New PDF release: Communicating with Cancer Patients

By John F. Smyth

ISBN-10: 1482226782

ISBN-13: 9781482226782

ISBN-10: 1482226790

ISBN-13: 9781482226799

Published in organization with ecu Society of clinical Oncology, this quantity is designed for trainee oncologists, oncology nurses, and people operating with melanoma sufferers on a day by day foundation. targeting the "soft abilities" required in speaking with sufferers, the booklet contains subject matters resembling the aetiology of melanoma, prognosis and staging, and explaining the aim of remedy, together with chemotherapy, hormone therapy, and immunological and gene-based treatments. It additionally discusses sufferer help teams, tracking remission, and relapse. The booklet is written through united kingdom oncologists yet has foreign application.

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Example text

Other signal transduction inhibitors cause very debilitating diarrhoea and some cause selective organ dysfunction, as in the cardiotoxicity associated with Her2 inhibition used in the treatment of breast cancer. indd 32 29/08/2013 19:14 You have to explain the relative balance of benefit to risk with these less familiar medicines and of course, as with all conversations explaining treatment to your patients, it is essential that you are familiar with the specific side effects of the medicines that you are prescribing – and confine any given conversation specifically to these.

Hormone treatment Hormone treatment – or, more often, anti-hormone treatment – is widely used for diseases such as breast and prostate cancer. These treatments may be given orally or by depot intermittent injection. The side effects are very different from those of cytotoxic drugs but easily explainable and, for most patients, easily understood. The biggest difference between endocrine treatment and chemotherapy is the duration of the treatment, where anti-oestrogens, for example, may be prescribed for women with breast cancer for up to five years, and successful treatment for prostate cancer may involve years rather than months of treatment.

I am not trying to avoid giving you an answer, but your outlook depends on many things – not least your response to the treatment that we are proposing. Some patients derive considerable benefit, others less so. ” This type of language avoids a brutal, nihilistic statement, avoids a commitment which in all truth you cannot be certain of, and allows the patient an appropriate sense of hope that can be reassuring, not misleading. The important thing is not to avoid the question, but to leave the answer open by explaining that this will depend on the results of investigations, the treatment plan to be established when those investigations have been completed, and most importantly the patient’s response or otherwise to treatment.

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Communicating with Cancer Patients by John F. Smyth


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