Showing posts with label adolescents. Show all posts
Showing posts with label adolescents. Show all posts

Thursday, 24 August 2017

The Clare Project -What matters most to young adults with cancer as they make choices about fertility preservation?

In the past the #gyncsm community has held chats about fertility and life as a young adult following a gynecologic cancer diagnosis. Recently we learned about the Kaiser Permanente Washington Health Research Institute's Clare Project. The Project is a research study to understand how adolescent and young adults with advanced cancer make medical decisions. 
This blog post first appeared in Medium. 


What matters most to young adults with cancer as they make choices about fertility preservation?

In 2016, we launched The Clare Project to understand how adolescent and young adult (AYA) patients with advanced cancer make medical decisions. Our study is a memorial to a family member, Karen’s sister-in-law, who died in 2014. Our goal is to improve care for young people with cancer by asking them what they need, want, and value.

We spoke to 22 patients, caregivers, and clinicians sharing their stories with us. We heard that AYA patients are balancing hope of increased survival with the risk of treatment that can be debilitating and at times fatal. Patients recognize that they are essentially playing a “chess game” they will eventually lose to cancer, but they don’t want to use up all of their pieces too soon. We learned that AYA want clearer communication from their clinicians about their prognosis, and when additional treatment will no longer prolong life.

We also learned that one important concern was the decision to undergo — or not undergo — fertility preservation. We have now launched a second phase of our study to understand how this decision is made, and how young adults with cancer think about family building.

We are looking for young adults, aged 18 or older, who were diagnosed with cancer between the ages of 15–39 years, and are willing to do a one-time phone interview. We also want to talk to clinicians who care for young adults who were diagnosed with cancer between the ages of 15–39 years.
By sharing your experience with us, you will help us understand what matters most to young adults with cancer when making decisions about building a family. It is important that we hear first-hand from real people who have had to make decisions about cancer care and have thought about whether and how to have a family.
What does the interview involve?
  • The interview will ask questions about your experience with cancer care and fertility preservation or other forms of family building.
  • If you are a clinician, the interview will ask about your experience helping young adults with cancer make decisions about fertility preservation or other forms of family building.
  • It will last about an hour.
  • The interview will be recorded and written down, but will not include your full name.
  • The interview is voluntary.
  • You will receive $50 as a thank you for your time.
  • You must be at least 18 years old to join this study.
How do I volunteer or find out more?
If you want to be part of this study or learn more about it, please review our study information sheet. Email the Clare Project if you want to join the study or if you have questions. We hope to hear from you soon.
Twitter handle is: @clareproject

Dee
#gyncsm Co-Founder

Wednesday, 11 January 2017

Young Adults: Life Following a Cancer Diagnosis Joint #gyncsm #mayacc chat January 11,2017

We were so happy to welcome the members of the Metastatic and Young Adult Cancer Community (#mayacc) to our chat on Young Adults: Life Following a Cancer Diagnosis. Thank you Emily Drake (@EK_Drake) for your input and support of the chat.

We had thirty participants and over 1.2 million impressions. You may find the complete analytics here.

After wishing everyone a Happy New Year and giving everyone a chance to introduce themselves we began discussing our topic questions. Some responses to those questions are listed below. To read all the responses, please read our transcript on the Symplur website.

T1: What are some unique aspects of being diagnosed with cancer as a young adult? What are some helpful resources?

  • starting families or relationships, isolation from peers who don't understand, lack of financial stability pre-diagnosis
  • fertility concerns, missing out on typical young adult milestones while friends have babies and travel and get promotions
  • is one of the loneliest things
  • SEX!!! Seriously, my doctors never talk about it (I have to bring it up) but it's a huge part of my wellness.
  • has been my very best resource which has connected me to a community of YA with cancer. So much fun too! 

T2: How much health info do you share w/ family, friends, peers at school/work? What are some of the "labels" you encounter?

  • I didn't share hardly anything at all the first 2 times I had cancer but the 3rd and 4th I just completely lost my filter
  • I overshare, but that's partly bc I'm a as my day job. I also just overshare.
  • Meeting new people over the years I've avoided telling ppl my history bc it seems like a burden on them
  • When I was in college, I didn't tell anyone. I had all my surgeries & radiation during vacations.

T3a: In your experience, do providers discuss and provide resources related to surgical menopause? What's important to know?
  • OMG hot flashes
  • Treating menopause in cancer patients is complex and many providers need education and guidance
  • It seems like the focus is on survival - good thing! - but some quality of life aspects may not always get covered
  • NO! Been in surgical meno for a yr. Most of the research about meno has bn done on women in natural meno. 
T3b: In your experience, do providers discuss and provide resources related to fertility preservation? What's important to know?
  • my HCPs didn't. For women, it costs $$$ & time u might not have.
  • Options for fertility sparing are important to discuss as well - we recommend our pts meet with an Oncofertility specialist
  • We see young women who had no idea that their surgery could put them into menopause. It can be overlooked during counseling 
  • Some of us don't really get counseling on that if we had ER diagnosis and surgery

T4: What is helpful in dealing with the uncertainty cancer brings while still planning ahead?

