Cancer Rehabilitation and Supportive Care

Course Information

• Course Code and Name: HEY413E REHABILITATION NURSING
• Course Week: 14
• Course Day and Time: Tuesday (12:00 to 13:50)
• Course Credit/ACTS: 2
• Examination Type: Mcqs
• Instructor's Name & Surname: Dr. Hina Zahoor
• E-mail & Phone: [email protected]
• Instructor's Room: 305
• Office Hours: 9.00 to 5.00
• GBS Link: https://gbs.gelisim.edu.tr/ders-detay-5-160-6267-1
• ALMS Link: https://lms.gelisim.edu.tr/almsp/u/Home/Index
• AYESIS Link: https://persis.gelisim.edu.tr/Default.aspx

Weekly Learning Outcomes

• Understand the importance of oncology rehabilitation in the cancer care continuum.
• Identify the different settings where oncology rehabilitation occurs.
• Recognize the key phases of the rehabilitation process for cancer patients.
• Understand the roles of various cancer rehabilitation professionals involved in the rehabilitation process.
• Gain knowledge of how oncology rehabilitation contributes to improving the quality of life for cancer survivors.

Attendance and Conduct

• Attendance is mandatory for all scheduled lectures.
• Be responsible. Come to class on time.
• Be disciplined. Avoid talking to friends in the class.
• Mobiles are not allowed in the class.

About the Last Lesson

• Principles of Neurological Rehabilitation
• Cognitive Rehabilitation Strategies: Nurturing Brain Function
• Targeted Exercise Programs for Neurological Recovery
• Assistive Technologies in Neurorehabilitation: Enhancing Independence
• Conditions That Can Be Treated With Neuro Rehab
• Case study

About the Today's Lesson

• Oncological Rehabilitation Nursing 1&2

Daily Flow

• 12.00-12.50/1st Hour: Indication Phases
• 13.00-13.50/2nd Hour: Settings For Oncology Rehabilitation, Rehabilitation process, Types Of Cancer Rehabilitation Professionals

Oncology Rehabilitation Nursing 1&2

• Oncology rehabilitation is an area that has the potential to reduce cancer-related morbidity and healthcare costs.
• Often used interchangeably with cancer rehabilitation, oncology rehabilitation focuses on managing and improving the impairments and functional limitations experienced by individuals with cancer due to the disease itself or the side effects of the treatment they receive.
• Rehabilitation 2030 call to action, launched by the World Health Organization in 2017, aimed to advance global access to rehabilitation for non-communicable diseases.

Indications

• Pain
• Fatigue
• Chemotherapy-Induced Peripheral Neuropathy (CIPN)
• Spasticity
• Cognitive deficits
• Psychosocial problems
• Sexual dysfunction
• Urinary dysfunction
• Speech impairment
• Swallowing impairment
• Chemotherapy Side Effects
• Symptoms of Lymphoedema
• Radiation Side Effects
• Paraneoplastic Syndrome
• Cardiovascular Disease
• Amputations
• Functional Limitations

Four Phases of Oncology Rehabilitation

• Preventative rehabilitation phase: (prehabilitation) encompasses the time between the onset of cancer diagnosis and the beginning of oncological treatment.
• Restorative rehabilitation: focuses on restoring the cured or controlled patients with residual impairments that cause disability to their previous level of function.
• Supportive rehabilitation: provides care to maximize functionality as individuals experience declines due to progressive or stable cancer.
• Palliative phase: emphasizes the care aiming at comfort and function in the terminal stage of cancer.

Settings For Oncology Rehabilitation

• Post-acute care: Includes inpatient rehabilitation facilities, skilled nursing facilities, home health care agencies, and long-term care hospitals.
• Outpatient therapy: Involves patient visits at a therapy center for focused rehabilitation intervention.

Advantages Of Cancer Rehabilitation

• Improved physical function
• Pain management
• Enhanced quality of life
• Increased energy and stamina
• Emotional and psychological support
• Improved body image and self-esteem
• Enhanced survivorship
• Supportive community

How Do You Rehabilitate Cancer Patients?

