Showing posts with label cancer support. Show all posts
Showing posts with label cancer support. Show all posts

Sunday, June 24, 2012

New To Caregiving? How Will The Doctors and Nurses Treat...You?

Today I would like to share a guest post by Rob Harris.  Rob is an accredited Human Resources professional (SPHR). He specializes in assisting corporate executives and all others with their strategic and day-to-day human resources needs; but more importantly, he is a caregiver to his wife, a two-time cancer survivor (Lymphoma, Sarcoma).  Rob tells me the experience of caring for her over the years has enriched his life beyond imagination.   So thank you Rob for sharing this most valuable advice with us! My best to you and Cindy!
After receiving shocking and/or devastating news, the human body likely goes into “fight or flight” mode. At that time, emotional confusion abounds. No, I am not talking about the patient. My reference is directed toward the newly-anointed caregiver.

Fear, anxiety, confusion and even panic are a few of the emotional reactions likely to bombard you all at once.

Face it, one day you are leading a fairly normal, routine life, and the next you are entering a world that is, in all likelihood, completely foreign to you. While you did raise your hand and voluntarily step up and state, “I will be the caregiver,” the reality is you probably had no idea what it was you were agreeing to do.

Unfortunately, most caregivers are ill-prepared for what comes next. Yes, you can anticipate that your life will change for an undetermined period of time. You will soon meet more doctors, nurses and medical staff than you had thus far in your lifetime.

Of course, it’s easy to rationalize your current state of affairs with, “That’s no big deal. I’ve been seeing my own doctors and their nurses my entire life. How much different can this be?”

If those are your beliefs, you are in for a rude psychological awakening.

When you are the patient, the medical community acknowledges your existence. However, when you are a caregiver, in the eyes of most, you become invisible and irrelevant.

Be prepared to be treated like a second-class citizen. In most cases, you will be ignored and even disrespected by your patient’s doctors and nurses. It doesn’t matter who you are, or what you may have accomplished in life. The bottom-line is that the reaction you will receive will be distressing, depressing and probably unexpected. At the very least, get ready to have your ego bruised.

Personally, I was completely caught off-guard when this occurred to me. More often than not, I was made to feel as if I was a nuisance. My immediate reaction was that my questions and opinions were not valued nor welcomed during any dialogue the doctors or nurses were having with my wife.

My efforts to become engaged in conversations were typically met with tight smiles, frowns, or a complete lack of acknowledgment that I even spoke.

I recalled a phrase my parents shared with me when I was very young, “Some adults believe that children are to be seen and not heard.” In this case, I substituted the word “caregivers” for “children” and had, in my mind, an accurate depiction of how I was being treated.

Though there are a few exceptions, most doctors and nurses focus completely on the patient. They enter your room, say or do what they have to, and move on to the next one. Trying to alter that routine, no matter how skilled you may be at communicating with others, will likely be futile.

As a result, you have two choices: either accept your fate in advance, or vent to family members, friends, a support group or possibly even another caregiver with a sympathetic ear. Hopefully, it will help reduce or remove your pent-up frustration. At best, it may help you realize you are not alone.

There is, of course, a third choice; one I do not recommend. You could confront the offending doctor(s) or nurse(s). However, human nature being what it is, the individual you challenge will likely not appreciate your comments. The one thing that you likely won’t accomplish via an argument is initiate a positive change.

While some doctors and nurses appreciate the role of the caregiver, many do not. Accept it for what it is. Listen intently to what they have to say and learn all you can from their conversations with your care recipient. Take copious notes. After all, the real goal is to get the best medical attention for your loved one…not yourself.

