Options for Life Insurance with Pre-Existing Conditions Such as Cancer

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Explore your options for securing life insurance with pre-existing conditions like cancer. Discover various policies suited to different health histories and gain valuable tips on how to navigate this challenging terrain.

At GET LYFE, we’re committed to providing tailored solutions for your unique needs.

Securing life insurance for pre-existing conditions such as cancer can seem daunting. However, many insurance providers offer tailored solutions for individuals in such situations. This blog post will explore options for life insurance for those diagnosed with cancer and share tips on how to secure the right policy for your needs.

Understanding the Challenge

The reality is, insurance providers consider the risk factor before offering a policy. They assess the applicant’s health status, and pre-existing conditions like cancer can potentially increase premiums or even lead to a denied application. But don’t lose hope—options exist for individuals with such health histories.

Types of Life Insurance Policies to consider with pre-existing conditions.

Guaranteed Issue Life Insurance:

This type of life insurance does not require a medical examination. It is an ideal option for those with severe health conditions or a cancer diagnosis. Although it tends to be more expensive due to the increased risk for the insurer, it’s a viable option for those who might be declined for traditional policies.

Simplified Issue Life Insurance:

Simplified issue policies also don’t require a medical exam but do involve a few health-related questions. While more expensive than standard policies, they’re usually cheaper than guaranteed issue policies. Individuals with a past cancer diagnosis but currently in remission may qualify for this type of insurance.

Graded Benefit Life Insurance:

Graded benefit policies offer limited benefits during the first few years and full benefits after a specified period. This policy can be a good fit for individuals whose cancer is in remission or those who had cancer a few years ago.

Group Life Insurance:

Many employers offer group life insurance as part of their benefits package. Often, these policies don’t require a medical exam or questionnaire, which can be advantageous for those with pre-existing conditions.

High-Risk Life Insurance:

Some insurers specialize in high-risk life insurance policies. These are designed for individuals with severe health conditions, dangerous occupations, or risky hobbies. If you have an active cancer diagnosis, this might be a suitable option.

Tips for Securing Life Insurance with a Cancer Diagnosis

1. Full Disclosure: Always be honest about your health status. Providing inaccurate information can lead to policy cancellation or claim denial.
2. Get Healthy: Adopting healthier lifestyle habits can increase your insurability, even with a cancer diagnosis.
3. Work with a Broker: A knowledgeable broker can guide you toward insurers more likely to provide coverage for individuals with pre-existing conditions.
4. Timing: If you’re in remission, it might be advantageous to wait a while before applying, as some insurers have time requirements post-treatment.
5. Comparison Shopping: Different insurers have varied underwriting standards and rates. Compare policies to get the best coverage at the most affordable rate.

In Conclusion

While securing life insurance for pre-existing conditions like cancer can be challenging, it’s not impossible. From guaranteed issue and graded benefit policies to high-risk life insurance, several options are available. Remember, each case is unique, and what works for one person might not work for another. Thus, it’s beneficial to work with a trusted advisor to navigate your options.

At GET LYFE, we provide tailored, one-on-one service for individuals seeking life insurance, including those with pre-existing conditions. Our dedicated team is committed to helping you secure the right policy for your unique needs, ensuring your peace of mind and your family’s financial protection. Contact us today to learn more about our life insurance solutions.

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A Journey of Courage: When Pregnancy and Breast Cancer Intertwine

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Our strength and resilience are constantly pushed to the ultimate test by the unexpected obstacles that life throws our way. My name is Emma, I’m in my 30s and this is how my life took a sudden turn when I learned I was carrying a wonderful child and fighting breast cancer. Come along on this fantastic journey with me as we examine how breast cancer affected my pregnancy, consider the implications on my unborn child, and discuss the available treatment choices.

My husband and I joyfully entered the doctor’s office that beautiful morning, our hearts racing with expectation as it was an exciting and dreading moment for us. This will be the first time we would hear our baby’s heartbeat as well as get the results of the mammogram after finding a lump in my breast. We had no idea how drastically our lives were about to change.  The ultrasound was breathtaking, we were in tears from seeing the little feet and face of our miracle baby.  However, in a matter of minutes, a scowl appeared on the doctor’s face as she went over the mammogram results. My husband’s hold on my hand became firmer as my heart skipped a beat. The doctor’s remarks cut like a blade through the air. “Emma, I’m sorry, but we found a lump in your breast. Breast cancer that is.”

The doctor’s scowl and the news of a lump in my breast shattered our hopes, casting a dark shadow over our joyful anticipation. The gravity of the situation became apparent as I learned that the diagnosis was stage II breast cancer, a formidable opponent that demanded immediate attention and action. The changes in the appearance and texture of my breast served as constant reminders of the battle raging beneath the surface, disrupting the innocence of this precious time. Occasionally, waves of pain and tenderness would wash over me, serving as painful reminders of the unwelcome presence in my body. As the weight of the diagnosis settled upon us, my husband and I braced ourselves for the challenging road ahead, clinging to the hope that lay within our hearts.