• Assessment: The rehabilitation team will conduct a comprehensive evaluation of the patient's physical, functional, and emotional status.
• Development of a rehabilitation plan: Based on the assessment results, the rehabilitation team will develop a tailored rehabilitation plan.
• Implementation of the rehabilitation plan: The rehabilitation team will work with the patient to implement the rehabilitation plan.
• Monitoring and adjustment of the rehabilitation plan: The rehabilitation team will closely monitor the patient's progress and make any necessary adjustments to the rehabilitation plan.
• Discharge planning and follow-up care: The rehabilitation team will work with the patient to develop a discharge plan and provide follow-up care.

Assessment Tools

• Health-related quality of life and/or quality of life: The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire.
• Activities of daily living and instrumental activities of daily living
• Fatigue
• Functional mobility
• Exercise behavior
• Cognition function
• Communication
• Sexual function
• Return to work

Types Of Cancer Rehabilitation Professionals

• Physicians: They play a critical role in coordinating the rehabilitation process, managing medical issues related to the cancer and its treatment.
• Physical Therapists: Help improve mobility, balance, strength, and flexibility.
• Occupational Therapists: Help with daily living activities, assistive devices.
• Speech Therapists: Work with patients with speech, communication, and swallowing difficulties.
• Psychologists: Help patients deal with emotional and psychological impact of cancer.
• Social Workers: Help patients and families with practical and emotional support.
• Nurses: Ensure optimal communication with patients and the healthcare team.

Cardiac Rehabilitation Nursing

• Cardiac rehabilitation is a complex intervention offered to patients diagnosed with heart disease, which includes components of health education, advice on cardiovascular risk reduction, physical activity and stress management.
• The program generally spans three months, and has 3 equally important parts: exercise counseling and training, education regarding heart-healthy living, and counseling to reduce stress.
• It will typically include patient assessment, exercise training, physical activity counseling, tobacco cessation, nutritional counseling, weight management, aggressive coronary risk-factor management and psychosocial counseling.
• General dietary recommendations for cardiac patients include a reduced intake of saturated fats and cholesterol, and increased intake of polyunsaturated/monounsaturated fats, fiber, and proteins.
• Weight management: waist circumference is a key factor among other risk factors.

Pulmonary Rehabilitation Nursing

• Pulmonary rehabilitation (PR) is a multidisciplinary approach. It focuses on improving an individual's physical and mental well-being.
• Its aim is to improve how people with chronic lung disease function.
• The indications of PR include COPD, Interstitial Lung Disease (ILD), Cystic Fibrosis, Pulmonary Hypertension, Severe Asthma, Post-lung transplant, Post-surgical recovery, Pulmonary Fibrosis.
• Benefits: improving exercise capacity, reduced breathlessness, improved survival, reduced hospitalizations, reduced anxiety/depression, improved psychological well-being and improved health-related quality of life.

Neurological Rehabilitation Nursing-1

• Neurological rehabilitation refers to the process of engaging in therapy to improve function and well-being,
• The goal of this program is to restore health, independence, and functionality, utilizing best rehabilitation strategies
• Barthel Index is used to measure functional ability and dependency in Activities of Daily Living (ADLs)
• It helps evaluate the effectiveness of interventions and assesses recovery progress.
• Phases include Long-Term Acute Care Hospital (LTACH), Acute Rehab, Subacute Rehabilitation, Nursing Home
• Approaches to rehabilitation include: Bobath, Carr & Shepherd, Gait re-education, Transfer rehabilitation, Mobility rehabilitation

Neurological Rehabilitation Nursing-2

• Targeted exercise programs are customized exercise programs aimed at addressing specific neurological challenges, focusing on real-world activities.
• Adaptive equipment integration is important, integrating adaptive tools to support optimal recovery, and promoting inclusivity.
• Assistive technologies in brain recovery include Augmented Reality Tools (interactive renewal of movement and boost in patient participation) and Smart Wearables (real-time data to inform personalized care plans).
• Rehabilitation is crucial for conditions like Traumatic Brain Injuries, Spinal Cord Problems, Parkinson's Disease, and Other Neurological Issues.

References

• Provide specific citations for each reference. Referencing details are not included in the original texts, but should be included in the notes if they match with an academic paper.

This quiz explores the essential aspects of cancer rehabilitation, focusing on the goals, professionals involved, and the role of supportive care in improving patients' quality of life. Test your understanding of therapeutic interventions, exercise programs, and the management strategies employed in oncology settings.