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AOCNP |! Essentials |! in |! Survivorship |! Care |! for |! the |!
Advanced |! Practice |! Provider |! exam |! with |! precise |!
answers
The |! number |! of |! people |! living |! with |! cancer |! continues |! to |! increase |! because |! of: |! - |! Correct |! answer |! ✔The |! aging |! and |! growth |! of |! the |! population Widespread |! screening |! efforts |! that |! have |! led |! to |! early |! diagnosis |! and |! improved |! prognosis Rapid |! treatment |! advances. |! which |! are |! increasing |! cancer's |! overall |! survival |! rate Cancer |! Survivor |! definition |! - |! Correct |! answer |! ✔from |! the |! time |! of |! diagnosis |! and |! for |! the |! balance |! of |! life, |! a |! person |! diagnosed |! with |! cancer |! is |! a |! survivor The |! goals |! of |! survivorship |! include |! - |! Correct |! answer |! ✔-Using |! evidence |! based |! clinical |! practice |! guidelines -Improving |! training |! and |! education |! of |! providers -Developing |! an |! individualized |! survivorship |! care |! plan, |! or |! SCP, |! that |! incorporates |! each |! patients |! needs |! based |! on |! their |! disease, |! stage, |! treatment |! received, |! side |! effects |! experienced, |! and |! physical |! and |! emotional |! health Survivorship |! includes |! these |! 4 |! components |! - |! Correct |! answer |! ✔Prevent |! - |! recurrent |! and |! new |! cancers |! as |! well |! as |! other |! late |! effects Coordinate |! - |! between |! primary |! and |! specialty |! care
Provide |! - |! interventions |! for |! consequences |! of |! cancer |! and |! its |! treatment Assess |! - |! for |! cancer |! spread, |! recurrence, |! and |! secondary |! cancers; |! as |! well |! as |! medical |! and |! psychosocial |! late |! effects Standardized |! Care |! Plans |! - |! Correct |! answer |! ✔ASCO |! Cancer |! Treatment |! Summaries OncoLife NCCS Models |! of |! Survivorship |! Care |! - |! Correct |! answer |! ✔Interprofessional |! Survivorship |! Clinic General |! Survivorship |! Program Consultative |! Model Integrated |! Model Shared |! Care Transitional An |! _____________________ |! approach |! is |! often |! used |! during |! survivorship |! care |! because |! of |! the |! varied |! needs |! of |! patients |! with |! a |! history |! of |! complex |! cancer |! treatment |! and |! side |! effects |! - |! Correct |! answer |! ✔interprofessional The |! _____________________accredits |! more |! than |! 1,500 |! cancer |! programs |! in |! the |! US |! and |! includes |! survivorship |! care |! as |! one |! of |! its |! required |! standards |! of |! certification |! - |! Correct |! answer |! ✔Commission |! on |! Cancer |! (CoC)
Late |! effects |! definition |! - |! Correct |! answer |! ✔effects |! from |! the |! disease |! and |! its |! treatment |! occur |! months |! to |! years |! after |! treatment |!
- |! secondary |! cancers
- |! cardiotoxicity Long |! term |! effects |! arise |! during |! treatment |! and |! may |! persist |! over |! time. |! Examples |! include: |! - |! Correct |! answer |! ✔peripheral |! neuropathy fatigue psychosocial |! implications Late |! and |! long |! term |! side |! effects |! of |! surgery |! - |! Correct |! answer |! ✔Effects |! of |! surgery Lymphedema |! commonly |! occurs |! in |! the |! upper |! extremities |! after |! - |! Correct |! answer |! ✔LN |! dissection |! for |! breast |! cancer |! but |! can |! develop |! after |! melanoma |! nodal |! excision |! or |! gynecologic |! surgeries |! in |! the |! lower |! extremities Lymphedema |! incidence |! is |! dependent |! on |! - |! Correct |! answer |! ✔the |! numbers |! of |! lymph |! nodes |! and |! adjuvant |! radiation |! to |! lymph |! nodes What |! can |! help |! reduce |! the |! incidence |! of |! lymphedema |! - |! Correct |! answer |! ✔risk |! is |! greatly |! reduced |! with |! sentinel |! lymph |! node |! biopsy |! and |! excision |! compared |! to |! lymph |! node |! dissections
Patients |! who |! received |! __________________________________ |! for |! lymphoma |! will |! be |! permanently |! immunocompromised |! - |! Correct |! answer |! ✔splenectomy
- |! will |! require |! routine |! vaccination |!
