Transcript PATIENT WITH BREAST CANCER – A CASE STUDY Diana Jeleč Kaker, Ph.D., Soc.
Slide 1
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 2
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 3
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 4
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 5
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 6
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 7
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 8
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 9
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 10
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 11
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 12
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 13
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 14
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 15
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 2
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 3
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 4
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 5
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 6
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 7
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 8
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 9
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 10
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 11
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 12
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 13
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 14
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention
Slide 15
PATIENT WITH BREAST CANCER – A CASE STUDY
Diana Jeleč Kaker, Ph.D., Soc. Work
Institute of Oncology Ljubljana, Slovenia
FIFTEENTH EASOM SUMMER SCHOOL 2015: Teaching Trainees in Occupational
Medicine about Psychosocial Risk Factors at work,
Bled, Slovenia, 26th – 29th August 2015
DIAGNOSIS: BREAST CANCER
Brings about changes:
Patient X:
temporary
permanent
metastatic breast cancer
born in 1965
married
two daughters
employed as a cook
lives in a block of flats
THE DISEASE
Influences:
Patient X:
• physical – own attitude
towards health,
appearance
• Suffers from feelings of
inferiority and low selfimage
• Depression
• Has a great support from
the family (husband and
two daughters)
• psychological distraction
(anxiety, depression)
• partner relationship
COPING AND ACCEPTING THE DISEASE
Methods:
•
•
•
•
•
fighting
avoiding
stoical acceptance
helplessness
anxiety
Patient X
• The patient choses fighting as
a way of coping with the
disease
REHABILITATION
Approach: team work
Patient
Discussions and
consultation
Encouraged to actively
participate in the treatment,
strengthening the abilities
Family
The whole family is affected.
It is an important factor in
support
Society
Self-help groups
Patient X
Addresses the professionals
(doctor, nurse and social
worker)
Offered a lot of support by
the family
Refuses to participate in the
self-help group
REHABILITATION
Returning to the working
environment
Sick leave
The possibility to gradually return
to work
Work at home
The option of training /
professional retraining
Purpose
Achieving the desired work
efficiency
Return/inclusion into society
Patient X
• Loses her job
• Has difficulties in finding
new employment
• Takes sick leave
MEDICAL DEVICES
Medical devices:
Temporary breast prosthesis
Silicone breast prosthesis
Self-adhesive breast prosthesis
Orthopaedic bra
Wig
Elastic glove
TEMPORARY BREAST PROSTHESIS
Temporary breast
prosthesis
Designed to be worn
immediately after
surgery, until the
operative wound heals
SILICONE BREAST PROSTHESIS
AND ORTHOPAEDIC BRA
Silicone breast
prosthesis
Self-adhesive breast
prosthesis
ORTHOPAEDIC BRA FOR THE
BREAST PROSTHESIS
• Wide and adjustable
straps
• Comfortably sewn
under the armpit
• The bottom border for
additional support
MEASUREMENTS TO
DETERMINE THE BRA SIZE
• Measure the chest circumference
directly under the bust. Round
the measured value to the
nearest multiple of number 5.
Example: measured 78 cm = bra
size 80 cm. This is the bra size.
Measure distance from the
middle of sternum across the
healthy breast to the centre of
the spine. Multiply the measured
value by two to obtain the cup
size.
Example: 48 cm x 2 = 96 cm. This
is the cup size.
BRA / CUP SIZE
The difference between the
cup circumference and the bra
size determines the size of the
cup:
Difference in
cm
Cup size
8 -10
AA
10 - 12
A
96 cm (cup circumference)
- 80 cm (bra size) = 16 cm
12 - 15
B
15 - 18
C
18 - 20
D
20 - 23
DD
• Example: 80 C
WIG, ELASTIC COMPRESSION
GLOVE
• Alopecia
• Lymphoedema
PROGRESS OF DISEASE
Patient X
Social assistance services
Refused by the patient
Help at home
Receives help from the
family
Institutional care
Thank you for your attention