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Emotional health

Supporting your mental health

Improving your mental health and emotional wellbeing has been shown to give you the best surgery recovery, physically and mentally. Even if you think that you are coping well, simple strategies such as regular relaxation practice could help you cope with, and recover from, your upcoming surgery.

This video explains how to prepare psychologically for your surgery.

Courtesy of Peter MacCallum Cancer Centre, 2024

In this next video you will hear about the experience of individuals with cancer and experts in emotional wellbeing about mental health and cancer. Please click on the video below to watch:

Keeping your mind and body calm

Relaxation practice

Calming your body through a regular relaxation practice is recommended for everyone going through major cancer surgery. This strategy is likely to be helpful even if you do not feel anxious or worried. Calming your body prepares it to best cope with major surgery.

Learn some relaxation exercises to help calm your body and mind. We recommend that you practice 10 to 15 minutes of relaxation exercises most days. This might include calming breathing, progressive muscle relaxation, guided imagery, or mindfulness meditation.

Cancer Mind Care: Anxiety

Video information about common anxiety in cancer. Please click on the video below to watch:

Cancer Mind Care: Anxiety, courtesy of Western and Central Melbourne Integrated Cancer Service, 2024.

Managing doubt and worry

It is normal to have some worries about your surgery, your recovery, or how well the treatment will work. Some worry and anticipation is normal and expected. But high levels of worry and anxiety can impact your well-being and recovery.

To manage any doubt or worry, you could try the following:

  • Write a list of questions for your cancer team if you would like to know more about what to expect
  • You might feel more anxious if you feel like you have lost control over your life or body. To deal with this, write a list of the things in your life that you can control, and a list of the things you cannot control. Focus on the things you can control. These might include following the nutrition and exercise guidelines in this booklet. For the things that you cannot control, acknowledge that these thoughts are difficult, and let them pass by on their own like a stormy cloud without trying to control them
  • For each worry, write down all the options of how you can deal with this worry. Next, list the pros and cons of each option. Then choose the best option to take action on first, and write down the steps you need to take to complete this task.

Additional resources on anxiety and relaxation

Anxiety
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Relaxation
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Staying motivated

It is a good idea to take control over your own preparation and recovery in any way that you can.

You might like to write down the goals that you would like to achieve to give yourself the best possible recovery. It is important that these goals are specific and realistic. Writing the reasons behind these goals will help you stay motivated to achieve them.

Example:

Goal: Go for a 15-minute walk 3 times next week at 10am

Reason: This will get me fitter before my surgery, which will help my recovery and help me have more control over my experience

Other things you can do to help keep yourself motivated include:

  • Develop a routine (e.g. schedule a walk at the same time each day)
  • Use the support or accountability of others (e.g. have someone walk with you)
  • Attend a supervised class (e.g. a supervised gym class with an exercise professional).

A template to help you set goals and support you achieving them can be found below.

Accessing additional support

Do you need additional support? Video information on accessing psychological support in cancer can be viewed by clicking on the video below:

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This website is established and maintained by the Peter MacCallum Cancer Institute.

Please ensure that you read the following terms and conditions carefully before using the website.

By accessing the website, you agree that you have had an opportunity to read this Disclaimer and to seek any legal advice in relation to the Disclaimer.

The information contained in this website (Information) is intended to provide general guidance only. The Information, including any recommendations, are not intended to be a substitute for medical advice, diagnosis or treatment and are designed to be general guidelines to support individuals with cancer undergoing major gastrointestinal and gynaecological cancer surgery. The Information is not provided as a result of any treating relationship between Peter Mac and you.

Your specialist will discuss your personalised risk and circumstances with you. Please follow any recommendations provided to you by your treating specialist.

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We encourage you to contact the Peter MacCallum Cancer Centre or a medical specialist or GP for further discussion and advice in relation to your particular medical circumstances.

Acknowledgements

Co-Principal Investigators:

  • A/Prof Alicia Martin – Director of Allied Health, Peter MacCallum Cancer Centre
  • Jenelle Loeliger – Manager Nutrition and Speech Pathology, Peter MacCallum Cancer Centre

Project Manager: ​

  • Dr Christina Prickett​ – Clinical Psychologist, Peter MacCallum Cancer Centre

Project team:​

  • Dr Rajib Ahmed​ – Consultant Anaesthetist, Peter MacCallum Cancer Centre
  • Professor Linda Denehy​ – Head of Allied Health Research, Peter MacCallum Cancer Centre
  • Ben de Zoete – Manager Physiotherapy & Occupational Therapy, Peter MacCallum Cancer Centre
  • Dr Lara Edbrooke – Allied Health Research Development Lead, Peter MacCallum Cancer Centre
  • Dr Maria Ftanou – Director of Psychosocial Oncology, Peter MacCallum Cancer Centre
  • A/Prof Hilmy Ismail – Anaesthetist, Peter MacCallum Cancer Centre
  • Professor Berhard Riedel​ – Director of Anaesthetics, Perioperative and Pain Medicine, Peter MacCallum Cancer Centre
  • Catherine Sinton​ – Clinical Nurse Consultant, Peter MacCallum Cancer Centre
  • Anya Trail​l – Manager Physiotherapy & Occupational Therapy, Peter MacCallum Cancer Centre

Communications Advisor:

  • Maddison Gray – Communications & Media Specialist, Western & Central Melbourne Integrated Cancer Services (WCMICS)

