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RC271
Chemotherapy, Dental, Diet, Drug Assistance Programs, Exercise, Integrative Medicine, Integrating Traditional Chinese Medicine, Mucositis, Nutrition, Radiation Therapy, Quality of Life, Wigs
Cancer Supportive Care Team

RC271 - Cancer Therapy Issues including Mucositis Oral, Esophageal, Eye and Gastrointestinal Problems and Solutions

RC271A - Complementary and Integrative Medicine includes Integrating Traditional Chinese Medicine

RC271C - Chemotherapy Toxicities And Other Issues On Drugs Used In Oncology and Drug Assistance Programs
RC271D - Diet and Nutrition

RC271P - Exercise, Activities of Daily Living Issues

RC271R - Radiation Therapy


Cancer Therapy Issues - Mucositis Oral, Esophageal, Eye and Gastrointestinal Problems and Solutions, Quality of Life and more
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RC271.E94.1 - Smile: Protect Your Mouth
Rosemary Elliott-Snow, RDH
It is very important that the oncology and dental teams work together to maintain optimal health before, during and following therapy. Preexisting or undetected oral disease may cause more complication in your overall health.
http://www.cancersupportivecare.com/dental.html
First appeared 2001-12-21; updated 2007-07-08
RC271.M41.1 - Cancer Therapy Complications And Using The Computer
Francine Manuel, RPT, Alexandra Andrews, WM, Ernest H. Rosenbaum, MD and Robert A. Wascher, MD, FACS
We offer the following suggestions for short and long term problems and specifically how to continue work on your computer while recovering from surgery, swelling, pain, and other therapy or if you are experiencing Lymphedema and Post Breast Therapy Pain Syndrome.
http://www.cancersupportivecare.com/computer.php
First appeared 2002-08-12; updated 2007-10-31
RC271.M157.1 - Makeup, Wigs and Quality of Life
Gerd Mairandres, Alexandra Andrews, and Ernest H. Rosenbaum, MD
Anything that can enhance the way a person feels about themselves and promote an ounce of well-being is significant. Sources of self-esteem can be threatened by cancer and the effects of medical treatments: appearance, physical abilities and activity level, personal attributes.
http://www.cancersupportivecare.com/wig.php
First appeared 2006-08-02; updated 2007-10-31
RC271.R39.1 - Introduction to Mucositis - Oral, Esophageal and Gastrointestinal Problems and Solutions
Ernest H Rosenbaum, MD, Sol Silverman, MA, DDS, Bernadette Festa, MS, RD, Isadora R. Rosenbaum, MA, Julie Matel, MS, RD, Rosemary Elliott-Snow, RDH, and Robert J. Ignoffo, PharmD
Mucositis can occur anywhere along the digestive tract from the mouth to the anus, leaving the mucosal tissue open to ulceration and infection. Mucositis is further complicated by nausea and vomiting which often occurs with treatment. Chemotherapy, radiation and targeted therapies can affect the ability of cells to reproduce, slowing healing of the oral mucosa.
http://www.cancersupportivecare.com/mucositis.html
First appeared 2002-02-02; updated 2007-10-31
RC271.R39.2 - Mucositis: Chemotherapy Problems and Solutions
Ernest H Rosenbaum, MD, Sol Silverman, MA, DDS, Bernadette Festa, MS, RD, Isadora R. Rosenbaum, M.A., Julie Matel, MS, RD, Rosemary Elliott-Snow, RDH, and Robert J. Ignoffo, Pharm D
