Anxiety and the patient with breast cancer: a review of current research and practice

Oers, HM Van; Schlebusch, Lourens

doi:10.1080/20786204.2013.10874411

Cited by 12 publications

(10 citation statements)

References 33 publications

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“…As BC is now often viewed as curable, there is an inevitable tension between treatment related constraints, side effects and patient's desire to maintain a normal life (Magai et al, 2008). Given the increasing figures of BC diagnoses and survival rates, it is important to raise awareness with regard to related comorbidities and thereby improve diagnostic and treatment (Burgess et al, 2005;Van Oers & Schlebusch, 2013). To provide effective treatment with low toxicity, it is necessary to select therapies based on the patient and the clinical and molecular characteristics of the tumor.…”

Section: Resultsmentioning

confidence: 99%

“…Frequently anxiety may be focused on one particular detail of the illness, such as surgery and its physical effects, treatment or family's reactions (Luutonen et al, 2011). Specific symptoms of anxiety are autonomic overactivity (palpitation and sweating) and anxious behaviour (restlessness and reassurance seeking) (Van Oers & Schlebusch, 2013). Prolonged anxiety has immunosuppressive effects and might impair the cognitive functioning when important health decisions must be made.…”

Section: Depression and Anxietymentioning

confidence: 99%

“…Prolonged anxiety has immunosuppressive effects and might impair the cognitive functioning when important health decisions must be made. The duration of symptoms, usually decisive in diagnosis, is difficult to estimate as anxiety may be labile and situational, making the onset of an episode difficult to define (Van Oers & Schlebusch, 2013). Organic anxiety is difficult to diagnose as its symptomatology is similar to those in cancer therapies.…”

Section: Depression and Anxietymentioning

confidence: 99%

“…Associated somatic symptoms might be tremors, palpitations and dyspnoea resulting from the disease or treatment (Stark et al, 2002). Pain, asthenia, nausea, shortness of breath and drug treatments (interferon, corticosteroids and morphine) are also associated with anxiety, while akathisia is commonly misdiagnosed as anxiety (Van Oers & Schlebusch, 2013). The toxicity of chemotherapy co-varies with anxiety and seems to be highest before the first infusion.…”

Section: Depression and Anxietymentioning

confidence: 99%

“…Women undergoing magnetic resonance imaging and computer tomography may have panic attacks and acute anxiety, intensified by immobilization, the duration of the examination and the noise of the machine. Women presenting inoperable tumors and not receiving therapy show the highest levels of anxiety due to the perception that the decline cannot be avoided (Van Oers & Schlebusch, 2013). Women who complete radiotherapy might be highly anxious, potentially because of the perception of losing the protective effect of treatment (Stark, Kiely, Smith et al, 2002).…”

Section: Depression and Anxietymentioning

confidence: 99%

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Breast Cancer as a Multi-Diagnosis Spectrum: Implications for Practice and Families

Postăvaru¹

2016

RJEAP

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Breast cancer (BC) in women is the second most common cancer after lung cancer. It has been estimated that in developing nations 70 % of new BC cases would be seen by 2020. Breast cancer survivorship is a complex and dynamic process that starts from the moment of diagnosis and continues until the end of one's life. It has implications for both cancer survivors and their social networks, and medical practices. Provided the complex illness and treatment related symptoms, and patients' psychological responses to these, breast cancer can be treated nowadays as a multi-diagnosis spectrum, and not a single medical condition. However, some symptoms need years to develop, are omitted from medical protocols, remain unknown or unaddressed. Due to the increasing number of BC survivors, the medical practice needs a readjustment to be potentially able to enhance patient compliance with treatment and quality of life. This review aims to reconcile the existing evidence on BC and to heighten awareness of healthcare professionals to the current situation, with a view of improving the health care and education of BC women and their families.

