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Acsm S Guide To Exercise And Cancer Survivorship

Author : American College of Sports Medicine
ISBN : 9781492581932
Genre : Health & Fitness
File Size : 26. 74 MB
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ACSM’s Guide to Exercise and Cancer Survivorship presents the science behind the benefits of exercise for cancer survival and survivorship as well as the application of that science to the design or adaptation of exercise programs for cancer patients and survivors. Developed by the American College of Sports Medicine (ACSM), this authoritative reference offers the most current information for health and fitness professionals working with survivors of many types of cancers. Dr. Melinda L. Irwin has assembled a team of the most respected experts in the field of exercise and cancer survivorship. With an emphasis on practical application, the text discusses the following: • Incidence and prevalence of the most common cancers • Common cancer treatments and side effects • Benefits of exercise after a diagnosis of cancer • Exercise testing, prescription, and programming • Nutrition and weight management • Counseling for health behavior change • Injury prevention • Program administration This guide presents evidence-based information to assist health, fitness, and medical professionals in using exercise to help cancer survivors with recovery, rehabilitation, and reducing the risk of recurrence. Throughout the text, readers will find quick-reference Take-Home Messages that highlight key information and how it can be applied in practice. Chapters also include reproducible forms and questionnaires to facilitate the implementation of an exercise program with a new client or patient, such as physician’s permission forms, medical and cancer treatment history forms, weekly logs of exercise and energy levels, medication listings, and nutrition and goal-setting questionnaires. In addition, ACSM’s Guide to Exercise and Cancer Survivorship discusses all of the job task analysis points tested in the ACSM/ACS Certified Cancer Exercise Trainer (CET) exam, making this the most complete resource available for health and fitness professionals studying to attain CET certification. Each chapter begins with a list of the CET exam points discussed in that chapter. A complete listing is also included in the appendix. As both an essential preparation text for certification and a practical reference, ACSM’s Guide to Exercise and Cancer Survivorship will increase health and fitness professionals’ knowledge of the benefits of exercise after a cancer diagnosis as well as the specifics of developing and adapting exercise programs to meet the unique needs of cancer survivors. Evidence has shown that physical activity has numerous health benefits for cancer patients and survivors. More clinicians and oncologists are recommending exercise as a strategy for reducing the side effects of treatment, speeding recovery, and improving overall quality of life. In turn, cancer survivors are seeking health and fitness professionals with knowledge and experience to help them learn how to exercise safely within their capabilities. With ACSM’s Guide to Exercise and Cancer Survivorship, health and fitness professionals can provide safe exercise programs to help cancer survivors improve their health, take proactive steps toward preventing recurrences, and enhance their quality of life.

Acsm S Guide To Exercise And Cancer Survivorship

Author : Melinda L. Irwin
ISBN : 0736095640
Genre : Health & Fitness
File Size : 43. 92 MB
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More clinicians and oncologists are recommending exercise as a strategy for reducing the side effects of treatment, speeding recovery, and improving overall quality of life for cancer patients and survivors. In turn, cancer survivors are seeking health and fitness professionals with knowledge and experience to help them learn how to exercise safely within their capabilities. As the preparation resource for the ACSM/ACS Certified Cancer Exercise Trainer (CET) certification, this book will allow health and fitness professionals to provide safe exercise programs to help cancer survivors improve their health, take proactive steps toward preventing recurrences, and enhance their quality of life.

