Cardiac and Oncology Rehabilitation Quiz
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Questions and Answers

What is the impact of a decrease in systolic blood pressure by 10 mmHg on cardiovascular mortality?

  • Decreases mortality risk by 1-5%
  • Increases mortality risk by 20-40%
  • Decreases mortality risk by 20-40% (correct)
  • Has no impact on mortality risk
  • What percentage of patients referred for cardiac rehabilitation are reported to have diabetes?

  • 26% (correct)
  • 34%
  • 16%
  • 54%
  • Which associated risk factor is most prevalent among patients with diabetes referred for cardiac rehabilitation?

  • Smoking (16%)
  • Obesity (34%)
  • Hypercholesterolemia (51%)
  • Hypertension (54%) (correct)
  • What is the aim of diabetes management in cardiac rehabilitation?

    <p>To maintain HbA1c concentration at a certain level</p> Signup and view all the answers

    What role does therapeutic education play in cardiac rehabilitation for diabetes management?

    <p>It improves diabetes control and glycemic management</p> Signup and view all the answers

    What is one of the key benefits of oncology rehabilitation in cancer care?

    <p>Reduces cancer-related morbidity</p> Signup and view all the answers

    Which of the following is NOT a key phase of the rehabilitation process for cancer patients?

    <p>Diagnosis phase</p> Signup and view all the answers

    Identify the professional who is typically not involved in the oncology rehabilitation process.

    <p>Electronics engineer</p> Signup and view all the answers

    In which setting does oncology rehabilitation commonly take place?

    <p>Home care</p> Signup and view all the answers

    What aspect of quality of life does oncology rehabilitation significantly contribute to?

    <p>Improved physical functioning</p> Signup and view all the answers

    Which topic was likely NOT covered in the previous lesson focused on neurological rehabilitation?

    <p>Types of Cancer Rehabilitation</p> Signup and view all the answers

    Which factor is essential for successful oncology rehabilitation?

    <p>Patient's compliance and cooperation</p> Signup and view all the answers

    What is an example of a common condition that can be treated with neurological rehabilitation?

    <p>Stroke</p> Signup and view all the answers

    What is the first step in the cancer rehabilitation process?

    <p>Assessment</p> Signup and view all the answers

    Which component is NOT typically included in the implementation of the rehabilitation plan?

    <p>Surgical intervention</p> Signup and view all the answers

    Why is monitoring and adjustment of the rehabilitation plan important?

    <p>To closely follow the patient's progress and make necessary changes</p> Signup and view all the answers

    What aspect of the patient’s status is NOT specifically mentioned as part of the assessment?

    <p>Acute pain levels</p> Signup and view all the answers

    What is the purpose of discharge planning in cancer rehabilitation?

    <p>To ensure continuity of care and ongoing progress</p> Signup and view all the answers

    What is the primary focus of supportive rehabilitation in oncology?

    <p>To maximize functionality despite declines in health</p> Signup and view all the answers

    What determines the content of the rehabilitation plan?

    <p>Results from the comprehensive assessment</p> Signup and view all the answers

    Which type of therapy is aimed at improving daily living activities for cancer patients?

    <p>Occupational therapy</p> Signup and view all the answers

    Which phase emphasizes comfort and function during the terminal stage of cancer?

    <p>Palliative phase</p> Signup and view all the answers

    During which step of the rehabilitation process would adjustments be made based on patient progress?

    <p>Monitoring and adjustment of the rehabilitation plan</p> Signup and view all the answers

    In which settings can oncology rehabilitation services be administered?

    <p>Inpatient, outpatient, or at home</p> Signup and view all the answers

    What component of cancer rehabilitation addresses pain management?

    <p>Targeted pain management strategies</p> Signup and view all the answers

    How do rehabilitation programs improve the quality of life for cancer patients?

    <p>By addressing both physical and emotional challenges</p> Signup and view all the answers

    What is a goal of rehabilitation professionals for cancer patients?

