The responsibility of patients during their cancer treatment

This is my fourth article in a series designed to help different groups understand their vital role in the cancer journey toward recovery. As someone who has walked this path, I want to share insights that can transform how patients approach their treatment and healing process.

Understanding the Emotional Landscape

The Reality of Cancer Emotions

Stress, fear, helplessness, anger, and mood swings are all part and parcel of the cancer journey. The intensity and severity of these emotions depend on each patient’s unique circumstances and background.

Multiple factors influence how patients adapt to their journey:

  • Patient’s age and life stage
  • Job security and financial stability
  • Educational background
  • Family support systems
  • The stage and type of cancer

Finding Your Confidant

With these emotional burdens, patients naturally want to share their inner thoughts and wishes with someone. Who is the best choice? Only the patient can decide, based on their past experiences and comfort level. My husband was and still is my best confidant, providing the anchor I needed throughout my journey.

Preparing for the Long Journey

Setting Realistic Expectations

Patients must understand that the cancer journey may take one year or more. At the end, significant lifestyle changes become necessary:

  • Keeping all medical appointments consistently
  • Maintaining regular exercise routines
  • Eating wisely and nutritiously
  • Most importantly, staying positive

The Partnership Principle

If patients expect doctors and healthcare providers to treat them with empathy and explain treatments in simple terms without medical jargon, then patients must reciprocate with politeness, cooperation, and compliance with medical instructions.

Tools for Effective Communication

The Power of Journaling

The most effective way I have found for patients to interact with their healthcare team is through personal journaling or record-keeping.

Two Approaches to Documentation:

1. Personal Journal (Comprehensive)

  • Reflects emotional, physical, and personal feelings
  • Documents any side effects experienced
  • Provides detailed daily experiences

2. Medical Record (Concise)

  • Brief notations (e.g., constipation, insomnia, mood swings)
  • Best written the day after, reflecting on the previous day
  • Helps with better understanding and acceptance of condition

This documentation becomes invaluable for healthcare providers in advising treatment adjustments or medication changes.

Advocating for Personal Choices

The Importance of Voice

Another crucial factor is the ability to voice your opinions, decisions, and wishes, regardless of what family members might prefer. Examples include:

  • Whether to go completely bald or maintain remaining hair strands
  • Decisions about continuing or stopping treatment based on age, cancer stage, or health condition

These discussions must be clear and honest between patient, family, and doctor to determine if the patient’s wishes are relevant and valid.

Navigating Nutrition Challenges

The Food Dilemma

One of the most common problems patients face involves food: loss of appetite, reduced capacity, and changed frequency of eating make mealtimes enormously challenging. This often becomes a source of friction between family members and patients.

Personal Strategies That Work

From my own experience, I developed practical solutions:

  • After my third chemotherapy, my tongue turned completely black, making food unappealing
  • Even where there no appetite ,I looked at my food as medicine, when I saw 15 mouthfuls of food, I saw them as 15 tablets, then taking it in one at a time.
  • I broke down eating into 6 smaller intervals throughout the day:
    • Breakfast: Coffee, bread, eggs
    • 10 AM: Bowl of broccoli, carrots, French beans, potato salad, chickpeas
    • Lunch: Rice, chapatis with fruit portions
    • Tea time: Fruit, biscuits, cake slice, handful of nuts with tea
    • Dinner: Light meal or sandwich

Key Principle: Variety and small amounts made eating manageable while ensuring nutrition for recovery.

Appreciating Care

Patients must appreciate the love, care, support, and sometimes significant cost involved in preparing nutritious meals. As patients, we must attempt to eat what is prepared with such dedication and love.

Building Meaningful Connections

Acknowledging Support

Patients should acknowledge all services rendered to them—whether from family, medical staff, or personal caregivers, regardless of their age or position.

Creating Reciprocal Relationships

Since patients want loving, concerned, and constant care during their journey, they should reciprocate by:

  • Sharing different aspects of their life
  • Connecting with caregivers through past experiences, fun moments, and shared memories
  • Creating a sense of fighting this battle together

Simple Gestures of Gratitude

Practical Suggestion: Create simple thank-you cards from colored A4 paper. Have family members help with drawings, then present them to doctors, nurses, and medical officers after your third or fourth hospital visit. This builds rapport and enhances communication during medical consultations.

The Path to Acceptance and Recovery

Embracing the Journey

Learn to:

  • Accept the cancer diagnosis as part of your story
  • Appreciate help offered by family members, neighbors, friends, and colleagues
  • Accept the numerous hospital visits as steps toward recovery
  • Recognize that all these elements contribute to healing

Supporting the Caregivers

Remember that caregivers, including spouses, sometimes need respite from their demanding role to empower and restore themselves.

Conclusion: Personal Responsibility and Empowerment

The Ultimate Reality

At the end of the day, when family and healthcare providers have done all they can, it is the patient who must face the pain, treatment, and side effects directly.

The Call for Change

The biggest transformation in mindset, attitude, and responsibility ultimately falls on the patient. This is not a burden—it is an opportunity for empowerment and active participation in healing.

A Message to Fellow Patients and Survivors

Let us all commit to making positive changes starting today. Our journey with cancer can become a testament to human resilience, hope, and the power of taking responsibility for our own healing process.


Written from the heart of experience, with hope for all who walk this path.