On the train when bed would be a preferred option, but off to the BreaCan forum on Advanced Cancer...
The role of nutrition in cancer management
Dr Maree Brinkman
Will be podcast on the BreaCan website
Contribution of diet related cancer ranges for 10/70 % average is 35%
World cancer research fund
Low gi is better
Cancer cells love sugar
Non starchy vegies are good for protection...leafy greens
Processed meats not good...as well as high salt have nitrites and nitrates
Healthy weight range
Try to stay between healthy BMI
Exercise physiologist
Fresh is best, frozen is good alternative as all the goodness is snap frozen
Eat seasonally
Avoid/limit alcohol - as it affects metabolism of folate as well as other issues
Keep up fluids
Vegies...mix up colours, 5 serves, limit starchy vegies 1/2 dinner plate
Fruit...2 serves ...keep in moderation
Grains 4-6 serves
Proteins
2.5 serves per day
1/4 of the dinner plate
Tofu...caution with hormone sensitive ...including soy milk
Dairy - calcium rich foods
2.5 - 4
4 serves for post menopausal
Sardines, salmon, leafy greens
Dietary fats
Treatments
Surgery add protein
Chemo
Radiation
Riboflavin helps with mouth sores and ulcers
Coloxyl and senna
Soluble fibre
Psyllium husks
Bloating and discomfort...
Avoid drinking large amounts of water and hour before and half an hour after a meal
B1 and B12 good for improving tingling and numbness
Bleeding...would that also be bruising? Forgot to ask
Dietary management and suggestions
Fluids - foods with high fluid
Variety
Supplements...if it is strong enough to have an effect it has the potential to cause harm
Glutamine and green tea... Can cause issues as can...
Beta carotene vitamin e and selenium
Extreme diets can throw out the balance
Anti oxidants can inhibit the effect of chemo
In Moorabin
Check on google
Get referral from GP
Shrinking the worries
The art form of living with advanced cancer
Life does not fit Ito a PowerPoint text box
Life is a mystery
Amma
"How to stop being a zombie and really start living"
The power of language
Entirely understandable to and "normal" that there are worries fears and concerns
It's how we manage them that can make a big difference to our lives
Name your worries
Identify what is most worrying for you helps you to target your attention
Key care givers need to know our priorities
Process to help with creating steps to manage an issue
Threatening and disabling
If a worry feels unmanageable or overwhelming
->
Try to work out what you would need to bring it into a more manageable shape...
Eg: make smaller steps
Help/resources
Identify the room for growth and change
Understanding
->
Enabling and motivating
Breaking the worry down into parts that you can tackle
Finding the help you need to do those things
Working out what comforts/reassures/encourages
Foreground background
What things bring cancer to the foreground
- Pain
- Appointments
What things help you place it in the background
- Watch a movie
- Read
- Go or walk
- Meditate
- Make and do
Being able to operate the switch between the two
Making friends with uncertainty
How can we embrace uncertainty and still find equanimity
- The shallow "I'm good" responses
Living with mortality
- This is life
Coping with the "what ifs" and the "possibles" that can assume power
- What coping mechanisms
Finding anchors that keep us steady
- Hugs
- Values
- Growth
- Simplify life
Learning to be present
Not dwelling in the future fear or dwelling in the past
- Enjoy the present
- Meditate
- Breathe
Coming into just this moment
Cultivating calm awareness
- This can be an art form
- Don't sweat the mll stuff, when you can
Hope is different to denial
- Daring to hope
- We can hope or things each day
- Look at assumptions of what is and isn't possible in terms of your dreams and aspirations
- Find purpose and meaning within life as it is now
- The "script" hope writes is very different to the script "fear" writes...
Fear script can be toxic...dare to hope for a brighter script
Put it out there
Don't be self effacing... Just share and tell others what you need
Strategies to deal with stress can be
Defensive
My work short term, but really not helpful or healthy
Drinking
Smoking
Aggression
Shouting
Assertive
Effective and heathy options
Exercise
Works longer term
Meditation
Strategies to cope with fears/worries/anxieties
- What are you doing that works?
- What do you need help with?
Quick reference strategy guide
- Awareness check ....breathe in love, breathe out fear
- Reality check test the worry with a trusted friend
- Flip the coin
- Reframe
- Time frame
- Stepping stones
- Say it out loud
- Role reversal
- Embrace your fear..
- Engage support...identify strengths of team members
- Validate your efforts
I am a swan....serene on the surface, paddling like crazy to stay afloat!
- Find time to rest
- Celebrate the present
Exercise and secondary breast cancer
Prevailing attitude, wrap in cotton wool
Exercise helps during treatment
A little more care is needed when having secondary cancer
Regular exercise 30 minutes 5 x a week
FATIGUE most prevalent and distressing symptom
Managing fatigue
Exercise...improves anxiety levels....anxiety can increase fatigue through stress
Different activities work...walking...dancing...bird watching..lol...dancing in the nude!
Exercise, helps you feel better
Moderate activity 3-5 hours when you can
Walking...highly recommended
Tai chi, qi gong and yoga
Stretching opens the muscles and helps the lymphatic system
Resistance exercises
Post treatment
Light weights more reps
Boosts bone strength
Resistance bands
Seated exercise effective for upper body
Meditation - exercise for the mind
Calm the mind and relax the body
Bone mets
Bone weakening risk of fracture
Weight bearing -walking -bands
Avoid high impact activities such as jogging
Lung mets
Breathlessness coughing pain
Avoid cold or very dry conditions...warm water program's are best
Pursed lip breathing reduces air pressure
Easier for lungs to expand and contract
Brain mets
Balance probs possible, be selective to avoid risk.
Exercise bike
Exercise with a friend
Anaemia
Tire easily
Bloods reduced capacity to carry oxygen
Water
Warm to hot - Hydrotherapy benefits
Cool to cold - invigorates and stimulates
Exercising in the pool
- Whole body
YWCA ENCORE 8 week land and pool program
Waves warm water exercise program, arthritis Victoria
Hydrotherapy
Aim to be physically active
Art therapy....
Started with the positives...what I wnt to focus on- being a strong role model...loving my family, following the journey, living to be old, enjoying the now
I found it hard to look at the negatives... Death, a life cut short, leaving my story unfinished ...the final curtain
We finished with sharing positive affirmations with each other...
A very powerful session... Teary..harder than I thought it would be...and deep...
