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Chemotherapy Toxicities And Other Issues On Drugs Used In Oncology and Drug Assistance
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- RC271.C5.F81.1 - Mental (Cognitive) Changes in Survivors
Patricia Fobair, LMSW, MPH - Survivors should know that mental impairment called chemo-brain could happen. There is little doubt that even subtle cognitive problems can be a real complication of hormone manipulations, chemotherapy, radiation and biologic response modifiers.
http://www.cancersupportivecare.com/Survivor/cognitive.html First appeared 2007-12-12; updated 2008-08-02 -
RC271.C5.I91.1 - Preventing Chemotherapy Toxicities And Other Issues On Drugs Used In Oncology
Dr. Robert Ignoffo, PharmD, Clinical Professor, UCSF, Zoe Ngo, PharmD, and Julie Schwenka, PharmD, UCSF - Nausea and vomiting are common side effects of
chemotherapy drugs that are used to treat cancer. Some chemotherapy
drugs are worse offenders than others In most cases, patients will be
given anti-vomiting (antiemetics) and anti-nausea medication
http://www.cancersupportivecare.com/chemotherapy.html
First appeared 2000-06-12; updated 2007-07-08 - RC271.C5.I91.2 - Drug Assistance Programs from Pharmaceutical Companies
Dr. Robert J. Ignoffo, Clinical Professor, UCSF and Jean Longtin, PharmD, UCSF - Most pharmaceutical companies run programs aimed to facilitate the
accessibility to needed medications for patient who are in financial
difficulties and are not eligible for Medicare, Medicaid or private
insurance
http://www.cancersupportivecare.com/drug_assistance.html
First appeared 2000-06-12; updated 2007-07-08 - RC271.C5.R39.1 - Antioxidants and Chemoradiotherapy
Ernest H. Rosenbaum, MD - Clinical evidence suggests that the antioxidants may reduce the effectiveness of chemotherapy a few percentage points, which could relate to a large number of potential deaths because of the reduction in therapeutic activity.
http://www.cancersupportivecare.com/antioxidant.html
First appeared 2007-02-25; updated 2007-08-18 - RC271.C5.R39.2 - Cancer Treatment Side Effects and Solutions
Ernest H. Rosenbaum, MD - Cancer patients who have received radiation or cardiopulmonary toxic chemotherapy drugs merit long-term follow up. Includes information about Chemotherapy-related Cardiac Toxicity, Radiation Therapy-related Cardiac and Pulmonary Toxicity, Renal (Kidney) Toxicity Side Effects Prevention of Cardiopulmonary Side Effects and The Need for Long-term Surveillance
http://www.cancersupportivecare.com/Survivor/comorbid.html
First appeared 2007-12-30; updated 2008-08-02 - RC271.C5.R150.1 - Does Adjuvant Chemotherapy for Breast Cancer Cause Cognitive Dysfunction?
Hope S. Rugo, MD - Importance of Understanding Cognitive Deficits Due to Cancer
Therapy. A challenge facing cancer survivors as identified by the
National Coalition for Cancer Survivorship
http://www.cancersupportivecare.com/chemobrain.pdf
First appeared 2005-11-06; updated 2008-03-04 - RC271.C5.R150.2 - Does Adjuvant Chemotherapy for Breast Cancer Cause Cognitive Dysfunction?
Hope S. Rugo, MD - Importance of Understanding Cognitive Deficits Due to Cancer Therapy. A challenge facing cancer survivors as identified by the
National Coalition for Cancer Survivorship
http://www.cancersupportivecare.com/chemobrain.html
First appeared 2005-11-06; updated 2008-03-04
Diet and Nutrition
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- RC271.D52.F18.1 - Ask Your Favorite Dietitian
Bernadette Festa, MS, RD - Taste may change with chemotherapy and some types
of radiation therapy. People may experience changes in smell as well as
taste perception because many cancer chemotherapy agents act by killing
off rapidly dividing cells
http://www.cancersupportivecare.com/diet.html
First appeared 2001-04-11; updated 2007-07-08 - RC271.D52.F18.2 - Nutrition Issues
Bernadette Festa, RD, MS; Pat Kearney, RD; Isadora R. Rosenbaum, MA; and Ernest H Rosenbaum, MD
- Good nutrition is needed for general good health and is
particularly important when you are ill. During this time, it is
important to give your body the proteins, fats, carbohydrates, vitamins
and minerals it needs for energy, repair of normal tissue, and to keep
your immune system strong to fight disease.