As panic engulfed every cell in my body, time seemed to stop still. What I was hearing was so unbelievable. Instead of fighting a fatal illness, I was meant to be getting ready for the birth of a priceless young life. My head was spinning with ideas. How could this be taking place? How will it affect my child? I summoned the courage to voice the concerns weighing hard on my heart, tears flowing down my cheeks. My medical professionals informed me that there were therapeutic alternatives, but the road ahead would be difficult. Fighting the disease and ensuring the safety of my unborn child required us to find a careful balance.

I started a wild trip of doctor visits, examinations, and talks. Oncologists and obstetricians performed a symphony of knowledge and care. My medical team carefully considered the progression of my pregnancy, the stage of my cancer, and any treatment-related concerns. My baby’s security was my priority as a mother. My child’s therapy for cancer and its side effects: harmful? I discovered via in-depth study and endless talks that most of the time, the mother’s breast cancer has no noticeable impact on the unborn child.

My husband and I needed more information, I need to know if my child will be okay. Will I be okay? These thoughts and questions gave us nightmares. I needed answers and needed them immediately. Weeks later, on an early Tuesday morning, we had a follow-up with the oncologist. Finally, I could breathe a little from the thoughts of getting some answers. The doctors informed us that having breast cancer surgery while pregnant is safe and chemotherapy appears to be safe for the unborn child if administered in the second or third trimester of pregnancy, but not in the first (1). My heart dropped; my body began to shake tremendously. I blurted out “I’m in my first trimester” to the doctor.  My husband blurted out “What of hormone therapy?”. The doctor mentioned other breast cancer therapies like hormone therapy, targeted therapy, and radiation therapy have a higher risk of harming the unborn child and are typically avoided during pregnancy.¹ At this point I had tears rolling down my eyes, I began to have a panic attack, all I could think of was my baby. My husband pulled me closer and whispered in my ears “We got this”. The doctor concluded with two options, either I put off treatment until after delivery or I wait to be in the second trimester before I begin any treatment.

 The doctor explained that during the first three months of pregnancy, chemotherapy is not given. since this is a crucial moment for the baby’s development However, studies have shown that certain chemotherapy medications used in the second and third trimesters (months 4 through 9 of pregnancy) do not increase the risk of birth defects, stillbirths, or health issues soon after birth, though they may increase the risk of early delivery.¹ These medications include doxorubicin, cyclophosphamide, fluorouracil, and taxanes, However, if these children will have any long-term repercussions is still a mystery to researchers.¹ This was a huge decision for my husband and me, we needed time to weigh out our options. I left the doctor’s office feeling worse than when I came in, I felt a huge weight on my shoulders. The life of my child was in my hands, what do I do? My husband and I were shattered for days but knew we had to decide. My husband made it clear to me that it was my decision to make, and he would support me with whatever I decided. This gave me more anxiety “So now I decide? Well, that’s helpful” I blurted out to him.  After days of deliberation and so much back and forth, I decided I would face my fears head-on, I can’t afford for the cancer to spread while being pregnant. I called the doctor’s office and told them I was ready to begin treatment.

 First, we created a customized treatment plan with the assistance of my medical staff.  For all women with early breast cancer, surgery to remove the affected breast tissue and adjacent lymph nodes is a key component of treatment. In most cases, pregnancy is not harmed by surgery.  Knowing undergoing surgery while pregnant was safe gave me some relief. I finally began to feel courageous and hopeful. Surgery was scheduled, and the plan was to preserve as much breast tissue as much as possible during the procedure to remove the malignancy. After surgery, I would wait to be in my second trimester before starting chemotherapy. The use of chemotherapy medications on the unborn child was carefully considered. The doctor used the safest medication to protect the baby.  

After months of fighting, I finally could say I was breast cancer free. Throughout this tumultuous journey, I leaned on my husband, family, and friends’ unwavering support. Their love and encouragement lifted me when my spirit wavered. I also found solace in connecting with other women who had experienced similar challenges. We became a tribe united by our shared strength and determination. Months passed, and the baby inside me grew stronger each day. Every kick, every flutter reminded me of the life we were fighting for. The dark cloud of cancer became intertwined with the joyous anticipation of motherhood. And as my belly swelled, so did my hope.

The day arrived when my baby decided to join the world. Amidst tears of pain and triumph, I held my precious miracle in my arms. The weight of the battle we had fought together suddenly felt insignificant compared to the overwhelming love that flooded my heart. Although my path was packed with doubt and dread, it was also marked by tenacity and optimism. I tell my tale to encourage people dealing with comparable difficulties rather than arouse sympathy.

Reference

1. Treating breast cancer during pregnancy. Information and Resources about for Cancer: Breast, Colon, Lung, Prostate, Skin. (n.d.). https://www.cancer.org/cancer/types/breast-cancer/treatment/treating-breast-cancer-during-pregnancy.html 

Exploring a Hypothetical Case Study Scenario: Breast Cancer and Religious Beliefs

Breast cancer has been a growing health concern worldwide, including in the United States and other regions. It is one of the most common types of cancer diagnosed in women, although it can also occur in men.¹ It is familiar to the aging population, about 50 years and older, and can occur without any signs of risk factors. No cancer is good, but getting diagnosed early makes managing and preventing deaths easier.² This paper centers around constructing a case study that explores a hypothetical scenario involving a woman diagnosed with breast cancer, whose treatment options are restricted due to religious constraints.