- |! needs |! education |! about |! the |! importance |! of |! infection |! prevention |! and |! early |! identification |! of |! the |! signs |! and |! symptoms |! of |! infection Chronic |! pain |! - |! when |! recurrent |! rather |! than |! persistent, |! look |! for: |! - |! Correct |! answer |! ✔tumor |! regrowth Late |! and |! long |! term |! side |! effects |! of |! chemotherapy |! - |! Correct |! answer |! ✔Chemo |! Effects Erectile |! dysfunction |! may |! persist |! in |! patients |! with |! - |! Correct |! answer |! ✔prostate |! cancer Premature |! menopause |! or |! ovarian |! failure |! can |! occur |! related |! to |! - |! Correct |! answer |! ✔chemotherapy |! and |! radiation Most |! commonly |! reported |! long |! term |! side |! effect |! - |! Correct |! answer |! ✔fatigue Fatigue |! can |! last |! up |! to |! ________________ |! post |! treatment, |! but |! up |! to |! a |! third |! of |! patients |! experience |! more |! prolonged |! symptoms |! - |! Correct |! answer |! ✔ 6 |! months
-consider |! the |! lifelong |! dental |! care |! needs |! of |! the |! patient, |! focusing |! on |! the |! risk |! of |! dental |! carries, |! infection, |! and |! quality |! of |! life This |! symptoms |! tends |! to |! worsen |! with |! continues |! radiation |! therapy |! - |! Correct |! answer |! ✔Fatigue |! - |! commonly |! early |! and |! late |! effects |! from |! radiation |! tend |! to |! worsen |! throughout |! treatment Common |! symptoms |! with |! whole |! brain |! radiation |! - |! Correct |! answer |! ✔Cognitive |! Dysfunction Possible |! side |! effect |! of |! radiation |! therapy |! to |! lung |! - |! Correct |! answer |! ✔Pneumonitis, |! Fibrosis
- |! inflammation |! can |! occur |! typically |! 1-3 |! months |! post |! radiation |! to |! the |! lung, |! breast, |! and |! chest. |! Smokers |! have |! increased |! risk Cardiovascular |! effects |! with |! radiation |! therapy |! - |! Correct |! answer |! ✔Coronary |! and |! Carotid |! Artery |! Disease |! and |! Cardiomyopathy
- |! as |! an |! example, |! a |! patient |! with |! breast |! cancer |! treated |! with |! left |! sided |! breast |! radiation |! has |! increased |! risk |! of |! cardiovascular |! event -risk |! increases |! with |! additional |! treatment |! received |! such |! as |! anthracycline |! or |! trastuzumab, |! which |! is |! used |! in |! some |! breast |! cancers Risk |! factors |! that |! increase |! cardiovascular |! effects |! with |! radiation |! therapy |! - |! Correct |! answer |! ✔Hypertension Smoking Family |! History
Secondary |! malignancies |! - |! Correct |! answer |! ✔Induced |! from |! radiation Includes |! skin |! cancers |! and |! sarcoma |! in |! the |! treatment |! area Generally |! occurs |! 5-10 |! years |! post |! treatment Routine |! history |! and |! physical |! examinations |! are |! important |! to |! identify |! new |! signs |! and |! symptoms |! of |! secondary |! cancers Endocrine |! side |! effect |! to |! radiation |! therapy |! - |! Correct |! answer |! ✔Hypothyroidism
