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WHEN A LOVED ONE HAS CANCER 10 ways to support someone facing a cancer diagnosis

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WHEN A LOVED ONE HAS CANCER 10 ways to support someone facing a cancer diagnosis WELCOME EVERYONE! Dr. Rob Rutledge Radiation Oncology Dalhousie University – PowerPoint PPT presentation

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Title: WHEN A LOVED ONE HAS CANCER 10 ways to support someone facing a cancer diagnosis


1
WHEN A LOVED ONE HAS CANCER10 ways to support
someone facing a cancer diagnosis
  • WELCOME EVERYONE!
  • Dr. Rob Rutledge
  • Radiation Oncology
  • Dalhousie University
  • Halifax, Nova Scotia
  • www.robrutledge.ca

2
INTRODUCTION
  • You can improve your health and outcome
  • It can be stressful to be a support person
  • Use what works for you and your loved one
  • Listening and trying to understand are key
  • Make sure you and your loved one are paddling in
    the same direction
  • The conditions will keep changing
  • Take care of yourself

3
OVERVIEW OF TALK
  • Understanding cancer and its treatment
  • Navigating the medical system
  • Overview of hospital services
  • Services in the community
  • Optimizing nutrition
  • Role of complementary medicine
  • Communication with loved ones
  • Riding the emotional rollercoaster
  • Wills and other legal issues
  • Taking care of yourself

4
WHY LEARN ABOUT CANCER AND THE MEDICAL SYSTEM?
  • Understanding helps you feel in control
  • You will be better able to deal with problems
  • Helps you make better decisions
  • Your loved one will get better care

5
CANCER CELLS DEVELOP FROM NORMAL CELLS
  • Each cell has the control centre (nucleus)
  • The control centre has an instruction manual made
    of words and sentences (DNA)

6
HOW CANCER CELLS ARE MADE
  • Cancer cell is a normal cell with
    many mistakes in the words and sentences
  • Three ways mistakes are created
  • 1) Born with mistakes in all cells - genetic
  • 2) Accident when cell divides mutation
  • 3) We are exposed to a carcinogen (substance
    that causes cancer)
  • Toxins, sunlight, viruses, fatty diet

7
EXAMPLE MISTAKE IN THE CELLS INSTRUCTIONS
  • If the normal instruction read
  • STOP dividing after coming in contact with more
    cells
  • is changed to
  • KEEP dividing after coming in contact with more
    cells
  • The cell wont stop dividing!

8
WHAT IS CANCER
  • Cancer occurs when cells begin to grow fast and
    in an uncontrolled way
  • It requires dozens of changes to the cell
  • Cancer cells will grow into normal tissue
  • Can get into lymph and blood system to grow
    colonies at a distance (metastasis)

9
NORMAL CELL TRANSFORMS TO CANCER CELLS
10
EACH PERSONS CANCER IS DIFFERENT
  • Each cancer has different mistakes and a
    different personality
  • You cannot compare one persons cancer with
    anothers
  • You can always do better than expected!

11
  • CREATION OF A TUMOUR

12
HOW CANCERS CAUSE PROBLEMS
  • A tumour or mass can grow at the primary site or
    if it spreads to other organs (called metastasis)
  • Lump can cause pain, bleed, block a tube, slow
    down an organ like kidney
  • Cancer cells can effect the whole body by taking
    away energy.
  • OUR TREATMENTS KILL CANCER CELLS TO STOP THESE
    PROBLEMS

13
UNDERSTANDING THE MEDICAL SYSTEM
14
MAKING THE DIAGNOSIS
  • Biopsy taking a piece of tumour and looking at
    it under microscope
  • This proves its cancer and tells the type of
    cancer
  • Starts a process appointments, tests and
    treatment

15
STAGING THE CANCER
  • Process to figure out how far the cancer has
    spread
  • Looks at the primary site, lymph nodes and
    distant organs
  • Has the cancer been found early or late?
  • Is it possible to be cure the person?
  • Helps decide on the treatment
  • Tells the prognosis (likely outcome)

