{"id":3327,"date":"2022-01-27T06:23:31","date_gmt":"2022-01-27T06:23:31","guid":{"rendered":"https:\/\/172.16.20.59\/?page_id=3327"},"modified":"2022-01-27T06:41:28","modified_gmt":"2022-01-27T06:41:28","slug":"cancer-resource-guide","status":"publish","type":"page","link":"https:\/\/knh.or.ke\/index.php\/cancer-resource-guide\/","title":{"rendered":"Cancer Resource Guide"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3327\" class=\"elementor elementor-3327\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-47282ef elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"47282ef\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-97b4e62\" data-id=\"97b4e62\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ffb4e10 elementor-widget elementor-widget-text-editor\" data-id=\"ffb4e10\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<!DOCTYPE html>\n<html>\n<head>\n<meta name=\"viewport\" content=\"width=device-width, initial-scale=1\">\n<style>\n.accordion {\n  background-color: #eee;\n  color: #444;\n  cursor: pointer;\n  padding: 18px;\n  width: 100%;\n  border: none;\n  text-align: left;\n  outline: none;\n  font-size: 15px;\n  transition: 0.4s;\n}\n\n.active, .accordion:hover {\n  background-color: #ccc;\n}\n\n.accordion:after {\n  content: '\\002B';\n  color: #777;\n  font-weight: bold;\n  float: right;\n  margin-left: 5px;\n}\n\n.active:after {\n  content: \"\\2212\";\n}\n\n.panel {\n  padding: 0 18px;\n  background-color: white;\n  max-height: 0;\n  overflow: hidden;\n  transition: max-height 0.2s ease-out;\n}\n<\/style>\n<\/head>\n<body>\n\n<button class=\"accordion\">What is Cancer?<\/button>\n<div class=\"panel\">\n  <p>Cancer is a term used for diseases in which abnormal cells divide without control and are able to invade other tissues.  It is not just one disease but many diseases with more than 100 different types named for the organ or type of cell they begin in.<\/p>\n<\/div>\n\n<button class=\"accordion\">Causes<\/button>\n<div class=\"panel\">\n  <p>Cancer results from internal and external risk factors working together and\/or in sequence to trigger the process. People may be exposed to risk factors or cancer-causing agents in their environment and\/or from their lifestyles.<\/p>\n<\/div>\n\n<button class=\"accordion\">Types of Cancer<\/button>\n<div class=\"panel\">\n  <p><ul>\n<li>Breast Cancer<\/li>\n<li>Central Nervous System (CNS) Tumours<\/li>\n<li>Gastrointestinal Cancers<\/li>\n<li>Oesophageal Cancer<\/li>\n<li>Gastric Cancer<\/li>\n<li>Biliary Tract Cancer<\/li>\n<li>Hepatocellular Carcinoma<\/li>\n<li>Pancreatic cancer<\/li>\n<li>Colon Cancer<\/li>\n<li>Rectal Cancer<\/li>\n<li>Gastrointestinal Stromal Tumour (GIST)<\/li>\n<li>Gynaecological Cancers<\/li>\n<li>Cervical Cancer<\/li>\n<li>Endometrial Cancer<\/li>\n<li>Ovarian Cancer<\/li>\n<li>Vulvar Cancer<\/li>\n<li>Gestational Trophoblastic Diseases (GTD)<\/li>\n<li>Haematological Neoplasms<\/li>\n<li>Leukaemia<\/li>\n<li>Lymphomas<\/li>\n<li>Myeloma<\/li>\n<li>Head and Neck Cancers<\/li>\n<li>Nasopharyngeal cancer<\/li>\n<li>Oral Squamous Cell Carcinoma<\/li>\n<li>Lung Cancer<\/li>\n<li>Malignant Pleural Mesothelioma<\/li>\n<li>Prostate Cancer<\/li>\n<li>Soft Tissue and Bone Sarcomas<\/li>\n<li>Skin cancer<\/li>\n<li>Nephroblastoma (Wilm\u2019s Tumour)<\/li>\n<li>Neuroblastoma<\/li>\n<li>Retinoblastoma<\/li>\n<li>Bone Tumours<\/li>\n<li>Kaposi\u2019s Sarcoma<\/li>\n<li>Soft Tissue Sarcomas<\/li>\n<li>Rhabdomyosarcoma<\/li>\n<\/ul><\/p>\n<\/div>\n\n<button class=\"accordion\">Cancer Prevention<\/button>\n<div class=\"panel\">\n  <p>Prevention means eliminating or minimizing exposure to the causes of a disease, and includes reducing individual susceptibility to the effect of such causes.  Approximately 40% of cancers are preventable through interventions such as tobacco control, environmental controls, promotion of healthy diets and physical activity. Prevention offers the most cost-effective long-term strategy for the control of cancer. Prevention of cancer can be categorised into two: primary prevention and secondary prevention.<br><br>Primary prevention refers to a set of interventions that keeps a cancerous process   from developing and includes health counselling, education and environmental controls. \u0099<br><br>\nSecondary prevention is that set of interventions leading to the discovery and  control of cancerous or precancerous lesions.