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Pages 23-50

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From page 23...
... . With respect to the large portion of older adults within the population living with cancer, experts in cancer care and aging note that there is great heterogeneity within this population.
From page 25...
... . Fatigue Fatigue is the most frequently reported symptom of cancer and is identified as causing the greatest interference with patients' daily activities, although estimates of rates of fatigue among individuals with cancer vary greatly (ranging, for example, from 4 percent in breast cancer patients prior to the start of chemotherapy to 91 percent in breast cancer patients after surgery and chemotherapy and before bone marrow transplantation)
From page 28...
... . Adolescents can face a significant loss of independence and disruption of their social relationships at a time when they should be developing social and relationship skills critical to successful functioning in PREPUBLICATION COPY: UNCORRECTED PROOFS
From page 32...
... . However, evidence indicates that measures to control such side effects, as well as more basic practices to PREPUBLICATION COPY: UNCORRECTED PROOFS
From page 33...
... identified transportation as the third greatest barrier14 to patients and their families receiving good quality cancer care (AOSW, 2006)
From page 34...
... At multiple meetings held across the nation with the President's Cancer Panel in 2003 and 2004, cancer survivors of all ages reported that many health care providers "still do not consider psychosocial support an integral component of quality cancer care and may fail to recognize, adequately treat, or refer for depression, anger and stress in cancer survivors, family members or other caregivers" (NCI, 2004:27)
From page 35...
... . The role of cancer patients and their caregivers in securing and using appropriate psychosocial health services also may need attention.
From page 36...
... , well articulated how high-quality care (including psychosocial health care) should be delivered after patients complete their cancer treatment.
From page 37...
... . • Identifies the support needed from policy makers in the purchasing, oversight, and regulatory arenas to facilitate routine attention to psychosocial health needs in cancer care and the delivery of psychosocial health services when needed (Chapter 7)
From page 38...
... 2007. Patient-centered communication in cancer care: Promoting healing and reducing suffering.
From page 39...
... 2004. Meeting psychosocial needs of women with breast cancer.
From page 43...
... Nevertheless, evidence clearly supports the need for attention to psychosocial problems as an integral part of good-quality health care. Psychosocial health services can enable patients with cancer, their families, and health care providers to optimize biomedical health care, manage the psychological/behavioral and social aspects of the disease, and thereby promote better health.
From page 44...
... . This chapter details the health effects of three psychosocial factors -- social support, financial and other material resources, and emotional and mental status -- for which there is strong evidence on health effects, for which there are screening and assessment tools that can be used to detect problems, and for which psychosocial health services (described in Chapter 3)
From page 48...
... Distressed psychological states can seriously challenge the cognitive functioning and information processing required to PREPUBLICATION COPY: UNCORRECTED PROOFS


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