From Cancer Patient to Cancer Survivor

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Author :
Publisher : National Academies Press
ISBN 13 : 9780309095952
Total Pages : 0 pages
Book Rating : 4.0/5 (959 download)

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Book Synopsis From Cancer Patient to Cancer Survivor by : National Research Council

Download or read book From Cancer Patient to Cancer Survivor written by National Research Council and published by National Academies Press. This book was released on 2005-12-01 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the risk of more than one in three getting cancer during a lifetime, each of us is likely to experience cancer, or know someone who has survived cancer. Although some cancer survivors recover with a renewed sense of life and purpose, what has often been ignored is the toll taken by cancer and its treatmentâ€"on health, functioning, sense of security, and well-being. Long lasting effects of treatment may be apparent shortly after its completion or arise years later. The transition from active treatment to post-treatment care is critical to long-term health. From Cancer Patient to Cancer Survivor focuses on survivors of adult cancer during the phase of care that follows primary treatment. The book raises awareness of the medical, functional, and psychosocial consequences of cancer and its treatment. It defines quality health care for cancer survivors and identifies strategies to achieve it. The book also recommends improvements in the quality of life of cancer survivors through policies that ensure their access to psychosocial services, fair employment practices, and health insurance. This book will be of particular interest to cancer patients and their advocates, health care providers and their leadership, health insurers, employers, research sponsors, and the public and their elected representatives.

Topics in Cancer Survivorship

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Author :
Publisher : BoD – Books on Demand
ISBN 13 : 9533078944
Total Pages : 294 pages
Book Rating : 4.5/5 (33 download)

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Book Synopsis Topics in Cancer Survivorship by : Ravinder Mohan

Download or read book Topics in Cancer Survivorship written by Ravinder Mohan and published by BoD – Books on Demand. This book was released on 2012-01-27 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cancer is now the leading cause of death in the world. In the U.S., one in two men and one in three women will be diagnosed with a non-skin cancer in their lifetime. Cancer patients are living longer than ever before. For instance, when detected early, the five-year survival for breast cancer is 98%, and it is about 84% in patients with regional disease. However, the diagnosis and treatment of cancer is very distressing. Cancer patients frequently suffer from pain, disfigurement, depression, fatigue, physical dysfunctions, frequent visits to doctors and hospitals, multiple tests and procedures with the possibility of treatment complications, and the financial impact of the diagnosis on their life. This book presents a number of ways that can help cancer patients to look, feel and become healthier, take care of specific symptoms such as hair loss, arm swelling, and shortness of breath, and improve their intimacy, sexuality, and fertility.

Common Issues in Breast Cancer Survivors

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Author :
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.

Handbook of Cancer Survivorship Care

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Author :
Publisher : Springer Publishing Company
ISBN 13 : 082613825X
Total Pages : 256 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Handbook of Cancer Survivorship Care by : Dr. Maria Alma Rodriguez, MD

Download or read book Handbook of Cancer Survivorship Care written by Dr. Maria Alma Rodriguez, MD and published by Springer Publishing Company. This book was released on 2018-08-28 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Cancer Survivorship Care serves as a practical and concise guide for the multidisciplinary management of cancer survivors. Nearly all of the chapters are authored by a team consisting of a seasoned oncologist and an experienced practitioner who provides direct services in survivorship care. Chapters reflect the importance of interdisciplinary collaboration and cover the high-yield pearls and clinical applications that lead to quality patient care outcomes. Part I discusses the basic concepts of survivorship care, models of care, and clinical tools while addressing late and long-term effects of treatment, screening methods for secondary or recurring tumors, and prevention of disease relapse. Part II includes chapters on cancers commonly seen in community practice, such as breast, prostate, lymphoma, and colorectal. Chapters in Part II provide clinical pearls and disease-specific background, a guide to disease surveillance, instructions for monitoring late effects, early detection tips, and information on psychosocial health, all to better direct clinical assessment and management. With cancer survivors an increasing segment of the healthcare population and survivorship care rapidly evolving, it is paramount that oncologists and other care providers are up-to-date on the clinical strategies, interventions, and recommendations for follow-up care. As a pocket-sized, quick reference, Handbook of Cancer Survivorship Care is an indispensable resource for any healthcare provider – including physicians, nurses, and other practitioners – seeing patients in remission; it covers the must-know points of clinical management and successfully carries over cutting-edge expertise into clinical practice whether it is used at the bedside or in the clinic. Key Features: Includes practical guidance on challenging areas such as addressing psychosocial issues, establishing screening and prevention strategies, managing late effects in cancer survivors and many more Easy-to-read outline format makes referencing in the clinical setting quick and convenient Practical clinical vignettes with self-assessment Q&A accompany chapters in Part II Clinical pearls highlight survivorship guidelines and their application Provides management guidelines and detailed disease surveillance strategies for site-specific cancers Includes digital access to the e-book