16
STAGING THE CANCER
  • Blood tests
  • Radiology (taking images)
  • Xrays, Cat Scan, Bone scan, MRI
  • PATHOLOGY
  • What cancer looks under the microscope
  • Grade how different it is from normal
  • Often indicates how aggressive the cancer is
  • Receptors on cancer cell like antennae on outer
    surface eg. estrogen receptors
  • Genetics Are there specific changes in the
    words or sentences in the cancer cells

17
WHY TESTS MAY NOT SHOW EVERYTHING
  • Drawing cross section of bone
  • A single cancer
  • cell wont be
  • seen by any test

18
CANCER DOCTORS QUESTIONS
  • What is the stage?
  • Can the patient be cured?
  • What is the best treatment?
  • How fit is the patient?
  • What does the patient want?

19
CANCER SPECIALISTS
  • Are called oncologists
  • Surgeons perform operations
  • Medical Oncologist prescribe chemotherapy or
    systemic therapy
  • Radiation Oncologist

20
SURGERY
  • Usually used if tumour thought to be contained in
    one area
  • Aims to remove the tumor and minimize the effect
    on normal tissue
  • There is a chance cancer cells will be left
    behind
  • already spread but not visible

21
CHEMOTHERAPY
  • Whole body treatment
  • Injection into veins or pills
  • Bone marrow transplant very high doses of
    chemotherapy using blood products from patient or
    other to aid the recovery
  • Kills / neutralizes cancer cells
  • Given in courses over weeks
  • Affects fast-growing cells
  • Cancer cells and normal cells

22
CHEMO SIDE EFFECTS
  • Many types and combinations of chemotherapy
  • Each combination may cause specific side effects
  • Each persons case is different
  • Doctor monitors patient during treatment

23
EXAMPLE CHEMO SIDE EFFECTS
  • Whole body side-effects / fatigue
  • Nausea and vomiting
  • Hair loss
  • Low blood cells
  • White cells fight infection
  • Red cells deliver oxygen
  • Platelets stop bleeding
  • Sore mouth and throat

24
RADIATION TREATMENT
  • Also called radiotherapy, cobalt
  • Ionizing x-rays - kills cells
  • Cant see or feel them
  • Types external and internal
  • Side effects in the area treated
  • New technology allows more sparing of surrounding
    normal tissue

25
RADIATION TREATMENT
26
HOW TREATMENT WORKS
  • makes more mistakes in the cells book of
    instructions or disables the cells machinery

27
HORMONE TREATMENT
  • Some cancer cells depend on bodys natural
    hormones to live
  • Hormone treatment blocks these hormones so cancer
    cells die
  • Taken as pill or injection
  • Sometimes hormone treatment increase chance of
    cure
  • Side effects may include hot flushes and many
    others

28
CAN YOU BE CURED?
  • Cured the cancer never comes back
  • Adjuvant extra treatment in case there are
    cells left over in hopes to improve chance of
    cure
  • Non-curative / Palliative medical doctors dont
    expect cancer to go away forever but there is
    always hope
  • Aim for many years of great quality of life
  • In remission cancer cells are in the body but
    not visible on any test

29
CLINICAL TRIALS
  • Studies which scientifically measure if a new
    treatment is better than the current treatment
  • Approved by an ethics board
  • Patients often get more tests and appointments
  • You dont have to participate but it may be a
    better treatment
  • Ask your doctor or do some research
  • www.nci.nih.gov/cancertopics/pdq

30
HOW TO GET THE MOST FROM THE MEDICAL SYSTEM
  • Try to understand whats happening
  • Prepare for each visit to your cancer specialist
    or family doctor
  • Contact your doctor/nurse if you have questions
    or concerns
  • Ask for extra care if you need it

31
IF YOU WANT MORE INFORMATION
  • Your cancer doctor is the best person to
    individualize the information and give you
    medical advice

