Approach to Care for Cancer

Running head: CANCER
Approach to Care for Cancer
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Approach to Care for Cancer
The best approach to cancer care involves a multidisciplinary action comprising of a team
of cancer specialists who collaborate, plan and coordinate care for cancer patients (McCabe, et
al., 2013). In this manner, the cancer specialists can then deliver a thorough possible treatment
for the patients. Prevention and wellness is a crucial approach to cancer care. Therefore, the
promotion of healthy lifestyle decisions via screening services, advice and education is vital in
preventing cancer among populations. Some of the predisposing factors to cancer include
genetics, level of exercise, smoking, weight, and diet. Cancer centers can, thus, create awareness
on these factors to sensitize populations (McCabe, et al., 2013). Additionally, it is also crucial for
individuals to be aware of their risk factors through a simple health risk assessment that
individuals may undertake to determine their risk factors.
Screening and early detection is another basic approach to cancer care. Through
screening, physicians can detect the development of cancer early, thereby enhancing the health
outcomes (McCabe, et al., 2013). Thus, any individual in need of the screening services should
have quick access to early detection and control of cancer. Early screening should be carried out
through the community outreach programs to provide access to every member of the society.
For the patients diagnosed with cancer, access to healthcare should be made possible
through a team of cancer specialists based on the patient care needs (McCabe, et al., 2013). The
physicians should be able to collaborate with a multidisciplinary group of professionals in
planning and implementation of the cancer treatment for patients (McCabe, et al., 2013).
Through collaboration, the cancer treatment centers should also offer clinical trial and research
which employs new approaches for detecting or treating cancer. The cancer specialist team
comprises of professionals certified in neurology, nephrology, surgery, oncology, hematology,
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and radiology (McCabe, et al., 2013). Furthermore, the team also includes cancer nurses, social
workers, and other professionals depending on the health needs of the patients.
Engaging the cancer patients across their care is essential in improving their health
outcomes. It is, therefore, important for the multidisciplinary team have knowledge of there and
be aware of the effects triggered by various treatment methods. Patient engagement is the best
way to manage symptoms for the cancer patients (McCabe, et al., 2013). Besides, patient
engagement promotes the patient-centered care, which enhances their health outcome and the
quality of life. It is essential for the patients to feel that they are in control of the treatment
process in alignment with the care plans to promote the treatment process.
The family caregivers should play an active role in care management by being in constant
communication with the physicians (McCabe, et al., 2013). The National Care Institute outlines
guidelines for the cancer patients and the physicians on the duties of the family caregiver in
caring for the patient.
Cancer Diagnosis and Staging
Diagnosis
After the patient presents symptoms or the screening results suggest cancer as the cause,
the physician will seek to ascertain whether the patient has cancer or another condition (Weaver
& Coonar, 2017). Thus, preliminary examination involves the review of the family medical
history and physical examination. Further diagnosis requires laboratory tests, scans, and other
procedures. Foremost, during the lab tests, the presence of low or high levels of substances in the
patient’s system may be a sign of cancer (Weaver & Coonar, 2017). Thus, the physician will
conduct tests on body fluids like urine and blood to determine abnormal levels of substances in
the system before making a diagnosis. Nevertheless, abnormal substances in the body fluids do
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not directly signify the presence of cancer. Henceforth, physicians do not always rely on
laboratory results in diagnosing cancer (Weaver & Coonar, 2017).
Secondly, imaging procedures, also known as scans take an internal image of the body
for the physicians to determine the presence of a tumor. Some of the scans include the CT scan,
the nuclear scan, and ultrasound, MRI, PET scan and the X-rays (Weaver & Coonar, 2017).
Firstly, in the CT scan, the x-ray machine captures a series of detailed photographs from the
affected organs. The physician might administer a dye to reveal the various areas of the human
body (Weaver & Coonar, 2017). By using the dye, it is easier for the doctor to read the image.