Issues of Cancer Survivorship

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1496322886
Total Pages : 276 pages
Book Rating : 4.4/5 (963 download)

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Book Synopsis Issues of Cancer Survivorship by : Debra Kantor

Download or read book Issues of Cancer Survivorship written by Debra Kantor and published by Lippincott Williams & Wilkins. This book was released on 2015-08-10 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Issues of Cancer Survivorship addresses the issues of experiencing life with cancer, from diagnosis to living with and beyond cancer. It focuses on the psychological impact of cancer, including psychological distress, the uncertainty, the short-term and long-term side effects of treatments, body image issues, spirituality/religious issues, impact of the disease on finances, impact on family relationships, and social support. In addition, the book covers cancer in children and secondary cancers as a result of the treatment they received, which is increasingly an issue as patients are living longer.

Handbook of Cancer Survivorship

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Author :
Publisher : Springer
ISBN 13 : 3319774328
Total Pages : 419 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis Handbook of Cancer Survivorship by : Michael Feuerstein

Download or read book Handbook of Cancer Survivorship written by Michael Feuerstein and published by Springer. This book was released on 2018-10-31 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: This timely revision of the authoritative handbook gives a wide range of providers practical insights and strategies for treating cancer survivors’ long-term physical and mental health issues. Details of new and emerging trends in research and practice enhance readers’ awareness of cancer survivor problems so they may better detect, monitor, intervene in, and if possible prevent disturbing conditions and potentially harmful outcomes. Of particular emphasis in this model of care are recognizing each patient’s uniqueness within the survivor population and being a co-pilot as survivors navigate their self-management. New or updated chapters cover major challenges to survivors’ quality of life and options for service delivery across key life domains, including: Adaptation and coping post-treatment. Problems of aging in survivorship, disparities and financial hardship. Well-being concerns including physical activity, weight loss, nutrition, and smoking cessation. Core functional areas such as work, sleep, relationships, and cognition. Large-scale symptoms including pain, distress, and fatigue. Models of care including primary care and comprehensive cancer center. International perspectives PLUS, insights about lessons learned and challenges ahead. With survivorship and its care becoming an ever more important part of the clinical landscape, the Second Edition of the Handbook of Cancer Survivorship is an essential reference for oncologists, rehabilitation professionals, public health, health promotion and disease prevention specialists, and epidemiologists.

A Cancer Survivor's Almanac

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Author :
Publisher : Turner Publishing Company
ISBN 13 : 0470352922
Total Pages : 456 pages
Book Rating : 4.4/5 (73 download)

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Book Synopsis A Cancer Survivor's Almanac by : National Coalition for Cancer Survivorship

Download or read book A Cancer Survivor's Almanac written by National Coalition for Cancer Survivorship and published by Turner Publishing Company. This book was released on 2008-05-02 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: "I’m thrilled that this book is available to cancer survivors. I only wish I’d had a copy 10 years ago when I was diagnosed with breast cancer." —Jill Eikenberry, actor and breast cancer advocate "A valuable resource for survivors." —Peari Moore, RN, MN, FAAN, Executive Director, Oncology Nursing Society "A Cancer Survivor’s Almanac is a clearly written, sensitive, and sensible guide to surviving with cancer. This almanac can help you more comfortably and knowledgeably take charge of your life with cancer." —David Spiegel, MD, Professor of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, and author, Living Beyond Limits (Ballantine, 1994) "This indispensible quide provides helpful information and much-needed support that will improve the quality of life for cancer survivors." —Richard Klausner, MD, Director, National Cancer Institute "From the time of its discovery and for the balance of life, an individual diagnosed with cancer is a survivor." —National Coalition for Cancer Survivorship Charter A Cancer Survivor’s Almanac: Charting Your Journey serves as a guide to help survivors, caregivers, families, and friends chart a survivorship journey. Written by the survivors and professionals who founded the cancer survivorship movement, A Cancer Survivor’s Almanac provides essential up-to-date, practical information on: The latest information in medical diagnosis, treatment, pain control, and long-term and late effects of cancer treatment Health insurance — how to find and keep it under the most current laws (including the federal health reform law which takes effect in 1997) Tips on how to find and work with the best doctors and hospitals Understanding the risks and benefits of unconventional treatments How to win the battle against job discrimination Clear answers to legal and financial questions How to cope with the personal and social impact of cancer Communicating with family and friends, including dealing with grief and loss The benefits of peer support, with tips on starting your own peer-support network Advocating for yourself and others In addition, an expanded Resource Section lists hundreds of organizations and agencies that offer help regarding specific cancer-related issues and explains how to find cancer information through the Internet. Cancer survivors and their caregivers, families, and friends share their greatest gifts to today’s survivors— the power of knowledge. No cancer journey is easy. This book, however, provides the information, understanding, support, and resources to help dispel the myths and improve the quality of life with, through, and beyond cancer. All royalties from the sales of this book benefit the National Coalition for Cancer Survivorship.