Breast cancer is a life-threatening condition that affects most women over 50 years of age. Janet, a 60-year-old woman, and a resident of Hawaii State has had breast cancer for one year. It all started with light symptoms and is now very severe and painful, thus making Janet’s life unbearable. During an interview with community health workers, Janet explained that her condition started with a small lump with slight burning in the left breast,

Janet also noted that her grandmother had succumbed to breast cancer when she was young and that her elder cousin suffered the same but was successfully treated. Although her senses were profound that she could have breast cancer, she was bothered less since the symptoms were light and did not cause much discomfort, unlike the cases of her grandmother and elder cousin.

Cancer patients usually require blood transfusions due to several reasons such as anemia surgery to treat cancer, chemotherapy, and radiation However, as a Jehovah’s Witness, Janet’s religion prohibits her from receiving blood transfusions therefore making treatment options for her limited.

Unfortunately, Janet’s cancer continues to metastasize to the advanced stages, and she is suffering from anxiety and depression, a severe headache, shortness of breath, and emotional changes, including mood swings. Even with this condition, Janet still holds her religious belief that chemotherapy treatment is not an option since it requires blood transfusion to support one’s life.

Next Steps for Janet

It is unfortunate to note that breast cancer can be more difficult to treat when it’s in advanced stages. However, with the right treatment plan, Janet can receive the proper care she requires. Janet’s doctors will have to come up with a treatment plan that would accommodate her religious beliefs. To accommodate her religious beliefs, Janet’s doctors suggest that she needs to be in the bloodless Medicine and Surgery programs. For the treatment of patients suffering from a variety of ailments, including cancer, numerous hospitals have established bloodless medical programs to lessen the need for transfusions or other blood-based products, bloodless medical programs are created to assist patients in preserving and bolstering their own blood supply.³ This program is available for not only those with religious limitations. While many cancer patients are at ease having blood transfusions, others may not be. Some people may decline transfusions for religious reasons, or they may have illnesses that prevent them from receiving them. Others may be concerned about the safety of the blood supply and the possibility of being infected with a virus from donated blood.³ Clinicians that practice bloodless medicine and surgery employ a variety of methods as well as three main tactics to avoid the need for transfusions. Making sure the patient loses as little blood as possible while receiving care is the initial strategy. The second tactic entails assisting the patient’s body in making the most use of the bloodstream’s oxygen supply. The function and healing of our key organs depend greatly on oxygen. The third tactic is to first diagnose and treat anemia, which occurs when a patient doesn’t have enough red blood cells. A safe and efficient method of providing medical care is bloodless medicine and surgery. And it turns out that refraining from transfusions has advantages.

With this program, Janet can get chemotherapy and undergo the necessary surgery (lumpectomy or mastectomy) without the worry of a blood transfusion. Janet decides to do more and consults her pastor and fellow church members about the program. She found out that many Jehovah’s Witnesses patients with cancer had undergone cancer treatment with the program and luckily for her, a church member with breast cancer had undergone the same program as well. She was glad to find a program that allows her to get the necessary treatment she needs as well as the ability to be able to honor her religion. Janet decides to move forward with a lumpectomy and rounds of chemotherapy.

After several months of treatment, she is finally cancer free and in remission. However, the constant fear of her cancer coming back gave her sleepless night. Janet knew she had to take more steps in preventing her cancer from returning.  She began to do research and came across several articles and testimonials that encourage lifestyle change for cancer patients.  Janet decided to do her part and change her lifestyle by changing her diet. The first thing she did was by limiting sugar and eating more protein-rich foods such as lean meats, eggs, low-fat dairy products, and beans. Protein-rich foods help the body to repair cells and tissue as well as help the immune system to recover from illness.⁴ She also included more whole-grain foods such as oatmeal and brown rice in her diet. With these changes, Janet has a higher chance of being cancer free for a long time as well as maintaining a healthy lifestyle.

References

1. Lee, K., Kruper, L., Dieli-Conwright, C. M., & Mortimer, J. E. (2019). The impact of obesity on breast cancer diagnosis and treatment. Current oncology reports, pp. 21, 1–6.
2. Lei, S., Zheng, R., Zhang, S., Wang, S., Chen, R., Sun, K., … & Wei, W. (2021). Global patterns of breast cancer incidence and mortality: A population‐based cancer registry data analysis from 2000 to 2020. Cancer Communications, 41(11), 1183-1194.
3. Bloodless Medicine offers options for patients concerned about transfusions. City of Hope. (2022, October 18). https://www.cancercenter.com/community/blog/2021/05/bloodless-medicine 
4. Breast cancer diet and Nutrition. Sarah Cannon. (n.d.). https://sarahcannon.com/for-patients/learn-about-cancer/breast-cancer/nutrition.dot 

Average-Risk Breast Cancer Early Detection: The Role of Health Literacy

Written by Taliah Hodges (IWS Health Advocate Summer Intern)

In my first semester of college, I was introduced to public health and quickly learned about the role of early detection in minimizing the impact of the disease. Not only does early detection require access to quality healthcare resources, but it is also important for affected individuals to have the ability to understand their diagnosis, communicate with medical professionals, and make informed health decisions. In this blog post, we will delve into the importance of early detection of breast cancer as well as how health literacy plays a role in the process.

