October casts a rosy hue as we recognize Breast Cancer Awareness Month, a time to honor survivors, remember those we've lost, and raise awareness about this prevalent disease. But beyond the pink ribbons lies a lesser-known challenge: the impact of cancer and its treatments on cognitive health.

At Skilled Care Pharmacy, we understand that a cancer diagnosis can affect more than just physical health. "Chemo brain" or cancer-related cognitive impairment (CRCI) is a common experience for those battling cancer, leading to difficulties with memory, concentration, and mental clarity. This is particularly concerning for residents in long-term care facilities, where cognitive health is crucial for maintaining independence and quality of life.

How We Champion Cognitive Health During Breast Cancer Awareness Month and Beyond:

1. Medication Management with a Keen Eye on Cognitive Effects

Our pharmacists are not just medication dispensers; they're detectives, meticulously investigating each resident's medication regimen for potential culprits that could exacerbate cognitive difficulties. We work closely with physicians to adjust dosages, explore alternative medications, and minimize any negative impact on cognitive function, especially for residents undergoing cancer treatment. Studies show that up to 75% of breast cancer survivors experience some level of cognitive impairment during or after treatment, highlighting the importance of this vigilant approach.¹

2. Engaging Activities: A Prescription for Cognitive Stimulation

We believe that an active mind is a healthy mind. That's why we collaborate with long-term care facilities to offer engaging activities that not only bring joy but also stimulate cognitive function. From modified brain games and puzzles to art therapy and music therapy, we tailor these activities to the specific needs and abilities of residents affected by cancer. Research has shown that cognitive rehabilitation programs can significantly improve cognitive function and quality of life in cancer survivors.²

3. Personalized Care Plans: A Holistic Embrace

Cancer treatment can be a tumultuous journey, affecting various aspects of a resident's well-being. Our pharmacists understand this and work with your care team to develop personalized care plans that address the whole person. We go beyond medication management, incorporating pain management, nutritional support, and emotional well-being into the care plan, recognizing that these factors are all interconnected with cognitive health. Studies have shown that integrated care programs that address both physical and psychological needs can lead to significant improvements in cognitive outcomes for cancer patients.³

4. Education and Support: Navigating the Maze Together

A cancer diagnosis can be overwhelming, and navigating its impact on cognitive health can be challenging for both residents and their families. We provide education and resources to help them understand and manage cancer-related cognitive changes. This includes information on coping strategies, lifestyle modifications, and available support services. Support groups and educational programs can empower cancer survivors and their caregivers to better understand and cope with cognitive challenges.⁴

5. Medication Adherence Strategies: A Path to Optimal Outcomes

Managing medications during cancer treatment can be complex, and adherence can be a significant challenge. Our pharmacists work with residents and caregivers to develop strategies that simplify medication regimens and improve adherence, ensuring optimal treatment outcomes and minimizing cognitive side effects. Remember, poor medication adherence can lead to poorer treatment outcomes and an increased risk of complications, which can further impact cognitive function.⁵

The Skilled Care Pharmacy Difference: Compassionate Care, Sharp Minds

This Breast Cancer Awareness Month, we stand with those affected by cancer, reaffirming our commitment to supporting their cognitive health and overall well-being. Our personalized approach, collaborative spirit, and dedication to resident care ensure that we're not just managing medications, but empowering individuals to live their best lives, even in the face of adversity.

Ready to partner with a pharmacy that champions cognitive health and provides compassionate care?

Contact Skilled Care Pharmacy today to learn more about our specialized services and how we can support your residents on their journey to optimal well-being.



References

1. Jansen, C. E., Cooper, B. A., Dodd, M. J., & Miaskowski, C. (2011). A prospective longitudinal study of chemotherapy-induced cognitive changes in breast cancer patients. Supportive Care in Cancer, 19(11), 1647-1655. 
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3. Silverman, D. H., Castellon, S. A., & Meyers, C. A. (2003). Cognitive rehabilitation in the cancer patient. The Cancer Journal, 9(1), 75-82.
4. Andersen, B. L., Farrar, W. B., Golden-Kreutz, D., Emery, C. F., Glaser, R., Crespin, T. R., ... & Carson, W. E. (2007). Distress reduction and improvements in quality of life following a psychological intervention for breast cancer patients: a randomized trial. Health Psychology, 26(1), 20.
5. National Cancer Institute. (2023). Cognitive Changes (PDQ®)–Patient Version.
6. Partridge, A. H., Avorn, J., Wang, P. S., & Winer, E. P. (2002). Adherence to therapy with oral antineoplastic agents. Journal of the National Cancer Institute
   , 94(21), 1610-1615.