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  • Anxiety regarding patient s surgery has increased and

    2020-08-07

    “Anxiety regarding [patient's] surgery has increased and she is not
    stressed and anxious.” coping well.”
    “Patient expressed concerns regarding pathology results and is fearful of “Anxious about his recovery as well and what his quality of life will be
    needing chemo.” after surgery.”
    “Anxiety triggered by thoughts about her recovery.” “Spouse stated that the day of surgery was stressful.”
    “Felt overwhelmed with tasks that they need to complete prior to “She is ‘maxed out’ and extremely stressed about work and her
    surgery.” husband's current situation.”
    “Concerned that her other family members were leaving and that she “Expressed concerns due to several family members and friends
    would only have the support of her husband.” requesting to visit her husband in the hospital and this increases her
    “She reports that she feels anxious about going home however she is glad stress.”
    to be leaving the hospital.”
    Other roles and “Patient's husband does not drive and so she chaperones him for his “Caregiver stated that since she has been busy with family obligations
    responsibilities errands. She provides general caregiver support for her husband who she has not been walking often.”
    has neck/back injury.” “Work responsibilities and the need to take time away from work to
    “Patient states her barrier to increasing activity is her work help her husband after surgery.”
    responsibilities and fluctuating demands.” “Spouse is retired and spends her days managing the home and caring
    “He and his wife are heavily involved in the care of their 9 y/o for several family member who have medical issues. Caring for
    grandson spending most of their time taking him to activities. They several family member is overwhelming.”
    also care for elderly mother who lives in a local assisted living facility
    however she requires a lot of support.”
    Other “Upcoming holiday gatherings.” “Caregiver stated that she has been occupied with MD appointments
    engagements/unanticipated “Patient's husband was in a car accident hence he Lycopene has also not been because she has an upcoming surgery.”
    life events able to walk for exercise and this has increased caregiving burden on
    the patient.”
    “Patient states that he received unexpected news from his
    endocrinologist that he will need an additional surgery.”
    Lack of time “They have been taking care of other appointments in the past two “Caregiver stated that her primary barrier to increased walking has
    days but haven't been able to formally engage in walking program or been the busy schedule.”
    the exercises yet. They have been driving down from [out of town] and
    all the MD appointments.”
    Lack of motivation “Patient identified motivation as being the primary barrier to
    incorporating walking program.”
    “Only barrier to incorporating walking and exercise is laziness. Primary
    barrier is decreased motivation.”
    “Does not like structured exercise and that the primary barrier to
    participating in walking and exercise is lack of interest and
    motivation.”
    “Reported that he does not enjoy walking.”
    Not accustomed to physical “Currently is not active, does not exercise.” “Spouse states that they are generally ‘lazy’ and live a sedentary
    activity “Active around the house but does not exercise.” lifestyle. They do not engage in physical activity and do not socialize.”
    Environment/weather “He does not walk outside of the home due to living in the hills.”
    (continued on next page)
    Theme Patient Caregiver
    “Current weather pattern (rain).”
    “Does not want to go out when it's hot and then Recessive lethal gets dark early.”
    “Cold weather aggravating joint pain.”
    “Limited in walking second to recent windy weather.”
    “Patient has not been walking outside due to cold weather.”
    adherence. Chronic pain syndrome (back, hip, joint) prohibited patients and FCGs from fully participating in walking and lower extremity exer-cises. For some patients, treatment-related pain, such as chemotherapy-induced peripheral neuropathy and surgical site pain, made it difficult for patients to walk. Dyspnea secondary to pulmonary comorbidities were common, and severely limited some participant's ability to ambu-late. Other common activity-limiting symptoms included fatigue/gen-eral weakness, nausea, dizziness, and sleep disturbance.
    3.1.3. Theme 3: Functional Limitations/History of Falls