Educational and Cognitive Late Effects of Cancer Survivors

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By Marriah M. LCSW, Medical Social Worker at Provision CARES Proton Therapy, Knoxville

Cognitive health is just as important as physical health, especially following cancer treatment. Depending on your diagnosis you may have had chemotherapy or radiation, both of which may affect memory, concentration, or the ability to perform well in school or at work.  These side effects may last for a short time or they may persist for many years following treatment.  Additionally, it is important to know that you may not notice signs of side effects from your treatment until a while after treatment has ended. Side effects which occur a few months or even years after treatment are called late effects.

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Maintaining a Healthy Nutritional Status When Diagnosed with Head & Neck Cancers

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Content and information provided by Casey Coffey MS, RD, LDN Registered Dietician for Provision CARES Proton Therapy Knoxville

As we raise awareness of head & neck cancers during the month of April, it is important to be aware of the unique challenges that are at risk when diagnosed with head and neck cancer. Studies for patients who choose proton therapy treatment for head and neck cancers have shown less side effects during first 3 months after treatment and quicker return to normal function. The potential side effects for head and neck cancer patients make swallowing food and fluids difficult and sometimes painful. Malnutrition affects an estimated 40 – 80% of cancer patients – particularly those with gastrointestinal or head and neck cancers.

The four main nutritional goals for cancer patients include:

  • Strive to maintain a healthy weight
  • Consume foods and beverages for managing cancer and treatment-related side effects
  • Select and eat healthy foods that supply the body with fuel and nutrients for repair and healing
  • Reduce risk of cancer recurrence and the development of a second malignancy

Many patients do not realize the importance of nutrition while under treatment. Primary goals of nutrition therapy are to prevent or reverse nutrient deficiencies, preserve lean body mass, support the immune system, and minimize and manage the impact of nutrition related symptoms and side effects to maximize quality of life. Adequate nutrition is more than just maintaining body weight. The foods we eat contain nutrients necessary to support healing and restoration but also to support our healthy cells as well. Adequate nutrition has been shown to improve outcomes in cancer patients, improve strength and energy, avoid dose reduction or treatment breaks.

Make Every Bite Count.

Initially, it is recommended patients eat what they can tolerate while focusing on protein with each meal and including whole foods (minimizing the processed nature of foods). Why? Well, quality counts. High quality foods, which are those that are less processed, are more nutritious due to their higher nutritional value. As treatment progresses and possible side effects begin, the ability to swallow can become difficult. If difficulty to swallow becomes a problem for head and neck cancers, here are three ideas on how to maintain nutritional value through your diet:

  • Graze throughout the day on nutrient dense foods: Nutrient dense foods that have been fortified with protein and additional calories without adding volume and lots of sugar or highly processed foods. Some examples are olive oil, butter, coconut oil, coconut butter, peanut butter, heavy cream, half & half, or any nut butter.
  • Alter texture of foods to improve tolerance: focus on soft or smooth foods such as, bananas, watermelon, canned fruits, peach, pear, and apricot nectars, pureed or mashed vegetables, oatmeal, cooked cereal, cottage cheese, yogurt, milkshakes, custards, puddings, gelatin, macaroni and cheese, scrambled eggs, and ground meats.
  • Avoid irritating foods, such as, citrus fruits or juices, spicy or salty foods, pickled or vinegary foods, tomato-based foods (salsa, spaghetti sauce, and pizza), rough or dry foods, hot spices (pepper, chili powder, nutmeg, cloves, and curry).

For more information about how to overcome nutritional challenges when diagnosed with head & neck cancers or to learn about proton therapy, contact our CARE Team at 865-229-4689.

 

how to reduce radiation-induced heart disease

The Heart of the Matter: Proton Therapy Can Prevent Radiation-Induced Heart Disease

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Content and information provided by Rebecca Bergeron, RN, BSN, OCN Director of Clinical Services for Provision CARES Proton Therapy Knoxville

February is American Heart Month, and it is the perfect time to talk about preventing unnecessary radiation dose to the heart, often times causing radiation-induced heart disease. When people begin their fight against cancer, they are most likely not thinking about reducing their future risk of heart disease; however, this is certainly something we are thinking about at Provision CARES Proton Therapy.  (more…)

Dale C. Prostate Cancer

Proton Stories: Dale C.

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Dale Clayton first heard about Provision CARES Proton Therapy through a TV commercial. Not knowing he had cancer, he tucked the words “proton therapy” in the back of his mind, hoping that he would never have to remember them. It was February 2015 when Mr. Clayton learned he had prostate cancer. Dale had always been proactive when it came to his health. He said, “my mom always taught me to be proactive.” He went in for regular checkups, yearly physicals, and was well aware of his PSA and gleason score. At his appointment in 2015, all test scores came back normal, but he insisted on a biopsy, just to be sure. Both the doctor and Clayton were shocked, his biopsy came back positive. Dale was diagnosed with low risk, non-aggressive prostate cancer and decided on active surveillance.

Two and a half years later, things started to change. His PSA remained normal but his biopsy showed the cancer had doubled in size. “It’s a miracle we found it,” said Clayton, “I believe God placed the right doctors, urologists, and friends around me to help me make an informed treatment decision.” He researched prostate cancer and treatment options, from surgery to brachytherapy to protons, and there were two things that were very significant to his treatment decision process:

  1. Cure Rate
  2. Quality of Life

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National particle therapy conference boosts proton therapy’s profile

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Proton therapy got positive billing at the recent Particle Therapy Cooperative Group, as researchers from across the country presented findings that showed proton therapy reduced potentially life-altering side effects and improved survival rates for cancer patients.

The National Association for Proton Therapy (NAPT) released a summary of the results, which included the findings of studies focused on esophageal, prostate and breast cancer. (more…)

Latest research shows benefit of proton therapy for children with head and neck cancer

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Thousands of cancer patients have and could benefit from proton therapy, and children definitely top the list.

This week, exciting news has emerged from the renowned Children’s Hospital of Philadelphia confirming that proton therapy effectively treats pediatric cancers of the head and neck and reduces the side effects often experience with conventional radiation treatment.

It’s one more step toward growing and full recognition of proton therapy in the medical community as a state-of-the-art treatment option for cancer. (more…)

Breast cancer awareness—know your options

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Sometimes people just get the genetic short end of the stick, but you’d never know Tammy Coleman was one of those people.

Her upbeat personality and contagious enthusiasm belie two heart attacks, a stroke, congestive heart failure and complications related to high blood pressure. And that was all before she was diagnosed with breast cancer—something that ran in her family.

Genetic testing revealed her as the recipient of a genetic mutation that made it highly probable she would develop ovarian cancer too, so within one day Coleman received a double mastectomy and complete hysterectomy.

She had to do chemo, and doctors recommended radiation as well. Because of her existing health problems, particularly related to her heart condition, specialists recommended proton therapy. The targeted nature of protons allow for the benefit of radiation therapy without the collateral damage to surrounding healthy tissue in heart and lungs. (more…)