Topics in Cancer Survivorship

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Author :
Publisher : IntechOpen
ISBN 13 : 9789533078946
Total Pages : 292 pages
Book Rating : 4.0/5 (789 download)

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Book Synopsis Topics in Cancer Survivorship by : Ravinder Mohan

Download or read book Topics in Cancer Survivorship written by Ravinder Mohan and published by IntechOpen. This book was released on 2012-01-27 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cancer is now the leading cause of death in the world. In the U.S., one in two men and one in three women will be diagnosed with a non-skin cancer in their lifetime. Cancer patients are living longer than ever before. For instance, when detected early, the five-year survival for breast cancer is 98%, and it is about 84% in patients with regional disease. However, the diagnosis and treatment of cancer is very distressing. Cancer patients frequently suffer from pain, disfigurement, depression, fatigue, physical dysfunctions, frequent visits to doctors and hospitals, multiple tests and procedures with the possibility of treatment complications, and the financial impact of the diagnosis on their life. This book presents a number of ways that can help cancer patients to look, feel and become healthier, take care of specific symptoms such as hair loss, arm swelling, and shortness of breath, and improve their intimacy, sexuality, and fertility.

Childhood Cancer Survivorship

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Author :
Publisher : National Academies Press
ISBN 13 : 0309088984
Total Pages : 225 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Childhood Cancer Survivorship by : National Research Council

Download or read book Childhood Cancer Survivorship written by National Research Council and published by National Academies Press. This book was released on 2003-10-15 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: Only more recently has it been realized that the intense effort to care for and cure a child with cancer does not end with survival. Continued surveillance and a variety of interventions may, in many cases, be needed to identify and care for consequences of treatment that can appear early or only after several decades and impair survivors' health and quality of life. The more than two-thirds of childhood cancer survivors who experience late effects-that is, complications, disabilities, or adverse outcomes-as a result of their disease, its treatment, or both, are the focus of this report which outlines a comprehensive policy agenda that links improved health care delivery and follow-up, investments in education and training for health care providers, and expanded research to improve the long-term outlook for this growing population now exceeding 270,000 Americans.

Survivorship Care for Cancer Patients

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Author :
Publisher : Springer
ISBN 13 : 9783030786502
Total Pages : 0 pages
Book Rating : 4.7/5 (865 download)

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Book Synopsis Survivorship Care for Cancer Patients by : Stefan Rauh

Download or read book Survivorship Care for Cancer Patients written by Stefan Rauh and published by Springer. This book was released on 2022-08-12 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a valuable source for oncologists and all other physicians dealing with cancer survivors. It provides detailed information on the evidence-based benefits and forms of intervention, with contributions by a highly prestigious and well recognized panel of experts. Chapters deal with all features of survivorship outlining the role of the oncologist and other caregivers and discusses survivorship care in different countries and different settings. The book addresses new challenges and complex issues broader than medical issues faced by patients who are cured highlighting that cancer is no longer a death sentence. It provides evidence-based management guidance and addresses issues such as symptom management, palliative care, screening for recurrence, rehabilitation, fertility issues among others. This is an indispensable resource for oncologists, oncology nurses and other professionals dealing with cancer patients as well as patient advocacy groups and cancer leagues.

From Shadows to Life

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Author :
Publisher :
ISBN 13 : 9781947187122
Total Pages : pages
Book Rating : 4.1/5 (871 download)

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Book Synopsis From Shadows to Life by : Judith Pearson

Download or read book From Shadows to Life written by Judith Pearson and published by . This book was released on 2021-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: From Shadows to Life, is the story of the war on cancer, the cancer survivorship movement, and its impact on modern cancer care.