32
SOURCES OF GENERAL INFORMATION ABOUT CANCER AND
ITS TREATMENT
  • To talk to a person
  • Librarian at Cancer Centre or Hospital
  • Telephone the BC nurseline
  • 1866 215 4700
  • Call the Cancer Information Service of the
    Canadian Cancer Society
  • 1 888 939 3333

33
BC Cancer Agency Cancer Centre Library
  • Professional librarians provides free information
    and reference service (not advice) by phone or in
    person
  • They search multiple resources including
    electronic information sources and the Internet
    to help you find useful information
  • Comprehensive collection of books, journals,
    pamphlets, video and audio materials available to
    borrow

34
BC Cancer Agency Librarian
  • Toll free 1-888-675-8001, ext. 8001
  • Vancouver call or drop in
  • (604) 675-8001, 675 West 10th Avenue
  • Surrey call or drop in
  • (604) 930-2098, 13750 96th Avenue
  • http//www.bccancer.bc.ca/PPI/Library
  • Follow recommended links for other websites
  • Each major hospital has library services

35
BC NURSELINE 1866 215 4700 (604) 215 4700
  • Free 24-hour helpline to a BC nurse
  • Multiple services
  • Telephone assessment of symptoms
  • Explain tests, procedures, services
  • Can point you to other resources
  • Available in 130 languages
  • Nurse knows BChealthguide website
  • www.bchealthguide.org

36
Cancer Information Service1 888 939 3333
  • Service of Canadian Cancer Society, a
    community-based organization
  • Free, 9am-6pm helpline to an information
    specialist draws on world-class database
  • Provides information not medical advice
  • Advice for emotional issues, communication etc
  • Available in four languages
  • They will email/mail you complete info package as
    summary of conversation
  • List of all resources nationally and locally
  • Volunteer drivers, wig bank, accommodation

37
CANADIAN CANCER SOCIETYCANCER CONNECTION1 888
939 3333
  • Matches loved one with a cancer survivor
    volunteer with similar diagnosis / situation
  • National database to find best match
  • Telephone contact and/or face-to-face meeting
  • Volunteer cancer patient listens and shares own
    experience

38
WEBSITES PROVIDING GENERAL INFORMATION ABOUT
CANCER
  • To learn about the BC Cancer Agency guidelines
    used to treat various cancers
  • www.bccancer.bc.ca and look for Cancer
    Management Guidelines link
  • In BC www.bchealthguide.org
  • Canadian Cancer Society www.cancer.ca
  • Health Canada www.hc-sc.gc.ca
  • National Cancer Institute (USA) provides
    easy-to-understand summaries at
  • www.nci.nih.gov/cancertopics/pdq

39
GETTING THE MOST FROM YOUR DOCTORS VISIT TAKES
PREPARATION
  • Before, during and after the visit

40
HOW TO GET MOST FROM A DOCTORS VISIT
  • Before the visit
  • Create a concise summary of symptoms
  • Bring a list of current medications and allergies
  • Write down your questions before the visit
  • Someone should accompany loved one
  • Decide who will make record of the visit
  • /- Create a file with all the test results
  • You can get a copy by visiting medical records

41
HOW TO GET THE MOST WHILE AT THE VISIT WITH THE
DOCTOR
  • Be honest and open
  • Speak up if youre feeling overwhelmed Im not
    sure I understand
  • Wait till the summary then ask your most
    important questions first
  • Take notes or record the interview
  • Find out what to expect eg. side effects and who
    you should call in case of problems
  • Nurses are invaluable eg. with care plans

42
HOW TO GET MOST FROM YOUR DOCTOR AFTER THE VISIT
  • Keep a journal and list of results
  • Know what to do if side effects occur
  • KNOW WHO TO CALL!!
  • May want to ask for family conference
  • Physicians may want consent to talk to family
    members without patient present

43
PROBLEMS WITH DOCTOR
  • You, a different family member or friend may be
    able to do the talking
  • Call to clarify information or ask for
    appointment
  • Ask for a second opinion if need be

