Employment issues because of cancer
career development, 60
difficulty working, 116
discrimination, 148, 167
employer support, 68
opportunities, 22, 60
privacy in workplace, 163
redundancy, 98, 167
stopped working, 142
work throughout treatments, 28, 121, 143
working after treatments, 22, 122, 144, 150
Euthanasia [see also death from cancer], 2
legalisation of, 83Ewing's sarcoma, 113 to 115
remission, 113, 114
terminal with, 115
Exercise and sport, patient participation
athletics, 169 Contour's women's triathlon, 59
dragon boating, 88 Fun run day, 130 Pilates, 43
running, 58, 85, 130, 174 Run to heal, 43 Special K women's triathlon, 22, 59
walking, 43, 143
yoga, 43
Exercise and sport issues for patient,
achievements post treatments, 169
impact of cancer on sport, 151, 169
limited physical abilities from treatments, 13, 124, 161, 166,
to vent, 171
Eyes
biopsy, 145
deteriorating eyesight as symptoms, 145
deteriorating eyesight treatment effect, 145,
filled with blood, treatment effect, 132
operation, 145
sensitive, reaction to Viagra, 162
squint, symptom of brain tumour, 7
watery eyes, treatment effect, 45 F
Father's perspective, 34
Fear
chemotherapy, 74
hospitals, 31
surgery, 109, 169
Film, short, 152
Friend's perspective, 25, 26, 61, 103, 172
Fundraising for equipment and treatments, issues,
diagnostic equipment, ultrasound machine, 7
personal debt, 42
treatments, 44, 57 G
Gall bladder removal, 168Grief,
issues adding to a patients grief, 13, 121, 124
recurring grief throughout cancer, 143
support for person, 125, 126
themes of, 74, 87, 168 H
Hair loss, treatment effect, [see also wig, see also turban], 116, 117, 118, 119, 121, 127, 132, 135, 136, 168, 179
adjusting, 132, 151, 179
multiple times, 142
radiation induced, 142
total body, 16, 148
Herceptin,
ethics of participant selection, 19, 42, 44, 57
government role, public perception, 19, 42, 44, 57
palliative chemotherapy, 75
participant on trial, 20
Hip replacement, 175Hodgkin's disease, 116 to 118
severe reaction to treatments, 116
shunt, 116
Hodgkin's lymphoma, 119 to 121Hospice care, 74
Hospital, patient admitted to for treatments
Ashford, 179
Auckland, 18, 84, 131, 150
Bowen, 52, 55
Burwood, 108
Christchurch, 10, 116, 121
Georgetown hospital, USA, 78
Greenlane, 22
Hamilton, 132, 143
Hutt, 51, 95
Japanese, 145
Mater hospital, Sydney, 86
National women's, 104
New Plymouth, 166
North Shore, 80
Otago, 77
Radcliffe, England, 8
Starship, 152 to 153
Wellington, 18, 28, 38, 63, 158, 15
Husband of cancer patient, impact of, 143, 156
changes to perspective, 21
death of wife, 141
grief, 141, 168
healing, 141, 168
household chores, 89, 136, 168
impact on life, 21, 100, 141, 168
new love, 141, 168
supportive acts, 5, 21, 51, 76, 83 98
Hysterectomy, 49, 105 I
Identity loss, 124
Infertility, from treatments
birth to dead husbands baby, 134
cryopreservation, semen, 148
discontinue treatments to have baby, 122
in vitro fertilisation, 134
menopause, 17, 34, 73, 79
ovaries removed, 155
surrogacy, 22
Information
internet, 36, 159, 160
Impact of cancer [see also long term survivors; see also remission]
changes in life priorities, 14, 17, 60, 61, 96, 149, 3, 113
change career, 17, 60, 104
healthier lifestyle, 22, 36, 43, 58, 59, 85, 96, 113, 159
holiday, 3, 17
move back to New Zealand, 108, 179
new interests, 113
resign for job, 108
retire, 96
sell business, 3
spend more time with family, 3, 113, 145
sport, 151
start living, 85
changes in perspectives, 12, 14, 48, 54, 142, 162
accept help, 90,96
deep contentment, 66
less positive view of the world, 21
slow down, 90, 113
financial pressures, 88
independence, 104
Government support, 121
parents as caregivers for adults, 121, 145
living with an uncertain future, 15, 79, 145
opportunities, 22, 36, 58, 59, 96, 104, 114
physical changes, 13, 145
relationships, 7, 99, 145
Incontinence from treatments, 162
Infection
chest, 132
bladder, 105, 179
mouth, 79
port-a-cath, 114, 140
