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31

NCCN Guidelines for Patients

®

:

Ovarian Cancer, Version 1.2017

3

Cancer staging

Cancer care plan

A guide to ovarian cancer treatment options can be

found in Parts 5 and 6. The treatment that you and

your doctors agree on should be reported in the

treatment plan. It is also important to note the goal

of treatment and the chance of a good treatment

outcome. All known side effects should be listed

and the time required to treat them should be noted.

See Part 4 for a list of some common side effects of

ovarian cancer treatments.

Your treatment plan may change because of new

information. You may change your mind about

treatment. Tests may find new results. How well

the treatment is working may change. Any of these

changes may require a new treatment plan.

Stress and symptom control

Cancer and its treatments can cause bothersome

symptoms. The stress of having cancer can also

cause symptoms. There are ways to treat many

symptoms, so tell your treatment team about any that

you have.

You may lose sleep before, during, and after

treatment. Getting less sleep can affect your

mood, conversations, and ability to do daily tasks.

If possible, allow yourself to rest, let people do

things for you, and talk with your doctor about sleep

medication. Behavioral sleep medicine—a type of

talk therapy—may also help.

Feelings of anxiety and depression are common

among people with cancer. At your cancer center,

cancer navigators, social workers, and other experts

can help. Help can include support groups, talk

therapy, or medication. Some people also feel better

by exercising, talking with loved ones, or relaxing.

You may be unemployed or miss work during

treatment. Or, you may have too little or no

health insurance. Talk to your treatment team

about work, insurance, or money problems.

They will include information in the treatment plan to

help you manage your finances and medical costs.

Survivorship care

Cancer survivorship begins on the day you learn of

having ovarian cancer. For many survivors, the end

of active treatment signals a time of celebration but

also of great anxiety. This is a very normal response.

You may need support to address issues that arise

from not having regular visits with your cancer care

team. In addition, your treatment plan should include

a schedule of follow-up cancer tests, treatment of

long-term side effects, and care of your general

health.

Advance care planning

Talking with your doctor about your prognosis can

help with treatment planning. If the cancer can’t be

controlled or cured, a care plan for the end of life can

be made. However, such talks often happen too late

or not at all. Your doctor may delay these talks for

fear that you may lose hope, become depressed, or

have a shorter survival. Studies suggest that these

fears are wrong. Instead, there are many benefits to

advance care planning. It is useful for:

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Knowing what to expect

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Making the most of your time

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Lowering the stress of caregivers

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Having your wishes followed

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Having a better quality of life

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Getting good care