<br \/><\/p>\n<\/div>\n\n<button class=\"accordion\">Screening<\/button>\n<div class=\"panel\">\n  <p>Early detection of cancer greatly increases the chances for successful treatment. It comprises early diagnosis in symptomatic populations and screening in asymptomatic high risk populations. Screening refers to the use of simple tests across a healthy population in order to identify individuals who have disease, but do not yet have symptoms. Based on existing evidence, mass population screening is advocated for breast and cervical cancer. Other cancers that are commonly screened for include prostate and colon.<\/p>\n<\/div>\n\n<button class=\"accordion\">Diagnosis<\/button>\n<div class=\"panel\">\n  <p><p>Diagnostics include:<\/p>\n<ul>\n<li>Imaging\n<ul>\n<li>Conventional Radiography and Fluoroscopy<\/li>\n<li>Mammography<\/li>\n<li>Ultrasonography<\/li>\n<li>Computerised Tomography (CT)<\/li>\n<li>Nuclear Medicine<\/li>\n<li>Magnetic Resonnance Imaging (MRI)<\/li>\n<\/ul>\n<\/li>\n<li>Laboratory Work-up\n<ul>\n<li>Biochemistry analysers<\/li>\n<li>Immunoassay analysers (Serology &amp; Tumour Markers)<\/li>\n<li>Haematology Analysers<\/li>\n<li>Bone marrow kits<\/li>\n<li>Histopathology and cytopathology equipment<\/li>\n<li>Immunohistochemistry set-up<\/li>\n<li>Flow cytometry<\/li>\n<li>Molecular PCR platforms<\/li>\n<\/ul>\n<\/li>\n<\/ul><\/p>\n<\/div>\n\n<button class=\"accordion\">Staging<\/button>\n<div class=\"panel\">\n  <p>The value of carrying out staging in cancer is to determine how wide the cancer has spread. Staging information assists the clinician in several ways including:<\/p>\n<ul>\n<li>For selection of modalities of therapies<\/li>\n<li>For prognostication purposes<\/li>\n<li>Evaluating the success of therapy on patient\u2019s disease<\/li>\n<li>Facilitating the sharing of information between practitioners and treatment centres<\/li>\n<li>Contributing to the enhancement of local knowledge base about cancer<\/li>\n<\/ul>\n<p>Globally there are a number of staging systems that are used in clinical practice. Generally they all provide information on the tumour extent which also determines treatment options and guides the prognosis of the disease. Of the available systems the most widely applied is the TNM System developed by UICC(International Union Against Cancer).<br \/><\/p>\n<\/div>\n\n<button class=\"accordion\">Treatment<\/button>\n<div class=\"panel\">\n  <p><p>Cancer treatments include:<\/p>\n<ul>\n<li>Surgery<\/li>\n<li>Chemotherapy<\/li>\n<li>Radiotherapy<\/li>\n<li>Immunotherapy<\/li>\n<li>Targeted therapy<\/li>\n<li>Hormone therapy<\/li>\n<li>Stem cell transplant<\/li>\n<\/ul>\n<\/p>\n<\/div>\n\n<button class=\"accordion\">Coping<\/button>\n<div class=\"panel\">\n  <p><h4>Nutritional care<\/h4>\n<p>Nutrition plays a major role in many aspects of cancer development and treatment. Malnutrition is a common problem in cancer and an important component of adverse outcomes, increased morbidity and mortality and decreased quality of life.<br \/>\nPoor nutrition practices lead to under nutrition, contribute to the incidence and severity of treatment side effects, and increase the risk of infection, thereby hampering chances of survival.<\/p>\n<p>These are general recommendations for adults which should be adjusted to individual patient needs<\/p>\n<ul>\n<li><em>Energy<\/em>: Persons with a normal nutritional status have an increase of 110 \u2013 130% of the usual energy requirement. On the other hand if the individual is malnourished, 130 \u2013 150% of normal energy requirement is needed.<\/li>\n<li><em>Protein<\/em>: If the person with cancer has a normal nutritional status, the protein requirement is 1 &#8211; 1.25 g\/kg body weight (current weight) compared to the malnourished person\u2019s need of 1.5 \u2013 2 g\/kg.<\/li>\n<li><em>Fats<\/em>: Monounsaturated and polyunsaturated fats are preferred to saturated fats or transfats. Monounsaturated fats are found mainly in vegetable oils like olive, canola, and peanut oils, whereas polyunsaturated fats are found mainly in vegetable oils like safflower, sunflower, corn, and flaxseed.<\/li>\n<li><em>Vitamins and minerals<\/em>: The needs of these depend on the type of therapy used and the presence and the severity of complications. All individuals should be carefully monitored for early signs of nutrient deficiencies. Multivitamins\/minerals should be supplemented in most persons with cancer, while guarding against excessive supplementation.<\/li>\n<li><em>Antioxidants<\/em>: Patient should be advised and encouraged to eat a variety of fruits and vegetables. Commercial antioxidants under prescription are recommended if the patient intake of fruits and vegetables is poor.<\/li>\n<\/ul>\n<h4>Patient support groups<\/h4>\n<p>Formation of patient support groups should be encouraged. This forms an integral part of survivorship care.