Follow-up Care for Head and Neck Cancer Survivors: What’s in a Care Plan?
Adjusting to life after head and neck cancer can be difficult. But coming up with a survivorship care plan can help you navigate this transitional period more smoothly. Think of this care plan as a guide to quality post-cancer health care. Because you will likely transition from seeing your cancer care team regularly back to seeing your primary health care provider, this plan will help ensure that everyone is on the same page and up-to-date on your health — and your care needs.
Get started with a care plan
Talk to your primary care doctor. Did a member of your oncology team already send a survivorship care plan to your physician, describing your recommended treatment, possible side effects, and follow-up care? If so, review it together.
DIY care plans
If your oncology team didnotsend a plan to your doctor,check out these online templates. Note that some are for patients to fill out, some are for doctors, and some ask you to work as a team. Choose the one that works for you. In addition toa treatment summary and description of follow-up appointments, care plans should address key aspects of future treatment, including the following...
Get support for side effects
是的,你的治疗已经结束,但副作用流连忘返。您和您的初级保健医生应该知道的likely side effects(fatigue, nerve problems, skin changes, and memory loss, to name just a few) and how to treat them.
Cook up a healthy diet
健康的生活方式
While the jury’s still out on whether exercise helps prevent recurrence of cancer,体力活动has been shown to help mitigate some of the side effects associated with cancer treatment, including fatigue. Try to get at least 150 minutes of exercise per week. Also, if you haven’t already, stop smoking and drinking.
Watch for recurrence
Your primary care doctor will likely want to check in with you more often than they did pre-cancer. That’s becauseabout 30 to 40 percent of head and neck cancer patientswill have another bout with it near the site of the original cancer. The earlier it’s detected, the better the prognosis, so make sure you and your doctor plan for follow-up visits and imaging.
Look beyond the physical
Just as some of your physical side effects may linger,心理健康issues might also remain (or emerge). Your worries may have shifted — returning to work, fear ofrecurrence, and feeling uncertain about the future are all common concerns post-cancer treatment — but those worries can invoke stress. Talk to your doctor about how to cope.
Get help navigating complications
你和你的医生应该知道的common complications that head and neck cancer survivors face. From muscle spasms to sleep disturbances to vertigo, dealing with complications will be less scary if you are familiar with them and report them early.
Overwhelmed? Phone a friend
总而言之,一个生存护理计划应该让你的生活更轻松。如果制定计划时感到紧张,寻求帮助。你的医生(现任或前任)将有可能能够帮助。如果没有,寻求帮助或支持从熟悉你以前照顾朋友或家庭成员。