Surviovorship6 Flashcards

1
Q

who is considered a cancer survivor?

A

a patient that has been diagnosed with cancer, any caregiver who has lost a loved one to cancer

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2
Q

what survival issues do most patients have to deal with at the time of diagnosis of cancer?

A

acute or potential losses, fear of dying or impending death, acute side effects from treatment, disruption in family and social roles

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3
Q

what survival issues do most patients have to deal with after the completion of the initial cancer treatment?

A

possible maintenance therapy, loss of treatment based support systems, physical and psychosocial compromised, trying to return to work, fear of recurrence or death

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4
Q

what survival issues do most patients have to deal when the cancer is in remission or said to be cured?

A

potential disease recurrence, workplace discrimination, Insurance discrimination, physical and psychosocial changes from treatment, long-term side effects

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5
Q

which chemotherapy drugs commonly cause long-term pulmonary fibrosis?

A

BONUS, Bleomycin

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6
Q

which chemotherapy drugs commonly cause peripheral neuropathy?

A

taxanes, cisplatin, etoposide, vincristine

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7
Q

which chemotherapy drugs commonly cause renal compromise?

A

cisplatin, methotrexate, ifosfamide

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8
Q

what are the common long-term effects of cancer therapy that need to be monitored?

A

pulmonary fibrosis, infertility, second malignancies, disease recurrence

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9
Q

what are the potential functional changes that need to be assessed in the cancer survivor?

A

lymphedema, neuropathies, fatigue, decreased physical stamina

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10
Q

what are the potential cosmetic changes that need to be addressed in the cancer survivor?

A

ostomies, amputations, hair loss or thinning, scarring from surgical procedures

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11
Q

the long-term effects on the sexual and reproductive system that may need to be addressed include

A

sterility, impotence, testicular atrophy, premature menopause, vaginal fibrosis, vaginal dryness, changes in sexual response time

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12
Q

what psychological effects need to be addressed when dealing with the cancer survivor?

A

fear of recurrence, vulnerability, anxiety with routine follow-up care, changes and body image

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13
Q

what social changes do most cancer patients have to confront as a survivor?

A

isolation, transition from sick role to previous role and responsibility, differing perceptions of their state of health, changes in employment

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14
Q

which act prohibits discrimination against the handicapped or those perceived as handicapped by employers who receive federal funding?

A

Federal Rehabilitation Act of 1973

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15
Q

which act provides additional protection for workers not protected by the federal Rehabilitation Act?

A

Americans with Disabilities Act of 1990

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16
Q

what problems May cancer survivors encounter related to the insurance industry?

A

refusal of new, applications, waiver or exclusion of pre-existing illness, extended waiting periods, increase in premiums and reduction in insurance, or cancellation

17
Q

what Act was passed in 1986 that mandate that employers of more than 20 employees to offer medical coverage and their dependents?

A

COBRA (Vonsolidated Omnibus Budget Reconciliation Act)

18
Q

what insurance program is available to individuals who have paid into the program? Eligibility begins six months after declared medically or mentally impaired.

A

Social Security disability insurance program

19
Q

what are the three stages of survival?

A

acute: diagnosis and treatment,
extended: treatment completed
permanent: long-term, cured

20
Q

what is included in the cancer survivors Bill of Rights?

A

Assurance of lifelong Medical Care, pursuit of happiness, equal job opportunities, access to public or private health insurance