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Controlling cancer pain effectively

August 30, 2016
Controlling cancer pain

Controlling cancer pain effectively can be very challenging, however, with our holistic cancer treatment strategies, all you need is to call us and you will be well

Controlling cancer pain effectively: Bone metastasis

Cancer pain is one element that keeps many patients worried of the next minute. If you have been to that place you understand what I am alluding to. The problem is even complicated if the cancer has spread to the bones. Whether it right at the place where the cancer has metastasized or in areas surrounding it, the level of pain may be worse at night and when you rest or it may be better when you rest and worsen when you are moving. This level of pain is what is triggering the discussion about the management of cancer pain from bone metastasis in this article. Pain is actually the single common denominator with all cancer patients irrespective of how it (pain) behaves. It is estimated that about 70% of all cancer patients with metastases (“mets”) have pain on the bone. Pain can be frightening more so when in your mindset you think that you can’t do anything about it. This is a very wrong opinion because there is always something you can do about pain caused by bone metastasis. In fact there’s a lot we can do to reduce the pain, doctor Akoury says. And for sure there’s no reason why any cancer patient should live with excessive pain. That is why experts from AWAREmed Health and Wellness Resource Center have developed this guide to help you get started and defeat cancer pain from your life. AWAREmed Health and Wellness Resource Center is a health facility founded by doctor Dalal Akoury to help people get medical assistance and if you or any of your loved ones is struggling with this problem then you can schedule for an appointment with her today and get the insight of dealing with pain.

Controlling cancer pain effectively: Tracking bone metastasis pain

It is always said that our people suffer because of lack of knowledge. Doctor Dalal Akoury is making effort to fill the gap by impacting health information that stand out in helping the society prevent all preventable conditions. She says that metastatic cancer cells damage bones and cause pain several ways some of which include:

  • They produce substances that can dissolve and weaken bones. This may cause a bone to break, which is painful.
  • As the tumor grows in the bone, nerve endings in and around the bone also send pain signals to the brain.
  • They may make bones harden. This is called sclerosis.

Because most of the cancer pains are as a result of metastasis, many people often think that all pains are caused by metastasis. This may not be the case because other pains like one suffering from a severe shoulder pain could not necessarily come from metastasis but even from a frozen shoulder or tendonitis, she says. Therefore what will inform you if this is actually a cancer pain? One difference is that cancer pain persists while other types of pain are more likely to come and go. But better still, even though this is an indicator, it’s still very important to get any new or changing pain checked out in good time.

If you have persistent bony pain for example, bring it to the attention of your oncologist. It is better that you keep your doctor busy even with very obvious things than to suspect something and assume it. Making an assumption is a very poor way of seeking for help. Therefore I want to encourage you to call with any questions, our team of experts at AWAREmed Health and Wellness Resource Center will be there to help you solve the situation in good time.

Controlling cancer pain effectively: Bone metastasis

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Understanding the Distress in People with Cancer

May 2, 2015

Understanding the Distress in People with Cancer: What is normal or abnormal?

Understanding the Distress in People with Cancer

Understanding the Distress in People with Cancer will help in offering quality ant timely treatment solutions.

With the prevalence of chronic diseases like cancer, there are certain questions that we need to answer well if we want to keep distance from such diseases. Being distressful is one common problem that is associated with cancer, and this brings us to the first question to respond to. “How do you know when your distress level is normal or more serious?” according to the experts at AWAREmed Health and Wellness Resource Center, responding to this question directly may be very difficult due to the fact that some distress are normal and are expected when one is struggling with cancer. However doctor Akoury, who is also the founder of AWAREmed Health and Wellness Resource Center, says that certain signs and symptoms can warn you that your distress level is too high and is becoming serious. Some of those sign and symptoms may include:

  • Feeling flabbergasted to the point of panic
  • Being overcome by a sense of anxiety
  • Being overwhelmed with sadness to the point that you think you won’t make it through treatment
  • Being unusually irritable and angry
  • Feeling unable to cope with pain, tiredness, and nausea
  • Poor concentration, fuzzy thinking and sudden memory problems
  • Having difficulties in making certain decisions including very little and simple things.
  • Feeling hopeless – wondering if there is any point in going on
  • Thinking about cancer and death all the time
  • Trouble getting to sleep or early waking (getting less than 4 hours of sleep a night)
  • Trouble eating (a decrease in appetite, or no appetite) for a few weeks
  • Family conflicts and issues that seem impossible to resolve
  • Questioning your faith and religious beliefs that once gave you comfort
  • Feeling worthless and useless

