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Identifying and Managing the Consequences of Treatment for Early Breast Cancer

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Breast Cancer Survivorship

Abstract

Increasing numbers of women are living for significant periods of time after diagnosis and treatment for early breast cancer. For many of these women the consequences of cancer treatments can be debilitating and distressing yet little is known about their experience of survival. The Recovery Package facilitates the identification and management of the consequences of treatment. This is achieved through the offer of a structured, person centered means of assessing and delivering the appropriate levels of support to these women at a time and in a way that is consistent with their wishes and needs.

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References

  1. Cancer Research UK (CRUK). Cancer survival statistics. 2014. http://www.cancerresearchuk.org/health-professional/cancer-statistics/survival. Accessed 11 Oct 2015. CRUK 2014.

  2. National Cancer Survivorship Initiative. Living with and beyond cancer: taking action to improve outcomes. 2013. Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/181054/9333-TSO-2900664-NCSI_Report_FINAL.pdf. Accessed 8 Sept 2015.

  3. Fenlon D, Frankland J, Foster C, Brooks C, Coleman P, Payne S, Seymour J, Simmonds P, Stephens R, Walsh B, Addington-Hall J. Living into old age with the consequences of breast cancer. Euro J Oncol Nurs. 2013;17(3):311–31.

    Article  Google Scholar 

  4. Maher J, McConnell H. New pathways of care for cancer survivors: adding the numbers. Br J Cancer. 2011;105:S5–10.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Brennan J, Gingell P, Brant H, Hollingworth W. Refinement of the distress management problem list as the basis for a holistic therapeutic conversation among UK patients with cancer. Psychooncology. 2012;21(12):1346–56.

    Article  PubMed  Google Scholar 

  6. NHS England. Cancer patient experience survey 2014. 2014. https://www.quality-health.co.uk/surveys/national-cancer-patient-experience-survey. Accessed 22 Oct 2015.

  7. Department of Health (DH). Quality of life of cancer survivors in England. 2012. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/267042/9284-TSO-2900701-PROMS-1.pdf. Accessed 22 Oct 2015.

  8. Doyle N. Cancer survivorship: evolutionary concept analysis. J Adv Nurs. 2008;62(4):499–509.

    Article  PubMed  Google Scholar 

  9. Schmitz K, Prosnitz R, Schwartz A, Carver R. Prospective surveillance and management of cardiac toxicity and health in breast cancer survivors. Cancer. 2012;118(8):2270–6.

    Article  PubMed  Google Scholar 

  10. Azim H, de Azambuja E, Colozza M, Bines J, Piccart M. Long-term toxic effects of adjuvant chemotherapy in breast cancer. Ann Oncol. 2011;22(9):1939–47.

    Article  PubMed  Google Scholar 

  11. Howard-Anderson J, Ganz P, Bower J, Stanton A. Quality of life, fertility concerns, and behavioral health outcomes in younger breast cancer survivors: a systematic review. J Natl Cancer Inst. 2012;104:386–405.

    Article  PubMed  Google Scholar 

  12. Rock C, Flatt S, Byers T, Colditz G, Demark-Wahnefried W, Ganz P, et al. Results of the Exercise and Nutrition to Enhance Recovery and Good Health for You (ENERGY) Trial: A Behavioral Weight Loss Intervention in Overweight or Obese Breast Cancer Survivors JCO. 2012;33(28):3169–76.

    Google Scholar 

  13. Macmillan Cancer Support. 1.8 million people are living with cancer and another long term condition. 2015. http://www.macmillan.org.uk/Aboutus/News/Latest_News/18millionpeoplearelivingwithcancerandanotherlongtermcondition.aspx. Accessed 22 Oct 2015.

  14. Mackereth P, Farrell C, Bardy J, Molassiotos A, Finnegan-John J. Legitimising fatigue after breast cancer treatment. Br J Nurs. 2015;24:pS4–S12.

    Article  Google Scholar 

  15. Mejdahl M, Andersen K, Gärtner R, Kroman N, Kehlet H. Persistent pain and sensory disturbances after treatment for breast cancer: six year nationwide follow-up study. BMJ. 2013;346:f1865.

