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Unit 14 > Psychological aspects cancer > Flashcards

Psychological aspects cancer Flashcards

1
Q

Facts about cancer

A
  • One in every 2 people born after 1960 can now expect to be diagnosed with cancer at some point in their lifetime
  • 2.5m people in the UK are living with or beyond cancer
  • 70% of people with cancer are living with one more more serious health condition other than their cancer
  • 1 in 5 cancer survivors have unmet needed
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2
Q

Risk factors cancer

A
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3
Q

Tobacco and cancer

A
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4
Q

Current situation smoking locally

A
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5
Q

Brief intervention on smoking - The 3As

A
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6
Q

Overweight and obesity with Cancer

A

Overweight na dobesity causes around 22,9000 cases of cncer every year in Uk

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7
Q

How can overweight cause cancer?

A

Be cautious as lots of exploitation around nutrition

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8
Q

Stress, Illness and cancer

A
  • Bio-pyschosocial
  • Attribution theories include locus of control-control, causality responsibility
  • Risk perception- unrealistic optimism
  • Behavior change/ motivational change models
  • Health belief models/ illness cognition models
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9
Q

Psychosocial process

A
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10
Q

Coping and Resilience in cancer

A
  • Adjustment models - shock, feelings of loss/grief, denial/retreat, reorientation to reality
  • Crisis models - changes to identity, location, role, social support, future
  • Coping behaviours, appraisal focused (logical analysis of situation), problem-focused, emotion focuses, spiritual focused, search for meaning (cognitive adaption)
  • Varies in response to context.
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11
Q

COping vs resillience

A

Coping = how we adapt to protect our self from stress

Resilience = outcomes of successful coping - Abilityt o adapt and bounce back and dynamic and changes over time.

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12
Q

Screening and Self examination behaviours for cancr

A
  • Uptake varies:
  • Patient factors:
    • SES, beliefs about screening, anxiety about process, anxiety about illnes,s perceived risks
    • Health belief model and theory planned behaviour
  • Health professional factors - communication
  • Organisation factors - opt in opt out, hospital
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13
Q

Screening and self examination in cancer

A

HLoc- chance health locus belief

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14
Q

Psychological impact of diagnosis cancer

A
  • Seeking diagnosis - health beliefs (social and ivndi=vidual), delay/denial, heightened symptoms
  • Response to diagnosis - Adjustment models (Kubler ross, shontz-shock, encounter reaction, retreat), leventhials self regulation mode,, appraisal.interpretation -search for meaning, comparison with worse off
  • Psychological repsonse- white and macleod - distress, depression,a nxiety, neuropsychiatric symptoms
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15
Q

Psychological Morbidity cancer

A
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16
Q

Kubler-ross grief model

A

Reaction to loss/mortality

Stage snot discrete or linear

  • Shock/numbeness
  • Denial and feleing sisolation
  • ANger, blaming
  • bargaining for time/goals
  • Aceeptance
17
Q

Shontz

A
18
Q

Psychological impact cancer

A
  • Patients emotional repsosnes vary widely, even among groups with similar diganosis
  • Fear of recurrence - patients and families biggets concern
  • Breast cancer- changes in patients sense of femininity, attractiveness and body image
  • head and neck cancer -c hanges in eating and drinking, breathing, body image, FOR (fear of reoccurence)
19
Q

Coping Styles in cancer

A
20
Q

Psychological response and coping to cancer

A
21
Q

Communication and cancer

A
  • Fundamental - Key skill - often overlooked
  • ‘C’ word
  • Use of jargon “mass”, “tumour”, “lump”
  • Breaking bad news - SPIKES
  • Setting up, Perception, Invitation, knowledge, Emotions
22
Q

Framework for breaking bad news

A
23
Q

Words often associated with cancer diagnsois

A

:Batlle, invade, devastating blow, fight, win or lose, brave, beaten (fail) …

24
Q

Case for good communication

A

If major concerns remain undisclosed:

25
Q

Role cancer specialist nurse

A
26
Q

NICE model - psychological and support

A
27
Q

Personalised care (cancer)

A
28
Q

living with and beyond cancer 2020

A

Living with and beyond cancer 2020

29
Q

Psychosocila interventions in cancer

A
30
Q

EVidence of impact of cancer

A
31
Q

Key national guidance

A

NICE guidance of cancer, nhs long term plan, guidance on depression with physical health condiiton and for GAD….

32
Q

murray and Mcmillin findings in cervical smear tests

A

Unit 14 (15 decks)

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