    <p>To tailor programs to individual needs</p> Signup and view all the answers

    Which of the following is NOT typically included in post-acute care for cancer rehabilitation?

    <p>Outpatient therapy visits</p> Signup and view all the answers

    What is one key benefit of rehabilitation programs for cancer patients regarding functionality?

    <p>They help patients regain mobility, strength, and functionality.</p> Signup and view all the answers

    What is a primary aim of cancer rehabilitation programs?

    <p>To boost overall post-treatment quality of life</p> Signup and view all the answers

    How do rehabilitation programs help with energy and endurance?

    <p>By designing interventions to boost energy levels</p> Signup and view all the answers

    What aspect of support do rehabilitation programs provide beyond physical recovery?

    <p>Emotional and mental support</p> Signup and view all the answers

    In terms of body image, how do rehabilitation programs assist patients?

    <p>They help rebuild self-esteem and address body image concerns</p> Signup and view all the answers

    Which of the following is a key feature of cancer rehabilitation related to survivorship?

    <p>Educating patients about long-term effects and coping strategies</p> Signup and view all the answers

    What role does community support play in cancer rehabilitation programs?

    <p>It fosters solidarity and enables peer connections</p> Signup and view all the answers

    Which benefit is NOT typically associated with cancer rehabilitation programs?

    <p>Heightened risk of reoccurrence of cancer</p> Signup and view all the answers

    What is the ultimate goal of cancer rehabilitation in terms of patient life?

    <p>To boost overall post-treatment quality of life</p> Signup and view all the answers

    Which professional plays a key role in helping cancer patients navigate practical and emotional challenges?

    <p>Social Worker</p> Signup and view all the answers

    What is a primary focus of nurses in the context of oncological rehabilitation?

    <p>Communication with patients and healthcare teams</p> Signup and view all the answers

    Which of the following components is NOT part of cardiac rehabilitation?

    <p>Surgical intervention</p> Signup and view all the answers

    How many sessions are typically included in a cardiac rehabilitation program over a 12-week period?

    <p>36</p> Signup and view all the answers

    What component is emphasized in the physical activity counseling part of cardiac rehabilitation?

    <p>Long-term lifestyle changes</p> Signup and view all the answers

    Which area of health does the role of dieticians in cardiac rehabilitation NOT focus on?

    <p>Physical rehabilitation exercises</p> Signup and view all the answers

    What psychosocial need do oncology nurses address during cancer care?

    <p>Emotional support</p> Signup and view all the answers

    In cardiac rehabilitation, which is a recommended dietary change for patients?

    <p>Reduced intake of saturated fats</p> Signup and view all the answers

    Study Notes

    Istanbul Gelisim University - Faculty of Health Sciences

    Nursing Course Information

    Weekly Learning Outcomes

    • Understand the importance of oncology rehabilitation in 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 Policy

    • Attendance is mandatory for all scheduled lectures

    Classroom Conduct

    • 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 Lesson

    • Oncological Rehabilitation Nursing 1&2

    Daily Flow

    • 12:00-12:50: Indication Phases
    • 13:00-13:50: Settings For Oncology Rehabilitation, Rehabilitation process, Types Of Cancer Rehabilitation Professionals

    Oncology Rehabilitation Nursing 1&2

    • Oncology rehabilitation is an area with potential to reduce cancer-related morbidity and healthcare costs
    • Often used interchangeably with cancer rehabilitation; focuses on managing and improving impairments and functional limitations
    • Rehabilitation 2030 call by 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 and Syndromes
    • Symptoms of Lymphoedema
    • Radiation Side Effects and Syndromes
    • Paraneoplastic Syndrome
    • Cardiovascular Disease
    • Amputations
    • Functional Limitations

    Four Phases of Oncology Rehabilitation

    • Preventative rehabilitation phase (prehabilitation): Interventions between cancer diagnosis and treatment, decreasing disability.
    • Restorative rehabilitation: Restoring function in those cured or controlled
    • Supportive rehabilitation: Maximizing functionality when experiencing declines due to progressive or stable cancer
    • Palliative phase: Comfort and function in terminal cancer stage

    Settings for Oncology Rehabilitation

    • Post-acute care: Inpatient rehabilitation facilities, skilled nursing facilities, home healthcare agencies, long-term care hospitals
    • Outpatient therapy: Patient visits at a therapy center for focused rehab

    Advantages of Cancer Rehabilitation

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

    How Do You Rehabilitate Cancer Patients?