recurrent, 76, 132
respiratory, 121
sepsis, 2
Isolation issues
alone, 91, 88
anxiety from, 148
during treatments, 106, 108, 116
geographical location, 121
neutropenia, 108, 116
reducing isolation, support for, 128
Insomnia, 45, 148 K
Knee replacement, 151 L
Laryngectomy, 6
Late effects from treatments
concern about, 114
deteriorated eyesight, 116
heart problems, 74
not enough answers, 114
pain, 116
reduced lung capacity
tires easily, 116
weakened body
Leiomyosarcoma, 122, 123
defer treatment to get pregnant, 122
inoperable, 123
radio ablation technologies, 123
Limb salvage surgery, 153
Liver cancer, 133
Lletz, 107
Long-term survivors of cancer [see also remission, see also impact of cancer]
breast, 30, 41, 47, 49, 63, 65, 72, 82, 84, 90, 95, 96
colon, 111
Ewing's sarcoma, 113
Hodgkin's disease, 117, 118
leukaemia, 126, 127, 131
melanoma, 137
squamous cell carcinoma, 166, 167Lung
cancer, 32, 134 to 136
melanoma, 139
removed, half of, 136
smoking stigma, 136
Leukaemia, 124 to 132
acute lymphoblastic leukaemia, 132 acute lymphocytic leukaemia [see acute lymphoblastic at
leukaemia] acute myeloid leukaemia, 128, 131 chronic myeloid leukaemia, 124, 130
chronic myelogenous leukaemia [see chronic myeloid leukaemia]
granulocytic leukaemia [ see acute myeloid leukaemia ]
myeloblastic leukaemia [ see acute myeloid leukaemia ]
myelocytic leukaemia [ see acute myeloid leukaemia ]
myelogenous leukaemia [ see acute myeloid leukaemia ]
Leukaemia issues for cancer patient
bone marrow transplant, 132
continual tests, 130
death from, 124, 125, 130, 132
distended stomach, 124
enlarged spleen, 124
leukaemia and blood foundation of New Zealand, 131
long-term survivors, 136, 127, 131
remission, 126 to 128
story for toddler, 127
teenage patient, 132
terminal, 124
treatment effects
depression, 132
exhaustion, 124, 128, 130, 131, 132
hair loss, 127
heart murmur, 124
meningitis, 124
nausea, 132
recurrent infections, 132
shingles, 132
sore gums, 124
swollen feet, 124
thrombotic thrombocytopenic purpura, 128
young patients, 125, 126, 127, 128, 129, 131, 132 M
Maori
awareness of services, 49
breast burial, 80, 83
concern for, 29, 49, 83, 106 Ngai Tahu, 83 Ngati Raukawa, 83 Rangitane, 83
Medical system issues
communication between hospitals, 121, 145
conflicting medical advice, 163
doctors making diagnosis based on patients age, 1, 23
hospice, 149, 156
jargon, 159
medical disciplinary board, 62, 73, 104, 105
navigation of, 15, 17, 145
narrow attitude towards healing, 8, 102
perception of doctor
insensitive, 18
mistrusting, 21
patient, 16
supportive, 20
unsupportive, 2
vital, 179
perception of nursing care
insensitive, 150
neglect, 3, 150
provide comfort, 54
supportive, 54, 68, 150, 158
private health care, 3, 162
public versus private, 57
Melanoma, 114, 137 to 141
Melanoma patient issues,
in places receiving no sun, 137
lung melanoma, 139
pregnancy increases rate of melanoma growth, 141
scar, 138
sunburn experiences, 137
Metaphors of cancer
battle scar, 139, 153, 154
cancer Olympics, 59
hell, 98, 108
prison sentence, 152
school, 146Metastatic cancer for
bowel cancer, 5
brain tumour, 13 breast cancer
armpit gland, 62, 92
bones, 79
brain, 22, 23
breast, 19, 22, 25, 27, 31, 36
lung, 74
lymph nodes above collarbone, 92
ovary, 69
peritoneal cavity, 36
ribs, 27
leiomyosarcoma, 123
lung cancer, 134
melanoma, 141
osteosarcoma, 154
prostate, 161
rectum cancer, 164
testicular cancer, 169
Mastectomy issues for patient [see also breast cancer treatments, see also breast reconstruction, see also prosthesis]
breast farewell ceremony, 80
burial of breast, 80, 83
clothes
adjusting clothes to hide scar, 81
mastectomy swimsuit, advocate for 81
recovery
healing, 69, 47 Mastectomy rehabilitation support services, 79, 81
reclaiming sensuality, 18
revealing scars, 81
Mastectomy rehabilitation support services, 79, 81
Misdiagnosis experience, type of cancer,
brain
ineffective diagnostic equipment, 7