44
NEW SYMPTOMS OR PROBLEMS BETWEEN MEDICAL VISITS?
  • Ask your doctor what you should do beforehand
  • Options depend on severity of problem
  • In case of real emergency Go directly to the
    closest emergency department or walk-in clinic
  • During the day, call the number youve been given
  • Patient helpline (eg.Surrey 930-4053) or doctors
    office
  • At night call the number youve been given
  • Or in Vancouver 604 877 6000, Surrey 934-2098
  • Book an earlier appointment with your oncologist
    or family doctor

45
GETTING MORE PHYSICAL CARE
  • Multiple services are available
  • Home care nursing
  • Pain and Symptom Management / Palliative Care
    Team
  • Other services in the medical system
  • Patient and family counseling services

46
HOME CARE NURSING
  • Free to BC residents with health card
  • Provides non-urgent in-home nursing care
  • help manage or administer own medication
  • assist people after surgery
  • pain management
  • Includes assessment and care coordination
  • Nurse can direct you to all other services
    including Hospice Home Care
  • Up to one visit per day depending on need

47
HOW TO ACCESS HOME CARE NURSING
  • Cancer doctor, nurse or family doctor can make a
    referral
  • You can refer yourself by calling Continuing Care
    Division Office of the nearest community health
    centre
  • Find in blue pages under health authority
  • Call the BC Nurseline 604 215 4700 for direction
  • May be link to a case manager for ongoing care
    issues

48
HOME SUPPORT SERVICES
  • Different from home care nursing
  • Includes personal care
  • getting out and into bed, dressing, grooming and
    personal hygiene and using toilet, taking
    medications, doing special exercises
  • Includes relief for family caregiver
  • Does NOT include laundry, shopping, cooking,
    cleaning or banking.
  • Might be purchased from community agencies
    "house cleaning" or "home support services"
  • Fee each time you use the service
  • based on your income eg. free for annual incomes
    lt 20000 up to gt50 for high earners

49
THREE OPTIONS TO ACCESS HOME SUPPORT SERVICES
  • 1) Talk to your social worker or
  • 2) Call Patient and Family Counseling at the
    cancer centre
  • Vancouver (604) 877-6000 ext 2194
  • Surrey (604) 930-4000
  • 3) You can refer yourself by calling Continuing
    Care Division Office of the nearest community
    health centre
  • Find in blue pages under health authority
  • Call the BC Nurseline 604 215 4700 for help

50
PAIN AND SYMPTOM MANAGEMENT / PALLIATIVE CARE TEAM
  • Medical team located in BC Cancer Agency,
    Vancouver and Surrey Clinics
  • Experts at controlling difficult symptoms
  • Pain, nausea / vomiting, bowel care, shortness of
    breath, severe anxiety
  • In curative and non-curative scenarios
  • Prescribe medical treatment but usually family
    doctor or oncologist will continue to supervise
    care

51
HOW TO ACCESS PAIN AND SYMPTOM MANAGEMENT /
PALLIATIVE CARE TEAM
  • Doctors and nurses often refer to them
  • You can also self-refer by calling
  • Vancouver 604 877 6098 local 2644 or
    1 800 663-3333 local 2644
  • Surrey 604 930-4053
  • Let your family doctor know about it
  • Visit www.bccancer.bc.ca/PPI/PSMPC for more
    information

52
SERVICES IN THE HOSPITAL / CANCER CLINIC
  • Pharmacy advice about administering medication
  • Physiotherapy exercises for body
  • Occupational therapy ways to adapt to home and
    work environment
  • Rehabilitation
  • Speech therapy

53
BEYOND PHYSICAL MEDICAL CARE
  • You can empower yourself many ways
  • Diet, physical activity, relaxation, support
    groups
  • complementary therapies
  • Use what worked for you in past
  • Eg. faith community

54
BC smokers line 1 877 455 2233
  • Quit before any surgery!

55
THE ROLE OF NUTRITION
  • Effective way to improve your health
  • Should not be a source of conflict with your
    loved one
  • Individualize to what works for you
  • Ask your doctor and professional dietician if
    persistent problem with
  • Ongoing unintentional weight loss or loss of
    muscle mass
  • Nausea and vomiting
  • Diarrhea / constipation
  • Treatment affecting the GI tract

