Cognitive changes and perceptual deficits include problems with memory, concentration and how a person can think. It is also sometimes called cancer related cognitive impairment, chemo brain or chemo fog. These cognitive changes would be different for those with a brain tumour or metastases or those with progressive or neurodegenerative disease. Cognitive changes can affect quality of life, however there are things that patients can do to try to improve your symptoms and help them cope.

Mind-body treatments that might help with cognitive changes include:

• meditation
• guided imagery
• mindfulness

Support with the above can be from occupational therapist and clinical nurse specialists at a registered, enhanced or advanced level. The supportive and assistive workforce can also support patients with these issues under the supervision of a registered professional.

The National Comprehensive Cancer Network (NCCN) recommends trying the above treatments before any drug treatment for cognitive changes. Some of the drugs that studies have looked at include anti-depressants and anti-dementia drugs.