menopause, 11
virus, 13
breast cancer, 17, 42, 68
age of woman, 23
as terminal, 75
ineffective diagnostic tests, 24, 45, 49, 55, 60
observe, 24, 55, 68
patient concerns brushed aside, 62
rare metastases, 36
cervical
misread slides, 102, 105
unpreventable type, 101
chondrosarcoma,
slip disc, 108
chordoma,
past injury, 109
Hodgkin's disease, 116
lump as orf, 116
Hodgkin's lymphoma, 119
asthma, 120
leimyosarcoma,
fibroid, 122
leukaemia, 124
melanoma,
benign lump, 141
non Hodgkin's lymphoma
eye inflammation, 145
prostate,
rare type of, 161
age of, 162
osteoblastic sarcoma
rare type, 151
osteosarcoma
as injury, 153
squamous cell, 166
Testicular
inflamed, 171
Yolk sak germ cell, 179
Misdiagnosis issues for patient,
because of young age, 23, 42, 160, 162
diagnosed only after
several months, 171
surgery, 36
public awareness of possibility of misdiagnosis, 101, 141
repetitive misdiagnosis, 7, 55, 162
Mole removed, 138, 141
Mother, as caregiver
explaining death to child, 13
keeping life as normal as possible, 22, 89
Mouth, treatment effect
dryness, 79
infections, 79
ulcers, 67, 116, 132, 150, 154
Mouth care, 116, 132Multiple myeloma, 142, 143
Multiple myeloma issues for patient
blood donation, 142
blood transfusions, 142
death from, 143
patient with high pain tolerance, 143
terminal, 142 N
Narration style, unique
conversational, 107, 166
letter, 47, 115
poetry 27, 111, 145, 146 173
script, 2
Nerve damage, treatment effect, 73
Neutropenia, treatment effect, 108
Non Hodgkin's lymphoma, 144 to 149
Nose tumour, 150 O
Orchidectomy, 159, 162
Osteoblastic sarcoma, 151Osteosarcoma, 152 to 154Ovaries
cancer, 155
removed, 53 P
Pain
disease progression
from bloating, 176
severe, 5, 72, 74, 78, 105, 143, 156
emotional pain, 78
threshold, large tolerance, 143
treatments, 3, 72, 81, 101, 116, 120, 121, 148, 162, 166, 175, 179
inserting catheter, 26
lumbar puncture, 116
phantom pain after mastectomy, 55
Painkillers, treatments, 109, 148, 163, 166, 176
acupuncture, 148
administered by caregiver, 143
little needed, 68
taken off too early, 3, 101Palliative care , 19, 22, 42, 75Pancreas cancer, 156, 157
Paralysis
partial, treatment effect, 105, 109
wheel chair temporary reliance, 13, 151, 175Parotid gland cancer, 158Personal websites, 1, 102, 117, 145, 153, 162, 180
Physical limitations,
coping, 13, 154, 166, 175
frustrations, 13, 154, 166, 175
overcoming, 13, 154, 169
Platelet count, 132
transfusions, 132
Pleurosis, 121
Pneumonia, death from, 27, 130
Pneumonia, during treatments, 132, 148, 149
Professional websites, 1, 3, 50, 57, 101, 103, 131, 144, 159, 160
Prognosis
terminal, 22, 23, 24, 36, 115, 121, 156, 157, 159, 161, 164, 177
uncertain future, 15, 36, 142, 145
wrong, 75, 89, 136
Prothesis, 35, 41
being fitted for, 73, 79
benefits, 41, 51, 73, 81
care for, 67
coming to terms with, 22, 83, 94
difficulties with, 35
disadvantages, 35, 41, 67, 68
early types of, 72, 81
embarrassing predicaments with, 71
humour, 41, 51, 71
no problems with, 66
reminding of cancer, 68
size issues, 51, 73, 81
subsidy, 72
weight, 41
Prostatectomy, 1, 160, 162Prostate cancer, 159 to 163
Prostate cancer issues for patient
communication with wife, 159, 163
contradictory medical information, 163
diagnosed late, 161, 162
financial pressures, 162
impact on relationship, 162
information searching, 159, 160, 162
initiating support group, 159
rare type, 161
self prescribed treatments, 162
support from internet information, 1
terminal, 161
too young for PSA test, 160
treatment effects
arthritis, 162
depression, 162
difficult bowel control, 162
headaches
impotence, 159, 163
incontinence, 162
scar, 162
sensitive eyes, 162
waiting list for treatments, 162
young age at diagnosis, 160, 162
Prostate cancer treatments
alternative treatments, 162
Australian treatment, 163
bracytherapy, 163
complementary treatments, 160
hormone blockade, 159, 160
orchidectomy, 162
prostatectomy, 162
radiation, 162