Understanding the distress in people with cancer can be very complicated because a lot of things can be involved. Like for instance in some cases and many of them historical things from the past may put you or your loved one in danger of greater distress and in need of help. The following are some examples of past events that can cause distress to be worse when you have cancer:

  • Having a loved one who died from cancer
  • Having a recent serious illness or death of someone close to you
  • Having had depression or suicidal thoughts in the past
  • Memories of painful events from your past that come back as nightmares or panic attacks

If any of these describe you or a loved one, then you need to talk to your doctor immediately for direction. This could be an indication that you need help in dealing with distress. Remember that currently doctors and nurses and even other health professionals have established that emotional distress is closely associated with having cancer and should be treated along with the physical symptoms of cancer. If you are looking for the best cancer treatment centers, remember to have this problem of distress treatment in mind. Look for facilities that offer both cancer and distress treatment all together.

Understanding the Distress in People with Cancer: Tools to help measure distress

Sometimes it’s hard to talk about distress in a way that helps your cancer care team understand how much distress you’re having and how it’s affecting you. There’s a distress tool that’s much like a pain scale to help measure your distress. The pain scale works like this:

When asking about pain, the doctor might say, “How is your pain right now on a scale from 0 to 10, with 0 being no pain and 10 the worst pain you can imagine?” This has proved to be a helpful way to measure pain. A score above 5 is a sign of significant pain, and tells the cancer care team that the patient needs more help to manage it.

Some cancer teams measure distress in the same way, using a 0 to 10 scale. Just as with the pain scale, you are asked to choose the number from 0 to 10 that reflects how much distress you feel today and how much you felt over the past week. Ten is the highest level of distress you can imagine, and 0 is no distress. Most people can use this scale to rate their distress in a way that helps the cancer team. If your response is 4 or more, you are likely to have a moderate-to-high degree of distress. Your doctor and/or cancer team should find out more and offer some help with your distress.

Not only does this tool tell your team about your emotional health, but it also gives you a chance to talk and work out problems during your visit. Surveys done in cancer clinics have shown that up to 4 in 10 patients have significant levels of distress. It therefore means that no matter how distressful you may be, you are not alone in your distress situation.

Another part of the distress tool is the “Problem List,” or a list of things that may be causing your distress. For this, you read through a list of common problems and mark possible reasons for your distress. This helps your doctor to know whom you need to see to get help. The list of physical problems helps you remember those you should tell your treatment team about.

Understanding the Distress in People with Cancer: Do you need extra help for your distress?

People are affected differently with some people having a higher risk of serious distress. Like for instance if you have any of these experiences, then you will need some extra help:

  • Have had depression or other major mental health problems in the past
  • Have made a suicide attempt in the past
  • Suffer from other serious medical problems besides cancer
  • Have communication problems (such as a different language, trouble reading, or hearing problems)
  • Have some type of social or family problems
  • Have ever been physically or sexually abused
  • Are younger
  • Are female
  • Live alone
  • Have limited access to medical care
  • Have young children in the home
  • Lived with very high stress levels (even before the cancer)
  • Have ever abused alcohol or drugs
  • Have financial problems
  • Have spiritual or religious concerns
  • Have uncontrolled symptoms

Both you and your cancer care team may also notice when there are times when you are at risk for greater distress during the course of illness and treatment. Cancer is often said to be “like being on a roller coaster.” These times for more distress are often at points of change in the illness and treatment:

  • Finding a suspicious new symptom
  • During work-up and diagnosis
  • Waiting to start treatment
  • Changing treatment
  • Going home from the hospital
  • Finishing treatment
  • Going back to your cancer doctor for follow-up visits
  • Going back to a “normal” life after treatment
  • Cancer comes back
  • Treatment doesn’t work
  • Cancer gets worse or becomes advanced
  • Nearing the end of life
  • Going into hospice care

If your distress reaches moderate to severe levels at these times, you may need extra help. And up on understanding the distress in people with cancer, you can schedule for an appointment with doctor Dalal Akoury today for that much needed professional help.

