Radiation-induced Cardiovascular Disease and Fatigue in Breast Cancer Survivors

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Publisher :
ISBN 13 :
Total Pages : 139 pages
Book Rating : 4.:/5 (131 download)

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Book Synopsis Radiation-induced Cardiovascular Disease and Fatigue in Breast Cancer Survivors by : Alexi Vasbinder

Download or read book Radiation-induced Cardiovascular Disease and Fatigue in Breast Cancer Survivors written by Alexi Vasbinder and published by . This book was released on 2021 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although survival rates have improved, many breast cancer survivors experience adverse effects related to the physiologic consequences of cancer treatment including an increased risk cardiovascular disease (CVD) and symptoms, such as fatigue. Currently, it is not known how to best identify breast cancer survivors at risk for CVD and fatigue. Cancer treatments are known to be associated with both CVD and fatigue independently. At the same time, cardiotoxicity and fatigue may share common physiologic mechanisms such as chronic inflammation and oxidative stress, which directly target cardiac tissue to produce CVD and produce circulating inflammatory markers that may lead to fatigue. It is hypothesized that cancer treatments, through the complex relationship with oxidative stress and inflammation, create a pro-fibrotic environment, which contributes to heart disease and heart failure. While cancer treatments can independently cause fatigue, fatigue is also a commonly reported symptom in patients with heart failure, coronary artery disease, pericardial disease, and valvular disease, which are all potential cardiovascular outcomes associated with radiation treatment. Therefore, it is not only important to examine the association between inflammatory and oxidative stress biomarkers and fatigue but also look at cardiac damage and fibrosis markers in persons who have received radiation treatment. Additionally, there is evidence in non-cancer populations that fatigue itself, and other symptoms associated with cancer treatments, are associated with the risk of CVD. Therefore, the overall purpose of this dissertation is to better understand risk factors for CVD and symptoms after cancer treatment in breast cancer survivors and to better understand how these factors relate to one another. Specifically, this dissertation has the following aims: 1) to assess the association of post-cancer biomarkers and CVD events in breast cancer survivors treated with radiation; 2) to examine the associations of post-cancer biomarkers and post-cancer fatigue in breast cancer survivors treated with radiation; and 3) examine whether physical and mental health-related quality of life (which incorporates a measure of fatigue) or sleep disturbances scores are associated with CVD risk in breast cancer survivors.

Issues in Palliative Care Research

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Publisher : Oxford University Press
ISBN 13 : 0195130650
Total Pages : 427 pages
Book Rating : 4.1/5 (951 download)

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Book Synopsis Issues in Palliative Care Research by : Russell K. Portenoy

Download or read book Issues in Palliative Care Research written by Russell K. Portenoy and published by Oxford University Press. This book was released on 2003-01-30 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: Symptom control, management of psychosocial and spiritual concerns, decision-making consistent with values and goals, and care of the imminently dying that is appropriate and sensitive are among the critical issues in palliative care. This book explores progress made and future goals.

An Exploration of Breast Cancer Survivors' Greatest Worries and Concerns and Lifestyle Changes Posttreatment

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Publisher :
ISBN 13 :
Total Pages : 300 pages
Book Rating : 4.:/5 (933 download)

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Book Synopsis An Exploration of Breast Cancer Survivors' Greatest Worries and Concerns and Lifestyle Changes Posttreatment by : Melissa A. Castillo

Download or read book An Exploration of Breast Cancer Survivors' Greatest Worries and Concerns and Lifestyle Changes Posttreatment written by Melissa A. Castillo and published by . This book was released on 2014 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fear that cancer will return has been known to motivate breast cancer survivors to adopt health-oriented lifestyle changes posttreatment (Costanzo, Lutgendorf, & Roeder, 2011). The purpose of this archival study was to investigate female breast cancer survivors' ( N = 166) greatest worries and concerns, and lifestyle changes, in association with levels of anxiety, distress, pain, fatigue, education, and body mass index (BMI) one month posttreatment and one year posttreatment. Codebook development and mixed methods were used to explore themes that emerged from open-ended survey questions. Whereas the number of survivors' greatest concerns decreased over time, the concerns themselves remained relatively consistent. Distress and pain are important considerations one month posttreatment for survivors who reported medical and psychological concerns other than cancer recurrence. Results further indicated survivors who received chemotherapy and survivors who reported recurrence concerns were more likely to have clinical levels of distress one year posttreatment. Survivors who reported an increase in exercise had less distress, pain, and fatigue. Survivors who reported healthy dietary changes had less fatigue. Findings suggest that asking survivors about their greatest concerns may help to identify those with greater medical and psychological adjustment needs, including those with clinically significant symptoms of fatigue, distress, anxiety, and pain. Increased interdisciplinary collaboration among oncology treatment teams may foster customized treatments plans that are better tailored to survivors' unique constellations of symptoms, concerns, and adjustment needs. Specific mental health, fitness, and dietary interventions will likely assist survivors to increase health and well-being posttreatment.

Fighting Fatigue with a Breast Cancer Survivorship Exercise Plan

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Fighting Fatigue with a Breast Cancer Survivorship Exercise Plan by : Cynthia Bauman

Download or read book Fighting Fatigue with a Breast Cancer Survivorship Exercise Plan written by Cynthia Bauman and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to the American Cancer Society facts and figures 2014-2015, breast cancer has the largest number of survivors in the United States, topping the charts with an estimated 3,131,440 ( 41%) of females (American Cancer Society(ACS) 2014a). Supporting these large number of survivors is the call from the Institute of Medicine (IOM), recommending that all cancer survivors be given a survivorship care plan from their health care providers (Hofman and others 2013). Since the ACS has defined a cancer survivor as any person who has been diagnosed with cancer starting from the time of diagnosis and throughout their entire life span (American Cancer Society, 2014), a survivorship plan ought to be introduced on day one of treatment. The definition of a survivorship care model according to the Agency for Healthcare Research and Quality (AHRQ); Models of Cancer Survivorship Care 2014, is a program for cancer survivors that address two or more different health care needs (AHRQ, 2014). This growing number of cancer survivors presents a greater need for health care programs that support and enhance cancer survivors during and post treatment.