1. Continuing Care in Cancer
• Long-term monitoring and support
• The multi-disciplinary team
• Life after treatment
• Cancer – the future
• Continuing care – the future
• Complementary therapies
• Living with cancer
Lucy Kenyon (lucyade@netcomuk.co.uk)
2. Ongoing treatment
• Relapse
– Another course of therapy or surgery
• Palliative treatment - available to all cancer
patients, from hospital or in the community
– Controlling pain and other symptoms connected
with cancer
– Meeting social, emotional and spiritual needs
Lucy Kenyon (lucyade@netcomuk.co.uk)
3. Hospice Care
• Quality of life
• Palliative care
• Pain and symptom control
• Emotional support to patients, their loved ones
and friends during the patient's illness and after
bereavement.
• Provided at home, in a specialist hospice or
palliative care unit, in hospital or at a hospice day
centre.
Lucy Kenyon (lucyade@netcomuk.co.uk)
4. Long-term monitoring
• Regular check-ups at hospital out-patient
clinics
– Become less frequent and then cease if there are
no problems
• GP arranged community services to help
you live at home
– Include help with household tasks, or
continuing advice and support from nurses
Lucy Kenyon (lucyade@netcomuk.co.uk)
5. Support
• Physical
– Fatigue
– Activities of daily living
– Pain management
• Spiritual
– Anger & faith management
• Emotional
– Depression
– Body image
Lucy Kenyon (lucyade@netcomuk.co.uk)
6. The multidisciplinary Team
• Doctors
• Medical secretaries
• Nurses (hospital, community & specialists)
• Pharmacists
• Porters taking patients to their radiotherapy
treatment and chemotherapy 1
• Radiographers
1
Clatterbridge Centre for Oncology, Wirral, Merseyside BBC News Monday, July 26, 1999
Lucy Kenyon (lucyade@netcomuk.co.uk)
7. Life after treatment
• Relapse
• Remission
• Cure
• Initial shock and the effects of treatment
pass
• Learn to think once again about things other
than cancer
Lucy Kenyon (lucyade@netcomuk.co.uk)
8. Cancer – The future
• 40% will develop cancer in their lifetime.
Most will be controlled like diabetes, not
cured. (Dr Karol Sikora)
• Screening & early detection
– Self examination
– Primary care team
– Workplace
– Genetics
Lucy Kenyon (lucyade@netcomuk.co.uk)
9. Continuing care – The future
• Community care
– Home
– Day clinics & outpatient treatment
– Workplace
• Maintenance therapies
• Genetic therapies
• Palliative care
• Complementary therapies
Lucy Kenyon (lucyade@netcomuk.co.uk)
10. Complementary therapies
• Holistic medicine
• Lifestyle changes
• Traditional chinese medicine
• Vitamin & mineral supplements
• Homeopathy
• Hypnosis & visualisation
Lucy Kenyon (lucyade@netcomuk.co.uk)
11. Living with cancer
• Self administration
• Diet & fitness
• Rehabilitation
– Purpose & focus
– Responsibilities & control
– Routine & activity
– Work
• Support
Lucy Kenyon (lucyade@netcomuk.co.uk)
