People experiencing socioeconomic disadvantage
In general, people from lower socioeconomic groups are at greater risk of poor health, have higher rates of illness, disability and death, and live shorter lives than those from higher socioeconomic groups (AIHW 2016). People experiencing socioeconomic disadvantage are less likely to participate in screening programs, more likely to be obese, less likely to exercise…
Read MoreAppendix B: Psychological needs
Patients who have undergone stem cell transplants may have cognitive impairments for up to three years post procedure (Sharafeldin et al. 2018). Long-term follow-up and identification of strategies (e.g. maintaining written notes and repeating information) to enable patients to cope with alterations in cognitive function may be required. High-dose chemotherapy is both physically and emotionally…
Read MoreAppendix A: Supportive care domains
Supportive care in cancer refers to the following five domains: the physical domain, which includes a wide range of physical symptoms that may be acute, relatively short lived or ongoing, requiring continuing interventions or rehabilitation the psychological domain, which includes a range of issues related to the patient’s mental health wellbeing and personal relationships the…
Read MoreSexually and gender diverse groups
People who identify as sexually or gender diverse may have unique needs following a cancer diagnosis. Sexually or gender diverse identities include (but are not limited to) people who identify as lesbian, gay, bisexual or transgender, collectively ‘LGBT’. There is no universally agreed upon initialism to describe this community, with other terms such as queer/questioning…
Read MorePeople with chronic mental health or psychiatric concerns
A diagnosis of cancer may present additional challenges to people who have pre-existing chronic mental health or psychiatric concerns, resulting in exacerbation of their mental health symptoms. This may include heightened anxiety, worsening depression or thoughts of self-harm. As poor adjustment and coping can affect treatment decisions, people who are known to have a mental…
Read MorePeople with disabilities
Disability, which can be physical, intellectual or psychological, may have existed before the cancer diagnosis or may be new in onset (occurring due to the cancer treatment or incidentally). Adjusting to life with a disability adds another challenge to cancer care and survivorship. Several barriers prevent people with disabilities from accessing timely and effective health…
Read More6.7 Research and clinical trials
The treatment team should support the patient to participate in research and clinical trials where available and appropriate. For more information visit the Cancer Australia website.
Read More4.5 Support and communication
Older people with cancer
Planning and delivering appropriate cancer care for older people can present a number of challenges. This could also be true for frail people or those experiencing comorbidities. Effective communication between oncology and geriatrics departments will help facilitate best practice care, which takes into account physiological age, complex comorbidities, risk of adverse events and drug interactions,…
Read More5.1 Transitioning from active treatment
The transition from active treatment to post-treatment care is critical to long-term health. In some cases, people will need ongoing, hospital-based care, and in other cases a shared follow-up care arrangement with their general practitioner may be appropriate. This will vary depending on the type and stage of cancer and needs to be planned. Shared…
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