Esophageal Cancer
In order to take care of a parent with esophageal cancer, it is first important to have a good understanding of the disease. Cancer of the esophagus occurs when cells in the lining of the esophagus mutate. They grow uncontrollably and begin to invade other tissues. The most common symptoms for esophageal tumors are difficulty swallowing and pain when doing so. Esophageal cancer is usually diagnosed by a biopsy. Depending on the type of tumor and how advanced the cancer is, the prognosis can vary greatly.
Understanding the Effects of Treatments
If the tumor is relatively small, it can be surgically removed with the hope that this procedure will eliminate all the cancerous cells. If this is the case, it's good news! While having esophageal cancer may be scary, operable tumors can often be cured, though it is important to monitor the rest of the esophagus to look for signs of recurrence.
In the event that the tumor cannot be removed, radiation and chemotherapy are the most common treatments. While these can slow cancer progression,. they can have serious side effects, such a loss of energy, nausea and weight loss. It is important to help parents through this process as well as making sure they get the supportive care they need.
Living Wills and Other Considerations
In the event that the progress of esophageal cancer can only be slowed, it is important to prepare for the end. It is critical to, at this point, discuss things such as living wills, power of attorney and "Do Not Resuscitate" orders with the affected parent. While these conversations may be difficult and painful to have, it is essential that there be someone who not only knows of the wishes of the patient, but who also has the legal authority to carry them out. Most physicians can refer families to people who specialize with these sorts of preparations for patients with terminal illnesses.
Taking care of the parent
Having a parent that is diagnosed with esophageal cancer can be a trying experience for both parties. For the children, there is the sudden realization that the affected family member is mortal and may die soon; for the parent, there is the need to "tie up loose ends" and achieve some feeling of closure. If your parents are diagnosed with esophageal cancer, you may suddenly be faced with a parent who is trying to resolve old emotional conflicts and issues, both with you and with others, that may seem trivial in light of everything that is happening. It is important, however, to try to give your afflicted parent as much support as possible to provide him with emotional comfort. There are many groups online that can help you and your parent deal with the emotional stress. In addition, your doctor may be able to recommend support groups for both you and your parents.
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