June is Brain Health Awareness Month, a time to focus on how to keep our minds strong, especially during cancer treatment. Many people going through chemotherapy notice changes in memory, focus or clear thinking. “Chemo brain,” is a term used to describe the mental fog that can occur during and after treatment, and it is a common concern among those undergoing cancer treatment.
While chemotherapy drugs are designed to target cancer cells, they sometimes can affect healthy cells, as well. The brain is protected by a barrier called the blood-brain barrier, which usually keeps harmful substances out. Even though chemotherapy drugs are not supposed to reach the brain, patients often notice changes in how they think and feel during or after treatment. Patients experiencing chemo brain may notice issues such as forgetfulness, difficulty concentrating and trouble finding the right words.
Becky Paine, a speech-language pathologist with Prisma Health Total Rehabilitation, explained, “Even though chemotherapy drugs are not supposed to cross into the brain, some research has shown that chemotherapy drugs can show up in the brain, kidneys and bladder. This can lead to cognitive changes during and after treatment.” Due to increased statistics and brain fog complaints, doctors and some insurance companies now are recognizing and labeling this cognitive decline following chemotherapy.
Scientists believe stress, worry, poor sleep and not eating or drinking well during cancer care can make chemo brain worse. “Chemo brain is real,” Paine said. “We now have more people talking about it, and even insurance companies are beginning to recognize it. There is still so much to learn, but we know that support and simple changes can help.”
Chemo brain symptoms can be frustrating, but there are ways to manage them, and that’s where the Brain Health Enrichment Program team helps. The Brain Health Enrichment Program helps people become more independent and safer in their daily and leisure activities by using speech, occupational and physical therapy activities and exercises to improve memory function. The team collaborates with primary care doctors, medical specialists and community resources to provide care to individuals experiencing cognitive impairment.
“Maintaining good brain health during chemotherapy is important,” said Paine. “This includes getting enough sleep, staying hydrated, eating nutritious foods and engaging in physical and mental activities.” It helps to spend time with others and find ways to reduce stress. Writing things down, following a routine and keeping detailed records of treatments are good ideas. Most of all, don’t be afraid to ask for help. Communicate with your health care team about any cognitive changes you experience. They can provide support and resources to help you cope. “Remember, you’re not alone in this journey. With the right strategies and support, many people find that their cognitive function improves after treatment,” Paine added.
To learn more or schedule an appointment with the Brain Health Enrichment Program, call Prisma Health Total Rehabilitation at 865-238-6118.