Cancer therapy or cancer itself may cause changes in your body chemistry that result in a loss of appetite. Pain, nausea, vomiting, diarrhea or a sore or dry mouth may make eating difficult and cause loss of interest in food. Ideally, the physician, nurse or a registered dietitian should be working with the oncologist and yourself.
http://www.cancersupportivecare.com/drug.php
First appeared 2002-02-02; updated 2007-10-31
RC271.R39.3 - Mucositis: Esophageal and Gastrointestinal Problems and Solutions
Ernest H Rosenbaum, MD, Sol Silverman, MA, DDS, Bernadette Festa, MS, RD, Isadora R. Rosenbaum, M.A., Julie Matel, MS, RD, Rosemary Elliott-Snow, RDH, and Robert J. Ignoffo, Pharm D
A normal high-protein, high-calorie diet with supplements as needed will help your sore mouth or tongue heal faster. Drinking lots of fluids will also help with healing as well as making your mouth sores more comfortable
http://www.cancersupportivecare.com/gastro.php
First appeared 2002-02-02; updated 2007-10-31
RC271.R39.4 - Mucositis: Oral Problems and Solutions
Ernest H Rosenbaum, MD, Sol Silverman, MA, DDS, Bernadette Festa, MS, RD, Isadora R. Rosenbaum, MA, Julie Matel, MS, RD, Rosemary Elliott-Snow, RDH, and Robert J. Ignoffo, PharmD
Adequate nutrition can be challenging for patients with cancer. Physical problems may interfere with food intake and proper nutrition. Patients with mouth or throat pain can interfere with chewing and compound difficulties in swallowing. Tooth and gum disease further complicate the problem. A resultant weight loss tends to weakness, inactivity, discouragement, further anorexia, and susceptibility to infection.
http://www.cancersupportivecare.com/oral.php
First appeared 2002-02-02; updated 2007-10-31
RC271.R39.5 - Cancer Therapy Complications And Using The Computer Handout
Ernest H. Rosenbaum, MD, Francine Manuel, RPT, Alexandra Andrews, WM, Charles M. Dollbaum, MD, PhD, and Robert A. Wascher, MD, FACS
In our information-centric society, the ability to use a personal computer is an essential capability in the professional and private lives of millions of people around the world. The problem of persistent swelling or pain in one or both arms after trauma of any kind may affect computer usage, especially for people who must work on the computer for prolonged periods of time.
http://www.cancersupportivecare.com/computerpage1.pdf
First appeared 2004-11-06; updated 2007-07-08
RC271.R39.6 - Suggestions for Using The Computer with Cancer Therapy Complications Handout
Ernest H. Rosenbaum, MD, Francine Manuel, RPT, Alexandra Andrews, WM, Charles M. Dollbaum, MD, PhD, Ernest H. Rosenbaum, MD and Robert A. Wascher, MD, FACS
Suggestions for short and long term problems including how to continue work on your computer with practical advice about using the monitor, mouse, keyboard and chair while recovering from surgery, swelling, pain, and other therapy or if you are experiencing Lymphedema and Post Breast Therapy Pain Syndrome.
http://www.cancersupportivecare.com/computerpage2.pdf
First appeared 2004-11-06; updated 2007-07-08
RC271.R39.7 - Mucositis and Targeted Therapies
Ernest H Rosenbaum, MD
New patient toxicities occur when targeted therapies usually monoclonal antibodies or small molecules such as tyrosine kinase inhibitors are given in conjunction with more traditional chemotherapy drugs. Mucosal injury can be a combination of either or both with mouth ulcers and diarrhea prominent.
http://www.cancersupportivecare.com/target.html