Understanding the Distress in People with Cancer: What is normal or abnormal?

 

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Identifying Distress in People with Cancer

May 2, 2015

Identifying Distress in People with Cancer: What is distress?

Identifying Distress in People with Cancer

Identifying Distress in People with Cancer. Distress suffering is not just physical but also emotional and psychological

If you have been in company of any cancer patient you need not to be told o the suffering those cancer patients go through. The suffering is not just physical but also emotional and psychological. These put together brings a lot of distress to patients and if not addressed, treatment becomes very difficult. It is because of this reasons that we want to focus our discussion towards identifying distress in people with cancer. To do this we are going to be speaking to experts at AWAREmed Health and Wellness Resource Center under the able leadership of Doctor Akoury’s care. Distress is a word with many connotations. However for our discussion we are going to use “distress” to describe unpleasant feelings or emotions that may cause problems for you as you cope with cancer disease and its treatment. It is also important to note that distress is also common with the family members and loved ones of people with cancer. Doctor Akoury says that distress is a big hindrance in cancer treatment and can make it harder to deal with all the changes that come with a cancer diagnosis. When we talk about being distressed in normal circumstances it would mean that you are feeling:

  • Unhappy or sad
  • Hopeless
  • Powerless or helpless
  • Afraid and fearful
  • Guilty
  • Anxious
  • Panic
  • Discouraged
  • Depressed
  • Uncertain

The impact of stress can be very complicated when dealing with cancer since it may affect areas of your life other than your feelings. It can affect your thoughts, your behavior, and how you interact with others says doctor Akoury.

Identifying Distress in People with Cancer: How to know when your distress level is normal or more serious?

Being stressed or distressful can be normal in our daily lives. Actually we all at one time have been stressed while handling our daily activities. The same applies with certain amount of distress when you or a loved one has cancer. These kinds of distress are caused, in part, because of the attitudes and fears people have about cancer. Like for instance, one of the greatest fears people have is that cancer means death or will ultimately lead to death. Nonetheless this idea of cancer leading to death is not true and unfounded. The truth is that today we have millions of people who have had cancer but have survived through the available treatment available in various health facilities.

Of course, people are upset when they learn they have cancer no matter how much progress has been made in treating it. There are many things that suddenly seem uncertain further explaining why identifying distress in people with cancer is very important. The challenges that people have include the worries about changes that will happen to their bodies when attacked by cancer. How their loved ones will cope with this situation and all other things that are likely to happen. The fear of a bleak future dons on them and people often wonder in silence or aloud that “Am I going to die?” and worries as to “why is this happening to me?”

And because cancer is hereditary, once you learn that you or a loved one has cancer, you may no longer feel safe. You may feel afraid, exposed, weak, and vulnerable. Such feelings often last through treatment, and you may feel anxiety and sadness, too. Doctor Akoury says that it’s normal to worry, especially at certain times, such as at the commencement of treatment. A recovering cancer patient acknowledges that, the worst time for him was waiting for that first chemo treatment. “Once it was over, and it wasn’t as bad as I thought it would be, I was OK. I actually felt better because I was finally doing something about the cancer” says the patient.

Identifying Distress in People with Cancer: Cancer Surgery

Waiting for surgery is another time of major concern. People often worry about the operation itself, but also about whether the cancer is growing while they wait. Fears about the changes that surgery will cause can be a major source of distress, too. Then there are concerns about work and home life and how they may change. Insurance and financial issues often add to the worries. For some people, one of the hardest times is after cancer treatment. Rather than feeling happy that treatment is over, they feel even greater distress. One patient put it this way: “I’m on my own now and I’m just waiting to see what will happen next.” From that statement you notice that this patient is very distress even though treatment has been concluded.

Seeing the oncologist (cancer doctor) after treatment can feel quite scary. Nearly everyone has some fear the cancer will come back (recur). This is normal, too. “Every time I have aches and pains, I’m convinced it’s the cancer coming back even if it’s a pain in my big toe,” one patient said.

Identifying Distress in People with Cancer: Everything about cancer is Stressful

Dealing with the side effects of treatment such as tiredness (fatigue), hair loss, weight changes, and how disrupted your life seems is also stressful. In fact, everything about having cancer is stressful. Being upset and worried are part of it, so a certain amount of distress is expected when you find you have cancer. But sometimes distress can go from the expected level to one that interferes with your treatment, makes it hard for you to cope with the illness, and affects all parts of your life.

