RCS 6080 Medical and Psychosocial Aspects of Rehabilitation Counseling

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RCS 6080Medical and Psychosocial Aspects of
Rehabilitation Counseling

• Cancer

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Cancers

• There are more than 100 forms of neoplastic
  disease, with different biological and clinical
  manifestations
• A neoplasm is defined as the growth of new cells
  proliferating without control and serving no
  useful function
• Metastasis is the spread of neoplasm to other
  body parts

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Cancers

• Cancers are further specified in terms of the
  type of tissue of origin
• Carcinoma
• Sarcoma
• Lymphoma
• Leukemia

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Incidence rates(Per 100,000 Floridians 1999)

• Lung and Bronchus (15,660)
• Prostate (13,922)
• Breast (13,223)
• Colorectal (12,184)
• Bladder (4,892)
• Non-Hodgkins Lymphoma (3,452)
• Melanoma (2,982)
• Oral (2,446)
• Pancreas (2,256)
• Uterus (2,249)
• Kidney (2,247)

• Leukemia (2,220)
• Ovary (1,736)
• Stomach (1,462)
• Brain Nervous (1,171)
• Esophagus (1,119)
• Larynx (1,078)
• Thyroid (978)
• Multiple Myeloma (969)
• Cervix (952)
• Liver (748)
• All other sites (7,574)

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Mortality rates(Per 100,000 Floridians 1999)

• Esophagus (812)
• Brain Nervous (770)
• Kidney (707)
• Multiple Myeloma (691)
• Liver (681)
• Oral (662)
• Melanoma (542)
• Larynx (306)
• Cervix (268)
• Uterus (176)
• Thyroid (83)
• All other sites (4,181)

• Lung (11,271)
• Colorectal (3,883)
• Breast (2,557)
• Pancreas (2,256)
• Prostate (2,196)
• Pancreas (1,973)
• Non-Hodgkins Lymphoma (1,514)
• Leukemia (1,439)
• Ovary (897)
• Brain (863)
• Bladder (853)
• Stomach (840)

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The Impact of Cancer

• PHYSICAL
• Pain
• Fatigue
• Illness
• Deformity

• PSYCHOLOGICAL
• Anxiety and depression
• Fear
• Loss of independence and control
• Self-concept and esteem
• Financial well-being

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Cancers

• Treatment
• Surgery
• Radiation therapy
• Chemotherapy

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Cancers

• Some specific therapeutic issues
• Cancer may assault body image in a multitude of
  ways
• Many fears are encountered when people face
  surgical procedures
• Counselors must clarify the misunderstanding,
  confusion, and fear of the unknown that people
  often feel when facing radiation therapy
• When people are undergoing chemotherapy, they
  often have to balance toxicity against benefits

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Vocational Implications of Cancer

• Limitations are based on symptoms and side
  effects of treatment
• Can include
• Fatigue/weakness
• Medical allowances
• Respiratory difficulties
• Skin irritations
• Stress
• Temperature sensitivity

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Additional Resources and Information from the Web

• JANs Webpage (www.jan.wvu.edu/media/cancer.html)
• Florida Cancer Data System (http//fcds.med.miami.
  edu)
• American Cancer Society (www.cancer.org)
• CancerEducation.com (www.cancereducation.com)
• National Cancer Institutes Cancer Information
  (http//cancer.gov/cancerinformation)

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Additional Resources and Information from the Web

• CancerGuide (http//cancerguide.org)
• OncologyChannel.com (www.oncologychannel.com)
• Harvard Center for Cancer Prevention
  (www.yourcancerrisk.harvard.edu)
• Locks of Love (www.locksoflove.org)