Medical and Psychosocial Care of the Cancer Survivor

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Author :
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449617980
Total Pages : 503 pages
Book Rating : 4.4/5 (496 download)

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Book Synopsis Medical and Psychosocial Care of the Cancer Survivor by : Kenneth D. Miller

Download or read book Medical and Psychosocial Care of the Cancer Survivor written by Kenneth D. Miller and published by Jones & Bartlett Publishers. This book was released on 2010-10-25 with total page 503 pages. Available in PDF, EPUB and Kindle. Book excerpt: This ground-breaking clinical reference provides a comprehensive perspective of the multiple issues facing cancer survivors, ranging from early post-treatment through long-term care. Clear, clinically practical chapters written by experts in the field concentrate on multi-dimensional issues that confront cancer survivors. Divided into four, focused sections—overview of survivorship, medical care, psychosocial care, and epidemiologic—this book is evidence-based and uses case examples and illustrations throughout to add to the understanding of the material and its application to the individual patient. Primary care physicians, nurses, oncologists, hematologists, students of medicine, and survivorship researchers will all find this to be a valuable asset in setting the standard of care in the field of cancer survivorship.

Physical Activity and Cancer

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 3642042317
Total Pages : 389 pages
Book Rating : 4.6/5 (42 download)

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Book Synopsis Physical Activity and Cancer by : Kerry S. Courneya

Download or read book Physical Activity and Cancer written by Kerry S. Courneya and published by Springer Science & Business Media. This book was released on 2010-11-26 with total page 389 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores in depth the relation between physical activity and cancer control, including primary prevention, coping with treatments, recovery after treatments, long-term survivorship, secondary prevention, and survival. The first part of the book presents the most recent research on the impact of physical activity in preventing a range of cancers. In the second part, the association between physical activity and cancer survivorship is addressed. The effects of physical activity on supportive care endpoints (e.g., quality of life, fatigue, physical functioning) and disease endpoints (e.g., biomarkers, recurrence, survival) are carefully analyzed. In addition, the determinants of physical activity in cancer survivors are discussed, and behavior change strategies for increasing physical activity in cancer survivors are appraised. The final part of the book is devoted to special topics, including the relation of physical activity to pediatric cancer survivorship and to palliative cancer care.

Childhood Cancer Survivors

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Author :
Publisher : Childhood Cancer Guides
ISBN 13 : 1941089143
Total Pages : 481 pages
Book Rating : 4.9/5 (41 download)

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Book Synopsis Childhood Cancer Survivors by : Nancy Keene

Download or read book Childhood Cancer Survivors written by Nancy Keene and published by Childhood Cancer Guides. This book was released on 2014-03-01 with total page 481 pages. Available in PDF, EPUB and Kindle. Book excerpt: More than 325,000 children, teens, and adults in the United States are survivors of childhood cancer. The surgery, radiation, chemotherapy, and stem cell transplants used to cure children can affect growing bodies and developing minds. If survivors know of these potential problems, they can take steps to identify, cope with, or treat them early if they do develop. The third edition of Childhood Cancer Survivors charts the territory for survivors by providing state-of-the-art information about: " Medical late effects from treatment " Emotional aspects of surviving cancer " Schedules for follow-up care " Challenges in the heath-care system " Lifestyle choices to maximize health " Discrimination in employment or insurance Woven throughout the text are stories from more than 100 survivors and parents. Authors Keene, Hobbie, and Ruccione are experts in the field of childhood cancer. Keene is the mother of a survivor of childhood leukemia and the author of several books including Childhood Leukemia, Childhood Cancer, Educating the Child with Cancer, and Chemo, Craziness & Comfort. Hobbie is Associate Director of the Cancer Survivorship Program at Children's Hospital of Philadelphia. Ruccione is Co-Director of the HOPE (Hematology-Oncology Psychosocial and Education) Program in the Children's Center for Cancer and Blood Diseases at Children's Hospital Los Angeles.

Live Strong

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Author :
Publisher : Harmony
ISBN 13 : 0767922948
Total Pages : 256 pages
Book Rating : 4.7/5 (679 download)

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Book Synopsis Live Strong by : The Lance Armstrong Foundation