http://www.cancersupportivecare.com/nutrition.html
First appeared 1999-05-01; updated 2007-07-08 - RC271.D52.F18.3 - Cancer Supportive Care Nutrition Program
American Dietetics Convention, St Louis, October 21, 2001
Bernadette Festa, RD, MS, Ernest H. Rosenbaum, MD, Isadora R. Rosenbaum, MA, Holly V. Gautier, RN, BSN, Margaret Hawn, RN, Pat Fobair, LCSW, Kathleen Dzubur, MS, Alexandra Andrews
Cancer Supportive Care, Stanford Center for Integrative Medicine , Stanford Hospital & Clinics - Cancer patients are at risk for various nutritional deficiencies and are a vulnerable group as to seeking out alternative resources. A Nutrition Program was designed in March of 2000 as a component of Cancer Supportive Care, Complementary Medicine Clinic at Stanford Medical Center, to provide free individual counseling, lectures, and web site presence.
http://www.cancersupportivecare.com/Abstracts/nutritionabstract.html
First appeared 2001-12-17; updated 2007-07-08 - RC271.D52.L151.1 - Nutrition for Healthy Survivorship
Natalie Ledesma, MS, RD, CSO and Ernest H. Rosenbaum, MD - Lifestyle nutrition changes can help reduce the risk of recurrent and new cancers and promote survival. A prudent diet may also help eye and heart disease, and memory and cognition.
http://www.cancersupportivecare.com/Survivor/healthy.html
First appeared 2008-02-23; updated 2008-08-02 - RC271.D52.L151.2 - Diet and Cancer Survivorship
Natalie Ledesma, MS, RD, CSO and Ernest H. Rosenbaum, MD - Adopting a healthy lifestyle - diet, physical activity, sleep habits, no tobacco, limited alcohol - can promote longevity, quality of life, reduce the risk of cancer, side effects, heart disease, diabetes, hypertension and stroke. Vitamin D protects against cancer, bone disease, heart disease, infections, inflammatory conditions, and multiple sclerosis. Essential fatty acids may play a critical role in the prevention and treatment of cancer and other chronic illnesses.
http://www.cancersupportivecare.com/dietsurvive.html
First appeared 2008-06-29 - RC271.D52.L151.3 - Diet and Cancer Survivorship References
Natalie Ledesma, MS, RD, CSO and Ernest H. Rosenbaum, MD - Nutrition and exercise are two areas in which healthy lifestyle changes can help reduce the risk of recurrent and new cancers and promote survival and quality of life. Cancer survivors are at risk for developing secondary tumors, as well as multiple comorbid problems. Increase food intake of fruits, vegetables, legumes, and whole grains. There is a correlation between the risk of cancer and heart disease when the LDL cholesterol is elevated.
http://www.cancersupportivecare.com/dietsurviveref.html
First appeared 2008-06-29 - RC271.D52.N233.1 - A Healthy Body Weight
Nora Norback, MPH, RD, Ernest H. Rosenbaum, MD and Lisa Tremont, MPH, RD - Be realistic when determining your desirable body weight and composition. Recognize differences such as genetics, age, gender, and muscle mass. A high Body Mass Index (BMI) is associated with heart disease, stroke, diabetes, and high blood pressure.
http://www.cancersupportivecare.com/weight.html
First appeared 2009-12-13; - RC271.D52.R39.1 - Diabetes - Diet and Health
Ernest H. Rosenbaum, MD - A small amount of weight loss can possibly avert a diabetic future. A loss of about 10% of body weight and three hours of weekly exercise can reduce diabetic risk by around 50-60%. Those who are overweight, who can't lose weight or keep it off on a low-fat diet, might do better on a low glycemic load diet.
