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Pam McMillan a native to the Texas Panhandle is a registered nurse, wife and mother. During her career she has developed a passion for serving those suffering from cancer. Her current role is leading the survivorship program on behalf of the Harrington Cancer and Health Foundation. She continues to serve those individuals and families across the region that are affected by cancer. Follow her on Twitter @pammo10

One word so much confusion...

Survivor: one simple word surrounded by so much confusion but yet so much meaning.
PUBLISHED: 2:18 AM, TUE MARCH 29, 2016
How can one word be so confusing, yet so important?
Have you ever stopped and wondered when is a cancer patient technically a survivor? Often times those that have been diagnosed with the disease along with several national organizations have different definitions of the word cancer survivor. The word cancer survivor has so much meaning, and each one identifies with it differently. 
Before the National Coalition for Cancer Survivorship (NCCS) was formed, many defined cancer survivor as someone who had been free of any sign of the disease for 5 years. According to the National Cancer Institute, a survivor is  “One who remains alive and continues to function during and after overcoming a serious hardship or life-threatening disease. In cancer, a person is considered to be a survivor from the time of diagnosis until the end of life.”
With so many definitions it becomes easy to see why patients become overwhelmed when asked, “Are you a survivor?” I recently had a chance to sit down with cancer survivors at the 24 Hours in the Canyon Cancer Survivorship Center and ask them when they considered themselves a survivor. Let’s face it: many of us don’t think much about the technicalities of the word survivor, but I quickly learned that cancer survivors take those two words to heart. The answers that I received when asked when did you consider yourself a survivor were all so different. They ranged from “I was a survivor the last day of radiation treatment”, to “after the surgery when I felt all the cancer was removed”, to “I am not a survivor yet and don’t know when I will be”, “I think I am in denial over it all”, and finally, “when I got released from the doctors.”
How do we, as healthcare providers, use the word cancer survivor? I think we have to take it on an individual basis.  I have heard that many do not want to be called a survivor, but instead a thriver. And even for those that have metastatic disease many think that survivor doesn’t apply to them, but would prefer to be called a “lifer”. I think we need to be sensitive to each one, but yet encourage them. Let them understand that they are a survivor from the moment of diagnosis, but may just be in a different stage of the process. They survived just hearing, “You have cancer,” and those words are a hard pill to swallow. So if it’s survivor, thriver, or even a lifer each one is a SURVIVOR.   
Cancer survivorship involves much more than the label “survivor.” Survivorship focuses on living with, through, and beyond cancer. No matter what stage one may be in, survivors should take extra measures to live a healthier life. Now is the time to encourage them more than ever. The two major things we can control in life that can help reduce cancer risk is diet and exercise. Not only do they need to focus on those two aspects, they also need to focus on their mental health. This can be done through activities like music, art, meditation, and/or counseling. Survivorship programs can give the survivor, thriver, or even the lifer the extra support they need. The common goal is to improve their quality of life.   

Talk about this article with nurses and others in the oncology community in the General Discussions Oncology Nursing News discussion group.
More from Pam McMillan, RN, OCN
Understanding the effects of chemotherapy-induced peripheral neuropathy (CIPN) is imperative to be able to care for our patients better. 
PUBLISHED: Tue October 17 2017
Many patients complain of feeling so tired. What can we do to help those suffering from fatigue?
PUBLISHED: Tue August 29 2017
What milestones do you celebrate with your oncology patients?
PUBLISHED: Thu June 15 2017
As a young adult with cancer you may feel like a prisoner in your own world. How can nurses help this age group?
PUBLISHED: Wed May 31 2017
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