 Rob Harris enjoys writing, blogging, and speaking in front of audiences, but gets the most pleasure from helping caregivers, patients, and those within the medical community. Rob is extremely approachable and available, especially to fellow caregivers, patients, schools, organizations and members of the medical community. He is a regular monthly blogger on the American Cancer Society’s affiliate website, WhatNext, and posts blogs on his webpage. He guest blogs regularly on many other websites, including Leeza Gibbons’ Leeza’s Place, and has been interviewed on radio, video and in well-known publications. His first book, We’re In This Together: A Caregiver’s Story will be launched on July 14, 2012. It can be purchased in print and ebook versions through Rob’s website (http://www.robcares.com/) or through Amazon and other literary outlets. An excerpt is provided at: http://robcares.com/li1 

My sisters and I were caregivers to my mother during her battle with cancer.  I too, experienced much of what Rob describes.  However, given my nature, I could not help myself and had to speak up. I found a fourth choice; one with much downside, but thankfully worked for me.  I went over the doctors’ head, went right to the top.  The first episode was over a simple matter like the doctor would not make time to talk to me.  She said she had already explained to my mother that her cancer was back, and had no time to explain it to me. Her boss thought otherwise, and the doctor scheduled a call to me. 
Another time I stepped in and saved my mothers’ life.  This time it was over a biopsy.  I not only had to research the options myself, but then went to the top to ask why the less invasive option had not been offered to her.  The answer was shocking.  The adjunct facility was not aware of the procedure; we scheduled the biopsy at the New York facility.  Please know that this is the option of last resorts, but you may find at some point, that it must be done.  I have also had many, many positive experiences as advocate to patients; in each case, the doctor thanked me for helping to facilitate effective communications….so take heart that there are wonderful, compassionate, short-on -time doctors who truly appreciate the help an advocate can provide.  But, as Rob says, if all else fails, remember the true goal; getting the best possible care for your loved one, even if that requires much venting to a friend; just bring the wine.

 Elyn Jacobs
elyn@elynjacobs.com

Elyn Jacobs is a breast cancer survivor, professional cancer coach, radio talk show host, speaker, and the Executive Director for the Emerald Heart Cancer Foundation. Elyn empowers women to choose the path for treatment that best fits their own individual needs.  She is passionate about helping others move forward into a life of health and wellbeing. To learn more about Elyn’s coaching services, please visit:  http://elynjacobs.wordpress.com/.  To tune into the Survive and Live Well radio show, please visit http://www.w4cs.com/, Tuesdays at 1pm (est).

Friday, April 27, 2012

Coaching Through Cancer

The following is a guest post by Marvin Leininger. Marvin is an Awareness Advocate for the Mesothelioma Center. He combines his interests in whole-body health and medical research to educate the mesothelioma community about the newest developments in cancer care. 

To help cope with a terminal diagnosis, many cancer patients turn to various avenues for emotional and mental health support. Discussion groups and cancer counseling are two very common support options, but there is another choice that is quickly gaining popularity: coaching services.
Coaching can provide assistance in a number of areas.
Patients who are diagnosed with an aggressive cancer such as mesothelioma may feel confused, anxious or even depressed about their future. While the reality of a terminal prognosis can evoke a range of unpleasant emotions, coaching can help patients deal with them under the guidance of an expert. Coaches can help identify stressful behaviors and offer suggestions on how to change them.
Coaching can also provide emotional support throughout the various stages of a cancer diagnosis. Cancer patients can turn to their coaches for moral support at treatment sessions, and coaches can provide guidance on complementary therapies such as massage, acupuncture and aromatherapy. Often, coaches serve as an objective voice throughout the process.
Certain physical needs can also be met through cancer coaching. Nutritional evaluations can be conducted by some coaches, in addition to other health services and prevention education. Coaches can also help advocate for the patient at their doctor’s office.
The coach-client relationship can be tailored specifically to each patient’s needs, and it can evolve over time to accommodate new developments in the patient’s condition.
Services a cancer coach may provide include:
·         Guidance with complementary and alternative therapies
·         Company during medical appointments
·         Emotional support and empowerment
·         Communication support
·         Patient advocacy throughout treatment
How Can Coaching Help Me?
Coaching is an inclusive approach to navigating life with cancer. The benefits can range from emotional relief to mental clarity to physical benefits that result from nutritional coaching. Coaching can help cancer patients communicate more effectively with their medical care providers, research the choices they make about their health care, and ultimately feel more empowered and secure in their decisions.
Elyn Jacobs
elynjacobs.wordpress.com

