CA survivors Flashcards
1
Q
Tx effects
A
Long term SE new normal.
- fatigue, memory, appetite, menopausal
- Chemo induced cardiotoxicity, peripheral neuropathy
- Surg scars, lymphedema
2
Q
Fertility
A
Chemo, radiation & surg tx leads to infertility.
- Bank sprem/ eggs for future use
- Reassure risk about having children with CA
3
Q
Secondary malignancy
A
2nd malig: 5x general population
#1 = Leukemia!
- breast cancer -> 60% hodgkin lymphoma
-cyclophosphamide leads to AMY & myleodyplasia
4
Q
Long term burden of illness
A
- Fear of recurrence
- Mutations to children
- Oncology- cost, time, work-ups
5
Q
Cultural bias
A
- Getting job/ insurance
- advocacy culture
- Barriers to care for many underserved populations
6
Q
Legal concerns
A
- Medical/ life insurance
- employment discrimination
- Custody of children
7
Q
Education
A
- Missed opportunities
- Cognitive changes
8
Q
Healthcare
A
- Increased need for follow up and screenings
- Higher risk of other conditions- joints, CHF, CAD, CVA
9
Q
Quality of life
A
- Change in perspective/ meaning in life
- Relationships better or worse
- Life time of Illness
10
Q
Breast CA Survivor guidelines
A
H&P Q3-6 mo x 3 yrs, Q6-12 mo x 2 yrs, then annual
- Counsel signs & sx of recurrence
- Genetic counseling
- Monthly self exam
- Mammography Q 6-12
- Pelvic exam regular
- Routine blood, imaging and tumor markers NOT recommended