<\/p>\n<h4>Spiritual and psychosocial counseling<\/h4>\n<p>With a cancer diagnosis, patients and families often look more deeply for meaning in their lives and feel the need to mend broken relationships like forgiving and being forgiven. Spiritual care involves being a compassionate presence to patients and it recognizes that healing can take place even though a physical cure is impossible.<\/p>\n<p>Patients and their families should be assessed for psychosocial issues such as anxiety and depression since psychiatric co-morbidity has been reported to occur in about one third of the cancer patients. This necessitates the cancer treatment team to work closely with mental health workers in order to comprehensively address the needs of cancer patients. Psychosocial support groups for all patients with life threatening illnesses, including cancer, are therefore necessary to meet patients\u2019 psychosocial needs.<\/p>\n<h4>Palliative care<\/h4>\n<p>Palliative Care is an approach that improves the quality of life of patients and their families facing the problems associated with a life-threatening illness. It involves the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.<\/p>\n<h4>Pain management<\/h4>\n<p>Pain associated with cancer increases with progression of the disease. Cancer pain has many dimensions including psychological, physical, social and spiritual which must be addressed in order to improve quality of life. Pain should be assessed in terms of pain intensity, quality, location, radiation, mode of onset, timing, exacerbating factors and relieving factors of pain. The patient should be the prime assessor of his or her pain where possible. The intensity of pain and the treatment outcomes should be regularly assessed using standardized assessment tools.<\/p>\n<p>Analgesia are given as follows:<\/p>\n<ul>\n<li>Mild pain &#8212;- Paracetamol<\/li>\n<li>Moderate pain &#8212;- Weak opioids<\/li>\n<li>Severe pain &#8212; Strong opioids<\/li>\n<\/ul>\n<h4>End-of-life care<\/h4>\n<p>End-of-life care refers to medical care not only of cancer patients in the final hours or days of their lives, but more broadly, medical care of all those with cancer that has become advanced, progressive and incurable. When a patient\u2019s health care team determines that the cancer can no longer be controlled, active cancer treatment should stop, but other forms of care should continue.<br \/><\/p>\n<\/div>\n\n<script>\nvar acc = document.getElementsByClassName(\"accordion\");\nvar i;\n\nfor (i = 0; i < acc.length; i++) {\n  acc[i].addEventListener(\"click\", function() {\n    this.classList.toggle(\"active\");\n    var panel = this.nextElementSibling;\n    if (panel.style.maxHeight) {\n      panel.style.maxHeight = null;\n    } else {\n      panel.style.maxHeight = panel.scrollHeight + \"px\";\n    } \n  });\n}\n<\/script>\n\n<\/body>\n<\/html>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-88720ee elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"88720ee\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-17ea9b7\" data-id=\"17ea9b7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-366edfe elementor-widget elementor-widget-text-editor\" data-id=\"366edfe\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>References<\/h3>\n<p>Office of the Director of Medical Services, Ministry of Health.<a href=\"\/wp-content\/uploads\/2017\/08\/National-Cancer-Treatment-Guidelines2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"> <em> National Guidelines For Cancer Management Kenya<\/em>. 2013<\/a><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>What is Cancer? Cancer is a term used for diseases in which abnormal cells divide without control and are able to invade [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3327","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/knh.or.ke\/index.php\/wp-json\/wp\/v2\/pages\/3327","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/knh.or.ke\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/knh.or.ke\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/knh.or.ke\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/knh.or.ke\/index.php\/wp-json\/wp\/v2\/comments?post=3327"}],"version-history":[{"count":4,"href":"https:\/\/knh.or.ke\/index.php\/wp-json\/wp\/v2\/pages\/3327\/revisions"}],"predecessor-version":[{"id":3332,"href":"https:\/\/knh.or.ke\/index.php\/wp-json\/wp\/v2\/pages\/3327\/revisions\/3332"}],"wp:attachment":[{"href":"https:\/\/knh.or.ke\/index.php\/wp-json\/wp\/v2\/media?parent=3327"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}