http://www.cancersupportivecare.com/diabetes.html
First appeared 2007-05-20; updated 2007-07-12 - RC271.D52.R39.2 - 2007 Concepts For Reducing Toxicity and Improving Survival
Ernest H. Rosenbaum, MD - 2007 Diet and Nutrition Concepts for Bone Marrow Transplant, Stem Cell Transplant and Hematologic, Head and Neck, Lung. Pancreatic, Prostate and Upper Gastrointestinal Cancers
http://www.cancersupportivecare.com/concept.html
First appeared 2007-06-12; updated 2007-07-08 - RC271.D52.R39.3 - Wine and Health
Ernest H. Rosenbaum, MD - Red wine in moderation may help reduce the risk of heart attacks, mortality and Alzheimer diesease through an ingredient called resveratrol
http://www.cancersupportivecare.com/wine.html
First appeared 2007-05-07; updated 2007-07-08 - RC271.D52.R39.4 - Ways of Improving Nutrition During Cancer Therapy
Ernest H. Rosenbaum, MD - Nutrition is vital in cancer treatment. Side effects such as nausea, vomiting, loss of appetite, diarrhea, constipation and mucositis, lead to decreased energy, fatigue, slower healing, and recovery. It is important to get enough antioxidants in your diet.
http://www.cancersupportivecare.com/dietadvice.html
First appeared 2007-07-11 - RC271.D52.R39.5 - Better Health Through Nutrition and Exercise
Ernest H. Rosenbaum, MD - Nutrition and Exercise benefit cardiovascular fitness, muscle strength, decrease fatigue and reduce anxiety, depression and improve self-esteem and quality of life. There is a decrease in cancer risk with increased phytochemicals, vitamins and minerals from whole foods. Frozen, canned, and fresh fruits and vegetables are healthy.
http://www.cancersupportivecare.com/fact.html
First appeared 2007-10-03
Exercise Physical Activity Issues
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- RC271.P44.C48.1 - Exercise: A Cancer Survivor's Tool For Wellness
Jane Clark - Have you ever wondered if there is ANYTHING you can do
to reduce stress levels, enhance abilities to perform activities of
daily living (ADLs), and potentially boost your immune system
http://www.cancersupportivecare.com/whyexercise.html
First appeared 2002-12-14; Updated 2008-03-04 - RC271.P44.M41.1 - Exercises for Cancer Supportive Care
Francine Manuel, RPT, Ernest H. Rosenbaum, MD, Jack LaLanne, Kathleen Dzubur, MS, Isadora Rosenbaum, MA, Eric Durak, MS, Gary Abrams, MD - Aerobic and resistive exercises improve the functioning of the cardiovascular system - heart, lung, circulation, strengthen muscles, increase red blood cell count, lessen fatigue and nausea and improve quality of life. Minimizing body deconditioning helps cancer patients tolerate the side affects of chemotherapy, radiation and other invasive treatments. Learning how to breathe is therapeutic and relaxing. Includes Borg Rating of Perceived Exertion (RPE) Scale and Karnofsky Performance Scale (KPS)
http://www.cancersupportivecare.com/exercise.html
First appeared 1999-05-01; updated 2008-08-10 - RC271.P44.M41.1 - Benefits of Physical Activity
Francine Manuel, RPT, Ernest H. Rosenbaum, MD and Jack LaLanne - Exercise will increase survival, improve quality of life and decrease risk for cancer recurrence, fatigue, overweight and obesity.
http://www.cancersupportivecare.com/Survivor/activity.html
First appeared 2002-12-14; Updated 2008-08-02 - RC271.P44.M41.2 - Exercise For Longevity
Francine Manuel, RPT, Ernest H. Rosenbaum, MD and Jack LaLanne - Exercise has been shown to maintain youthfulness, promotes longevity, decreases stress, controls weight gain, and promotes a sense of well-being. Flexibility and joint mobility alleviates general aches and pains, arthritis and strong abdominal muscles can also help relieve back pain.