It’s not a sign of weakness that you become so distressed that it interferes with your ability to do your usual activities. When you visit us at AWAREmed Health and Wellness Resource Center, our team of experts will explain for you the range of distress from what is considered normal to very high and offer some ideas about how to handle your feelings in ways that will be helpful. The very first thing you need to do in coping with distress is consulting with your doctors and cancer support team. Talking to them about how you feel will make you feel much safer. Their purpose is to help you get better and if they notice something that needs to be addressed, then they will direct you to the help you need. Remember that these people are only here to help you not just for the cancer treatment, but they are also counting on you to tell them how you are doing and what you are feeling. This is one assignment that you are the only one that can do and no one else.

Finally when addressing distress of cancer patients, the scope is not just limited to them but it is also applies to their loved ones. These people are a strong source of support, and their well-being is important, too in the delivery of successful treatment. Therefore if you are a loved one and feel distressed, it’s OK to let the cancer care team knows that you need help. You can also schedule for an appointment with doctor Dalal Akoury for much more professional assistance.

Identifying Distress in People with Cancer: What is distress?

 

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How Cancer affects your emotional health

April 30, 2015

How Cancer affects your emotional health: Depression and cancer

How Cancer affects your emotional health

How Cancer affects your emotional health is one thing you can avoid by being physically active

It is never fun to be told that you are suffering from cancer. When such news is broken to the patients, devastation, pain and anguish sets in not just to the patient but even to the relatives and loved ones. For sure most patients, families, and caregivers expresses some degree of depression, anxiety, and fear when cancer becomes part of their lives. These feelings are normal responses to this life-changing experience. We want to settle into the discussion of how cancer affects your emotional health and what you can do to help. We will be guided by the help of doctor Dalal Akoury who is also the founder of AWAREmed Health and Wellness Resource Center where a lot of cancer preventive treatment are done. You can also be part of the many experiencing life transformation with the professionalism approach doctor Akoury is applying in the treatment of her clients.

Like I have just mention cancer is life threatening and people struggling with cancer will have the feelings expressed above which can be caused by many things, including changes in their families’ roles and even assignment at their work stations. A cancer patient is likely to feel the loss of control over life events, and bear the burden of dealing with changes in their body image. They might feel grief at the losses and changes in their lives that cancer brings. There may be fear of the eventualities like death, suffering, pain, or all the unknown elements that lie ahead. This may not be limited to the patients only but even the family members and caregivers may have these feelings too. It is possible that they will be afraid of losing their loved one. Anger of knowing that cancer is affecting their loved ones will be another concern especially with the knowledge that cancer is genetically inherited. This will in many ways cause both the patient and their loved ones frustration and stress that they are either not doing enough to help or that they have to do more at home.

In all these, it’s important to remember that people with cancer, as well as their friends and family, can feel distress about these things at any time after a cancer diagnosis, even many years after the cancer is treated. And as the cancer situation changes, they all must cope with new stressors along with the old, and their feelings often change, too. For instance, people dealing with cancer that’s spread and is making the person feel worse may have more emotional distress than those dealing with early-stage cancers.

People who have physical symptoms such as pain, nausea, or extreme tiredness (fatigue) also seem more likely to have emotional distress. Most of the time, physical symptoms can be controlled with medicines but it could take more than one try to find the right drug or combination of drugs. Doctor Akoury emphasizes that because of this, patient must keep consulting closely with their doctors and with their cancer team. This way they can help with these kinds of symptoms before you feel overwhelmed.

Take note that this link is tailored to equip you with health information that can help your families, friends, and caregivers to know what feelings and behaviors they might expect from their loved one who has been diagnosed with cancer. It is also to help you understand what isn’t normal and when more needs to be done like getting outside help. Besides, it can also help you recognize when you or others need outside help. Remember that everybody is vulnerable to cancer and all these things can happen to anyone including your caregivers, friends, and family members too. Anyone affected by cancer theirs or a loved one will need help in dealing with the emotions that result.