According to the Centers for Disease Control and Prevention (CDC), about 264,000 women and 2,400 men are diagnosed with breast cancer each year across the United States.¹ Among those diagnosed, about 42,000 women and 500 men die each year.¹ Though affected with the same disease, health outcomes vary based on a variety of factors. Early detection of breast cancer is so crucial because detecting symptomatic patients can greatly improve chances of survival.

Though the most common symptom of breast cancer is a lump, many individuals do not experience symptoms.¹ Therefore, it is important to screen regularly. Early detection simply means finding and diagnosing cancer early by screening rather than waiting for noticeable symptoms.¹ The American Cancer Society (ACS) states that when breast cancer is detected early and in the localized stage, the five-year relative survival rate is 99%.² Generally, breast cancer is easier to treat when it is small and has not spread, so early detection is key.²

Although it is rare for men to develop breast cancer, it is possible. Mammograms are not routinely offered due to the low prevalence, so many male cancer cases occur later in life and are detected when cancer has advanced.³ The stage-to-stage survival rates are poorer for men and it is suggested that it is due to delayed diagnosis.³ Therefore, early detection is important. There are no national guidelines, but it is recommended that men with the BRCA 1 or 2 mutation gene get annual breast exams.³ Additionally, men with gynecomastia, which is a hormonal enlargement of the breasts, may consider getting annual screenings.³

An average-risk woman is one who does not have a personal or strong family history of breast cancer, a genetic mutation linked to breast cancer, and has not had chest radiation before age 30.⁴ Many average-risk women are unsure when they should begin early and regular screening, which is where health literacy begins to play a role in early detection. Defined by the CDC, personal health literacy is the ability of individuals to find, understand, and use both information and health services in order to make informed health decisions.⁵ It is important for women to understand the guidelines given by the American Cancer Society regarding breast cancer screening recommendations for average-risk individuals:

• Women ages 40-44 have the option to begin annual mammogram screening⁴
• Women ages 45-54 should receive annual screening⁴
• Women ages 55+ have the option to receive annual mammograms or switch to every other year⁴

To improve health literacy, women can engage in research on who should be screened and when. Women can also conduct research before attending their screening appointments. Understanding what a mammogram is and what to expect during the test allows women to ask informed questions about things such as the tools used, the importance of routine screening, and what steps to take if symptoms are noticed.⁴ A large part of health literacy is knowing where to access reliable information during research.⁵ I recommend using sources such as the CDC, World Health Organization, American Cancer Society, National Cancer Institute, breast-cancer specific organizations, and other reputable medical websites.

Breast cancer patients should also be informed of and utilize the resources available to them in the healthcare facility.⁵ During early detection appointments, do not be afraid to ask for written resources. Most healthcare centers can provide pamphlets and brochures explaining the risk factors, diagnosis procedures, and treatment options pertaining to breast cancer.

At the early screening appointment, it is important to ask questions.⁵ It can be helpful to write the questions on paper beforehand for better recall. Asking questions will help enhance a patient’s ability to better communicate with their health provider and seek clarification when needed. Repeat what the doctor is explaining to ensure full understanding.

Lastly for patients, participating in support groups or health literacy promotion programs can greatly improve understanding of early detection, build confidence when navigating the diagnosis, and empower women to take charge where they can. A 2018 study of 60 women showed that death anxiety was lower and health literacy was higher in the intervention group which participated in a bi-weekly breast cancer educational program.⁶

Medical providers also play a role in ensuring that patients are informed about early detection and breast cancer as a whole. Providers can begin by refraining from making appointments feel rushed.⁷ Each patient deserves an adequate amount of time and ensuring this can promote trust and comfortability within the patient-provider interactions. One of the best things providers can do is refrain from medical jargon.⁷ What seems easily comprehensible to a provider may sound like another language to a patient. Therefore, medical professionals should always explain things using basic language that patients could understand. Additionally, they should always ask the patient if they have any questions, and create a safe space for patients to speak up and ask for help. When it comes to explaining diagnoses, providers can use images to help improve understanding and send the patient home with a list of resources to refer to.⁷

Essentially, early diagnosis must be accompanied by health literacy in order for patients to understand why screening is important and to help patients better navigate the healthcare system if diagnosed. Patients can do a variety of things such as research, communicate with medical professionals, and join support groups. Providers can create safe spaces, encourage questions, and provide information in simple terms. Participating in early detection can be scary, but simply being informed and having the ability to understand the process of diagnosis and treatment can tremendously improve health outcomes.