Acsm S Exercise Management For Persons With Chronic Diseases And Disabilities

Author : American College of Sports Medicine
ISBN : 9781492586098
Genre : Medical
File Size : 69. 71 MB
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The fourth edition of ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities reveals common ground between medical and exercise professionals, creating a more collaborative approach to patient care. Developed by the American College of Sports Medicine (ACSM) with contributions from a specialized team of experts, this text presents a framework for optimizing patients’ and clients’ functionality by keeping them physically active. Featuring new content on common comorbid conditions, this edition is streamlined and updated to better suit chronic populations. This fourth edition of ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities outlines why exercise is significant in the treatment and prevention of disease, advises medical and exercise professionals in considering proper exercise prescription protocols, and provides evidence-informed guidance on devising individualized exercise programs. Major advancements and features of the fourth edition include the following: • Current evidence on exercise management for persons with multiple conditions, providing guidance on working with these common yet complex populations • A refocused goal of using physical activity to optimize patients’ and clients’ functionality and participation in life activities rather than only to treat and prevent disease • Specific content to help physicians prescribe physical activity and exercise to patients for promotion of health, well-being, and longevity • Reorganization of case studies into one streamlined chapter along with commentary from the senior editor to encourage critical thinking and recognize the unique needs of each patient The case studies in the text are real-life scenarios that help professionals and clinicians combine scientific knowledge with experience to find appropriate solutions for each individual. Commentary on the case studies from the senior editor illustrates when improvisation may be appropriate and where further research is needed. Tables are highlighted throughout the text to help readers quickly reference important clinical information. Evidence-informed guidelines, suggested websites, and additional readings further encourage practical use of information and identify further learning opportunities. For instructors, an ancillary PowerPoint presentation package aids in classroom discussion. The critical element that distinguishes the fourth edition of ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities is its unifying mission to incorporate physical activity and exercise in both disease treatment and prevention. Its emphasis on assisting people with multiple conditions, which is ever present in health care today, moves beyond primary and secondary prevention to focus on how patients and clients can be kept physically active and functionally fit.

Acsm S Health Fitness Facility Standards And Guidelines

Author : American College of Sports Medicine
ISBN : 9781492572787
Genre : Health & Fitness
File Size : 39. 46 MB
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ACSM’s Health/Fitness Facility Standards and Guidelines, Fourth Edition, presents the current standards and guidelines that help health and fitness establishments provide high-quality service and program offerings in a safe environment. This text is based in large part on both the work that has begun through the NSF international initiative to develop industry standards to serve as the foundation for a voluntary health and fitness facility certification process and the third edition of ACSM’s Health/Fitness Facility Standards and Guidelines. The ACSM’s team of experts in academic, medical, and health and fitness fields have put together an authoritative guide for facility operators and owners. By detailing these standards and guidelines and providing supplemental materials, ACSM’s Health/Fitness Facility Standards andGuidelines provides a blueprint for health and fitness facilities to use in elevating the standard of care they provide their members and users as well as enhance their exercise experience. The fourth edition includes new standards and guidelines for pre-activity screening, orientation, education, and supervision; risk management and emergency procedures; professional staff and independent contractors; facility design and construction; facility equipment; operational practices; and signage. This edition includes these updates: •Standards and guidelines aligned with the current version of the pending NSF international health and fitness facility standards •New guidelines addressing individuals with special needs •New standards and guidelines regarding automated external defibrillators (AEDs) for both staffed and unstaffed facilities •Revised standards and guidelines to reflect changing directions and business models within the industry, including 24/7 fitness facilities, medically integrated facilities, and demographic-specific facilities •New standards and guidelines to better equip facilities that are dealing with youth to ensure the proper care of this segment of the clientele With improved organization, new visual features, and additional appendixes, the fourth edition offers a comprehensive and easy-to-use reference of health and fitness facility standards and guidelines. Readers can readily apply the information and save time and expense using over 30 templates found within the appendixes, including questionnaires, informed consent forms, and evaluation forms. Appendixes also contain more than 30 supplements, such as sample preventive maintenance schedules, checklists, and court and facility dimensions. Included in appendix A is Blueprint for Excellence, which allows readers to search efficiently for specific information regarding the standards and guidelines within the book. Health and fitness facilities provide opportunities for individuals to become and remain physically active. As the use of exercise for health care prevention and prescription continues to gain momentum, health and fitness facilities and clubs will emerge as an integral part of the health care system. The fourth edition of ACSM’s Health/Fitness Facility Standardsand Guidelines will assist health and fitness facility managers, owners, and staff in keeping to a standard of operation, client care, and service that will assist members and users in caring for their health through safe and appropriate exercise experiences.

