Presentation1 SOC313
pptx
keyboard_arrow_up
School
Ashford University - California *
*We aren’t endorsed by this school
Course
313
Subject
Medicine
Date
Feb 20, 2024
Type
pptx
Pages
22
Uploaded by BrigadierWillpower17120
z
Staff Orientation: Managing Patients with End-Stage Lung Cancer
Student Name
SOC313: Social Implications of Medical Issues
Professor Name
23 Jan 2023
z
Overview
Lung Cancer.
Biological, psychological and social changes.
Western Medicine Treatment.
CAM Treatment.
Patient’s Perspective.
Bias and Stigmas.
Caregivers.
Community.
Summary.
z
z
Lung Cancer
•
Lung cancer is a type of cancer that originates in the tissues of Lungs. •
Leading cause of Cancer deaths in the United States. •
There is two types of Lung Cancer, Small Cell Lung Cancer and non-small cell lung cancer. Some symptoms are cough, shortness of breath, hoarseness, blood in the sputum, and pain.
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
z
z
Biological Changes •
Normal lung cells change or alter their growth and death cycle resulting in too many cells.
•
Cellular mutation is a series of permanent changes to DNA.
•
Cancerous cells may break away and travel to other tissue and organs in a process called metastasis.
z
Psychological Changes
Some patients receive their diagnosis as a shock.
People with Lung Cancer often develop anxiety and depression.
People might present mood swings and increased emotionality.
People in the end-stage of cancer might withdraw from their family.
z
Social Changes
People with Lung Cancer and families often faced isolation from social groups.
Consequences in Social Identity.
Consequences in social engagement.
Their perspective of social activities changed value.
Consequences for social network.
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
z
z
Western Medicine Treatment
•
Non-small cell lung cancer
•
Surgery
•
Chemotherapy •
Radiation therapy •
Targeted therapy •
Small cell lung cancer
•
Radiation therapy •
Chemotherapy
z
Physical Toll
When radiation is directed to the chest it can cause damage to healthy tissue.
Some chemotherapy medicine has the same damage.
Some issues can be:
Lung Damage
Heart Damage
Lymphedema
z
Stress Anxiety Loneliness
Anger
Chemo Brain
Depression
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
z
Social Toll
Some Cancer patients self-
isolate themselves.
Some people choose to keep concerning information from others.
Loneliness has negative effects amongst patients.
Social exclusion is a common feeling for patients.
z
Financial Toll
Type/ Stage of cancer
Cost
Stage 0
$5,000 to $10,000 Stage I
$30,000
Stage II
$40,000
Stage III
$50,000
Stage IV
$60,000
Non-small cell
$40,000
Small Cell $50,000
Type of treatment Monthly cost Surgery
$33,000
Chemotherapy
$3,000 to 10,000
Radiation Therapy
$4,000 to $11,000
z
Complementary and Alternative Medicine
CHINESE MEDICINE
AYURVEDIC MEDICINE
NATUROPATHIC MEDICINE MIND-BODY THERAPIES
BIOLOGICALLY BASED PRACTICES
MANIPULATIVE AND BODY-
BASED
ENERGY HEALING
Complementary medicine is used in addition to standard treatment.
Alternative medicine is used instead of standard treatment.
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
z
Physical Toll
Supplements and vitamins can cause:
Nausea
Diarrhea
Insomnia
Agitation
Irritability
Liver-toxicity
CAM can also block the action of traditional medicine.
z
Emotional Toll
CAMs can be beneficial in depression.
However, there is not enough data to recommend for severe depression.
Supplements can induce mania or worse depression.
Some therapy has helped reduce stress, anxiety, fatigue.
z
Financial Toll
One third of patients make out-of-pocket expenditures CAM medicine.
20% of total out of pocket cost and 35% of health costs in a household constituted CAM medicine.
30% of a patient’s income goes to paying for CAM treatment.
Expenditures in dietary supplements are at least $2,000 yearly.
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
z
Patient’s Perspective Adults 19-
64 years Income limits early diagnosis amongst. Patients tend to feel fear and anxiety in relation to screening t
ests. After a cancer diagnosis there can be multip
le possibilities for patients.
Lung cancer patients can develop depression and anxiety.
In end-of-life stage of cancer it can be difficult to prepare for death.
Adopting a palliative care strategy provides comfort and relief from suffering.
z
Bias and Stigma
Patients who develop Lung Cancer usually get the blame for the disease.
Anyone with lungs can get lung cancer.
Everyone deserves care and support regardless of the cause of their cancer.
Patients feel they do not receive the same level of compassion.
Due to self-blame and self-
stigma patients keep the diagnosis from family and friends.
z
Caregiver
Caregivers must take care of their own health.
Lean on others for support.
Help patient stay organized.
A change in roles and responsibility may happen between caregiver and patient.
Physical and emotional needs will change.
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
z
Community Resources
Wellness House of Annapolis
Free services and programs for those affected by Cancer.
They seek to support recovery and healing. Hospice of the Chesapeake
Covered by most insurances.
Different levels of hospice care.
Healing Arts For additional rewsources, please visit https://marylandoncology.com/patient-resources/
z
Summary
Empathy for those in end-
stage Lung Cancer is important.
Every patient’s experience is different.
Providing resources to patients will help relief their stress.
Preparing for death or the death of a loved one can be difficult. As healthcare professionals it is important to keep this into consideration when decision making.
z
References
American Cancer Society . (2023, January 12).
