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Coping with Cancer Interventions for the Family
Cancer & Family continuing education social worker CEUs

Section 28
Appendix: Reproducible Client Worksheets


CEU Answer Booklet | Table of Contents
| Cancer
Social Worker CEUs, Psychologist CEs, Counselor CEUs, MFT CEUs

Counting Automatic Thoughts
Review CD track 1 for more information regarding this technique.
Client reviews and utilizes the following procedures to become aware of anger regarding the diagnosis of cancer.
1.  Write down a recent example of something which caused you to display negative anger.  This is your activating experience.
2.  Write your beliefs about the experience. 
3.  Write down the consequences of taking action on those beliefs.
4.  Dispute your own belief. 
5.  Write a second set of beliefs that may reflect positive consequences.

Gaining Control
Review CD track 2 for more information regarding this technique.
Client reviews and utilizes the following procedures to gain control when cancer causes the loss of control.
1.  Talk about the illness.  Call it cancer.
2.  Choose acceptance by thinking of everything he needed to be changed to make him happy.
3.  Go through your list item by item and ask yourself if you can let go of each need or the demand to change it. 
4.   If you can’t accept it, write down the reasons why you can’t accept it. 
5.  Look at each reason and say out loud that you choose to accept it.  Eventually, your objections will begin to disappear.

Moving Beyond Guilty Feelings
Review CD track 2 for more information regarding this technique.
Client reviews and utilizes the following procedures to overcome unrealistic guilt.
1.  Identify as many guilty feelings as possible.
2.  Analyze the “if” statements for content. 
3.  Dispute any unrealistic guilt
4.  Write down new feelings to replace the guilty feelings. 

Uncertainty Training
Review CD track 3 for more information regarding this technique.
Client reviews and utilizes the following procedures to overcome anxiety.
1.  Unproductive worry involves unanswerable questions, chain reactions, unsolvable problems, things that are unknow­able, demands for perfect solutions, relying on anxiety as a guide, and the demand for total control. 
2.  Examine the cost and benefits of uncertainty. 
3.  Flood yourself with uncertainty.
4.  Avoid thought stopping.

Conversation Guidelines
Review CD tracks 4 and 5 for more information regarding this technique.
Client reviews and utilizes the following procedures to foster productive conversation with the cancer patient.
1.  Ask if the patient wants to talk.
2.  Allow the patient time if he or she does not want to talk, but make it known that you are available.
3.  Don’t plan out what you are going to say.  Instead, listen and respond to what is said.
4.  Avoid giving unsolicited advice.  If you do give advice, don’t expect it to be taken.
5.  Say cancer.  That’s what it is.
6.  Sometimes it’s best to begin with the facts.
7.  Say how you feel first.
8.  Don’t cover up your feelings.
9.  Avoid judgment and offer acceptance and support.
10.  Validate the patient’s feelings.
11.  Cry with them.

What to Do
Review CD track 6 for more information regarding this technique.
Client reviews and utilizes the following procedures to have something to do when he or she feels like they don’t know what to do.
1.  Bring food
2.  Get the patient involved
3.  Help with chores
4.  Help with out of town guests
5.  Call and visit.
6.  Create laughter. 

Provide Comfort to the Caregiver
Review CD track 7 for more information regarding this technique.
Client reviews and utilizes the following procedures to provide comfort to the caregiver.
1.  Don’t let the cancer patient be the focus of all conversations.
2.  Encourage time outs.
3.  Avoid interference between the caregiver and his or her duties.

Two Step Effective Confrontation Technique
Review CD track 8 for more information regarding this technique.
Client reviews and utilizes the following procedures to approach an employee with cancer who is irritable or not performing.
1.  Try to describe the employee’s behaviors and Offer help.
2.  Clearly identify the specific behavior you want changed without attacking the employee.

Mastering the Dynamics of Anger
Review CD track 10 for more information regarding this technique.
Client reviews and utilizes the following procedures to deal with anger.
1.  Use visualization.
2.  Talk to yourself and translate the meaning.
3.  Be empathetic, not defensive.
4.  Do not allow abuse.
5.  Using anger to fuel energy in a positive direction.

Compartmentalizing Cancer Thoughts
Review CD track 12 for more information regarding this technique.
Client reviews and utilizes the following procedures to avoid obsessive thinking.
1.  Set aside time each day or at the very least once a week to reflect on the disease, its problems, its challenges, and its meaning to you.
2.  Every time you obsess about the disease, stop and tell yourself to save those thoughts for the time you had scheduled for reflection. 
3.  Visualize put­ting those thoughts in a box, knowing you can open it later.

Storytelling and Playing
Review CD track 14 for more information regarding this technique.
Client reviews and utilizes the following procedures to help children express their feelings.
1.  Use a toy or doll and start a story.
2.  Have the child join in. 
3.  Encourage older children to write a letter or poem. 
4.  Share with the child a personal, related experience.
Drawing
Review CD track 14 for more information regarding this technique.
Client reviews and utilizes the following procedures to help children express their feelings.
1.  Ask the child to draw a picture of his or her family or friends.
2.  Ask the child to explain what they are drawing. 
3.  Use a chart with various faces describing different emotions. 
4.  Identify which face describes your emotions.
5.  Ask the child to identify which face describes his or her emotions.

 
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