Care Continuum Flashcards

1
Q

Prevention, Cancer Care

A

Protection
Health Promotion
Eliminate cause/exposure

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2
Q

Primary Prevention

A

Preventive measures that prevent the onset of illness or injury before the disease process begins, Example, exercise

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3
Q

Secondary Prevention

A

Preventive measures that lead to early diagnosis and prompt treatment of a disease, illness or injury to prevent more severe problems developing.
Example: Self breast exams, screening

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4
Q

Tertiary prevention

A

Preventive measures aimed at rehabilitation following significant illness

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5
Q

Risk

A

The likelihood that exposure to a certain factor will influence the chance of developing a particular cancer based on the national average

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6
Q

Absolute Risk

A

Measure of cancer occurrence in terms of cancer incidence and mortality

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7
Q

Risk assessment

A

Probability of a person developing a disease, disability or death predicted through individuals risk factors

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8
Q

Prevention Theoretical Principle

A

Prevention HAS to make a difference in outcomes, disease course, or survival
Ex: Smoking cessation

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9
Q

Epidemiology

A

study of distribution and determinants of health-related states or events to control diseases/health problems

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10
Q

Cancer Preventable Risks

A

Lifestyle-Tobacco, alcohol, diet
Occupational/physical/environmental-pesticides, dyes, asbestos, radon, UVB
Biologic: VIRUS*
Steroids-anabolic steroids, fertility drugs

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11
Q

Inherent risks of Cancer

A

Age-older age is greatest overall risk
Gender-related to hormones
Genetic-can inherit RISK, but NOT CANCER

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12
Q

Signs and symptoms of colon cancer

A

Right sided tumors: dull pain, weight loss, fatigue, melena, anemia, palpable mass
Left side: constipation alternating with diarrhea, cramps, gas, pain, bright red blood, incomplete stooling
Rectal: bleeding, rectal fullness, urgency, tenesmus

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13
Q

Modifiable risk factors for colon cancer

A

Obesity
physical inactivity-should get 150 min/week
long term smoking
low intake fiber, fresh fruits, veggies, calcium
moderate/heavy alcohol intake
high intake red/processed meats

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14
Q

Genetic risk for colon cancer

A

Personal/family history of cancer or polyps
History of inflammatory bowel disease
inherited conditions, such as lynch syndrome
type II diabetes

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15
Q

SCREENING for colon cancer is the biggest factor in….

A

SURVIVAL

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16
Q

Screening in CRC

A

Begin at age 45 w/ average risk
Fecal occult blood test annually for fecal immunochemical test every 5 years AND
Flexible sigmoidoscopy every 5 years OR
Colonoscopy, repeat every 10 years if normal
CT Colonography every 5 years

17
Q

Genetic risk factors in Acute Leukemia

A

Familial tendency
Downs syndrome
Fanconi’s syndrome
Blooms syndrome

18
Q

Risk factors Acute Leukemia

A
Smoking
radiation
chemicals-benzene
alkylating agents=Cytoxan, Ifosfamide, cisplatin
*VIRUS
19
Q

Multiple/mass screening

A

screen entire population

20
Q

single screening

A

screen for a specific condition

21
Q

multiple screen

A

screen for 2 or more conditions

22
Q

multiphasic screening

A

profile over time

23
Q

morbidity

A

INCIDENCE-how many people HAVE the disease

24
Q

Mortality (LOOK AT p 10 ACS facts and figures)

A

DEATH-how many people die from the disease

25
Q

Sensitivity

A

probability that a test result will be positive if the condition is positive
Positive is really a positive
**You have to be SENSITIVE when you tell someone they have cancer

26
Q

Specificity

A

probability that a test result will be negative if the condition being tested is present

27
Q

Tumor markers

A

antigens, enzymes, proteins, hormones that are secreted in response to or by tumors that can be detected in the blood-used for treatment and follow-up
NOT DIAGNOSTIC
CEA, PSA, CA125

28
Q

Patient Navigation

A

Is a PROCESS
specialized assistance for the community, patients, families and caregivers to assist in overcoming barriers to receiving care and facilitating timely access to clinical Servies and resources
Driven by community needs to address disparities and barriers to care