Clinical Psychology Flashcards
What is the London holistic needs assessment
- used in the cancer treatment pathway
- picks up when people with cancer need psychological support
- survey
give examples of sources of distress of cancer
- housing
- fatigue and tiredness
- worry fear, anxiety
- sleep problems
- hot flushes
what are the 3 stages of the emotional impact of cancer
- managing cancer - effects of treatment, living with uncertainty, important of social support
- the cancer crisis - shock of diagnosis, coming to terms with having cancer, dealing with the cancer response
Life goes on
- cancer just another thing
- new priorities
- feeling gratitude
- perspective changes with time
How do you help cancer patients adjust
- have to manage there expectations, and experience as well as there assumptions
What are the psychological issues faced by survivors
Living with uncertainty
Recurrence and fear of recurrence
Relief, and open-ended threat
‘You’re on your own now’ / cliff-edge
Annual checkups threatening
Persistent symptoms, endless appointments
Un-coordinated care, GPs out of sync
Developing a “new normal”
- Integrating experiences into new sense of self, body
- New priorities, goals – clarifying personal values
Impact on fertility, sexuality, endurance (fatigue)
Focus on quality & relationships
Awareness of mortality > lucky or vulnerable
What is the process of the 3 stages after the end of treatment
1, recuperation
2, convalescence
3, rehabilitation
Describe the 3 stages that happen after the end of treamtment
Recuperation – recovering from:
- Physical damage/impact of treatment
- Emotional turmoil/upheaval
Convalescence – “build up strength”
- Build up physical and emotional strength
Rehabilitation – finding your “new normal”
- Regaining trust in body
- Regaining trust in yourself
- Living with uncertainty
- Dealing with the world
- Regaining mastery and control
What are the wider sources of support
Family and friends Support groups Third sector organisations Literature Complementary therapies Art therapies Peer support
describe who supports you when you have threat to survival
- examples of this will be new diagnosis, acute treatment, high risk surveillance
- specialist is more important
- hospital cancer team
who supports you when you have a challenge to living
- this is in remission, low risk surveillance
- generalist is more important
- in primary community care
Who is more important in toward end of life care
- end of life care
- generalist and specialist is important
- in the hospice, GP and hospital
what makes up 3rd sector cancer support
- Maggies
- Haven
- Macmillan
- Mulbery
- Loss foundation
What are the domains of self care
- physical
- professional
- spiritual
- psychological and emotional