http://www.cancersupportivecare.com/exerciselong.html
First appeared 2009-12-17; - RC271.P44.R39.1 - Rehabilitation Exercises
Ernest H. Rosenbaum, MD, Francine Manuel, RPT, Isadora R. Rosenbaum, MA, Arthur F. Cerf, MD, and Jack LaLanne - Invigorating regular exercise including gardening, sports and recreation can limber and strengthen your muscles, joints, improve your physical ability, fitness, energy, stamina, mental status, appetite, relaxation, sleep, and may help with depression and reducing boredom. With medical permission you can begin these exercises even while you are recovering from surgery and while you are undergoing radiation therapy or chemotherapy. Includes description of the MediGym and Stage I, Stage II, Stage III exercises.
http://www.cancersupportivecare.com/exercises.html
First appeared 1999-05-01; updated 2008-08-26 - RC271.P44.R39.2 - Stage I: Beginning To Move Exercises
Ernest H. Rosenbaum, MD, Francine Manuel, RPT, Isadora R. Rosenbaum, MA, Arthur F. Cerf, MD, and Jack LaLanne - Regular exercise while you are confined to bed will help your level of physical ability, energy and stamina, Exercising while bedridden minimizes complications such as bone deterioration, muscle weakness, bed sores, stiff joints, and blood clots. Exercising can be fun, increase your appetite, help you achieve a feeling of well being, may help in working through depression and reducing boredom.
http://www.cancersupportivecare.com/stage1.html
First appeared 2008-08-10 - RC271.P44.R39.3 - Stage II: Increasing Physical Activity
Ernest H. Rosenbaum, MD, Francine Manuel, RPT, Isadora R. Rosenbaum, MA, Arthur F. Cerf, MD, and Jack LaLanne - Stage 2 exercises use a three-pound weight for added resistance. to strengthen and stretch the head, neck, arms, hands, shoulders, buttocks, legs, thighs, hips, elbows, chest, knees, back, ankles, and walking muscles. Breathing becomes even more important when you are lifting weights of any kind because the amount of pressure you put on your heart is increased if you hold your breath.
http://www.cancersupportivecare.com/stage2.html
First appeared 2008-08-21 - RC271.P44.R39.4 - Stage III: Up And Around
Ernest H. Rosenbaum, MD, Francine Manuel, RPT, Isadora R. Rosenbaum, MA, Arthur F. Cerf, MD, and Jack LaLanne - You are ready for the Stage 3 vigorous circulation exercises when you spend the whole day out of bed, walk around the house and resume normal daily activity. Safety precautions should be observed. Take your pulse when you begin and after you finish. Proper breathing is very important.
http://www.cancersupportivecare.com/stage3.html
First appeared 2008-08-26
Radiation Therapy
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- RC271.R3.A80.1 - Planning Your Radiation Treatment
Pamela F. Akazawa, CMD - A simulation uses a scaled down version of a treatment
machine that can take regular X-rays. While on the simulator table the
Physician and Radiation Therapist will outline the exact treatment
areas, or fields and take x-rays to insure accuracy
http://www.cancersupportivecare.com/simulation.html First appeared 2003-02-01; updated 2007-07-08 -
RC271.R3.L100.1 - Commonly Asked Questions about Radiation Therapy
Stella Ling, MD - Radiotherapy or radiation oncology is the branch of
medicine concerned with treatment of tumors with high energy X-rays The
radiation therapy team usually consists of the physician who is called
the radiation oncologist and who prescribes the treatment and oversees
the results and side effects;
http://www.cancersupportivecare.com/radiationfaq.html
First appeared 2003-02-01; updated 2007-07-08 -
RC271.R3.R170.1 - Side Effects of Brain Irradiation
James Rubenstein, MD, PhD - Radiation treatment of brain metastasis can bea highly effective therapy which results in tumor shrinkage and symptom improvement. Radiotherapy to the brain is associated with three distinct phases of side effects: early, early-delayed, and late. Some patients may experience headache or confusion, even within minutes of the completion of radiation treatment. This type of reaction is quite rare and these acute side effects of irradiation usually resolve completely without treatment.
http://www.cancersupportivecare.com/brainradiation.html
First appeared 2007-10-15; updated 2007-11-13
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First appeared January 31, 2007; updated December 17, 2009
First appeared January 31, 2007; updated December 17, 2009