Les bouffées de chaleur
Authors:
Dr. Christine Maheu, RN, PhD ,
Ms. Rosemary Cashman ,
Kyla Johnson, Occupational Therapist, Segal Cancer Centre, Jewish General Hospital ,
Ms. Maureen Parkinson, Vocational Rehabilitation Counsellor, M.Ed. C.C.R.C, BC CancerDr. 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 prostate. 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. Vous pourriez y être plus sensible dans des milieux de travail plus chauds. Elles peuvent aussi perturber vos nuits. Le manque de sommeil, la fatigue et l’anxiété peuvent également nuire à votre vie professionnelle (voir Les troubles du sommeil).
Les solutions à votre portée
Tenez un journal de vos bouffées de chaleur, en indiquant la fréquence, la gravité et les autres symptômes associés. Ces données seront utiles pour personnaliser la thérapie. Demandez à votre équipe de soins des idées pour la gestion de vos bouffées de chaleur, comme :
- 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
Vous pourriez interroger votre médecin de famille sur les compléments naturels.
Mesures d’adaptation du lieu de travail
La modification de vos tâches et méthodes de travail :
Portez plusieurs épaisseurs de vêtements en fonction des variations de température. Si l’uniforme est obligatoire, demandez des vêtements de rechange dont vous pourrez retirer une épaisseur au besoin.
La modification de votre milieu de travail :
- Optimisez la température : utilisez un ventilateur, un conditionneur d’air portable ou un déshumidificateur.
- Demandez l’accès à un réfrigérateur pour y stocker 2 ou 3 blocs refroidissants en rotation au cours de la journée.
- Gardez une bouteille isolante à portée de main dans votre espace de travail.
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