How Cancer affects your emotional health: Depression and cancer

It’s normal to grieve over the changes that cancer brings to a person’s life. The future, which may have seemed so sure before, now becomes uncertain. Some dreams and plans may be lost forever. But if a person has been sad for a long time or is having trouble carrying out day-to-day activities, that person may have clinical depression. In fact, up to 1 in 4 people with cancer have clinical depression. The effects of clinical depression is alluded to great distress, impairs functioning, and might even make the person with cancer less able to follow their cancer treatment plan. In all these, there is still hope and the good news is that clinical depression can be treated. Therefore if you know of anyone who has symptoms of clinical depression, you can be their link to the much help they need, encourage them to get help from the experts at AWAREmed Health and Wellness Resource Center. There are many ways to treat clinical depression including medicines, counseling, or a combination of both. With good and timely treatments, you can reduce your rate of suffering and improve the quality of your life.

How Cancer affects your emotional health: Symptoms of clinical depression

  • Loss of interest or pleasure in almost all activities most of the time
  • Being slowed down or restless and agitated almost every day, enough for others to notice
  • Frequent thoughts of death or suicide (not just fear of death), suicide plans or attempts
  • Continues sadness, hopeless, or “empty” mood for most of the day
  • Extreme tiredness (fatigue) or loss of energy
  • Trouble focusing thoughts, remembering, or making decisions
  • Feeling guilty, worthless, or helpless
  • Major weight loss (when not dieting) or weight gain
  • Trouble sleeping with early waking, sleeping too much, or not being able to sleep

Remember, some of these symptoms, such as weight changes, fatigue, or even forgetfulness can be caused by cancer and its treatment. However when five or more of these symptoms happen consistently daily for 2 weeks or more, or are severe enough to interfere with normal activities, it might be assign of depression. If this description fits your situation, then you need to be checked for clinical depression by a qualified health or mental health professional. If the person tries to hurt him- or herself, or has a plan to do so, get help right away.

How Cancer affects your emotional health: What to do

  • Promote physical activity, especially mild exercise such as daily walks.
  • Reassure the person that with time and treatment, he or she will start to feel better – and although changes to the treatment plan are sometimes needed, it’s important to be patient.
  • Help make appointments for mental health treatment, if needed.
  • Provide transportation for treatment, if needed.
  • Remember that it’s OK to feel sad and grieve over the losses that cancer has brought to their lives, and to yours.
  • Realize that being pessimistic and thinking everything is hopeless are symptoms of depression and should get better with treatment.
  • Engage the person in conversation and activities they enjoy.
  • Encourage the depressed person to continue treatment until symptoms improve, or to talk to the doctor about different treatment if there’s no improvement after 2 or 3 weeks.

If you suspect you may be depressed, schedule for an appointment with doctor Akoury today.

How Cancer affects your emotional health: Depression and cancer

 

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The Prevalence of Depression in Cancer Patients

April 29, 2015

The Prevalence of Depression in Cancer Patients: Depression and Cancer

The Prevalence of Depression in Cancer Patients

The Prevalence of Depression in Cancer Patients is the concern of everybody. Even the medics are victims of the two health conditions

The impact of depression in cancer patients has of late been receiving much attention. This is because of the health risks that are involved when the two conditions marry together in an individuals’ life. It is no wonder that depression is actually seen as the psychiatric syndrome that has received the most attention in persons struggling with cancer. Nonetheless the study of depression has equally had a host of challenges due to the symptoms that associates with it on a broad spectrum that ranges from sadness to major effective disorder. The prevalence of depression in cancer patients is further put to test because of the changes in moods are often very difficult to evaluate more so when the patients in question is also receiving treatment of cancer and continuous threats of stress, fatigue and the pain they experience.

Doctor Akoury agrees that even though many research groups have assessed depression in cancer patients for several decades in the past, the reported prevalence varies significantly because of varying conceptualizations of depression, and in fact the definition of depression is not standard and different principles use for the definition of depression. Some of the differences may include the methodological approaches to the measurement of depression, and even the different populations studied. Depression is highly associated with oropharyngeal, pancreatic, breast, and lung cancers. A less high prevalence of depression is reported in patients with other cancers, such as colon, gynecological, and lymphoma. In this discussion we are going to make certain reviews on the prevalence of depression in cancer patients even as we desire to get the perfect links between the two health conditions.

