An approach to anxiety during watch-and-wait for Chronic Lymphocytic Leukemia: Monitor and move on

<p class="p1">Chronic Lymphocytic Leukemia (CLL) is the most frequently diagnosed hematologic malignancy with the majority of patients at diagnosis in the “watch and wait” stage of treatment – language that gives the perception of an axe waiting to fall, belying the fact that up to 3...

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Main Author: Nanette Cox-Kennett
Format: Article
Language:English
Published: Pappin Communications 2023-11-01
Series:Canadian Oncology Nursing Journal
Online Access:https://canadianoncologynursingjournal.com/index.php/conj/article/view/1427
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author Nanette Cox-Kennett
author_facet Nanette Cox-Kennett
author_sort Nanette Cox-Kennett
collection DOAJ
description <p class="p1">Chronic Lymphocytic Leukemia (CLL) is the most frequently diagnosed hematologic malignancy with the majority of patients at diagnosis in the “watch and wait” stage of treatment – language that gives the perception of an axe waiting to fall, belying the fact that up to 30% of patients will never need treatment in their lifetime. While receiving active surveillance, patients report anxiety, distress, and depression, yet there is little research capturing the experience of this patient population, nor describing interventions to improve their experience (Damen, 2022). In an effort to “do something,” patients may turn to often expensive and unproven alternative therapies. At each clinic visit, there is an opportunity to provide relevant and understandable information, resources to address anxiety, and response to unmet needs to increase the patient’s experience of shared decision making. Reframing the experience to a more proactive perspective such as ‘Monitor and Move On’ versus “Watch and Wait’ may empower patients with CLL along their trajectory.</p>
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spelling doaj.art-5743dea3d4d44fb99433c2306c24d9522024-02-08T16:29:03ZengPappin CommunicationsCanadian Oncology Nursing Journal1181-912X2368-80762023-11-013344754791172An approach to anxiety during watch-and-wait for Chronic Lymphocytic Leukemia: Monitor and move onNanette Cox-Kennett0Cross Cancer Institute, Edmonton, AB, 11560 University Avenue Edmonton, AB T6G 1Z2<p class="p1">Chronic Lymphocytic Leukemia (CLL) is the most frequently diagnosed hematologic malignancy with the majority of patients at diagnosis in the “watch and wait” stage of treatment – language that gives the perception of an axe waiting to fall, belying the fact that up to 30% of patients will never need treatment in their lifetime. While receiving active surveillance, patients report anxiety, distress, and depression, yet there is little research capturing the experience of this patient population, nor describing interventions to improve their experience (Damen, 2022). In an effort to “do something,” patients may turn to often expensive and unproven alternative therapies. At each clinic visit, there is an opportunity to provide relevant and understandable information, resources to address anxiety, and response to unmet needs to increase the patient’s experience of shared decision making. Reframing the experience to a more proactive perspective such as ‘Monitor and Move On’ versus “Watch and Wait’ may empower patients with CLL along their trajectory.</p>https://canadianoncologynursingjournal.com/index.php/conj/article/view/1427
spellingShingle Nanette Cox-Kennett
An approach to anxiety during watch-and-wait for Chronic Lymphocytic Leukemia: Monitor and move on
Canadian Oncology Nursing Journal
title An approach to anxiety during watch-and-wait for Chronic Lymphocytic Leukemia: Monitor and move on
title_full An approach to anxiety during watch-and-wait for Chronic Lymphocytic Leukemia: Monitor and move on
title_fullStr An approach to anxiety during watch-and-wait for Chronic Lymphocytic Leukemia: Monitor and move on
title_full_unstemmed An approach to anxiety during watch-and-wait for Chronic Lymphocytic Leukemia: Monitor and move on
title_short An approach to anxiety during watch-and-wait for Chronic Lymphocytic Leukemia: Monitor and move on
title_sort approach to anxiety during watch and wait for chronic lymphocytic leukemia monitor and move on
url https://canadianoncologynursingjournal.com/index.php/conj/article/view/1427
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