100 Questions & Answers About Cancer Symptoms and Cancer Treatment Side Effects Second Edition Joanne Frankel Kelvin, RN, MSN, AOCN Memorial Sloan-Kettering Cancer Center Leslie B. Tyson, MS, APN-BC, OCN Memorial Sloan-Kettering Cancer Center World Headquarters Jones and Bartlett Jones and Bartlett Jones and Bartlett Publishers Publishers Canada Publishers International 40 Tall Pine Drive 6339 Ormindale Way Barb House, Barb Mews Sudbury, MA 01776 Mississauga, Ontario L5V 1J2 London W6 7PA 978-443-5000 Canada United Kingdom [email protected] www.jbpub.com Jones and Bartlett’s books and products are available through most bookstores and online booksellers. To contact Jones and Bartlett Publishers directly, call 800-832-0034, fax 978-443-8000, or visit our website, www.jbpub.com. Substantial discounts on bulk quantities of Jones and Bartlett’s publications are available to corpo- rations, professional associations, and other qualified organizations. For details and specific dis- count information, contact the special sales department at Jones and Bartlett via the above contact information or send an email to [email protected]. Copyright © 2011 by Jones and Bartlett Publishers, LLC All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission from the copyright owner. The authors, editor, and publisher have made every effort to provide accurate information. However, they are not responsible for errors, omissions, or for any outcomes related to the use of the contents of this book and take no responsibility for the use of the products and procedures described. Treatments and side effects described in this book may not be applicable to all people; likewise, some people may require a dose or experience a side effect that is not described herein. Drugs and medical devices are discussed that may have limited availability controlled by the Food and Drug Administration (FDA) for use only in a research study or clinical trial. Research, clinical practice, and government regulations often change the accepted standard in this field. When consideration is being given to use of any drug in the clinical setting, the healthcare provider or reader is responsible for determining FDA status of the drug, reading the package insert, and reviewing prescribing information for the most up-to-date recommendations on dose, precautions, and contraindications, and determining the appropriate usage for the product. This is especially important in the case of drugs that are new or seldom used. Productions Credits Executive Publisher: Christopher Davis Editorial Assistant: Sara Cameron Production Assistant: Lisa Lamenzo Senior Marketing Manager: Barb Bartoszek Manufacturing and Inventory Control Supervisor: Amy Bacus Cover Design: Carolyn Downer Cover Image: Top Left: © Elena Ray/Shutterstock, Inc.; Top Right: © Lisa F. Young/ ShutterStock, Inc.; Bottom: © Andresr/ShutterStock, Inc. Composition: Glyph International Printing and Binding: Malloy, Inc. Cover Printing: Malloy, Inc. Library of Congress Cataloging-in-Publication Data Kelvin, Joanne Frankel. 100 questions & answers about cancer symptoms and cancer treatment side effects/ Joanne Frankel Kelvin, Leslie B. Tyson.—2nd ed. p. cm. ISBN 978-0-7637-7760-9 1. Cancer—Popular works. 2. Cancer—Treatment—Complications—Popular works. 3. Antineoplastic agents—Side effects—Popular works. I. Tyson, Leslie B. II. Title. III. Title: One hundred questions and answers about cancer symptoms and cancer treatment side effects. RC263.K44 2011 616.99'406—dc22 2010001542 6048 Printed in the United States of America 14 13 12 11 10 10 9 8 7 6 5 4 3 2 1 CONTENTS Preface vii Part One:Cancer and Cancer Treatment 1 Questions 1–15describe cancer and various cancer treatments, including: • What is cancer? • Why does cancer cause symptoms? • What are the treatments for cancer? Part Two:Getting Information and Making Decisions 31 Questions 16–24discuss strategies for making informed decisions about treatment, including: • How can I be sure to get the information I want from my doctor? • How can I find clinical trials that might be appropriate for