Adjusting to illness Flashcards
whats happening to death rates and diagnosis rates of cancer?
death rates are falling
diagnosis is rising
is cancer a chronic or terminal illness
becoming more of a chronic one
whats the significance of falling cancer death rates?
more people living with the disease
whats Genomics
evaluating all DNA in your body
when do people report is the most stressful time in illness course?
waiting for the results
what was the style of decision making in the past?
paternalistic on part of the doctor
what is shared decision making
in between paternalistic and autonomous: both patient and doctor are experts
what are the 3 key Qs to ask
○ What are my options
○ What are the benefits and risks
○ How likely are they to occur
when do anxiety and depression tend to increase in the illness course?
at the end of treatment
what is CAM
complementary and alternative medicine (40%)
what is the highest unmet need following treatment?
fear of cancer recurrence
what % of patients will have clinical levels of anxiety or depression in their lifetime?
25%
whats palliative care
focuses on maximising QoL in disease progression
what’s the only direct impairment associated with being a cancer survivor
mental health
whats wrong with advising positive thinking to the patient
places responsibility on them for their illness, only helpful as a coping strategy