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The
EPEC-O
TM
Education in Palliative and End-of-life Care - Oncology
Project
The EPEC-O Curriculum is produced by the EPECTM Project with major funding
provided by NCI, with supplemental funding provided by the Lance Armstrong
Foundation.
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EPEC - Oncology
Education in Palliative and End-of-life Care - Oncology
O
Module 5
Survivorship
Objectives
Define cancer survivor
Identify challenges and barriers for
survivors
Utilize practical interventions to
support survivors
Employ strategies for self care
Video
Importance of cancer
survivorship
numbers
Cancer as chronic disease
Public knowledge/involvement
Definition of
cancer survivor
‘Any person living with cancer
anytime’
- National Coalition for
Cancer Survivorship
Specific concerns of
cancer survivors . . .
Health insurance
Job loss
Non-medical costs
Lack of mental health providers
. . . Specific concerns
Emotional concerns
Fear of abandonment
Physical symptoms
Quality of survivor
Symptom control
Respectful care
Maintenance of social role
Contributing to society
Physicians and the
emotional environment
Emotional connectedness
‘Cheerleader’ role
Guilt
Reimbursement issues
Survivor goals – diagnosis
Acute disequilibrium
Find ‘best’ care
MD role – focus on clear plan
Survivor goals –
treatment
Complete treatment
Maintain independence
MD role
Prevent/treat side effects
Provide information
Survivor goals –
remission
Redefine ‘normal’
Psychosocial rehabilitation
Re-invest in life
MD role – management fear of
recurrence
Survivor goals –
recurrence/advancing
cancer
Maximize sense of control
Realignment of relationships
Palliative care/hospice
MD role
Clarify plan
Honest communication
Recurrent / advancing
disease . . .
Physician communication
Listen
Tell patients and families what they
want to know
‘There’s always something to do’
No abandonment
. . . Recurrent / advancing
disease
Physician communication
Truth
Symptom management
Involve patient/family in decision
process
Present new advances
Refer as appropriate
Survivor goals –
end-of-life
Dignity
Community contribution
Control emotions
Find meaning
Best care
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Summary