PowerPoint

870 views

Published on

Published in: Health & Medicine
  • Be the first to comment

  • Be the first to like this

PowerPoint

  1. 1. WA Cancer & Palliative Care Network WA Psycho-Oncology Service Susan Thorman Specialist Clinical Psychologist Team Leader Ph: 9382-7480 Fax: 9382-7479
  2. 2. 29 January 2015 Slide 2 Some psychological impacts of brain tumour in adults
  3. 3. 29 January 2015 Slide 3 WA Psycho-Oncolgy Service • WA Psycho-Oncology Service established 2007 • Primary purpose to offer specialist psychological care to adult cancer patients and family (Not Breast Cancer) • Free, state-wide, private and public, all adult cancers • Located Shenton Park + In-reach SCGH, RPH, FH • 3.8 FTE Clinical Psychology + 1 FTE Admin Assist • Psycho-oncology vs Clinical Psychology
  4. 4. 29 January 2015 Slide 4 Cancer and mental health • Psychological distress after cancer dx/tx is common • Clinically significant distress found in (NHMRC) 20-30% new diagnosis 50% recurrence • Few studies specific to Brain Cancers support similar levels of distress
  5. 5. 29 January 2015 Slide 5 Brain Cancer and Mental Health • Lack of studies = new area + small case numbers • Brain Cancers 1.5 % of all cases (144 cases, 2007 WA Ca Reg) • ‘Big 5’: high volume cancers Breast+Prostate 30% (2900 cases) Colorectal 12% (1189 cases) Skin 10% Lung 9%
  6. 6. 29 January 2015 Slide 6 Future Research: high volume vs high distress? % Cases Dx % WAPOS Cases (2007-2009) Breast/Prostate 30 11 Colorectal 12 9 Skin 10 8 Lung 9 12 Haematological 7 12 Brain Cancers 1.5% 14 Head & Neck, 11 Upper GI, Gynaecological 7
  7. 7. 29 January 2015 Slide 7 Brain Cancer and Mental Health • Wellisch et al 2002 89 adult brain cancer patients given clinical interview 28% MDD (DSM-IV) • Mainio et al 2006 101 adults high/ low grade gliomas Depression associated with lower survival time low grade
  8. 8. 29 January 2015 Slide 8 Brain Cancer and Mental Health • Janda et al (2007) Queensland study 75 patients and 70 carers HADS Anxious mood: 30% patient 40% carers Depressed mood: 17% patient 10% carers • Significant psychological impact on the patient and the whole family system
  9. 9. 29 January 2015 Slide 9 The Whole Family is Affected
  10. 10. 29 January 2015 Slide 10 Effects of Brain Tumour • Neurologic Symptoms Headaches, dizziness, impaired speech or movement • Cognitive Deficits Memory problems Behavioural Changes • Due to the tumour, surgery, medication and treatments
  11. 11. 29 January 2015 Slide 11 Common Cognitive Deficits •Anger/labile affect •Attention and concentration •Communication •Confusion and disorientation •Self-focus •Problems solving •Fatigue •Impulsive behaviour •Inappropriate behaviour •Emotional changes •Apathy •Personal care •Memory •Repetition
  12. 12. 29 January 2015 Slide 12 Depression Anxiety and Brain Tumour • Difficulty with identifying depression • Seek medical advice • Normal shock and adjustment
  13. 13. 29 January 2015 Slide 13 Depression Symptoms • more tearful than usual • withdrawing from peoples • loss of enjoyment in things • unable to concentrate/ watch TV • increased alcohol or other drugs •sleep disturbance • appetite disturbance • weight loss or gain. • miserable most of the time • guilty at being a burden •bad person, worthless •hopeless thoughts “no point” •friends, or feeling like a bad person • frustrated irritable • tired fatigued
  14. 14. 29 January 2015 Slide 14 Anxiety Disorders • constant uncontrollable worry • restless, on edge, tight muscles (e.g. sore jaw or back) • Butterfies, churning stomach, sweaty, breathless • easily tired, irritable, easily startled • difficulty concentrating, racing thoughts, busy mind • difficulty falling or staying asleep or restless sleep • Recurrence of traumatic memories, dreams, flashbacks
  15. 15. 29 January 2015 Slide 15 Treatments • Psychological : CBT, Mindfulness and Relaxation skills • Combination of psychological and drug treatments • Support groups
  16. 16. 29 January 2015 Slide 16 Past Trauma & Loss Cognitive Difficulties Med Side- effects Existing Mental Health Disorder Unfamiliar Situation Spiritual & Existential Concerns Conditioned Response to Setting Uncertainty of Future Don’t Understand Procedure Self-esteem Personality Temperament Drug- Seeking (sedatives) Myths Cancer Physical Sx Daily Stressors Effects of Tumor Psychological distress has complex underpinnings. It affects our behaviour our emotions and our capacity to think and communicate.
  17. 17. 29 January 2015 Slide 17 WA Psycho-Oncology Service Tel: 9382-7480 Fax: 9382-7479 Email: psychooncology@health.wa.gov.au Postal Address: Thorburn House Lv 3 East Wing RPH: Shenton Park Campus Selby St Shenton Park WA 6008

×