Surviovorship6 Flashcards
who is considered a cancer survivor?
a patient that has been diagnosed with cancer, any caregiver who has lost a loved one to cancer
what survival issues do most patients have to deal with at the time of diagnosis of cancer?
acute or potential losses, fear of dying or impending death, acute side effects from treatment, disruption in family and social roles
what survival issues do most patients have to deal with after the completion of the initial cancer treatment?
possible maintenance therapy, loss of treatment based support systems, physical and psychosocial compromised, trying to return to work, fear of recurrence or death
what survival issues do most patients have to deal when the cancer is in remission or said to be cured?
potential disease recurrence, workplace discrimination, Insurance discrimination, physical and psychosocial changes from treatment, long-term side effects
which chemotherapy drugs commonly cause long-term pulmonary fibrosis?
BONUS, Bleomycin
which chemotherapy drugs commonly cause peripheral neuropathy?
taxanes, cisplatin, etoposide, vincristine
which chemotherapy drugs commonly cause renal compromise?
cisplatin, methotrexate, ifosfamide
what are the common long-term effects of cancer therapy that need to be monitored?
pulmonary fibrosis, infertility, second malignancies, disease recurrence
what are the potential functional changes that need to be assessed in the cancer survivor?
lymphedema, neuropathies, fatigue, decreased physical stamina
what are the potential cosmetic changes that need to be addressed in the cancer survivor?
ostomies, amputations, hair loss or thinning, scarring from surgical procedures
the long-term effects on the sexual and reproductive system that may need to be addressed include
sterility, impotence, testicular atrophy, premature menopause, vaginal fibrosis, vaginal dryness, changes in sexual response time
what psychological effects need to be addressed when dealing with the cancer survivor?
fear of recurrence, vulnerability, anxiety with routine follow-up care, changes and body image
what social changes do most cancer patients have to confront as a survivor?
isolation, transition from sick role to previous role and responsibility, differing perceptions of their state of health, changes in employment
which act prohibits discrimination against the handicapped or those perceived as handicapped by employers who receive federal funding?
Federal Rehabilitation Act of 1973
which act provides additional protection for workers not protected by the federal Rehabilitation Act?
Americans with Disabilities Act of 1990
what problems May cancer survivors encounter related to the insurance industry?
refusal of new, applications, waiver or exclusion of pre-existing illness, extended waiting periods, increase in premiums and reduction in insurance, or cancellation
what Act was passed in 1986 that mandate that employers of more than 20 employees to offer medical coverage and their dependents?
COBRA (Vonsolidated Omnibus Budget Reconciliation Act)
what insurance program is available to individuals who have paid into the program? Eligibility begins six months after declared medically or mentally impaired.
Social Security disability insurance program
what are the three stages of survival?
acute: diagnosis and treatment,
extended: treatment completed
permanent: long-term, cured
what is included in the cancer survivors Bill of Rights?
Assurance of lifelong Medical Care, pursuit of happiness, equal job opportunities, access to public or private health insurance