References

1. Centers for Disease Control and Prevention. (2022, September 26). Basic information about breast cancer. Centers for Disease Control and Prevention. https://www.cdc.gov/cancer/breast/basic_info/index.htm#:~:text=Each%20year%20in%20the%20United,breast%20cancer%20than%20White%20women.
2. Survival rates for breast cancer. Information and Resources about Cancer: Breast, Colon, Lung, Prostate, Skin. (n.d.). https://www.cancer.org/cancer/types/breast-cancer/understanding-a-breast-cancer-diagnosis/breast-cancer-survival-rates.html
3. Men and mammography-addressing breast cancer in men. ge monogram primary white RGB. (n.d.). https://www.gehealthcare.com/insights/article/men-and-mammography%E2%80%94addressing-breast-cancer-in-men#:~:text=Additionally%2C%20those%20men%20who%20also,at%20the%20age%20of%2050.
4. ACS Breast Cancer Screening Guidelines. (n.d.). https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html
5. Centers for Disease Control and Prevention. (2023, April 6). Health literacy: Accurate, accessible and actionable health information for all. Centers for Disease Control and Prevention. https://www.cdc.gov/healthliteracy/index.html
6. Bahrami, M. B., & Behbahani , M. A. (2019). The Effect of a Health Literacy Promotion Program on the Level of Health Literacy and Death Anxiety in Women with Breast Cancer. National Library of Medicine. https://doi.org/10.4103/ijnmr.IJNMR_178_18.
7. Strategies for helping patients improve in health literacy. Bradley University Online. (2018, June 15). https://onlinedegrees.bradley.edu/blog/helping-patients-improve-their-health-literacy-effective-strategies-for-nurses-and-nurse-managers/

Breast Cancer and the Second Circulatory System

Written by Chioma Ikpe, RN

People are usually familiar with the cardiovascular system. It is made up of the heart and blood vessels. The heart works as a continuous pump, transporting and circulating blood, oxygen, and nutrients. However, the body has a secondary circulatory system that works jointly with the cardiovascular system. This lesser-known circulatory system is known as the lymphatic system. 

What is the Lymphatic System?

The lymphatic system is located throughout the body and consists of lymph vessels and lymph nodes. Lymph nodes are small “filtering stations” within the lymphatic system that “store white blood cells and filter impurities and pathogens from interstitial fluid” [3, p. 6]. They are about the size of small jelly beans and are found in clusters throughout your body. For example, if you press gently under your chin, a lymph node will be felt. It will feel like a small round pea. Many more lymph node clusters are found throughout the body, including in the neck, abdomen, groin, armpits, inner portion of the elbow, collarbone, and back of the knees. Tonsils, the thymus gland, and the spleen are organs part of the lymphatic system.

Lymph vessels and lymph nodes transport lymphatic fluid, similar to how blood vessels transport blood. Lymph fluid is a composition of  “water, white blood cells, cellular waste, excess protein, pathogens, and fat” [3, p. 319] that absorbs from the interstitial space; the fluid-filled space between individual cells.

The lymphatic system is a vital part of the immune system and helps produce white blood cells to fight and prevent infections. It also absorbs fat and fatty acids from the digestive system and returns them to the bloodstream to provide energy to cells. In addition, it regulates the fluid balance in the body “by collecting, purifying, and draining excess fluids” [3] within the body. This is important because it prevents tissues or limbs from swelling. This will be discussed in more detail in the following paragraphs about what happens when the lymph system is damaged. 

Please watch the brief video below that gives a simple guide to how the lymphatic system functions.

Video Link: The Lymphatic Drainage System by the Cancer Research UK [2]

What is Lymphedema?

Lymphedema is a condition that occurs when lymph fluid builds up and is not able to drain normally. This is due to damage caused to lymph vessels or lymph nodes, leading lymph fluid to collect in a particular part of the body, resulting in swelling. A cancer tumor blocking a lymph node or vessel, mastectomy surgery, especially if it involves removing lymph nodes, and radiation therapy can cause lymphedema. [4]

Does having these treatments mean that every individual will develop lymphedema? No, not necessarily.  Not everyone who receives cancer treatments that include surgery and radiation develops lymphedema. Is lymphedema curable? Unfortunately, no. It is a chronic condition that doesn’t reverse.  However, it can be well controlled and managed like other health conditions, such as high blood pressure and diabetes. Lymphedema treatment results in less swelling and discomfort for the patient.

Symptoms of Lymphedema?

The main symptom of lymphedema is swelling. The amount of swelling varies from person to person. Additional symptoms for those being treated for breast cancer may include what is listed below. If you notice that you have these symptoms, please contact your doctor. 

• Looking in a mirror, one arm appears larger than the other
• The sensation of fullness, heaviness, or tightness in the chest area, the affected arm, and the armpit
• Achiness, pain, or weakness in the arm that is new
• Increased difficulty moving the joints in your arm or hand
• Changes in your skin, such as developing thickness
• Bra, clothes, necklaces, rings, watches, and bracelets do not fit as they did before [4]

Treating Lymphedema

As mentioned previously, lymphedema is irreversible but can be controlled and managed by specific treatments noted below. Speak with your doctor before starting these treatment options.

