Lecture 18: Cancer Survivorship Flashcards

1
Q

recommended weekly exercise for cancer survivors

A
  • @ least 150 minutes of moderate-intensity activity or 75 minutes of vigourous-intensity activity or equivalent combo
  • 2-3 strength training sessions
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2
Q

life-style modifications for prevention of re-curring cancer

A
  • nutrition
  • exersize
  • weight management (BMI: 20-25)
  • limit alc consumption (1 drink/day for women or 2 per/day for men)
  • vaccines
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3
Q

5 recommended vaccines for cancer survivors + main idea

A

inactivated !!

  • trivalent inactivated influenza (TIV)
  • pneumococcal (PPSV-23/PCV-13)
  • tetanus, diphtheria, pertussis (Tdap)
  • human papillomavirus (HPV)
  • COVID-19
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4
Q

vaccines that aren’t recommended for cancer survivors + main idea

A

live vaccines

  • polio and smallpox
  • measles, mumps, rubella
  • varicella
  • varicela zoster
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5
Q

how often after surviving cancer should you get a history and physical exam

A
  • every 3-6 months for first 3 yrs after primary treatment
  • every 6-12 months for yrs 4-5
  • then annually
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6
Q

for breast cancer what is the best surveillance for survivorship

A
  • annual bilateral mammogram recommended
  • in case of unilateral mastectomy: annual mammogram of opposite breast
    • preform monthly self exam on breast
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7
Q

surveillance of pelvic exam for breast cancer

A

recommended that women on tamoxifen should have a gynecologic assessment every 12 months if uterus present

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8
Q

interventions for lymphedema

A
  • strength training
  • weight loss
  • lymphedema specialist
  • compression stockings
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9
Q

what assessment scale do you use for fatigue for cancer survivors

A

edmonton symptom assessment scale
0-10

score 1-3 = mild fatigue
score 4-6 = moderate fatigue
score 7-10 = severe fatigue

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10
Q

is cancer-related fatigue the same as regular fatigue

A

no

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11
Q

interventions for fatigue in survivorship

A

engage in 30 min of moderate-intense physical activity most days

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12
Q

what is the scale used to screen survivors for distress

A

ESAS anxiety and depression scales

0=no anxiety/depression
10=worst anxiety/depression you can imagine

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13
Q

interventions for menopausal sympts

A
  • SSRIs and SNRIs
  • caution when using these agents in conjunction w tamoxifen
  • gabapentin and clonidine are other options for management of hot flushes
  • consider routine exercise
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14
Q

interventions for contraception in survivors

A
  • hormonal contraceptive is not recommended
  • barrier methods
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15
Q

what should survivors who are at risk for osteoporosis do

A

should undergo a screening bone mineral density test (by DEXA scan) at baseline and every 1-2 yrs thereafter

+ if they are pre-menopausal and post-menopausal

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16
Q

sexual functions of survivors

A
  • should b asked regularly about their sexual function
  • offer non-hormonal, water-based lubricants for vaginal dryness
  • refer to psychoeducational therapy and sexual or marital counseling when appropriate