    Article  PubMed  Google Scholar 

  16. Draper J, Tetley J. The importance of person-centred approaches to nursing care. 2013. Open Learn, 15 March 2013. [Online]. Available from: The Open University http://www.open.edu/openlearn/body-mind/health/nursing/the-importance-person-centred-approaches-nursing-care. Accessed 4 Oct 2015.

  17. The Health Foundation. Person-centred care made simple. What everyone should know about person-centred care. London: The Health Foundation; 2014.

    Google Scholar 

  18. Price B. Exploring person-centred care. Nurs Stand. 2006;20(50):49–56.

    Article  PubMed  Google Scholar 

  19. Bibby J. The Health Foundation: Submission of evidence to the Health Select Committees long term conditions inquiry. 2013. [Online]. Available from: http://www.health.org.uk/areas-of-work/influencing-policy/consultation-responses/the-health-foundation-s-evidence-to-the-health-select-committee-s-inquiry-into-the-management-of-long-term-conditions/. Accessed 22 Oct 2015.

  20. Collins A. Measuring what really matters: towards a coherent measurement system to support person-centred care. London: The Health Foundation; 2014.

    Google Scholar 

  21. Foster C, Fenlon D. Recovery and self management support following primary cancer treatment. Br J Cancer. 2011;105:S21–8.

    Article  PubMed  PubMed Central  Google Scholar 

  22. McCorkle R, Ercolano E, Lazenby M, Schulman-Green D, Schilling L, Lorig K, Wagner E. Self-management: enabling and empowering patients living with cancer as a chronic illness. CA Cancer J Clin. 2011;61(1):50–62.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Da Silva D. Helping people help themselves: a review of the evidence considering whether it is worthwhile to support self-management. London: The Heath Foundation; 2011.

    Google Scholar 

  24. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191–215.

    Article  CAS  PubMed  Google Scholar 

  25. NICE. Behaviour changes: general approaches NICE Guidelines. 2007. http://www.nice.org.uk/guidance/ph6/resources/guidance-behaviour-change-the-principles-for-effective-interventions-pdf.

  26. Demark-Wahnefried W. Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol. 2005;23(24):5814–30.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Davies N, Batehup L, Thomas R. The role of diet and physical activity in breast, colorectal and prostate cancer survivorship: a review of the literature. Br J Cancer. 2011;105:52–73.

    Article  Google Scholar 

  28. London Cancer Alliance (LCA). Survivorship guidelines. 2015. http://www.londoncanceralliance.nhs.uk/media/112935/lca_survivorshipguidelines2015_web.pdf. Accessed 22 Oct 2015.

  29. National Cancer Survival Initiative (NCSI). Innovation to implementation: stratified pathways of care for people living with and beyond cancer. 2011. A how to guide http://www.ncsi.org.uk/wp-content/uploads/howtoguide.pdf. Accessed 5 Oct 2015.

  30. Independent Cancer Taskforce. Achieving world class cancer outcomes: a strategy for England. 2015. 2015–2020 http://www.cancerresearchuk.org/sites/default/files/achieving_world-class_cancer_outcomes_-_a_strategy_for_england_2015-2020.pdf. Accessed 22 Oct 2015.

  31. Macmillan Cancer Support. The recovery package. 2013. http://www.macmillan.org.uk/Aboutus/Healthandsocialcareprofessionals/Macmillansprogrammesandservices/RecoveryPackage/RecoveryPackage.aspx. Accessed 22 Oct 2015.

  32. Team NCA. Holistic common assessment of supportive and palliative care needs for adults with cancer. London: National Cancer Action Team; 2007.

    Google Scholar 

  33. Dabrowki M, Boucher K, Ward J, et al. Clinical experience with the NCCN distress thermometer in breast cancer patients. J Natl Compr Canc Netw. 2007;5(1):104–11.

    Google Scholar 

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Correspondence to Richard Henry MSc, BSc, BA .

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Doyle, N., Cunningham, N., Henry, R. (2016). Identifying and Managing the Consequences of Treatment for Early Breast Cancer. In: Ring, A., Parton, M. (eds) Breast Cancer Survivorship. Springer, Cham. https://doi.org/10.1007/978-3-319-41858-2_10

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  • DOI: https://doi.org/10.1007/978-3-319-41858-2_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-41856-8

  • Online ISBN: 978-3-319-41858-2

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