Psychological research, self help in healing, 69 Q
Quantum booster, 10 R
Radio frequency ablation, 123
Rare cancer type
chordoma, 109
inflammatory breast cancer, 42
osteoblastic sarcoma, 151
prostate cancer, 161
secondary breast cancer in peritoneal cavity, 36
Rectum cancer, 2
Religion
anger at God, 154
church support for cancer patient and family, 116, 167
faith in God's care, 128, 129, 144, 154, 156, 157
faith God would heal, 167
minister, as cancer patient, 156, 157
minister as caregiver, 143
parents releasing daughter to God, 132
reasons God may not heal, 156
Remission, types of cancer
breast, 3, 15, 17, 18, 28, 29, 40, 48, 50, 53, 54, 55, 56, 58, 59, 60, 62, 67, 68, 69, 71, 73, 76, 77, 78, 79, 81, 82, 83, 85, 89, 92, 99, 100
cervical, 101, 104, 106, 107
chondrosarcoma, 108
chordoma, 109
Ewing's sarcoma, 114
Hodgkin's disease, 116
Hodgkin's lymphoma, 119
leiomyosarcoma, 122
leukaemia, 128
lung melanoma, 139
non Hodgkin's lymphoma, 145, 148, 147
nose, 150
ovaries, 155
parotid gland, 158
prostate, 159, 160, 162, 163
testicle, 169
unnamed, 174, 175,178
yolk sak germ cell, 179
Remission issues for cancer patient [see also impact of cancer; see also long term survival of cancer]
activities during
gardening, 113
return to work, 9, 14, 144, 173
cancer recurrence, 144
death following recurrence, 144, 173
fear of recurrence, 50 Rhinotomy, 150 S
Samoan, 58, 59
Scar issues for cancer patient
family reaction to scar, 87
hide scar, 81, 4
non concern over scar, 46
radiation scar, 72
revealing scar, 94
social effect of scar, 112
surgical scar 11, 53, 66, 81, 110, 138, 145, 155, 162, 168
treating scar, 95
Scar metaphors
battle scar, 139
emotional scar, 139, 155
smile, 40
School, after diagnosis and during treatments
friends supportive, 7
Septicaemia, 132
Skin, treatment effects
burns, 88
darkening, 179
grown over shunt, 116
irritation, 84
itchy, 145
skin graft , 4, 68, 81
Sister perspective, 125, 87
brother died from cancer, 10
sibling's grief, 10Smoking
stigma, 89
Social effects
friends dying of cancer, 25, 114, 126, 140
isolation, 2
meeting other cancer patients, 11, 127
reunited friendships, 26, 126
socialised, 69, 145Son perspective, 37, 161
Squamous-cell-carcinoma, 166, 167
Steroids effect,
changes to voice and hair growth, 72
increased appetite, 132
weight gain, 174
Support issues
advocacy, 7, 181
counselling, 17
emotional, 100
family and friends, acts of, 114, 115, 120
financial, 130, 145
for young people with cancer, 182
government, 168
hospice, 74, 149
isolation from, 74, 88, 164
medical professionals, 20, 48, 67, 68, 76
other cancer survivors, 91
school, 169
support teams, 24, 150
Support groups
patients attending, 68, 94, 124, 130, 159
patients initiating, 124, 130, 159
Synovial sarcoma, 168 T
Terminal prognosis, issues, 12, 22, 24, 36, 75, 79, 115, 136
acceptance of, 22, 24, 36
devastated not seeing children grow up, 24, 142
keep living, 22, 143
look forwards to good time with friends, 115
lucky to be going to heaven, 154
misdiagnosed as, 89
move closer to family, 36, 143
nights difficult, 115
positive spirit, 22, 143
retire, 36
survival, 5, 82Testicular cancer issues for patients
cancer, 169 to 171
harshest chemotherapy used in Australasia, 171
testicle removed, 169, 170, 171
not responding to treatments, 171
Titanium joint implant, 151, 153, 175
Tracheotomy, 128
Trastuzumab [see Herceptin]
Turban, public reaction, 49 U
Uterus
removed, 122 V
Vomiting, treatment effects,
Blood, 2
Continual, 2, 165
Radiation induced, 105 W
Wife of cancer patient, 143, 156
coping as a witness to experience, 143, 156, 176
closer together, 163
concern over future care of family, 22
diagnosed with cancer after husband died, 74
delivering medication, 143, 156, 176
isolation from society, 164
organising funeral, 156
practical issues for support, 143, 156, 176
stigma of death, 164
Wig, 29, 46, 50, 132, 151
buying a wig, 132, 151
dislike, 46
humour, 29
subsidy, 81 Y