Acsm S Complete Guide To Fitness Health

Author : American College of Sports Medicine
ISBN : 9781492586289
Genre : Health & Fitness
File Size : 32. 91 MB
Format : PDF
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Here is the ultimate resource for maximizing your exercise and nutrition efforts. In this new edition of ACSM's Complete Guide to Fitness & Health, you have an authoritative reference that allows you to apply research-based guidance to your unique health and fitness needs. With a focus across the life span, this resource shows you how to pursue optimal health and fitness now and throughout the years to come. The American College of Sports Medicine, the largest and most respected sport science and medicine organization in the world, has created this book to bridge the gap between science and the practice of making personal lifestyle choices that promote health. This new edition contains age-specific advice within the framework of the latest research, thus helping you to avoid the lure of fads, unfounded myths, and misinformation. You will learn these strategies: • Incorporate the latest guidelines for physical activity and nutrition into your daily routine to improve your fitness and overall health. • Optimize your weight and increase strength, flexibility, aerobic fitness, and functional fitness. • Improve health and manage conditions such as diabetes, cardiovascular disease, cancer, depression, osteoporosis, arthritis, pregnancy, and Alzheimer’s disease through exercise and nutrition. • Monitor, evaluate, and tailor your exercise program for optimal results. Featuring step-by-step instructions and full-color photos for the most effective exercises, sample workouts, practical advice, age-specific physical activity and dietary guidelines, and strategies for incorporating exercise and healthy nutrition choices into even the busiest of lifestyles, ACSM’s Complete Guide to Fitness & Health is a resource that belongs in every fitness enthusiast’s library.

Exercise Oncology

Author : Kathryn H. Schmitz
ISBN : 9783030420116
Genre : Medical
File Size : 42. 74 MB
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This groundbreaking book presents a unique and practical approach to the evolving field of exercise oncology - the study of physical activity in the context of cancer prevention and control. Presenting the current state of the art, the book is sensibly divided into four thematic sections. Following an opening chapter presenting an overview and timeline of exercise oncology, the chapters comprising part I discuss primary cancer prevention, physical activity and survivorship, and the mechanisms by which these operate. Diagnosis and treatment considerations are discussed in part II, including prehabilitation, exercise during surgical recovery, infusion and radiation therapies, and treatment efficacy. Post-treatment and end-of-life care are covered in part III, including cardio-oncology, energetics and palliative care. Part IV presents behavioral, logistical and policy-making considerations, highlighting a multidisciplinary approach to exercise oncology as well as practical matters such as reimbursement and economics. Written and edited by experts in the field, Exercise Oncology will be a go-to practical resource for sports medicine clinicians, family and primary care physicians, oncologists, physical therapy and rehabilitation specialists, and all medical professionals who treat cancer patients.

Cancer And The Heart

Author : Michael S. Ewer
ISBN : 9781607959649
Genre : Medical
File Size : 87. 51 MB
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In Cancer and the Heart, third edition, Dr. Ewer and colleagues at MD Anderson are joined by national and international authorities who contributed to the 28 chapters of this volume. The various authors present their insights into the effects of anticancer drugs and radiation treatment on the heart, and other organ systems. Discussions are advanced on imaging strategies and techniques with an emphasis on specific clinical problems experienced by physicians and their patients. Readers will find a useful reference intended to help them recognize the decision-making dilemmas they face providing optimal tumor management, and a useful resource to help them and their cancer patients cope with inevitable challenges.

Applied Health Fitness Psychology

Author : Anshel, Mark
ISBN : 9781450400626
Genre : Education
File Size : 33. 16 MB
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This comprehensive text explains how health fitness psychology has emerged from other parent disciplines to be addressed in numerous exercise, fitness, and health settings, allowing both current and future professionals to assist their patients or clients in adopting healthier lifestyles.

Essential Exercises For Breast Cancer Survivors

Author : Amy Halverstadt
ISBN : 1558321780
Genre : Health & Fitness
File Size : 61. 10 MB
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A fitness guide for breast cancer survivors outlines exercises that can help women stay strong and healthy from diagnosis through treatment and recovery.

