Week 7-9 Flashcards
1
Q
Underserved Communities in Canada
A
A population that is provided inadequate service and is systemically disadvantaged due to reasons including but not limited to race, age, language, geography, gender identity, sexual orientation and socioeconomic status
2
Q
People living with Serious Mental Illness
A
- Increased risk of chronic disease
- High prevalence of modifiable risk factors
- Increased mortality from cancer
- Less likely to receive cancer screening
- Less likely to receive prevention services
- More frequent visits to primary care
3
Q
LGBTQ+
A
- Limited cancer statistics
- Inequities due to stigmatization/discrimination
- Homophobia & transphobia
- Lack of inclusivity
- Negative relationships with HCPs
- Incompetency of HCPs
- Trauma informed care
- Social support gaps
4
Q
Adolescents & Young Adults with Cancer
A
- 15-39 years
- Unique developmental, psychosocial & self-management needs
- Disrupts life milestones
- Education, career, employment delay
- Disconnection from peers
- Impaired body image
- Increased risk of new cancers, chronic disease
- Underdeveloped communication, coping skills
- Organs sensitive to damaging effects of treatment
5
Q
Ethnic Minorities
A
- More likely to be diagnosed at late stage
- Less likely to receive high quality care
- Less access to specialized medicine
- Less access to clinical trials
6
Q
Older Adults (65+)
A
- Increased cancer risk with age
- Ageism
- Over/under treatment
- Family informed first - cognitive, literacy
- More likely to have co-morbidities
- Self-care loss of function challenges
- Care-giver burden
7
Q
Newcomers to Canada
A
- Increased immigrant population
- Limited statistical data
- Language barriers - access barriers
- Differences in supports, challenges, barriers
- Stigma/shame - reproductive
- Other priorities - employment, housing
- Looking for provider with same ethnicity
- Transportation challenges (rural)
8
Q
Indigenous Communities
A
- Less cancer care access
- Limited statistical data
- Higher mortality rates
- Multi-generational health disparities
- Lack of trust in system & western medicine
- Intergenerational trauma
- Travel costs
- Lack of provider competency
- Lack of culturally appropriate resources
9
Q
Rare Cancers
A
- More common in adolescents & young adults
- Delay in diagnosis
- Fewer treatment options
- Poorer health outcomes
- Limited educational information
- Higher rates of depression/anxiety
10
Q
Advanced Cancers
A
- Surveillance data not differentiating for advanced
- Symptom burden
- Lack of trauma informed care
- Information needs - palliative care
- Caregiver supports needed
11
Q
Rural & Remote
A
- Population below 10k or geographically remote
- Lower incidence of cancer, higher mortality
- Unmet psychosocial & informational needs
- Limited access to specialists
- Transport, time, accommodation - financial
- Communication gaps between clinics
- Virtual care limited - internet access
- Limited mental health services - poorer outcomes
12
Q
Culturally Competent Nursing Care
A
- Reduction of health disparities via assessment of person’s health beliefs and cultural needs
- Moral obligation to protect human rights - identify and respond to cultural needs to positively impact recovery
13
Q
Patient Experience
A
- Increased requirement for patients to manage their own care across settings less coordinated care
- Little/no support along continuum
- Treatment models shifting towards community-based care
14
Q
Supportive Needs of Patient
A
Informational needs
Psychological challenges
Social issues
Practical and financial issues
Spiritual questions
15
Q
Diagnosis Emotions
A
- Shock
- Anxiety
- Fear
- Sense of loss of control
16
Q
Treatment Emotions
A
- Fear
- Anxiety
- Emotional responses
- Symptom management
17
Q
Survivorship Emotions
A
- Feel dropped from system
- Difficult transition to everyday life
18
Q
Recurrence Emotions
A
- Sense of hopeless
- Increased fears
19
Q
End-of-Life Emotions
A
- Grief
- Sense of mourning
- Depression
- Acute sadness
- Review of life
20
Q
Urban Definition
A
- Census metropolitan areas (CMAs)
- Census agglomerations (Cas)
- Core population of 10,000
- 50%+ of population commutes to CMA or CA
21
Q
Geographic Outcomes
A
- Geographic variability in preventable & treatable mortality rates across Canada
- Higher mortality rates in more remote areas
22
Q
Rural Adverse Outcomes
A
- Geographic barriers
- Limited healthcare services
- Unmet healthcare needs
- Reduced access to screening
- SES of rural-dwelling residents
- Transportation barriers to treatment
23
Q
Caregiver Definition
A
- Caring role without pay
- Non-professional capacity
- Physical, emotional, financial, social, spiritual, system navigation support
- To person with cancer at any phase of continuum
- Play pivotal role in circle of care & key partners in healthcare delivery
24
Q
Caregiver Responsibilities
A
- Physical support – providing intimate care, symptom management
- Emotional support
- Transportation
- Assisting with treatments (dressings, medications, monitoring)
25
Oncology Caregiver Outcomes
- Poor QOL
- Poor mental health
- Sleep disturbance
- Loss of appetite
- Fatigue
- Pain
- Confidentiality/autonomy prioritized
26
Child with Cancer
- Difficult emotional issues for parent(s)
- Burden of suffering, guilt at not being able to take the suffering away; treatment and anxiety of causing pain & suffering to child
27
Child of Parent with Cancer
- Amount of info given to young kids
- Adult children find themselves in sandwich generation (caring for kids & parent)
28
Survivor
Anyone who has been diagnosed with cancer at any point in their life
29
Challenges of Cancer Survivors
- Fear and uncertainty, emotional distress
- Changes in family roles and relationships
- Alterations in self-image and self-esteem
- Changes in comfort, physiological functioning and mobility
- Alterations in cognitive functioning
- Changes in employment and recreation
- Altered fertility and sexuality
- Financial challenges
- Difficulties accessing on-going health care
- Increased risks for additional cancer diagnoses
30
Long Term Effects of Cancer Treatment
- Cardiac dysfunction
- Cancer Treatment-induced Metabolic Syndrome
- Lymphoedema
- Pain
- Peripheral neuropathy
- Osteoporosis
- Immune-related effects
- Secondary cancers
31
Consequences of Survivorship
- Fatigue, pain, disability
- Fear of abandonment, isolation
- Changed relationships
- Fear of recurrence
- Unrealistic expectations of others
32
Nursing Role in Transition
- Promote adjustment to new life
- Support return to work
- Recognizing meaning in survivorship – shifting roles
- Self-care management
- Promoting communication between survivor and health care team
33
Components of Survivorship Care
- Prevention of recurrent & new cancers, late effects
- Surveillance for cancer spread, recurrence, second cancers, late effects
- Intervention for consequences of cancer & its treatment
- Coordination between specialists & primary-care providers