me? • I feel so overwhelmed by all the information I’m getting. How do I make decisions about my treatment? Part Three:Comfort,Activity,and Sleep 49 Questions 25–34discuss options for improving your comfort and quality of life during cancer treatment: • Will I have pain? What are the options available to treat my pain? • I feel tired much of the time. What can I do to increase my energy? • Can I exercise? Part Four:Blood Counts and Skin Problems 71 Questions 35–45address common concerns about avoiding infection and caring for your skin and hair, including: • I have heard that chemotherapy may cause drops in my blood counts. What does this mean? • What do I do if my red blood cell count is low? • What is shingles? Is there a vaccine for shingles, and should I get it? 100 Q&A ABOUT CANCER SYMPTOMS AND CANCER TREATMENT SIDE EFFECTS Part Five:Problems with Breathing,Nutrition,Digestion, and Urination 91 Questions 46–61discuss ways to cope with effects of treatment on breathing, nutrition, digestion, and elimination, including: • How do I know if I need oxygen? • What can I do to increase my appetite and maintain my weight? • What can I do for mouth sores? Part Six:Appearance and Sexual Issues 127 Questions 62–69discuss changes in personal appearance and sexual health brought on by cancer treatment, such as: • I have gained weight from my cancer treatment. What can I do to lose weight? • I don’t feel the desire to be sexually intimate with my partner the way I used to. What can I do to maintain our relationship? • Will I be able to conceive a child after treatment? Part Seven:Neurologic Problems,Fluid Retention, and Blood Chemistry 147 Questions 70–81describe problems related to nerves, blood and blood vessels, and fluid buildup, including: • What is cerebral edema? How is this managed? • Why are my legs swollen? What can I do to minimize the swelling? • I have heard that some people can get diabetes from their treatment. How is this diagnosed and treated? Part Eight:Other Health-Related Issues 175 Questions 82–87address other health concerns not directly related to the cancer symptoms or treatment side effects, such as: • I get a flu shot every year. Should I get one now that I am getting treated for cancer? • Can I drink alcohol? • Should I stop smoking? Part Nine:Emotional and Social Concerns 185 Questions 88–100address emotional effects, social impacts, and caretaker concerns regarding cancer and cancer treatment, including: • How can I better cope with having cancer? iv 110000 QQ&&AA AABBOOUUTT CCAANNCCEERR SSYYMMPPTTOOMMSS AANNDD CCAANNCCEERR TTRREEAATTMMEENNTT SSIIDDEE EEFFFFEECCTTSS •• HHooww ddoo II ggoo oonn wwiitthh mmyy lliiffee aanndd ssttaarrtt ffeeeelliinngg ““nnoorrmmaall”” aaggaaiinn?? •• HHooww ccaann II ttaallkk wwiitthh mmyy ffaammiillyy aanndd ffrriieennddss aabboouutt mmyy ccaanncceerr?? AAppppeennddiixx 221155 GGlloossssaarryy 221177 IInnddeexx 222255 CC oo nn tt ee nn tt ss vv PREFACE Receiving a diagnosis of cancer presents numerous challenges:learn- ing about your disease,selecting the physicians who will care for you, and making decisions about your treatment.Then come the day-to- day challenges: integrating the treatment schedule into your life, coping with the symptoms and side effects of the treatments, and finally making the transition to being a cancer survivor. We hope that this book will provide information and support to help you in meeting these challenges.We have included information about cancer and cancer treatment,but the focus is on managing the symptoms of the disease and the side effects of treatment. Equally important is information we hope will help you and your family cope with the emotional and practical concerns that come up during this time. We are grateful to Jones and Bartlett for recognizing the need to offer a book such as this to people with cancer. Joanne Frankel Kelvin,RN,MSN,AOCN Leslie B.Tyson,MS,APN-BC,OCN PART ONE Cancer and Cancer Treatment What is a cancer? Why does cancer cause symptoms? What are the treatments for cancer? More . . .
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