Nsca S Essentials Of Training Special Populations

Author : NSCA -National Strength & Conditioning Association
ISBN : 9781492585121
Genre : Health & Fitness
File Size : 82. 29 MB
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The National Strength and Conditioning Association (NSCA) has long been at the forefront of aiding aspiring and established exercise professionals in working with clients from special populations, such as children, aging adults, and clients with temporary or permanent physical or cognitive conditions and disorders. Clients with special conditions often require modifications to general exercise recommendations, specific exercise facility design, and particular training equipment. They may also require exercise programming supervised by exercise professionals with specialized training. NSCA's Essentials of Training Special Populations will help exercise professionals design customized programs for clients with unique considerations. It is an ideal preparatory resource for those seeking to become an NSCA Certified Special Population Specialist (CSPS) as well as professionals who work in collaboration with health care professionals to assess, educate, and train special population clients of all ages regarding their health and fitness needs. Editor Patrick L. Jacobs, who has extensive experience as both a practitioner and scholar, and a team of qualified contributors provide evidence-based information and recommendations on particular training protocols for a breadth of conditions, including musculoskeletal conditions, cardiovascular conditions, immunologic disorders, and cancer. The book discusses the benefits of exercise for clients with special conditions and the exercise-related challenges they often face, as well as the importance of safe and effective health and fitness assessments for these clients. With an emphasis on published research, NSCA's Essentials of Training Special Populations reviews the pathology and pathophysiology of numerous conditions and disorders, including the known effects of exercise on those conditions and disorders. Each chapter includes tables that provide exercise recommendations for specific conditions, complete with training modifications, precautions, and contraindications. Also included are case studies with practical examples of the application of these population-specific recommendations, as well as a summary of the commonly prescribed medications and their potential effects on exercise responses and adaptations. NSCA's Essentials of Training Special Populations includes a number of learning aids designed to assist the reader. Chapter objectives appear at the beginning of each chapter, study questions are at the end of each chapter, key points in easy-to-find boxes summarize important concepts for the reader, and key terms are identified and defined throughout the text. Recommended readings are also provided for readers wishing to learn more about a topic in general or specifically in preparation for the CSPS exam. For instructors using NSCA's Essentials of Training Special Populations in a higher education course or for a training symposium, ancillary materials are available to make class preparation easy. The materials are designed to complement the content and assist in its instruction. The ancillaries consist of an instructor's guide, test package, and presentation package plus image bank.

Cancer Survivorship How To Navigate The Turbulent Journey

Author : Hussam Haj Hasan
ISBN : 9781734492118
Genre : Medical
File Size : 67. 16 MB
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Forget about your cancer for a moment and imagine your life without it. Now, ask yourself the question: does cancer have to consume my whole life? The answer lies dormant inside your mind and you urgently need to let it out, but you need help. Whether your hope is escaping the emotional pain, reducing the burden on your family, searching for remission, or just finding a new normal to cope peacefully, Cancer Survivorship: How to Navigate the Turbulent Journey is your roadmap. This step-by-step strategy to self-management teaches: · How to learn about your diagnosis and staging to help you make informed decisions about treatment choices · How to establish effective communication channels with your oncologist to allow for collaboration and to participate in making health decisions · How to categorize your health status at any moment on the cancer continuum and how to proceed with progress from that point forward · How to adapt to new lifestyle adjustments to help you find your new normal and what to do to reduce the chances of recurrence and the emergence of second primary cancers · How to navigate your survivorship journey during and after cancer to minimize side and late effects of treatment and sustain a healthy mind and body In this book, Hasan dives into what it means to enact a follow-up survivorship plan, why you should implement it, and then deeply explains how this can be done. If you think that cancer is treatable and can be controlled as a chronic condition, or you can’t find a reason not to hope and wish for remission or recovery, this is the book for you. Cancer is a complex system of complex diseases making the road to recovery or remission not easy, but possible. It is your turn to join the millions of cancer survivors who are living with cancer just fine. This book gives you the tools to enable you to join those millions, now get out there and use them.

Improving Outcomes For Breast Cancer Survivors

Author : Patricia A. Ganz
ISBN : 9783319163666
Genre : Medical
File Size : 73. 68 MB
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In collaboration with the Breast Cancer Research Foundation (BCRF), this timely volume provides a comprehensive review on all areas of breast cancer survivorship research, highlighting research that is underway or in development. The range of topics covered include the biology and management of fatigue and cognitive dysfunction on breast cancer survivorship, the biology and management of Neuropathy and Arthralgias, the ongoing research on the biology of diet and lifestyle interventions in survivors, and more. With the tremendous growth in the number of breast cancer survivors, researchers have moved beyond describing the outcomes of breast cancer treatments and are focusing their research on understanding the mechanisms underlying the development of the late effects of breast cancer treatment, as well as the development and evaluation of interventions to mitigate some of the persistent symptoms—topics which are also explored in this volume. In addition, current research on how to improve survivorship and reduce recurrence of breast cancer through behavioral and lifestyle modifications is also discussed.