First appeared 2007-07-31; updated 2007-08-10
RC271.S56.1 - Handout Mucositis: Problems and Solutions - page 1
Julie Schwenka, PharmD, Ernest H. Rosenbaum, MD, Alexandra Andrews, Charles M. Dollbaum, MD, PhD and Robert J. Ignoffo, PharmD
It is important to know who is at risk of mucositis and to prevent complications to help improve quality of life and maximize your therapy. These risk factors include radiation to the head and neck, high dose chemotherapy, bone marrow transplantation, certain single agent anti-cancer drugs or a combination of these. Symptoms of mucositis should be treated as soon as they appear. It is important to be educated about proper nutrition and oral hygiene to help prevent or lessen these symptoms. Once you are aware of proper nutrition, you will be able to maintain adequate hydration, maintain your immunity and help prevent nausea as well as protecting your teeth
http://www.cancersupportivecare.com/mucositispage1.pdf
First appeared 2005-11-20; updated 2007-07-08
RC271.S56.2 - Handout Mucositis: Problems and Solutions - page 2
Julie Schwenka, PharmD, Ernest H. Rosenbaum, MD, Alexandra Andrews, Charles M. Dollbaum, MD, PhD and Robert J. Ignoffo, PharmD
It is important to know who is at risk of mucositis and to prevent complications to help improve quality of life and maximize your therapy. These risk factors include radiation to the head and neck, high dose chemotherapy, bone marrow transplantation, certain single agent anti-cancer drugs or a combination of these. Symptoms of mucositis should be treated as soon as they appear. It is important to be educated about proper nutrition and oral hygiene to help prevent or lessen these symptoms. Once you are aware of proper nutrition, you will be able to maintain adequate hydration, maintain your immunity and help prevent nausea as well as protecting your teeth
http://www.cancersupportivecare.com/mucositispage2.pdf
First appeared 2005-11-20; updated 2007-07-08
RC271.S56.3 - Handout Mucositis: Problems and Solutions
Julie Schwenka, PharmD, Ernest H. Rosenbaum, MD, Alexandra Andrews, Charles M. Dollbaum, MD, PhD and Robert J. Ignoffo, PharmD
It is important to know who is at risk of mucositis and to prevent complications to help improve quality of life and maximize your therapy. These risk factors include radiation to the head and neck, high dose chemotherapy, bone marrow transplantation, certain single agent anti-cancer drugs or a combination of these. Symptoms of mucositis should be treated as soon as they appear. It is important to be educated about proper nutrition and oral hygiene to help prevent or lessen these symptoms. Once you are aware of proper nutrition, you will be able to maintain adequate hydration, maintain your immunity and help prevent nausea as well as protecting your teeth
http://www.cancersupportivecare.com/mucositishandout.php
First appeared 2005-12-02; updated 2007-10-31
RC271.S95.1 - Cancer Therapy Eye Toxicity Issues
Sabrina Selim, MD, Ernest H. Rosenbaum MD, Robert J. Ignoffo, PharmD, FASH, Jean Chan, BA, MA, SEd, Lee Schwartz, MD
A common effect is inflammation of the mucous membranes (mucositis) in the mouth, GI tract and conjunctiva in the eye.Although it is unrealistic to avoid chemotherapy on account of relatively minor eye effects - Includes a graphic of an eye
http://www.cancersupportivecare.com/eye.html
First appeared 2002-08-12; updated 2007-07-08



