Blog Post 3: Recommendations for Family Members

Upon the diagnosis of testicular cancer, it can be extremely difficult not only for the patient but for family members as well. However, support from family, friends, and colleagues offers the opportunity to develop effective coping skills that lessen the burdens associated with a positive cancer diagnosis. In Essentials of Patient Health Education, it is stated that "the patient's family is perhaps the single most significant determinant of the success or failure.." Using the six dimensions of wellness as a guide, familial support can be provided in the following ways:

Social Support

The most important dimension of wellness in regard to recommendations for family members with relatives who have testicular cancer is social support. Individuals who have support prior to diagnosis, during treatment, and recovery; exhibit better pain management skills, better coping skills, faster recovery, and a higher self esteem. Social support can come from any interpersonal relationship but is especially effective when support comes from family, especially a spouse of significant other. There are many ways to demonstrate support. Families can attend support groups together, attend all physician appointments, engaging in active listening, and accommodate family activities to the needs of the patient. Counseling is a great way to overcome any challenges that exist within the family due to a positive diagnosis. A psychologist will be able to assist families communicate thoughts and feelings.

Physical Support

It is essential to recovery to remain active and the family unit creates the perfect opportunity to engage in manageable physical activities. Families can participate in marathons (especially those geared toward garnering funding for cancer research, i.e. American Cancer Society Relay for Life), camping trips, or a hike. It is also important to note that if chemotherapy is the chosen treatment method, then the patents appearance may be greatly affected in the form of hair loss, low BMI (Body Mass Index), rash, and muscle/joint pain and that the utmost care must be taken to not offend them or comment on appearance.

Depending on the stage of cancer and type of treatment, physical activity may not be an option; however, physical support can be provided in a number of ways. For example, relatives can assist with errands that may be too taxing on the patient, including: walking household pets, grocery shopping, home maintenance, and assistance with the care of small children.

A simple table for determining BMI is below. Heights are at the bottom the chart and weigh is to the left:

Occupational Support

It is important that family members take an active role in the patient's occupational challenges that result from a cancer diagnosis. Simple tasks such as preparing lunch, organizing prescribed medications, and  transportation to and from work will lessen the burden of the patient. Co-workers can also alleviate work related stressors by donating sick time, running errands, and assist with work overload. Employers should take the opportunity to establish work site health education and promotion programs to educate the staff about cancer, risk factors, and a myriad of health related information. Everyone can take part in the recovery efforts of a loved one. More information regarding occupational support can be found at the American Cancer Society website.

Emotional Support

One of the disheartening effects of testicular cancer is the possibility of infertility. This can have devastating effects on the family unit and requires open communication amongst its members. For a young man to be told that he is unable to bare children, it can burden young couples with no children or established couples seeking to add to their family. If one testicle remains, fertility prospects are improved but reproductive options should be discussed openly and as a family.Testosterone levels may dwindle during treatment, which may affect the emotional output of the male. It is important for family members to realize that this is simply a side effect of treatment and not a personal affect.

Spiritual Support

Spiritual support can occur in many forms and for people with cancer, may be an influential determinant in their treatment and recovery. Often, many people going through difficult circumstances supplement treatment with faith. Families can attend church services together, seek spiritual advice, rely on alternative medicine, or participate in meditation. Some patients find relieve by being in soothing and sensual environments, like a beach or an open field. Music also provides soothing benefits and calming effects. So, creating a spiritually enriching environment can be very supportive.

Intellectual Support

Supporting the patient by becoming informed on the specifics of testicular cancer; will show them that you are empathetic towards their situation. By remaining informed on the statistics, latest research, and implications; a family member is subconsciously saying that they are there for you. With all members taking part in the intellectual support, the patient will gain confidence in knowing that his family is fighting the battle with him. Family members should engage in the in the health education of the patient by determining literacy of written material, asking questions to ensure understanding, and reiterate important instructions from health care providers.