Sport Coaching With Diverse Populations

Author : James Wallis
ISBN : 9781000196047
Genre : Sports & Recreation
File Size : 40. 67 MB
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Sports coaches apply their skills in a wider variety of contexts, and with a more diverse range of athletes and participants, than ever before. This book introduces the professional competencies and knowledge needed to build successful working relationships across the different communities and groups with which coaches operate. The book offers important insight for coaches who work with specific populations including different age groups; black, Asian and minority ethnic (BAME) people; those of different gender or sexual orientation; individuals with disabilities or illness; the socio-economically disadvantaged; and refugees. Drawing on real-world case studies, such as coaching girls in combat sports and coaching cardiac rehab patients, and adopting a critical approach to values, philosophy and pedagogic process, this book argues that understanding the recipient of coaching and their particular needs is as important as content knowledge. With contributions from leading coaching researchers and practitioners, this is important reading for developing coaches, students on sports courses and other individuals involved in the sport pedagogy domain who seek to gain a better understanding of the demands of meeting the specific needs of people in the coaching process.

Handbook Of Cancer Survivorship Care

Author : Dr. Maria Alma Rodriguez, MD
ISBN : 9780826138255
Genre : Medical
File Size : 90. 44 MB
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Handbook of Cancer Survivorship Care serves as a practical and concise guide for the multidisciplinary management of cancer survivors. Nearly all of the chapters are authored by a team consisting of a seasoned oncologist and an experienced practitioner who provides direct services in survivorship care. Chapters reflect the importance of interdisciplinary collaboration and cover the high-yield pearls and clinical applications that lead to quality patient care outcomes. Part I discusses the basic concepts of survivorship care, models of care, and clinical tools while addressing late and long-term effects of treatment, screening methods for secondary or recurring tumors, and prevention of disease relapse. Part II includes chapters on cancers commonly seen in community practice, such as breast, prostate, lymphoma, and colorectal. Chapters in Part II provide clinical pearls and disease-specific background, a guide to disease surveillance, instructions for monitoring late effects, early detection tips, and information on psychosocial health, all to better direct clinical assessment and management. With cancer survivors an increasing segment of the healthcare population and survivorship care rapidly evolving, it is paramount that oncologists and other care providers are up-to-date on the clinical strategies, interventions, and recommendations for follow-up care. As a pocket-sized, quick reference, Handbook of Cancer Survivorship Care is an indispensable resource for any healthcare provider – including physicians, nurses, and other practitioners – seeing patients in remission; it covers the must-know points of clinical management and successfully carries over cutting-edge expertise into clinical practice whether it is used at the bedside or in the clinic. Key Features: Includes practical guidance on challenging areas such as addressing psychosocial issues, establishing screening and prevention strategies, managing late effects in cancer survivors and many more Easy-to-read outline format makes referencing in the clinical setting quick and convenient Practical clinical vignettes with self-assessment Q&A accompany chapters in Part II Clinical pearls highlight survivorship guidelines and their application Provides management guidelines and detailed disease surveillance strategies for site-specific cancers Includes digital access to the e-book

Excellent Care For Cancer Survivors A Guide To Fully Meet Their Needs In Medical Offices And In The Community

Author : Kenneth D. Miller M.D.
ISBN : 9780313397875
Genre : Health & Fitness
File Size : 23. 21 MB
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A clear, concise, and essential guide providing key information about cancer survivors and their needs—and how those needs can best be met. • Conversations with cancer survivors explaining the physical and psychological challenges/obstacles they face • A listing of current cancer survivorship programs across the United States

Frontiers In Clinical Drug Research Anti Cancer Agents Volume 5

Author : Atta-ur-Rahman
ISBN : 9789811405143
Genre : Science
File Size : 83. 61 MB
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Frontiers in Clinical Drug Research - Anti-Cancer Agents is a book series intended for pharmaceutical scientists, postgraduate students and researchers seeking updated and critical information for developing clinical trials and devising research plans in anti-cancer research. Reviews in each volume are written by experts in medical oncology and clinical trials research and compile the latest information available on special topics of interest to oncology researchers. The fifth volume of the book features reviews on biochemical inhibitors (second-generation protein kinase Inhibitors, histone deacetylase inhibitors, immune checkpoint inhibitors, EGFR Tyrosine Kinase inhibitors, non-coding RNAs), apoptosis, and physical exercise therapy for cancer patients undergoing chemotherapy. The treatment strategies in this volume cover cancers such as acute myeloid leukemia, gastrointestinal cancer, breast cancer and lung cancer.

