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Les bouffées de chaleur

Dr. Christine Maheu, RN, PhD

Dr. Christine Maheu is an Associate Professor in the Ingram School of Nursing, Faculty of Medicine, McGill University. Dr. Maheu is also an Affiliate Scientist at the University Health Network and the University of Toronto. At McGill University, she teaches research methods, supervises graduate students (masters, doctoral, post-doctoral), mentors practicing nurses and students in research, and conducts research in English and French. She has held research awards with the Canadian Institutes of Health Research, the Canadian Cancer Society, and the Canadian Partnership Against Cancer. These awards funded her research in psychosocial oncology, which focuses on developing and testing psychosocial interventions or measurements tools for various cancer populations. Additionally, in partnership with Ipsos Canada and funded by the Canadian Partnership Against Cancer, she is co-leading a nationwide survey of the needs of cancer patients for transition care from the end of their treatment to three years after their diagnosis. Dr. Maheu received awards for excellence in nursing research (2013, 2015, 2016) from Ovarian Cancer Canada, the Canadian Association of Nurses in Oncology, and the Quebec Association of Nurses in Oncology.

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Ms. Rosemary Cashman

Ms. Rosemary Cashman is a nurse practitioner at the BC Cancer Agency and an Adjunct Professor in the Faculty of Nursing at the University of British Columbia. Her professional experience includes the care of lymphoma, lung cancer and brain cancer patients. She co-chairs the Patient and Family Advisory Council, which guides the brain tumour care program at the BC Cancer Agency. She has authored book chapters and articles related to the care of brain tumour patients and their families. Ms. Cashman was involved in developing and implementing a rapid-access radiotherapy clinic for the palliative treatment of lung cancer and she continues to work in this clinic.

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Kyla Johnson, Occupational Therapist, Segal Cancer Centre, Jewish General Hospital

Ms. Kyla Johnson, M.Sc.A., originally from Edmonton, Alberta, Kyla Johnson works as an Occupational Therapist at the Segal Cancer Center of the Jewish General Hospital. She holds a Master of Science in Occupational Therapy from McGill University. Her goal as a rehabilitation professional in Oncology is to enable people with cancer to be able to do what they want and need to do, in all stages of their cancer experience. Kyla helps develop strategies and accommodations to facilitate a return to meaningful life roles, including work. She is specialized in cancer-related cognitive dysfunction and runs a weekly group teaching strategies to improve daily cognitive functioning. Kyla also leads a volunteer yoga class for young adults with cancer. She lives in Montreal, Quebec.

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Ms. Maureen Parkinson, Vocational Rehabilitation Counsellor, M.Ed. C.C.R.C, BC Cancer

Ms. Maureen Parkinson is the province-wide vocational rehabilitation counsellor at the BC Cancer Agency. She has also been vocational rehabilitation counsellor at a public rehabilitation hospital and vocational rehabilitation consultant to insurance companies and the court system. She has instructed and facilitated Service-Canada-funded programs on job searching and career exploration. Ms. Parkinson has a Masters in Counselling Psychology, is a Canadian Certified Rehabilitation Counsellor, and completed the Certified Return to Work Coordinator Program through the National Institute for Disability Management and Research. She has developed return-to-work and job-search seminars for cancer patients and created the guidebook “Cancer and Returning to Work: A Practical Guide for Cancer Patients” as well as on-line articles about returning to work and school. She also co-authored a paper commissioned by the Canadian Association of Psychosocial Oncology, “Cancer and Work: A Canadian Perspective”.

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Conséquences d’une chimiothérapie, d’une ménopause provoquée ou d’un traitement hormonal, les bouffées de chaleur sont fréquentes et persistantes chez les survivants du cancer du sein et peuvent aussi se manifester chez ceux du cancer de la prostate1. Les symptômes consistent en une chaleur intense brusque et imprévisible, accompagnée de rougeurs au visage. Des palpitations et un sentiment d’anxiété ou d’appréhension se manifestent aussi parfois. Lors de la ménopause naturelle, 75 % des femmes font l’objet de bouffées de chaleur, qui ont pour effet de compromettre le sommeil, d’augmenter la fatigue et de réduire la qualité de vie.

Conséquences sur le travail

Les bouffées de chaleur peuvent s’avérer pénibles au travail, surtout lorsqu’il fait chaud. Elles peuvent aussi perturber le sommeil et causer de la fatigue durant la journée. Le manque de sommeil, la fatigue et l’anxiété peuvent nuire au travail.

Les solutions accessibles au patient

Les patients peuvent tenir un journal de leurs bouffées de chaleur en y notant la fréquence, la gravité et les autres symptômes associés. Ces données seront utiles pour personnaliser la thérapie. Voici quelques suggestions pour lutter contre les bouffées de chaleur :

  • Des médicaments, notamment de l’hormonothérapie, des antidépresseurs et des médicaments contre l’épilepsie
  • L’acupuncture
  • L’hypnose
  • La thérapie cognitivo-comportementale
  • Les modifications dans l’alimentation

Mesures d’adaptation du lieu de travail

Il existe plusieurs moyens d’adapter un emploi en fonction des bouffées de chaleur associées au cancer et à ses traitements :

La modification des tâches :

  • Si l’uniforme est obligatoire, demander des vêtements de rechange dont le patient pourra retirer une épaisseur au besoin.

La modification du milieu de travail :

  • Établir des températures agréables en installant un ventilateur, un conditionneur d’air portable ou un déshumidificateur.
  • Demander l’accès à un réfrigérateur pour y stocker des blocs refroidissants en rotation au cours de la journée, ainsi que de l’eau froide pour s’hydrater.

Retour à la liste des effets secondaires courants des traitements contre le cancer