Complementary and Integrative Medicine
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RC271.A62.B137.1 - Complementary Medications and Chemotherapy
Sharya Vaughn Bourdet, PharmD, Robert Ignoffo, PharmD, Clinical Professor UCSF
The use of complementary and alternative medicine for the prevention and treatment of various diseases has become more popular in recent years than ever before.Several types of alternative therapies exist, including herbals, vitamins, and dietary products
http://www.cancersupportivecare.com/complementary.html First appeared 2002-02-15; updated 2007-07-08
RC271.A62.C46.1 - Tables and Studies - Traditional Chinese Medicine in the Treatment of Breast Cancer
Isaac Cohen, LAc, OMD, Mary Tagliaferri, MD, LAc & Debu Tripathy, MD
Commonly Prescribed Herbs for Prevention of Breast Cancer, and Formulas, with Herbs Commonly Prescribed with Chemotherapy, and Chinese Anticancer Agents
http://www.cancersupportivecare.com/chinesedata.html
First appeared 2003-02-12; updated 2007-07-08
RC271.A62.C46.2 - Formularies for Traditional Chinese Medicine in the Treatment of Breast Cancer
Isaac Cohen, LAc, OMD, Mary Tagliaferri, MD, LAc & Debu Tripathy, MD
Formularies for Chemotherapy to be taken throughout the treatment and modified according to symptoms
http://www.cancersupportivecare.com/chineseformulary.html
First appeared 2003-02-12; updated 2007-07-08
RC271.A62.C46.3 - Part One Traditional Chinese Medicine in the Treatment of Breast Cancer
Isaac Cohen, LAc, OMD, Mary Tagliaferri, MD, LAc & Debu Tripathy, MD
Chinese medicine is useful in all stages of the disease to augment the benefits of conventional treatments, to prevent recurrence and metastasis in early stages of breast cancer, and to promote health, improve quality of life advanced stages
http://www.cancersupportivecare.com/chinesemedicine.html
First appeared 2003-02-12; updated 2007-07-08
RC271.A62.C46.4 - Part Two Traditional Chinese Medicine in the Treatment of Breast Cancer
Isaac Cohen, LAc, OMD, Mary Tagliaferri, MD, LAc & Debu Tripathy, MD
TCM is becoming increasingly prevalent both where few conventional therapeutic or ameliorative options exist and also because standard oncologic therapies have side effects that can significantly affect patients short and long term quality of life.
http://www.cancersupportivecare.com/chinesemedicine2.html
First appeared 2003-02-12; updated 2007-07-08
RC271.A62.C46.5 - Part Three Traditional Chinese Medicine in the Treatment of Breast Cancer
Isaac Cohen, LAc, OMD, Mary Tagliaferri, MD, LAc & Debu Tripathy, MD
There has been a trend to integrate TCM treatment with standard western medicine in an attempt to further optimise the treatment outcomes, minimise the side effects of surgery, radiation and chemotherapy, increase immune function and improve survival
http://www.cancersupportivecare.com/chinesemedicine3.html
First appeared 2003-02-12; updated 2007-07-08
RC271.A62.C46.6 - References - Traditional Chinese Medicine in the Treatment of Breast Cancer
Isaac Cohen, LAc, OMD, Mary Tagliaferri, MD, LAc & Debu Tripathy, MD
References for Traditional Chinese Medicine in the Treatment of Breast Cancer
http://www.cancersupportivecare.com/chinesereference.html
First appeared 2003-02-12; updated 2007-07-08
RC271.A62.F18.1 - Integrative Medicine - Herbal Medicines
Bernadette Festa, MS, RD
Currently not a lot of solid research has been done on herbs. There are some preparations being studied for minimizing side effects of treatment, however the current thinking is to minimize or avoid most herbs during treatment.
http://www.cancersupportivecare.com/herbalmedicine.html
First appeared 2003-06-10; updated 2007-07-08
RC271.A62.J20.1 - East Meets West: Integrating Complementary Medicine into Your Care
Bradly Jacobs, MD, MPH
Integrative Medicine is based four primary principles: Emphasizing respect for the human capacity for healing, Placing importance on the relationship between the practitioner and the patient, Creating a collaborative team-based approach.
http://www.cancersupportivecare.com/eastwest.html
First appeared 2003-03-18; updated 2007-07-08
RC271.A62.N4.1 - Complementary Medications and Chemotherapy
Zoe-lina Ngo, PharmD
Scientific data on benefits of alternative medicine are few, therefore, the use of alternative medicine is generally not recommended. However, scientific data suggests that the use of complementary medicine may be safe and effective
http://www.cancersupportivecare.com/herbal.html
First appeared 2004-05-14; updated 2007-07-08

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
A diet based on plant foods, legumes, whole grains, and less red meat, to avoid weight gain with daily physical activity, good sleep habits, avoidance of tobacco, and limited alcohol intake may decrease the risk of recurrence or a new secondary cancer and promote survival. Adopting a healthy lifestyle, can promote longevity, quality of life, reduce the risk of cancer, side effects, heart disease, diabetes, hypertension, stroke, and several other related diseases.
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.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, Activities of Daily Living 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.D58.1 - 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.R39.2 - Rehabilitation Exercises
Ernest H. Rosenbaum, MD, Fracine Manuel, RPT, Isadora R. Rosenbaum, MA, Arthur F. Cerf, MD, and Jack LaLanne
Limber and strengthen your muscles and joints with regular exercise. Improve your level of physical ability and fitness, energy and stamina, mental status, appetite, relaxation and better sleep at night. Invigorating exercise can be fun 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 Medi-Gym and exercises for Stage I, Stage II and Stage III
http://www.cancersupportivecare.com/exercises.html
First appeared 1999-05-01; updated 2008-08-10
RC271.P44.R39.3 - Stage I: Beginning To Move Exercises
Ernest H. Rosenbaum, MD, Fracine 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

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 August 10, 2008