What is lung cancer?:Types of lung cancer
. Types of Lung Cancer | American Cancer Society. https://www.cancer.org/cancer/types/lungcancer/about/what-is.html
American Life Fund. (2023, September 28). Lung cancer treatment cost: Find Useful Resources
. American Life Fund. https://www.americanlifefund.com/cancer/treatment/costs/lung/
American Lung Association. (2022, November 17). How to support your loved one with lung cancer
. American Lung Association. https://www.lung.org/lung-health-diseases/lung-disease-lookup/lung-
cancer/family-and-friends/taking-care-of-your-loved-one/how-to-support
Annapolis Wellness Corporation. (n.d.). Wellness House of Annapolis . Wellness House of Annapolis. https://www.annapoliswellnesshouse.org
Asco Foundation . (2022, April 15). How cancer affects family life
. Cancer.Net. https://www.cancer.net/coping-with-cancer/talking-with-family-and-friends/how-cancer-affects-family-life
Bhoo-Pathy, N., Subramaniam, S., Khalil, S., Kimman, M., Kong, Y.-C., Ng, C.-W., Bustamam, R. S., & Yip, C.-H. (2021). Out-of-pocket costs of complementary medicine following cancer and the f
inancial impact in a setting with Universal Health Coverage: Findings from a prospective Cohort Study. JCO Oncology Practice
, 17
(10), e1592–e1602. https://doi.org/10.1200/op.20.01052
CAMH. (n.d.). Complementary and alternative medicine cam therapies
. CAMH. https://www.camh.ca/en/health-info/mental-illness-and-addiction-index/complementary-and-alternative-therapies
Canadian Cancer Society . (2020, May). Lung Cancer and stigma
. Canadian Cancer Society. https://cancer.ca/en/cancer-information/cancer-types/lung/supportive-care/lung-cancer-and-
stigma#:~:text=People%20with%20lung%20cancer%20feel,quality%20of%20treatment%20they%20get.
Centers for Disease Control and Prevention. (2023a, May 15). Common feelings after cancer treatment
. Centers for Disease Control and Prevention. https://www.cdc.gov/cancer/survivors/healthy-living-
guides/emotional-health/common-feelings.htm#:~:text=Chemo%20Brain&text=Emotional%20and%20mental%20health
%20challenges,feelings%20of%20frustration%20or%20anger.
Centers for Disease Control and Prevention. (2023, July 31). How is lung cancer diagnosed and treated?
. Centers for Disease Control and Prevention. https://www.cdc.gov/cancer/lung/basic_info/diagnosis_treatment.htm#:~:text=it%20has%20spread.People%20with%20non%2Dsmall%20cell%20lung%20cancer%20can%20be%20treated,doct
ors%20cut%20out%20cancer%20tissue.
Chambers, S. K., Baade, P., Youl, P., Aitken, J., Occhipinti, S., Vinod, S., Valery, P. C., Garvey, G., Fong, K. M., Ball, D., Zorbas, H., Dunn, J., & O’Connell, D. L. (2015). Psychological distress and quality of life in lung cancer: The role of health‐related stigma, illness appraisals and social constraints. Psycho-Oncology
, 24
(11), 1569–1577. https://doi.org/10.1002/pon.3829
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
z
References
Eldridge, L. (2022, October 10). What to expect in the final stages of Lung Cancer
. Verywell Health. https://www.verywellhealth.com/what-to-expect-in-the-final-stages-of-lung-cancer-2249015#:~:text=you%20may%20see.,Emotional%20Changes,no%20longer%20capture%20much%20interest
.
Fitzsimmons , A., Vollmer Dahlke, D., Bergeron, C., Smith, K., Patel, A., Ory, M., & Lee Smith , M. (2019, January 16). Impact of complementary and alternative medicine offerings on cancer patients’ emotional health and ability to self-manage health conditions
. Complementary Therapies in Medicine. https://www.sciencedirect.com/science/article/abs/pii/S0965229918312743
Hospice of the Chesapeake. (2017, May 4). Complementary therapies
. Hospice of the Chesapeake. https://www.hospicechesapeake.org/hospice-supportive-care/what-is-
hospice/complementary-therapies/
Lagasse, P., & Columbia University. (2018). Lung cancer. In
The Columbia Encyclopedia
. Columbia University Press. Retrieved January 21, 2024, from https://search.credoreference.com/articles/Qm9va0FydGljbGU6NjU5MDkw?aid=100753
Liang, Y., Hao, G., Wu, M., & Hou, L. (2022, August 31). Social isolation in adults with cancer: An evolutionary concept analysis
. Frontiers. https://www.frontiersin.org/articles/10.3389/fpsyg.2022.973640/full
Looijmans, M., van Manen, A. S., Traa, M. J., Kloover, J. S., Kessels, B. L. J., & de Vries, J. (2018, June 9). Psychosocial consequences of diagnosis and treatment of lung cancer and evaluation of the need for a lung cancer specific instrument using focus group methodology
. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209000/
Moffitt Cancer Center. (2020, February 1). How does lung cancer develop?
. Moffitt cancer center. https://www.moffitt.org/taking-care-of-your-health/taking-care-of-your-health-story-archive/how-does-lung-
cancer
-
develop/#:~:text=Lung%20cancer%20develops%20when%20normal,develop%20into%20healthy%20lung%20tissue.
Moffitt Cancer Center. (n.d.). What are the long-term effects of lung cancer treatment
. moffitt. https://www.moffitt.org/cancers/lung-cancer/faqs/what-are-the-long-term-effects-of-lung-cancer-treatment/
National Cancer Institute. (2023, June 12). Complementary and alternative medicine (CAM)
. National Cancer Institute. https://www.cancer.gov/about-cancer/treatment/cam
Van Roij, J., Brom, L., Youssef-El Soud, M., van de Poll-Franse, L., & Raijmakers, N. J. H. (2018, September 13). Social Consequences of advanced cancer in patients and their informal caregivers: A qualitative study
. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394690/
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help