Relationship between sleep disturbance, symptoms, and alcohol use in breast cancer survivors attending Sydney Cancer Survivorship Clinic
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Abstract This entry reviews the salient experiences of patients throughout cancer survivorship. Cancer can have devastating physical and psychological impacts on patients as they navigate from diagnosis to treatment to remission. After completing treatment, patients may continue to experience heightened levels of uncertainty about their cancer coming back and about communicating with their healthcare clinicians across the lifespan. Such challenges also may alter patients' close relationships and complicate patients' communicative efforts throughout survivorship.
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Survivorship, as defined by the National Coalition for Cancer Survivorship (2014), is the experience of living with, through, and beyond a diagnosis of cancer, including the impact on family, friends, and caregivers. Survivorship care is recognized as a priority in the cancer care continuum and has largely been driven by the Institute of Medicine (IOM) report From Cancer Patient to Cancer Survivor: Lost in Transition (Hewitt, Greenfield, & Stovall, 2005).
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Overview As the population of cancer survivors continues to increase, so too has attention to the long‐term care needs of these individuals after treatment ends. While most survivors adapt well post‐treatment, many experience lingering effects of their illness. In some cases, these effects become permanent and raise challenges to recovery and adaptation. In this chapter, we outline some of the common persistent sequelae of cancer and their management and review the emerging guidelines for survivorship care planning. Models of follow‐up care after cancer are discussed, along with the needs and support of informal cancer caregivers in this process. Recommendations for future directions in survivorship research and care are provided.
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We have come full circle to the importance of the human relationship as it relates to the multiple layers of healing involved in cancer survivorship care. The epilogue validates the need for survivorship care plans that are more tailored to the individual and the importance of coordinated care in survivorship care and asserts that best practices need to be disseminated and implemented in “real-world settings.” The recognition and naming of these points in cancer survivorship are a call to action in response to the need for communication and coordination between survivors, clinicians, formal and informal caregivers, and all others who attend to the needs of those in post-treatment as well as those who are living with cancer.
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Introduction: While the number of cancer survivors is projected to increase to 18 million by 2022, validated approaches for the care of cancer survivors are limited. There is a need for patientcentered cancer survivorship care with improved communication, care continuity, and coordination. In order to achieve this, patients and their support network should be included as members of the healthcare team.
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This article examines the relationship between gender and cancer survivorship. I argue that gender is as critical as a category of analysis for understanding cancer survivorship as it is missing from survivorship studies, particularly as concerns the identificatory basis of survivor culture and clinical studies regarding survivors’ quality of life (QOL). This under-studied question of the gendering of survivorship is critical because the consequences of the social production of disease is far-reaching, from the nature of medical research to social awareness, to funding to the well-being of cancer survivors themselves.
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