Ricker Polsdorfer, MD
Some brain tumors may have minimum or no side effects while others can impair the ability to do daily life activities. Lifestyle changes may help manage these side effects as well as cope with the stress of chronic conditions.
Operating hazardous equipment, including motor vehicles, may be restricted if seizures can not be properly managed. Most state laws mandate against driving a motor vehicle (specifically a car or truck on a public road) for a minimum of 6 months from the date of your last seizure. Commercial driver licenses may be revoked for those with a brain tumor.
A social worker can help arrange services to provide rides or other activities that may be hazardous, such as mowing the lawn. Use your employer's Employee Assistance Program (EAP) or human resources department to be reassigned for new tasks if your job requires managing heavy or hazardous equipment or supplies. Under the Americans with Disabilities Act (ADA), your employer must make accommodations for you.
Some tumors can affect the coordination of the hands, arms, legs, or eyes. Usual activities, like working with knives or powertools, may become dangerous. Speech, occupational, and/or physical therapy can help regain some losses of function or coordination or find tools to help with daily activities.
Thought processes, such as memory, calculation, understanding, and intelligence, can deteriorate until the tumor is treated effectively. Let those close to you know that you may have trouble in certain areas. Ask them to be on the lookout for changes and to help minimize any consequences from these changes.
In the same manner, your personality may change. If you feel comfortable, advise your family, friends, and your employer of the brain tumor. This may help to minimize misunderstandings.
As with cognitive dysfunction, have those close to you be on the lookout for changes.
The diagnosis of cancer is a life-defining event. Facing the uncertainty of a serious disease, feeling anxious about how you will feel during treatment, lifestyle changes, and worrying about the impact of both the diagnosis and treatment can be overwhelming. It is important to rely on family, friends, and other people in your life. People who allow themselves to seek help while they are managing illnesses can often maintain better emotional balance. Other sources of support include:
Brain tumors found in advances stages can be harder to treat. Some people choose treatments to ease cancer complications or choose to stop treatment completely. Depending on your circumstances, it may be realistic to begin end-of-life planning. Considerations may include:
If you need guidance, talk to a member of your healthcare team. You can be referred to a trained professional to guide you through the process.
About brain tumors: A primer for patients and caregivers. American Brain Tumor Association website. Available at:
http://www.abta.org/secure/about-brain-tumors-a-primer.pdf. Accessed August 17, 2015.
Adult brain tumors treatment (PDQ). National Cancer Institute website. Available at:
Updated February 13, 2015. Accessed August 17, 2015.
Astrocytoma and oligodentroglioma in adults. EBSCO DynaMed Plus website. Available at:
http://www.dynamed.com/topics/dmp~AN~T116413/Astrocytoma-and-oligodendroglioma-in-adults. Updated May 13, 2016. Accessed September 23, 2016.
Brain and spinal cord tumors in adults. American Cancer Society website. Available at: http://www.cancer.org/acs/groups/cid/documents/webcontent/003088-pdf.pdf. Accessed August 17, 2015.
Brain and spinal cord tumors in children. American Cancer Society website. Available at: http://www.cancer.org/acs/groups/cid/documents/webcontent/003089-pdf.pdf. Accessed August 17, 2015.
Meningioma. EBSCO DynaMed Plus website. Available at:
http://www.dynamed.com/topics/dmp~AN~T116926/Meningioma. Updated April 29, 2016. Accessed May 10, 2016.
Last reviewed May 2015 by Mohei Abouzied, MD, FACP
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