Don’t miss my new Radio Talk Show Survive and Live Well, tips to beat and treat cancer.  Tuesdays at 1pm(est) beginning May 22nd on Cancer Support Network http://w4wn.com/

Elyn Jacobs is President of Elyn Jacobs Consulting, Executive Director for the Emerald Heart Cancer Foundation, a certified cancer coach and a breast cancer survivor.  Elyn empowers women to choose the path for treatment that best fits their own individual needs, and to be active participants in their health; she is passionate about helping others get past their cancer and into a cancer-free life. 

Find Elyn on Linked-in, Twitter @elynjacobs and FB:elynjacobs and Elyn Jacobs Consulting


Wednesday, September 21, 2011

Information is Power

Information is power. It can help you to successfully navigate the cancer journey. Every individual and every cancer is unique.  Knowing your options and obtaining the necessary information is critical in order to make the right choices for you, for your cancer.   The right plan, as well as the right team, can make all the difference in mortality as well as in quality of life.
To read my blog about finding the right team, please visit: http://elynjacobs.blogspot.com/2011/05/cancer-find-right-team.html

 You have more options than you think when choosing a treatment plan.  Conventional (allopathic) medicine offers surgery, radiation, chemotherapy, and other medical interventions to battle cancer.  For many, this is the route to take.  For others, surgery may be acceptable, but radiation and or chemotherapy either are not an option or are not acceptable to the patient.  Some will take the integrative approach, combining conventional with alternative therapies, and some will choose to use only alternative methods.   Keep in mind that within these modalities, there will be further decisions to make, for example which of the surgical options or chemotherapies would be best.   Information is power.

Today we have genetic testing that enables the oncologist and patient to make more informed choices for a treatment plan.  For example, when considering Tamoxifen, one might request a test such as Mamaprint or a CPY2D6 test.  These tests will help your doctor to determine if Tamoxifen would be effective for you.  When chemotherapy is advised, the patient and doctor have many options.  The oncologist will recommend the course of treatment that he or she feels would be best for your cancer.  However, often times this requires a trial and error period during which the patient starts and stops many different drugs in response to tolerance and effectiveness. 

Now we have molecular-level diagnostic testing which can help oncologists receive more information on an individual’s cancer, and to develop a more personalized cancer treatment plan.  One resource for this is www.n-of-one.com.  Since each patient’s cancer has a specific genetic and molecular signature, this group focuses on how that may affect its response to different treatments. Identifying the biological markers driving a particular cancer may help to determine the best treatment option.

CellSearch, a circulating tumor cell test, helps doctors determine the prognosis of patients and offers a reading of tumor information so that oncologists are better prepared to care for their patients.  My hope is that these tests can also aid patients in their decisions for surgical and alternative options.

Now, it’s great that we have all these tests, but the next challenge is how do we make people aware of them? The buzz is on amongst the online support sites.  Some of my favorites for support and advice are:

Today I came upon a new site, www.IsMyCancerDifferent.com.  Their goal is to help patients understand how their cancer is unique and why it matters.  Cancer is not just one disease, so cancer treatment must be tailored to the individual cancer and circumstances of each patient. They believe that sharing this knowledge can inspire and empower patients to seek out the most appropriate treatment for their unique situation.  Right up my alley, you know how I like that word empower.

For more information on genetic testing and Cell Search, please visit:
Elyn Jacobs

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Elyn Jacobs is President of Elyn Jacobs Consulting, the Director of Grants for the Emerald Heart Cancer Foundation and a breast cancer survivor.  She helps women diagnosed with cancer to navigate the process of treatment and care, and she educates about how to prevent recurrence and new cancers.  She is passionate about helping others get past their cancer and into a cancer-free life.