- |! radiation |! to |! the |! thyroid |! related |! to |! mantle |! or |! neck, |! spinal |! radiation, |! or |! total |! body |! irradiation IMMUNOTHERAPY |! - |! Correct |! answer |! ✔IMMUNOTHERAPY Immunotherapy |! includes: |! - |! Correct |! answer |! ✔Vaccines Cellular |! Therapy Checkpoint |! Inhibitors ____________________ |! prevent |! an |! immune |! response |! that |! would |! damage |! healthy |! tissue |! - |! Correct |! answer |! ✔Checkpoint |! Proteins |! (PDL1, |! PD1) ______________________ |! - |! increased |! immune |! response |! and |! inflammation |! - |! Correct |! answer |! ✔Immune |! Checkpoint |! Inhibitor
Pulmonary |! Immunotherapy |! Side |! Effects |! - |! Correct |! answer |! ✔Pneumonitis Pleuritis Interstitial |! lung |! disease Cardiovascular |! Immunotherapy |! Side |! Effects |! - |! Correct |! answer |! ✔Myocarditis Pericarditis Vasculitis Endocrine |! Immunotherapy |! Side |! Effects |! - |! Correct |! answer |! ✔Hypo |! or |! Hyperthyrodism Hypophysitis |! and |! Hypopituitarism Adrenal |! Insufficiency Type |! 1 |! Diabetes Hepatic |! side |! effects |! to |! Immunotherapy |! - |! Correct |! answer |! ✔Hepatitis Integumentary |! Immunotherapy |! Side |! Effects |! - |! Correct |! answer |! ✔Dermatitis |! and |! erythroderma Erythema |! Multiforme Stevens |! Johnson |! Syndrome Toxic |! Epidermal |! Nectolysis Toxic |! Epidermal |! Necrolysis Psoriasis
Vitiligo Alopecia Musculoskeletal |! Immunotherapy |! Side |! Effects |! - |! Correct |! answer |! ✔Arthralgias |! and |! arthritis Myalgias |! and |! myositis Erthesitis Renal |! side |! effects |! to |! Immunotherapy |! - |! Correct |! answer |! ✔Nephritis Lupus-like |! glomerulonephritis Late |! and |! Long |! Term |! Side |! Effects: |! Targeted |! Agents |! - |! Correct |! answer |! ✔Targeted |! Agents Hormone |! Therapy |! Side |! effects: |! - |! Correct |! answer |! ✔Anastrozole
- |! hot |! flashes, |! osteoporosis, |! cataracts, |! hyperlipidemia, |! and |! sexual |! side |! effects
- |! recommend |! DEXA |! scan |! every |! two |! years |! and |! routine |! lipid |! screening Tamoxifen
- |! increased |! risk |! of |! uterine |! cancer, |! thrombosis, |! and |! cataracts Lupron
- |! side |! effects |! include |! hot |! flashes |! and |! osteoporosis
- |! recommend |! DEXA |! scan |! every |! two |! years
-avoid |! salt |! cured, |! smoked, |! and |! pickled |! foods |! (including |! bacon, |! sausage, |! and |! deli |! meats) Consume |! at |! least |! _____________________cups |! of |! vegetables |! each |! day, |! including |! dark |! green |! and |! deep |! yellow |! vegetables |! - |! Correct |! answer |! ✔ 2 |! 1/2 |! cups At |! least |! _____________cups |! of |! fruit |! each |! day, |! especially |! citrus |! fruits |! - |! Correct |! answer |! ✔ 2 |! 1/2 |! cups Avoid |! alcohol |! or |! limit |! consumption |! to |! _________drink |! per |! day |! for |! women |! and |! ________for |! men |! - |! Correct |! answer |! ✔ 1 |! drink 2 |! for |! men