56
DIET WILL VARY ACCORDING TO PHASE OF TREATMENT
  • During cancer treatment and recovery
  • Maintain caloric intake for energy / muscles
  • Use balanced diet if possible
  • Antioxidants from diet only
  • Chemotherapies ask team about food safety
  • Living after recovery from treatment
  • Balanced diet with antioxidants from foods
  • If take oral supplements never take more than
    recommended daily allowances
  • Living with advanced cancer individualize diet
    as per the treatment phase

57
GENERAL NUTRITION ADVICE
  • Choose a variety of food from all food groups
    daily
  • 5-10 servings fruits and vegetables /day
  • Choose lower fat food groups
  • Fat to make up lt 20 of caloric intake
  • Choose high fiber foods
  • Whole grain breads and cereals
  • Drink plenty of healthful fluids
  • Maintain healthy weight

58
HOW TO GET MORE INFORMATION ABOUT NUTRITION
  • Contact the professional dietician at the cancer
    centre
  • Vancouver 604 877 6000 ext 2013
  • Surrey 604 930 4000
  • Visit the cancer centre website
  • www.bccancer.bc.ca/PPI/CancerTreatment/Nutrition
  • American institute for cancer research
  • www.aicr.org
  • Canadian Cancer Society www.cancer.ca

59
EXERCISE IS SO BENEFICIAL!
  • Effective way to improve your energy, sleep, mood
    and overall health
  • Listen to your body to guide you
  • Individualize to phase of journey
  • Slowly increase the activity each week
  • After recovery aim for at least 30min on 5 or
    more days a week

60
FIND A WAY TO EXERCISE
61
COMPLEMENTARY / INTEGRATED MEDICINE MAIN POINTS
  • Find a balance between by doing your research
    following your intuition
  • Tell your doctor what youre taking and doing
  • Dont forego proven treatments

62
COMPLEMENTARY / INTEGRATED MEDICINE
  • 70 of cancer patients used some form of
    complementary medicine in the last year
  • Large confusing billion industry
  • Can be very beneficial and potentially harmful

63
CONVENTIONAL MEDICINE
  • Provided by BCCancer Agency, surgeon, family
    physician
  • Uses scientific method such as clinical trials to
    justify treatment
  • Has a system to document toxicity
  • Patient is told the risks and benefits of each
    treatment option then the
    patient decides

64
CONVENTIONAL MEDICINE
  • Influenced by time and financial pressures
  • Focuses mostly on delivering best possible
    physical medicine
  • Often lacks a fully holistic approach
  • Will incorporate proven therapies

65
COMPLEMENTARY MEDICINE
  • Treatment / practices not taught or used in
    conventional medicine
  • Covers many healing philosophies, approaches and
    therapies
  • Holistic - includes physical, mental, emotional
    and spiritual care

66
CLASSIFICATION OF COMPLEMENTARY MEDICINE
  • 1) Mind-body yoga, psychotherapy, imagery,
    spiritual healing
  • 2) Alternative system - oriental, indigenous,
    homeopathy, acupuncture
  • 3) Lifestyle and disease prevention
  • 4) Biologicals - herbs, phytotherapy, diets,
    nutrients, products
  • 5) Manipulative / body-based - chiropractic,
    massage, breathing
  • 6) Biofield - therapeutic touch
  • 7) Bioelectromagnetics

67
COMPLEMENTARY AND INTEGRATED MEDICINE TERMS
  • Alternative medicine used in place of
    conventional treatment is not recommended
  • Complementary the additional things you can do
    to improve your health
  • Integrated the conventional and complementary
    working together