• Compression therapy: Compression socks or compression bands for the arm result in continuous pressure that reduces or controls the swelling.
• Manual lymphatic massage or drainage: A specific type of skin massage that reduces swelling. This type of treatment must be done by a specialist trained in lymphatic massage or drainage. Different types of this gentle massage include the Vodder, Földi, and Casley-Smith methods. [5] Those having an infection or cancer in the swollen area, a blood clot, or heart problems should not have a lymphatic massage. [6] Discuss this treatment option with your doctor if you are still actively receiving cancer treatment and determine if you are a good candidate for this treatment.
• Surgery: Small incisions are made to connect and re-route lymph vessels to small blood vessels resulting in improved lymph flow. Liposuction is another surgical procedure used to remove fatty tissue and is typically used for long-term lymphedema that has not responded to other treatment options. [6]
• Exercise: The physical movement and the contraction of muscles, helps promote activation and circulation of the lymph system. The lymphatic system doesn’t have a pump like the cardiovascular system has with the heart. This is why activities like deep breathing and exercise aid in moving the lymph system. [6]
• Skin Care: It is crucial to prevent injury to the area affected by lymphedema due to the increased risk of infection. Clean the skin of the area affected by lymphedema daily and moisturized. Avoid actions that cause friction against the skin or cause abrasions. In addition, avoid sunburn by using sunscreen. 

Take Away Points

Though the lymphatic system is lesser known than the cardiovascular system, it plays a vital role in removing toxins from the body, regulating fluid balance, and fighting pathogens. Breast cancer treatments like surgery and radiation can impact this system. However, with the points discussed above, you are empowered with the information to determine if you begin developing symptoms of lymphedema and how to manage it, along with the help of your medical team.

Benefits of Being in Nature

I Will Survive, Inc.

Written by: Chioma Ikpe, RN

The convenience of a modern lifestyle, long work commutes, use of technology such as phones and television, the stress from daily life, and in addition facing a serious illness like breast cancer, can make getting outside into nature difficult. However, the effort made to increase time outdoors helps promote mental health and relieve stress (Are There Benefits to Spending Time Outdoors? | Skin Cancer | CDC, n.d.)

Some of the health benefits of spending time in nature include boosting the immune system and enhancing overall mental and emotional wellness.

Enhance Immune System: Plants release a chemical called phytoncides into the air. Phytoncides have antibacterial and antifungal properties that help fight disease and insects. Breathing them in while outside in nature can cause the body to increase the activity and the number of white blood cells (Immerse Yourself in a Forest for Better…

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Benefits of Being in Nature

Written by: Chioma Ikpe, RN

The convenience of a modern lifestyle, long work commutes, use of technology such as phones and television, the stress from daily life, and in addition facing a serious illness like breast cancer, can make getting outside into nature difficult. However, the effort made to increase time outdoors helps promote mental health and relieve stress (Are There Benefits to Spending Time Outdoors? | Skin Cancer | CDC, n.d.)

Some of the health benefits of spending time in nature include boosting the immune system and enhancing overall mental and emotional wellness.

Enhance Immune System: Plants release a chemical called phytoncides into the air. Phytoncides have antibacterial and antifungal properties that help fight disease and insects. Breathing them in while outside in nature can cause the body to increase the activity and the number of white blood cells (Immerse Yourself in a Forest for Better Health – NYS Dept. of Environmental Conservation, n.d.)

Emotional Health Benefits: Exposure to green spaces such as forests or parks has been shown to lower cortisol, adrenaline, and noradrenaline levels, meaning lower stress levels. Outdoor spaces with trees decrease depression, anxiety, exhaustion, and anger while increasing the ability to concentrate (Park et al., 2010, #). 

While being outdoors in nature has many benefits, there are some precautions to consider. Undergoing chemotherapy or radiation can increase photosensitivity, a side effect that causes the skin to become more sensitive when exposed to ultraviolet light (UV) from the sun. It can increase the risk of sunburn, skin damage, or skin cancer (Cancer Treatment and Photosensitivity | Moffitt | Moffitt, 2022). Wear protective clothing, such as long sleeves, sunscreen with an SPF greater than 15, stay in the shade when outdoors, or avoid sun exposure between 10 am and 3 pm when the UV light exposure is the highest (Cancer Friendly Summer Fun Activities for Cancer Patients, 2018). 

These tips will help you to enjoy the benefits of the outdoors while minimizing the risks. Also, please speak with your doctor to determine if there are any other precautions you need to consider. 

There are national programs and Georgia programs that sponsor outdoor activities and adventures for those facing a cancer diagnosis and the children of those affected by cancer. The programs listed below are free and the application forms for the retreats are online.

• Casting For Recovery- https://castingforrecovery.org/
  • Provides healing outdoor retreats for women with breast cancer. The program is open to all women no matter their age or current stage of treatment or recovery.
• First Descents- https://firstdescents.org/
  • Provides outdoor adventures for young adults impacted by cancer and other serious health conditions.
• Camp Kesem- https://www.kesem.org/programs-services/camp-kesem
  • A week-long summer camp designed for children ages 6-18 affected by a parent’s cancer.
• Camp Koru- https://www.projectkoru.org/camp-koru
  • A free outdoor adventure camp for young adults to try new outdoor sports and overcome fears.