Download or read book Live Strong written by The Lance Armstrong Foundation and published by Harmony. This book was released on 2005-09-27 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Survivors from all walks of life talk about what “living strong” in the face of cancer means to them. Since the now ubiquitous LIVESTRONG™ wristbands became available in May 2004, the Lance Armstrong Foundation has raised more than $50 million for cancer survivorship programs, and the signature phrase has become a battle cry for those who fight the disease every day. Now, the Lance Armstrong Foundation has compiled, from hours of videotaped interviews, poignant and dramatic personal accounts from cancer survivors. Covering a wide range of subjects, from grief to spousal relationships, employment discrimination to coping with medical bills, infertility to fear of recurrence, survivors share their experiences and speak candidly about how cancer has impacted their lives. For twenty-four-year-old Amy it’s how her illness changed her relationship with her parents. Mike, a male survivor of breast cancer, talks about gender stereotypes and genetic testing. And Eric, the father of a five-year-old survivor of a brain tumor, recalls how friends and strangers helped his family with financial issues and how the experience brought him and his wife closer together. While heartbreaking at times, these powerfully honest stories are ultimately uplifting and extremely reassuring to patients and their families. They offer the wisdom and hope that only survivors can give. LiveStrong is a remarkable testament to the resilience of the human spirit. From the introduction by Lance Armstrong: My work with the LAF shows me daily that sharing our stories and learning from one another’s experiences helps us cancer survivors continue to survive. Some people think the cancer experience is only about the diagnosis and treatment of cancer, as if after the disease goes into remission, it no longer exists. But survivorship goes beyond remission. Survivorship is an evolution.

Health Services for Cancer Survivors

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1441913483
Total Pages : 395 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis Health Services for Cancer Survivors by : Michael Feuerstein

Download or read book Health Services for Cancer Survivors written by Michael Feuerstein and published by Springer Science & Business Media. This book was released on 2011-06-15 with total page 395 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health has been conceptualized by world and national health organizations (WHO, CDC, Healthy People 2010) as more than the absence of disease. It involves a focus on physical, psychosocial, and functional aspects of life as well as the prevention of future illnesses. At this point in the development of quality health care for cancer survivors, there is sufficient knowledge and expert opinion to push efforts forward to improve the health of cancer survivors. Clearly there is more research in the most prevalent forms of cancers (e.g., breast cancer) than others that provide us with guidance on how to optimize their health, but there are data on other forms of cancers that can also better inform practice. There may also be general care practices that can cut across cancer types. There has been an emergence of epidemiological and clinical research in cancer survivors that can form the basis for a revolution in the quality and nature of health care that survivors receive. This book not only provides the reader with diverse perspectives and data but also integrates this information so it can serve as the foundation necessary to improve and maintain the health of cancer survivors. Reporting of symptoms to health care providers is a complex, multi-determined problem influenced not only by the pathophysiology but also, as we have learned over the years through pain research, by societal, cultural, and biobehavioral factors. This book will consider this important aspect of follow-up for millions of cancer survivors because of the strong reliance on symptom reporting for clinical decision making. In order for us to generate meaningful and effective treatment, we need to better understand the symptom experience in cancer survivors. This book provides much information that will assist us to better understand and manage this complicated end point. The presenting problems need to be articulated and “conceptualized” as clearly as possible by both parties so appropriate actions can be taken. Since health care costs are a major concern for patients, payers, and providers, this area will also be addressed in all the relevant sections. In taking an interdisciplinary perspective, this book illustrates the importance of a team approach to the improvement of health care and associated health, well-being, and functioning in cancer survivors. The 17 chapters cover critical topics of which physicians and providers of all types must be aware in order to provide the most comprehensive and responsive care for cancer survivors. All of the clinical care chapters include case studies to illustrate the real-world application of these approaches in cancer survivors. Information about sources of referral both within and outside the traditional health care communities will be provided in tabular form. There is no other text that provides both an overview of the problems and their challenges, case illustrations of direct application, and the reality of reimbursement for such care. The editors hope that there may be no need for the clinician or the survivor to adapt to a “new normal” if the presenting problems are understood and handled from an interdisciplinary perspective as outlined here.

Surviving After Cancer

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Author :
Publisher : Rowman & Littlefield Publishers
ISBN 13 : 1442203676
Total Pages : 220 pages
Book Rating : 4.4/5 (422 download)

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Book Synopsis Surviving After Cancer by : Anne Katz, PhD, RN, FAAN; AASECT-certified sexuality counselor

Download or read book Surviving After Cancer written by Anne Katz, PhD, RN, FAAN; AASECT-certified sexuality counselor and published by Rowman & Littlefield Publishers. This book was released on 2011-04-16 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are an estimated 10 million cancer survivors in America, and this number continues to grow every day as more effective treatments become available. Survivors and their families often call this phase of living after cancer the 'new normal.' This phase, however, is fraught with emotion, anxiety, fear, and joy, and many survivors and their families are not equipped to deal with these challenges. This book addresses in lively detail these issues, illustrating each with stories of survivors and current studies about survivorship.