Depression affects 121 million people and is among the leading causes of disability worldwide. If not treated in time depression can lead to personal suffering and increased mortality. Although the prevalence of depression varies considerably globally, the most common symptoms of depression may include:

Looking at gender, women are the most vulnerable to be depressed than men. Even though the available estimates shows that major depression are common with people in their late twenties, research findings puts children also at risk where in every ten children, one will have periodic feelings of sadness. This has been seen as one of the greatest indicators of depression says doctor Dalal Akoury. Experts also put the prevalence of depression in pre-pubertal children ranges from 1% to 3% and from 3% to 9% in adolescents; however, the lifetime prevalence through adolescence is estimated to be as high as 20%. Although there is no difference in the prevalence rate between sexes before puberty, females are at higher risk after puberty. Depression in children negatively affects a child’s development and often manifests as behavioral problems or somatic complaints.

The Prevalence of Depression in Cancer Patients: The Coexistence of Depression

Depression is not alone ranger and it is commonly coexisting with other syndromes and symptoms, like for instance the anxiety disorders posttraumatic stress disorder, panic disorder, generalized anxiety disorder and pain. The National Comorbidity Survey data show that in a 12-month period, 51% of patients with major depressive disorders are diagnosed with an additional anxiety disorder. Patients with comorbid depression and anxiety disorders experience more severe symptoms, have a longer time to recovery, use more healthcare resources, and have poorer outcome than do those with a single disorder.

The symptoms of depression and personal suffering resulting from this disorder have been well described. The complex biological underpinnings result from disturbances in neurotransmitters and hypothalamic-pituitary-gonadal axis dis-regulation. The last two decades have produced exciting science and advances in the understanding of the neurobiology and pathophysiology of depression. Electro-physiologic studies, neuroimaging techniques i.e., magnetic resonance imaging; computed tomography; single photon emission computed tomography; positron emission tomography; functional magnetic resonance imaging and neuropsychological studies are providing information about the neuroanatomical substrate of depression as we are learning more about how systemic disease effects vulnerability to depression.

The Prevalence of Depression in Cancer Patients: Early Studies of Depression in Cancer Patients

When a significant number of mental health professionals began working in oncology settings, they asked oncologists to describe their perceptions of the prevalence of psychiatric disorders in cancer patients. They were able to find common responses ranging from “everyone is depressed which is very true because they have cancer” to “no one is depressed; these are just normal people” and likely were a reflection of the respondent’s mood and coping style.

One of the first efforts in psycho-oncology was to obtain objective data on the type and frequency of psychological problems in cancer patients. Using criteria from the Diagnostic and Statistical Manual of Mental Disorders–Third Edition (DSM-III) classification of psychiatric disorders, the Psychosocial Collaborative Oncology Group determined the psychiatric disorders in 215 randomly selected hospitalized and ambulatory adult cancer patients in three cancer centers by structured clinical interview. Although 53% of the patients evaluated were adjusting normally to stress, the remainder (47%) had clinically apparently psychiatric disorders. Of this 47% with psychiatric disorders, more than two-thirds had adjustment disorders with depressed or anxious mood, 13% had a major depression, 8% had an organic mental disorder, 7% had a personality disorder and 4% had a preexisting anxiety disorder. The authors concluded that nearly 90% of the psychiatric disorders observed were reactions to or manifestations of disease or treatment. Personality and anxiety disorders can complicate cancer treatment and were described as antecedent to the cancer diagnosis. The finding of 4% anxiety disorders was far below what would have been expected in the general population.

Thirty-nine percent of those who received a psychiatric diagnosis experienced significant pain. In contrast, only 19% of patients who did not receive a psychiatric diagnosis had significant pain. The psychiatric diagnosis of the patients with pain was predominately adjustment disorder with depressed or mixed mood (69%), but of note, 15% of patients with significant pain had symptoms of a major depression. Finally in whichever way you look at depression and cancer, these two conditions put together in an individual’s live can be very dangerous. We must therefore do all within our reach to keep distance from all these complications. One of the most important things you must keep in mind is the consistent consultation with the experts for professional advice. Doctor Akoury and her team of experts at AWAREmed Health and Wellness Resource Center will handle your situation with great confidentiality and most importantly offer you lasting solutions professionally. Your health should come first and therefore, schedule for that appointment today.

The Prevalence of Depression in Cancer Patients: Depression and Cancer

 

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