In summary, being outside in nature has many health benefits, including reducing stress. With the current warm spring weather and heading into summer, there are increased opportunities to participate in outdoor activities, whether it is for a brief stroll in a park, hiking a trail, or simply sitting outside in nature or on a porch. These activities will bring more peace to your life and can be another tool in your wellness toolbox to cope with the stress that comes with battling cancer successfully.

References

Are There Benefits to Spending Time Outdoors? | Skin Cancer | CDC. (n.d.). Centers for Disease Control and Prevention. Retrieved April 29, 2023, from https://www.cdc.gov/cancer/skin/basic_info/outdoors.htm

Cancer Friendly Summer Fun Activities for Cancer Patients. (2018, June 27). National Foundation for Cancer Research. Retrieved April 29, 2023, from https://www.nfcr.org/blog/cancer-friendly-summer-activities/

Cancer Treatment and Photosensitivity | Moffitt | Moffitt. (2022, May 20). Moffitt Cancer Center. Retrieved April 29, 2023, from https://moffitt.org/taking-care-of-your-health/taking-care-of-your-health-story-archive/cancer-treatment-and-photosensitivity/

Immerse Yourself in a Forest for Better Health – NYS Dept. of Environmental Conservation. (n.d.). New York State Department of Environmental Conservation. Retrieved April 29, 2023, from https://www.dec.ny.gov/lands/90720.html#Research

Park, B. J., Tsunetsugu, Y., Kasetani, T., Kagawa, T., & Miyazaki, Y. (2010, January 15). The physiological effects of Shinrin-yoku (taking in the forest atmosphere or forest bathing): evidence from field experiments in 24 forests across Japan. PubMed, 18-26. 10.1007/s12199-009-0086-9

Ways to Managing Stress: Improve Sleep

Written by Chioma Ikpe, RN

People know the benefits of sleep, however, it can be challenging to get enough sleep on a regular basis for some, especially when facing health challenges or stressful life events. Improving sleep helps with managing stress, promoting improved mental health, improving mental clarity and focus, and managing the fatigue that comes with cancer treatments,  In this newsletter, we will discuss a few helpful tips to work toward improving the amount and quality of your sleep by improving sleep habits.

What Can You Do Today to Improve Your Quality of Sleep

• Create a supportive sleep environment. Have a comfortable bed. Keep your room dark and at a temperature that is comfortable for you.
• Go to bed and wake up at the same time each day. Use a sleep cycle calculator tool to help you create a routine and budget time to sleep. Here is a link to the Sleep Foundation’s sleep cycle calculator. Link:(https://www.sleepfoundation.org/sleep-calculator)
• Avoid using electronic devices before going to sleep. The blue light from the devices disrupts sleep, making it more challenging to fall asleep. Not using phones, tablets, or watching television 30 minutes to 1 hour before bed helps improve the quality of sleep.
  • https://www.sleepfoundation.org/sleep-calculator
• Create a relaxing routine before bed. Do something you find relaxing and calming prior to bed. It may be listening to music, reading a book, or journaling.
• Limit or omit alcohol before sleep. Alcohol can make someone feel relaxed, however, it prevents getting deep and high-quality sleep, which results in waking up and not feeling refreshed. It can also increase daytime sleepiness.
• Keep a sleep diary. Include anything that may disturb your sleep or symptoms, like waking up frequently in the middle of the night. Include the time you fall asleep and wake up and the foods and beverages you have throughout the day. This information will be helpful to you and your doctor if you continue to have sleeping difficulties.

Still Having Difficulty Sleeping?

If you are having difficulty sleeping or notice a negative change in your sleeping habits, speak with your doctor and healthcare team to determine what may interfere with your sleep. Please share the information you have written in your sleep diary. If needed, your doctor may prescribe sleep medication or a sleep study. A sleep study is a non-invasive test in which doctors monitor your brain and body while you sleep overnight. This can be done in a hospital or sleep center. Some monitors also work in an outpatient setting so that someone can do the sleep study in the comfort of their home.

Today’s Action Plan

Choose one tip mentioned above to put into practice tonight. See if you notice a difference in your sleep when you wake up tomorrow morning or in the upcoming weeks. If one tip isn’t helpful, try another and check for any improvements in your sleep.

References

Cancer and Sleep: Connections, Disturbances, & Sleep Tips. (2023, February 23). Sleep Foundation. Retrieved March 24, 2023, from https://www.sleepfoundation.org/physical-health/cancer-and-sleep#references-81813

Managing Sleep Problems. (n.d.). American Cancer Society. Retrieved March 24, 2023, from https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/sleep-problems/managing-sleep-problems.html

Schwab, R. J. (n.d.). Approach to the Patient With a Sleep or Wakefulness Disorder – Neurologic Disorders. Merck Manuals. Retrieved March 24, 2023, from https://www.merckmanuals.com/professional/neurologic-disorders/sleep-and-wakefulness-disorders/approach-to-the-patient-with-a-sleep-or-wakefulness-disorder

Sleep Problems in People with Cancer – Side Effects. (2021, August 12). National Cancer Institute. Retrieved March 24, 2023, from https://www.cancer.gov/about-cancer/treatment/side-effects/sleep-problems

Sleep Study: Definition and What to Expect. (2022, March 25). Sleep Foundation. Retrieved March 24, 2023, from https://www.sleepfoundation.org/sleep-studies

“Discovering Faith, True Beauty and Confidence”

      During and After Cancer

Without question, when going through a serious illness, you learn to know what faith truly is, along with finding the true meaning of beauty and how you really feel about yourself. I know this all too well because I have experienced many trials and tribulations in my life. Through it all, I gain strength that I never knew I had, and much more confidence in myself, which led me to love myself all over again. I had a new beginning, all on my own.