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Section: Resultsmentioning

confidence: 99%

Section: Depression and Anxietymentioning

confidence: 99%

Section: Depression and Anxietymentioning

confidence: 99%

Section: Depression and Anxietymentioning

confidence: 99%

Section: Depression and Anxietymentioning

confidence: 99%

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Breast Cancer as a Multi-Diagnosis Spectrum: Implications for Practice and Families

Postăvaru¹

2016

RJEAP

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Management of breast cancer: an overview for therapeutic radiographers

2020

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Introduction: The management of breast cancer patients from diagnosis to treatment and beyond can be variable depending on factors including tumour extent and location, histology, genetics, health and wellbeing of the patient as well as personal patient preferences. The therapeutic radiographer’s role is not only vital to ensure safe and accurate radiotherapy delivery but also crucially, as the regular patient interface, they must be fully empowered to engage effectively with all aspects of the patient care pathway. They must be knowledgeable and up to date with evidence-based practices relating to the patient experience including surgery, chemotherapy, endocrine therapy and radiotherapy. Aim: The aim of this paper is to outline the breast cancer management pathway, highlighting the potential side effects that occur as a result of breast radiotherapy treatment and concomitant treatment in order to inform therapeutic radiographers and best practice. Discussion: The treatment pathway for breast cancer patients varies greatly depending on a wide range of factors and is very much individualised for each patient. Each treatment modality has its advantages and disadvantages, and all come with a number of side effects that can affect a patient’s daily living. Toxicities can arise during radiotherapy treatment or months after treatment, and education regarding the management of these is essential for effective patient care. Many technological advances in radiotherapy treatment techniques and regimes have the potential to decrease radiation-induced side effects. Despite attempts to standardise clinical guidelines on the use of topical agents and dressings, historical opinions and ideas are still evident in clinical practice. The use of grading systems in radiotherapy tends to only record patients’ physical symptoms and not their holistic wellbeing and emotional needs. Conclusion: Therapeutic radiographers must ensure that they remain equipped with the skills and knowledge to correctly manage and/or signpost services effectively. This overall outline of the management of patients with breast cancer is designed to help therapeutic radiographers reflect on the current practices and to inspire them, where evidence dictates, to seize opportunities, to explore improvement and to enhance best practice.

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Auditory and Visual Stimulation for Abdominal Postoperative Patients Experiencing Enhanced Recovery After Surgery (ERAS)

Tao

et al. 2021

Gastroenterology Nursing

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The Enhanced Recovery After Surgery program can reduce postoperative complications, hospital stay, and overall costs in patients, although the evidence for physical intervention with patients is still lacking. This study provides visual and auditory physical interventions to patients in order to explore the effects of Enhanced Recovery After Surgery following abdominal surgery. The study group consisted of patients who had undergone laparoscopic cholecystectomy, radical resection of gastric cancer, or radical resection of colon cancer; we randomly divided them into a control group and a visual and auditory intervention group. We then monitored the bowel sound frequency and time of the first anal self-exsufflation for both groups after surgery. We found that compared with the control group, patients who had undergone laparoscopic cholecystectomy and radical gastrectomy who received auditory intervention had increased bowel sound frequency and a shorter time until first anal self-exsufflation. In addition, patients with colon cancer who received both auditory and visual stimulation had increased bowel sounds and shorter time until the first anal self-exsufflation. These results suggest that visual and auditory interventions significantly improve patients' gastrointestinal function, shorten the hospitalization period, and reduce complications after operation.

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Anxiety and the patient with breast cancer: a review of current research and practice

Cited by 12 publications

References 33 publications

Breast Cancer as a Multi-Diagnosis Spectrum: Implications for Practice and Families

Breast Cancer as a Multi-Diagnosis Spectrum: Implications for Practice and Families

Management of breast cancer: an overview for therapeutic radiographers

Auditory and Visual Stimulation for Abdominal Postoperative Patients Experiencing Enhanced Recovery After Surgery (ERAS)

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