Clinical content leads: ​

  • Dr Raj Ahmed – Consultant Anaesthetist, Peter MacCallum Cancer Centre
  • Anna Beaumont – Dietitian, Peter MacCallum Cancer Centre
  • Jess Crowe – Physiotherapist, Peter MacCallum Cancer Centre
  • Dr Fiona Lynch – Clinical Psychologist, Peter MacCallum Cancer Centre
  • Lisa Nguyen – Physiotherapist, Peter MacCallum Cancer Centre
  • Catherine Sinton – Clinical Nurse Consultant, Peter MacCallum Cancer Centre

Steering committee members:

  • Dr Rajib Ahmed​ – Consultant Anaesthetist, Peter MacCallum Cancer Centre
  • Michael Barton – Deputy Manager, Western & Central Melbourne Integrated Cancer Services (WCMICS)
  • Hollie Bevans – Senior Dietitian, Western Health
  • Professor Linda Denehy​ – Head of Allied Health Research, Peter MacCallum Cancer Centre
  • Janelle Devereux and Bianca Bell – Executive Director, Health Systems Integration, North West Melbourne Primary Health Network (NWMPHN)
  • Ben de Zoete – Manager Physiotherapy & Occupational Therapy, Peter MacCallum Cancer Centre
  • Dr Lara Edbrooke – Allied Health Research Development Lead, Peter MacCallum Cancer Centre
  • Dr Maria Ftanou​ – Director of Psychosocial Oncology, Peter MacCallum Cancer Centre
  • Mr Michael Hii – Deputy Director, HPB and Upper GI Surgery, St Vincent’s Hospital Melbourne
  • A/Prof Hilmy Ismail​ – Anaesthetist, Peter MacCallum Cancer Centre
  • Drew Kenneady – Consumer Representative
  • Mainak Majumdar – Director, Critical Care, Mercy Health
  • A/Prof Alicia Martin ​- Director of Allied Health, Peter MacCallum Cancer Centre
  • Sharyn McGowan – Allied Health Team Leader, Bendigo Health
  • Fiona McKinnon – Director of Allied Health, St Vincent’s Hospital Melbourne
  • Orla McNally – Surgeon, The Royal Women’s Hospital
  • Jenelle Loeliger – Manager Nutrition and Speech Pathology, Peter MacCallum Cancer Centre
  • Denise Mitchell – Consumer Representative
  • Kathryn Pierce – Western Health Allied Health Representative, Western Health
  • Amanda Piper – Head of Cancer Strategy, Cancer Council Victoria (CCV)
  • Dr Christina Prickett​ – Clinical Psychologist, Peter MacCallum Cancer Centre
  • Professor Berhard Riedel​ – Director of Anaesthetics, Perioperative and Pain Medicine, Peter MacCallum Cancer Centre
  • Catherine Sinton​ – Clinical Nurse Consultant, Peter MacCallum Cancer Centre
  • Anya Trail​l – Manager Physiotherapy & Occupational Therapy, Peter MacCallum Cancer Centre
  • Chris White – Director, Cancer Centre, Bendigo Health

Contributions to content:

  • Shaza Abo – Physiotherapist, Peter MacCallum Cancer Centre
  • Dr Diva Baggio – Haematology Laboratory Registrar, Peter MacCallum Cancer Centre
  • A/Prof Cherie Chiang – Endocrinologist & Internal Medicine Consultant Physician, Peter MacCallum Cancer Centre
  • Professor Linda Denehy​ – Head of Allied Health Research, Peter MacCallum Cancer Centre
  • Dr. Amy Dennett – Physiotherapist, La Trobe University
  • A/Prof Helena Frawley – Principal Research Fellow, Allied Health, University of Melbourne
  • Dr Margaret He – Consultant Anaesthetist, Tauranga Hospital, New Zealand
  • Dr Nicolette Holt – Respiratory, Sleep & Perioperative Consultant Physician, Peter MacCallum Cancer Centre
  • A/Prof Hilmy Ismail​ – Consultant Anaesthetist, Peter MacCallum Cancer Centre
  • Ms Alana Jones – Enhanced Recovery after Surgery Nurse Coordinator, Royal Melbourne Hospital
  • Erin Laing – Dietitian, Peter MacCallum Cancer Centre
  • Dr Debra Leung – Consultant Anaesthetist, Peter MacCallum Cancer Centre
  • Tennille Lewin – Centre for Health Services Research, Peter MacCallum Cancer Centre
  • Celia Marsten – Occupational Therapist, Peter MacCallum Cancer Centre
  • Dr Walston Martis – Consultant Anaesthetist, Peter MacCallum Cancer Centre
  • Dr Mark Nolan – Consultant Cardiologist, Peter MacCallum Cancer Centre
  • Dr Chad Oughton – Consultant Anaesthetist, Peter MacCallum Cancer Centre
  • Ella Sexton – Clinical Psychologist, Peter MacCallum Cancer Centre
  • Dr Emma Tyson – Consultant Anaesthetist, Peter MacCallum Cancer Centre
  • A/Prof David Westerman – Consultant Haematologist, Peter MacCallum Cancer Centre
  • A/Prof Jamie Young – Pain & Rehabilitation Consultant Physician, Peter MacCallum Cancer Centre

The project team sincerely thanks all participants from various stages of this project:

  • The consumers, health professionals and other experts who participated in the co-design workshops
  • The health professionals and patients from the three implementation sites including Western Health, Bendigo Health and St Vincents Hospital Melbourne.


Homepage illustration by pikisuperstar

Contact

For questions or comments related to this website, please email prehabtoolkit@petermac.org