After going through so much in my life, things were going well, until it happened. I had a head-on collision with not only breast cancer, but colon cancer as well, and it changed my entire outlook on life. I thought I had endured rough years before but going through cancer was the rest of the iceberg. There is nothing like it. You wonder, what in life had you done so wrong to have this placed upon you. You began asking, why me. Yet through my tragedies and all that I had to endure, it all became an awakening for me, in which I received and gain all the strength and encouragement I needed to conquer. Through it all, not only did I find the true meaning of life, I found the true meaning of beauty. Through all the chemo, radiation, the pain I endured, I still felt beautiful. I found myself looking in the mirror even more during this time because I thought what I was dealing with would change me drastically, but as I viewed the imperfections I now have to live with, over time it got better, and instead of feeling sorry for myself, I embrace it all; I’m still among the living, who am I to complain.

Whether we are dealing with an illness or any other negative feelings about ourselves, our lives, and our bodies, we need to be our on-cheering section. Through all my mishaps, I still feel beautiful and it is real. I have come to realize that even going through such a dark time in my life, I still have a life to be lived, and I am going to live it to the fullest. When I think about the individuals that are no longer among us due to such a horrific disease, I’m truly grateful, and I will no longer take my life for granted, life is precious, and we don’t realize that until we come close to losing it. When I think of the “gift of life” that was given to me twice over, I knew I did not have a moment to waste. I would never say having or going through cancer is a gift, surviving it, and receiving a second and third chance at life, is the gift. Yet, through it all, I did not allow the disease to take away who I am, or what I stand for. I am a survivor, as well as an example to show that it can happen and that I can go on and look and feel just as beautiful, inside, and out, and it shines brighter.

Yet through my tragedies and all that I had to endure, I received and gain all the strength and encouragement I needed to conquer. I will say, that the areas of my body that were interrupted, will be a constant reminder I had cancer, and at times, it does bother me, I’m human, but within a moment or two, I look past it, because those areas could be covered up. True beauty is within and when you feel beautiful on the inside, it shows so clearly on the outside. Just because I had cancer, does not mean cancer had me. We as women should never allow anything, or any circumstance to steal our joy or our self-esteem. And I know with cancer, many times you are too weak to even think about your looks because you’re not always feeling your best, believe me, I know; but sometimes you must try a little bit, and fight past it and keep living. Through any tragedy, we are and always will be beautiful and unique! Women, we all know that our bodies take lickings, yet we keep on ticking.

When I look back now and see how far I’ve come, I have to say, I thought right away that my cancer diagnosis was truly a death sentence because you’re not sure if you’re going to make it or not. Cancer has taught me not to blink twice at life, my eyes are wide open, living life to the fullest. I also realized after surviving cancer both times, that I was about to face new beginnings, new hope, do and see more with a whole new perspective on life. I share my story with others hoping to make a positive impact on someone who is ill or otherwise so that they can proceed with life in a whole new way. I am 63yrs of age now, and I am cherishing each day, each moment, and through it all, I feel that I am still at my best. I am confident with myself, as well as grateful. I am starting over, doing things I should have done before the cancer.

One day, after one of the many surgeries I had during my breast cancer period, and I could remember it as if it was yesterday, I experienced something so real, so peaceful, something of a miracle, that I had to write it down. I turned that experience into a poem, and I called it “Peace”. I took that poem, along with many others I had written, writing had become therapy for me. I am hoping that anyone who may have the opportunity to read my poems, get out of them, what I placed in them, they are as real as any could ever be. My most recently published book is titled, “Cancer, Yet Cancer Again, but I will not Die, before I’m Dead”. I titled it that because I truly feel that you should not stop living, because you have cancer, and that is exactly what I almost did when I heard the word cancer. I am a realist, a regular everyday woman, who has overcome many obstacles, which took me to write, trying to produce inspirational stories. If I had not gone through all that I did, I would have never anticipated such.

The scars and mishaps, that are now attached to my body, due to cancer, are just that, and they are symbols of someone else inspiration and hope. I am thankful because if I had not struggled, I would not have found my true strengths. I am a true example that you can survive cancer, not once, but twice, provided you get to it in time. I am not saying all will be easy, I am not saying all will survive it, what I am saying, is to have faith, fight with all you have, then hold on. I honestly believe, when and if you survive a horrific tragedy or a horrible disease such as cancer, it is for a reason. You have a purpose, and through that purpose, faith, compassion, and strength, true beauty is born.

Thank You,

Karen Rice

x2 Cancer Survivor

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