Lecture 18: Cancer Survivorship Flashcards
recommended weekly exercise for cancer survivors
- @ least 150 minutes of moderate-intensity activity or 75 minutes of vigourous-intensity activity or equivalent combo
- 2-3 strength training sessions
life-style modifications for prevention of re-curring cancer
- nutrition
- exersize
- weight management (BMI: 20-25)
- limit alc consumption (1 drink/day for women or 2 per/day for men)
- vaccines
5 recommended vaccines for cancer survivors + main idea
inactivated !!
- trivalent inactivated influenza (TIV)
- pneumococcal (PPSV-23/PCV-13)
- tetanus, diphtheria, pertussis (Tdap)
- human papillomavirus (HPV)
- COVID-19
vaccines that aren’t recommended for cancer survivors + main idea
live vaccines
- polio and smallpox
- measles, mumps, rubella
- varicella
- varicela zoster
how often after surviving cancer should you get a history and physical exam
- every 3-6 months for first 3 yrs after primary treatment
- every 6-12 months for yrs 4-5
- then annually
for breast cancer what is the best surveillance for survivorship
- annual bilateral mammogram recommended
- in case of unilateral mastectomy: annual mammogram of opposite breast
- preform monthly self exam on breast
surveillance of pelvic exam for breast cancer
recommended that women on tamoxifen should have a gynecologic assessment every 12 months if uterus present
interventions for lymphedema
- strength training
- weight loss
- lymphedema specialist
- compression stockings
what assessment scale do you use for fatigue for cancer survivors
edmonton symptom assessment scale
0-10
score 1-3 = mild fatigue
score 4-6 = moderate fatigue
score 7-10 = severe fatigue
is cancer-related fatigue the same as regular fatigue
no
interventions for fatigue in survivorship
engage in 30 min of moderate-intense physical activity most days
what is the scale used to screen survivors for distress
ESAS anxiety and depression scales
0=no anxiety/depression
10=worst anxiety/depression you can imagine
interventions for menopausal sympts
- 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
interventions for contraception in survivors
- hormonal contraceptive is not recommended
- barrier methods
what should survivors who are at risk for osteoporosis do
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