The Aftermath Breast Cancer

1. THE AFTERMATH
BREAST CANCER
Cynthia Frankel RN,OCN,CBCN
Director Clinical Operations & Plantation
Breast Program Development
University of Miami Health System

2. PHYSICAL PSYCHOLOGICAL SOCIAL SPIRITUAL
Infertility Self Image /Self Esteem Roles& relationships Meaning of Illness
Sexual-Dysfunction Distress of Diagnosis and Control of
treatment
Affection Roles and relationships
Pain Arthralgia
Tendinopathies of hand,
wrist, trigger finger
Economic Stability Breadwinner Isolation Facing Immortality
Neuropathy Loss of control Family Discord Distress Religiosity
Lymph edema Anxiety Appearance Inner strength
Functional Activities Depression Enjoyment Inner courage
Overall Physical Health Fear of Relapse Breadwinner Economic
Stability
Transcendence
Arthralgia (AI’s) Decreased Quality of Life Sexual Function Hope
DASH Employment Opportunities Appearance Uncertainty
Cognition, Memory,
Processing
Cluster syndrome:pain, insomnia, fatigue,
anxiety
Financial Goals
Fatigue, Sleep& Rest
Metabolic Syndrome
Guilt- BRCA Carriers Family Distress
Infertility Lack of Exercise Independence
Vaccines-Influenza,
Pneumococcal
Enjoyment and leisure
Surgical Outcomes
Strength
Cognition/Attention