Secondly, the nuclear scan involves the administration of small amounts of a radioactive element
through injection. As the element flows through the body systems, it collects in various organs or
bones. A scanner is then used to detect and measure the radioactivity of the organs or bones. The
scanner captures an image of the bone or the organ onto a computer for examination (Weaver &
Coonar, 2017). Thirdly, the ultrasound machine triggers sound wave, which bounces off tissues
similar to an echo. The echoes are then used to generate an image of the inner tissues (Weaver &
Coonar, 2017). The MRI, on the other hand, involves the use of a strong magnet to capture
images inside the human body. Physicians can then view these images over the computer. Lastly,
the x-ray is the most common diagnostic tool that uses radiation in small doses to make images
inside the human body(Weaver & Coonar, 2017).
A biopsy is another method of diagnosis. Biopsy refers to the removal of a tissue sample
for the pathologists to examine and determine the presence of cancer. There several methods of
removing the tissue sample and include the use of a needle, endoscope or through surgery
(Weaver & Coonar, 2017).
Staging
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Staging refers to the rating of the extent of the cancer growth through various tests by the
physicians (Weaver & Coonar, 2017). Lab tests play a critical role in outlining the scope of the
growth of cancer in the body tissues. Besides, scans can also help in the staging of cancer. In
many types of cancer, physicians utilize the staging information in planning for the treatment and
predicting the disease prognosis (Weaver & Coonar, 2017). Despite differences among cancer
patients, cancer with similar stages has a similar prognosis. Therefore, treatment is similar.
Staging is essential because it determines the cancer stage and its location in the human body
(Weaver & Coonar, 2017). For instance, the treatment of an early diagnosis is often surgical
while advances stages of cancer are treated with chemotherapy. However, not all cancers are
staged; for instance, leukemia spreads across the human body.
During the staging procedure, doctors initially examine the size, location and the spread
of the main tumor (Weaver & Coonar, 2017). Moreover, doctors will also look for nearby
tumors. Physicians also examine the neighboring lymph nodes to ascertain whether they are
affected. The reason is that most cancers spread to the surrounding lymph nodes before reaching
other body parts (Weaver & Coonar, 2017). The process through which cancers spread to other
body parts, away from the main tumor is called metastasis. The main types of staging are the
clinical and the pathologic staging. Clinical staging estimates the extent of cancer using physical
examination, scans, and tumor biopsies (Weaver & Coonar, 2017). Clinical staging is efficient in
determining the viable treatment methods because it examines the response of cancer to
treatment. Pathologic staging involves the information gained from surgery added to the clinical
information (Weaver & Coonar, 2017). In most cases, pathologic staging helps the doctors to
remove the cancer and the nearby lymph nodes. Lastly, the most common staging system is the
TNM, which stands for Tumor, Nodes, and Metastasis (Weaver & Coonar, 2017).
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Complications of Cancer
Several complications may arise from cancer and its treatment. Foremost, chemical
changes in the human body occur as a result of disturbance the normal chemical balance in the
body systems. Signs of chemical changes include confusion, frequent urination, thirst, and
constipation. Secondly, problems can develop in the brain, and the nervous system as the cancer
presses the surrounding nerves leading to pain and nonfunctional parts of the body. Thus,
patients will experience headaches and stroke-related symptoms. Lastly, difficulty breathing can
arise from the cancer or the treatment, as the patient experiences short breathe (Weaver &
Coonar, 2017).
Side Effects of Cancer Treatment
The side effects include loss of appetite, constipation, diarrhea, edema, and fatigue.
Patients may also present hair loss, vomiting, pain, throat problems and fertility issues. Lastly,
patients also exhibit sleeping problems, skin and nail changes, and nerve problems (Weaver &
Coonar, 2017).
Methods to Lessen Physical and Psychological Effects
Exercise for people with cancer, training in stress management, meditation and relaxation
lessens the physical effects of cancer. Additionally, cancer education sessions and social supports
help in reducing the psychological effects. Lastly, counseling and medication for depression also
reduce the effects of cancer treatment (Weaver & Coonar, 2017).
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References
McCabe, M. S., Bhatia, S., Oeffinger, K. C., Reaman, G. H., Tyne, C., Wollins, D. S., &
Hudson, M. M. (2013). American Society of Clinical Oncology statement: achieving
high-quality cancer survivorship care. Journal of Clinical Oncology, 31(5), 631-640.
Weaver, H., & Coonar, A. S. (2017). Lung cancer: diagnosis, staging and treatment. Surgery
(Oxford).

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