68
Centre for Integrated Healing Model
Immune Enhancement
Prayer
Healthful Diet
Surgery
Supplements
Chemotherapy
SELF
T
Exercise
Radiation
Stress Reduction
Emotional Support
Avoidance of Toxins
Meditation
69
CENTRE FOR INTEGRATED HEALING
  • Run by licensed medical physicians
  • Paid by the Ministry of Health in BC
  • Free consultation with a medical doctor
  • Other services charge a reasonable fee
  • Acupuncture, naturopathic doctors, Traditional
    Chinese medicine, Mind-Body and much more
  • Free informational session every Monday 3pm with
    staff physician
  • 1330 West 8th Ave, Vancouver
  • www.healing.bc.ca or call 604 734-7125

70
DISADVANTAGES OF COMPLEMENTARY MEDICINE
  • Can be expensive
  • Some practitioners make unproven and false claims
  • Some toxicities unknown
  • Cancer centre librarian can do search on
    naturalmedicines database
  • New DIN number on all packaging helps ensure
    product content
  • Beware of extreme diets

71
WHAT TO ASK YOUR CAM PRACTITIONER
  • Credentials of practitioner
  • Where they trained, for how long
  • Evidence of benefits of treatment
  • Any randomized trials?
  • Toxicity of treatment
  • documented?
  • Does it interact with other meds
  • Benefit vs risks?
  • What is the total cost?

72
HOW TO FIND OUT MORE
  • Centre for Integrated Healing
  • National Institute of Health website-
    http//nccam.nih.gov
  • Ask your cancer centre librarian
  • Ask other people you know

73
SUPPORT GROUPS
  • Gathering of people with a similar issue, usually
    for 2-4 hours a month
  • Can help you with
  • Getting information
  • Learn ways to cope
  • Practical tips and support
  • A safe place to express your emotions
  • Improve quality of life!

74
DIFFERENT TYPES OF SUPPORT GROUPS IN VANCOUVER
REGION
  • Relaxation group
  • Prostate, breast, brain tumour, Lymphoma
  • Mindfulness-based stress reduction
  • Callanish more focus on palliative
  • 2277 West 10th Avenue
  • 604 732-0633
  • www.callanish.org

75
DIFFERENT TYPES OF SUPPORT GROUPS IN VANCOUVER
REGION
  • The Childrens Club for kids 6-12 with
    parent/guardian with cancer
  • For loved one only
  • Women with advanced cancer
  • Young women with breast cancer
  • Lesbian/bisexual/transgendered women
  • Look Good, Feel Better

76
HOW TO ACCESS SUPPORT GROUPS
  • Patient and Family Counseling at the cancer
    centre
  • Vancouver (604) 877-6000 ext 2194
  • Surrey (604) 930-4000
  • CCS 1888 939 3333

77
FINANCIAL DIFFICULTIES ?
  • Talk to a social worker or
  • Patient and Family Counseling at the cancer
    centre
  • Vancouver (604) 877-6000 ext 2194
  • Surrey (604) 930-4000
  • Possible resources or issues
  • Health care plans, tax deferment, Canada Pension
    Plan disability, Employment insurance, travel
    costs, other agencies

78
PALLIATIVE CARE BENEFITS PROGRAM
  • Covers cost of some medications, medical supplies
    and equipment
  • For BC residents with Medical services plan with
    a life-expectancy of 6 months or less.
  • Doctor, social worker can register you or
  • You can call BC Ministry of Health Toll Free
    1-800-465-4911 or visit http//gov.bc.ca/hlth/
  • BC Hospice / palliative care association has
    other resources http//www.hospicebc.org
  • 604-806-8821 or 1-877-422-4722

79
UNDERSTANDING THE EMOTIONAL ASPECTS OF CANCER
  • Its normal for you or a loved one to feel any
    and every emotion including
  • Shock
  • Worried, scared or anxious
  • Guilty
  • Lonely
  • Sad or hopeless
  • Angry
  • These emotions can be exaggerated or come out
    unexpectedly

80
DEALING WITH DIFFICULT EMOTIONS
  • Theres no one right way
  • Let your loved one lead
  • Listen and try to understand every day
  • Whats on your mind?
  • Whats this like for you?
  • Is there anything I can do or do you just want
    to talk (or not)?
  • Stay with them in difficult moments
  • Emotional facts of life booklet
  • www.capo.ca/eng/professional_student_info.asp