Handbook Of Geriatric Oncology

Author : Beatriz Korc-Grodzicki, MD, PhD
ISBN : 9781617052828
Genre : Medical
File Size : 22. 66 MB
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Handbook of Geriatric Oncology is a practical resource for oncologists and related clinicians who want to provide comprehensive, patient-centered care to the elderly cancer patient. Divided into nine succinct sections, it includes topics spanning an Overview of Geriatric Oncology and Aging, Geriatric Syndromes, Geriatric Assessment, Select Cancers Commonly Diagnosed in the Elderly, Communication with the Older Cancer Patient, the Nursing Home Patient with Cancer, Models of Care and Survivorship, Palliative Care, and Integrative Medicine. Complex issues such as the physiologic changes of aging and their effect on cancer, corresponding social and psychological aspects that accompany aging and a cancer diagnosis, assessment of frailty, managing comorbid conditions and diseases, effective communication among healthcare providers, the patient and caregivers, as well as the risks and benefits of cancer screening, are made simpler with helpful clinical guidance and clinical pearls. Spearheaded by world experts in geriatric oncology from Memorial Sloan Kettering Cancer Center in New York, this book is the definitive resource for oncologists and related clinicians to meet the demands of clinical management along the continuum of geriatric cancer care. Key Features: Provides best practices for evaluating geriatric syndromes such as functional dependency, falls, cognitive impairment and dementia, delirium, depression and anxiety, social isolation as well as syndromes related to nutrition, comorbid conditions, and polypharmacy. Includes practical guidance on when to treat and when not to treat cancer in older patients Discusses unique factors associated with breast cancer, prostate cancer, colorectal cancer, lung cancer, ovarian cancer, bladder cancer, pancreatic cancer, head and neck cancers, and myelodysplastic syndromes in the elderly that impact care plans and treatment.

After You Hear It S Cancer

Author : John Leifer
ISBN : 9781442246263
Genre : Health & Fitness
File Size : 65. 33 MB
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In 2014, an estimated 1.66 million people will receive a diagnosis of cancer. They will join a pool of 13.7 million Americans already living with a history of cancer. Almost 600,000 Americans will die from cancer. For some, cancer will be only a short divergence. For others, however, it will be a dramatic fork in the road. And for still others, the beginning of the end of the line. This book guides cancer patients along their journey where no one knows the duration or the destination. Divided into the three parts of being a cancer patient—the diagnosis, initial treatment, and on to survivorship—the book will help the newly diagnosed cancer patient navigate a complex health care system, make astute decisions at difficult junctures, and manage the emotional turbulence that can rock his or her world. Lastly, it shares the story of how the author and his wife, as well as other cancer patients, have confronted their disease.

Acsm S Exercise Is Medicinetm

Author : Steven Jonas
ISBN : 9781451149081
Genre : Medical
File Size : 78. 34 MB
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Exercise is MedicineTM is an American College of Sports Medicine initiative to "make physical activity and exercise a standard part of a disease prevention and treatment medical paradigm." This book will teach practitioners how to motivate and instruct patients on the importance of exercise and how to design practical exercise programs for patients of all ages and fitness levels, as well as those with special conditions such as pregnancy, obesity, and cancer. Coverage includes in-depth discussions of both the lifestyle exercise approach to exercising regularly and the structured exercise approach.

Acsm S Exercise Is Medicine

Author : Steven Jonas
ISBN : 158255739X
Genre : Medical
File Size : 36. 64 MB
Format : PDF, ePub, Docs
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Exercise is Medicine(TM) is an American College of Sports Medicine initiative to "make physical activity and exercise a standard part of a disease prevention and treatment medical paradigm." This book will teach practitioners how to motivate and instruct patients on the importance of exercise and how to design practical exercise programs for patients of all ages and fitness levels, as well as those with special conditions such as pregnancy, obesity, and cancer. Coverage includes in-depth discussions of both the lifestyle exercise approach to exercising regularly and the structured exercise approach.

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