  • Ask for help!
  • If you can do something about it, do it. If you can't, at least make the story funny
  • Look for an organization for AYA like :
  • And because our young pops are so app savvy, apps like can be very useful
  • Focusing on other parts of life helps but harder as I age and wonder about long term affects

T5: What are some tips for creating balance among the priorities of health, personal life and career/education?

  • I remind my clients all the time we have limited resources: time, energy, finances, etc. It is okay to prioritize resources.
  • Don't let anyone define priority for you. If doing nothing gives you joy & is a priority for YOU, then DO THAT
  • No advice really, but taking things one step at a time helps
  • I try my best to give myself permission to have good days and bad days 

T6: What are some of the roadblocks to working after a cancer diagnosis? 

  • Pain, MD appointments, fatigue. Every new job, I ask for a nap room. I've gotta it twice!
  • Retaining your health insurance should be guaranteed for patients
  • Work can be tricky. In a perfect world, you should be able to state needs and seek accommodation. Not always safe

We ended our chat as we always do by asking participants to share their TIL (Today I Learned).

  • Some other who get it who I'm excited to follow and learn more about! Thanks for sharing
  • TIL from you (who are so kind to share your time, experiences, advice) what life can be like as a young adult w/ cancer-TY!❤
  • TIL Two Twitter communities can share resources and support one another #strongertogether 


Scroll down for Resources shared during the chat.

We invite you to join us next month, Wednesday, February 8, 2017 at 9pm ET for our chat on HPV and Cervical Cancer. 

Remember that patients and caregivers are invited to continue our #gyncsm discussions on the Smart Patients platform at https://www.smartpatients.com/partners/gyncsm

See you next month!

Dee
#gyncsm Co-founder


RESOURCES:

Cancer Epidemiology in Older Adolescents and Young Adults 15 to 29 Years of Age https://seer.cancer.gov/archive/publications/aya/aya_mono_complete.pdf

Dana Farber Young Adult program (@DanaFarberYAP) http://www.dana-farber.org/Adult-Care/Treatment-and-Support/Patient-and-Family-Support/Young-Adult-Program.aspx

Lacuna Loft @LacunaLoft https://lacunaloft.org/

Stupid Cancer @StupidCancer http://stupidcancer.org/

Hope for Young Adults with Cancer
http://www.hope4yawc.org/ @Hope4YAWC

Cancer and Careers @CancerAndCareer

FORCE's @FacingOurRisk eXamining the Relevance of Articles for Young Survivors (XRAYS) program http://www.facingourrisk.org/XRAYS/digest/winter-2016.php

Facebook: Ovarian Cancer Young Survivors Group
https://www.facebook.com/groups/675225689278954/?ref=br_tf

Riding the Cancer Roller Coaster: Survival Guide for Teens and Young Adults
http://www.teen-cancer.com/

Chemo between classes @ChemobtwClasses

Cancer.net @CancerDotNet List of resources for YA
http://www.cancer.net/navigating-cancer-care/young-adults/resources-young-adults

Video: NOCC's Ovarian Cancer Education Series - Living with Uncertainty
https://t.co/fH8WLciMF6

Friday, 6 January 2017

Jan 11,2017 Joint #gyncsm - #mayacc chat Young Adults: Life Following a Cancer Diagnosis


Although not as common, adolescent and young adult women are diagnosed with gynecologic cancers. Ten percent of the cancers diagnosed in young adults (15-29) are cancers of the female reproductive organs. "Nearly all genital system tumors are carcinomas of the cervix, germ cell tumors of the ovary, and carcinomas of the ovary." (Cancer Epidemiology in Older Adolescents and Young Adults 15 to 29 Years of Age) Of the ~14 million people in the United States living with cancer, one in five is under the age of 40. SEER reports that 72,000 adolescents and young adults are diagnosed with cancer each year.

We are pleased to have #mayacc (Metastatic and Advanced Young Adult Cancer Community) join us for our January 11, 2017 9pmET #gyncsm chat on Young Adults: Life Following a Cancer Diagnosis.


Below are the topic questions that will guide our discussion.

T1: What are some unique aspects of being diagnosed with cancer as a young adult? What are some helpful resources?

T2: How much health info do you share w/ family, friends, peers at school/work? What are some of the "labels" you encounter?

T3a: In your experience, do providers discuss and provide resources related to surgical menopause? What's important to know?
T3b: In your experience, do providers discuss and provide resources related to fertility preservation? What's important to know?

T4: What is helpful in dealing with the uncertainty cancer brings while still planning ahead?

T5: What are some tips for creating balance among the priorities of health, personal life and career/education?

T6: What are some of the roadblocks to working after a cancer diagnosis? 

You can learn more about young adult cancers from these two resources and we hope you join the chat to learn more from individuals and groups with a focus on adolescent and young adult cancer.
    If you want to learn more about how to participate in tweet chats you can read this blog post. We will use both #gyncsm and #mayacc hashtags during this month's tweet chat.

    The #mayacc chats are regularly held on 2nd Tuesdays at 9pmET.

    We look forward to having you join us for the joint #gyncsm #mayacc chat on Wednesday, January 11th at 9pmET.

    Dee
    Co-Founder #gyncsm

    Supplements / Vitamins Are they helpful? May 8, 2019 Chat

    We were pleased to have Stacy Kennedy MPH,RD (@stacykennedyrd) join us for this informative chat on vitamins and supplements.  You may find ...