81
WHEN TO GET HELP WITH EMOTIONAL PROBLEMS
  • Emotional distress is expected but..
  • If your loved one
  • Appears overly depressed eg. crying constantly
  • Is withdrawing from all social contact
  • Unable to enjoy life / feels hopeless
  • So distressed cant decide on treatment
  • Cant sleep because of anxiety
  • Cant talk about cancer because it brings up
    terrible memories
  • Its probably worth getting help

82
HOW TO GET HELP WITH EMOTIONAL DISTRESS
  • Tell your cancer doctor or nurse during the next
    appointment
  • Schedule a visit to your family doctor
  • Call the Patient and Family Counseling at the
    cancer centre
  • Vancouver (604) 877-6000 ext 2194
  • Surrey (604) 930-4000
  • The pain and symptom management / palliative care
    team can also address this

83
LEGAL ISSUES
  • Everyone should have a will
  • If you have children or own property you should
    obtain the advice of a lawyer
  • Canadian Bar Association of BC
  • Call Dial-A-Law to listen to tapes
  • 604 687-4680 or www.dialalaw.org
  • Lawyer referral service at
  • 604 687-3221 or 1 800 663-1919
  • Initial interview 25 tax for up to 30 min
  • www.cba.org/BC/Initiatives/main/lawyer_referral.as
    px

84
OTHER LEGAL ISSUES
  • Power of attorney is not enough
  • Is responsible for your property when you are no
    longer able
  • Is not responsible for medical decisions
  • You should select a representative to make
    health care decisions for you if you are no
    longer able
  • Representative Agreement Resource Centre
  • 604 408-7414 or www.rarc.ca
  • Set of legal forms for 50
  • Loved ones Let your support people and family
    doctor know your wishes
  • Living wills site www.viha.ca/healthpoint

85
INFORMATION ON FUNERALS
  • Opportunity for loved ones to express their
    wishes
  • Business Practices and consumer protection
    authority of BC
  • Phone 604 320-1667
  • Toll Free 1 888 564-9963
  • http//www.bpcpa.ca/Consumers/help/consumers-help-
    cemeteries.htm

86
ADVICE FOR THE SUPPORT PERSON
  • Use what works for you
  • Our motivation is critical

87
MAKE TIME FOR YOURSELF
  • Rely on friends and family to help you
  • Transportation needs
  • Help with children
  • Ready-to-eat meals
  • For those caring for a long time
  • Say NO to the non-essential activity

88
WHAT TO DO - BODY
  • LISTEN to your body
  • Eat a balanced healthy diet
  • Maintain a reasonable weight
  • Exercise at least 3 times for 30 min every week
  • Sleep 7-8 hours/night
  • See your Family Doctor
  • Cherish your body

89
WHAT TO DO - MIND
  • Schedule a FUN-energizing activity every week
  • With and without your loved one
  • Do what you love
  • Practise a relaxation technique
  • Tell someone how your feeling
  • See a therapist
  • Find a balance and set your boundaries
  • Have compassion for yourself

90
WHAT TO DO - SPIRIT
  • Nourish your spiritual life in your own way
  • Listen to your inner wisdom
  • Express your natural compassion

91
QUESTIONS?
  • BC Cancer Agency Patient and Family Counseling
    services John Christopherson
  • BCCA Nutrition Shirley Hobenshield
  • Canadian Cancer Society
  • Whitney McMillan, Lori Newell
  • Centre for Integrated Healing
  • Dr. Teresa Clark
  • Hospice Home Care Linda Hunt
  • BC Cancer Foundation Sharon Kennedy
  • Full lecture available at www.robrutledge.ca

92
ACKNOWLEDGEMENTS
  • BC Cancer Agency
  • AstraZeneca
  • Gina MacKenzie, PFC
  • and Diana Hass
  • Nicole Adams, PR
  • Many Partners
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