    • Assessment: Comprehensive evaluation of physical, functional, and emotional status
    • Development of a rehabilitation plan: Personalized plan based on assessment
    • Implementation of the rehabilitation plan: Includes physical, occupational, speech therapy, and psychological counseling
    • Monitoring and adjustment of the rehabilitation plan: Close monitoring of progress for adjustments
    • Discharge planning and follow-up care: Developing a plan and follow-up for continued progress

    Assessment Tools

    • Health-related quality of life
    • Functional Assessment of Cancer Therapy
    • Activities of daily living & instrumental activities
    • Fatigue
    • Functional mobility
    • Exercise behavior
    • Cognition function
    • Communication
    • Sexual function
    • Return to work

    Types of Cancer Rehabilitation Professionals

    • Physicians
    • Physical therapists
    • Occupational therapists
    • Speech therapists
    • Psychologists
    • Social workers
    • Nurses (People-Centered Integrated Care, prevention, navigation & follow-up, clinical roles, supportive and palliative care)

    Take-Home Topics

    • Indication
    • Phases
    • Settings for Oncology Rehabilitation
    • Rehabilitation process
    • Types of Cancer Rehabilitation Professionals

    Neurological Rehabilitation Nursing

    • Neurological rehabilitation is a therapy program for improving well-being and function in people with neurological conditions.
    • The goal of neurological rehabilitation programs is to restore health, independence, and functionality.

    Phases of Neurological Rehabilitation

    • Long-Term Acute Care Hospital (LTACH): The first level of critical care after inpatient hospital stays.
    • Acute Rehab: Patients participate in three hours of skilled therapy (PT, OT, speech & language) each day.
    • Subacute Rehabilitation in Skilled Nursing Facilities: Patients are stable but not fully independent and require supervision
    • Long-Term Care Facility or Nursing Home: Care for patients who aren't able to receive care at home.

    Conditions That Benefit From Neuro Rehab

    • Traumatic brain injuries
    • Spinal cord injuries
    • Hemorrhagic and ischemic strokes, subdural hematomas, and transient ischemic attacks
    • Structural or neuromuscular disorders
    • Functional disorders (e.g., headaches, seizures, dizziness)
    • Brain infections
    • Neurodegenerative diseases

    Aims of Neurological Rehabilitation

    • Preventing complications and supporting recovery
    • Teaching adaptive strategies: helping patients function normally despite their condition.
    • Facilitating function in a normal environment: helping patients after discharge.

    Approaches to Neurological Rehabilitation

    • Bobath approach (neuro-developmental treatment)
    • Carr and Shepherd approach
    • Gait re-education
    • Transfer rehabilitation
    • Mobility rehabilitation
    • Contracture management
    • Equipment and adaptation assessment

    Cardiac Rehabilitation Nursing

    • Cardiac rehabilitation is a complex intervention for patients with heart disease
    • Includes health education, advice on risk reduction, and physical activity/stress management
    • Programs generally last for 12 weeks, with sessions 2-3 times per week

    Cardiac Rehabilitation Nursing - Components & Organization

    • Assessment
    • Exercise training
    • Physical activity counseling
    • Tobacco cessation
    • Nutritional counseling
    • Weight management
    • Aggressive coronary risk factor management
    • Psychosocial counseling

    Cardiac Rehabilitation Nursing - Key elements and actions

    • Emphasis on blood pressure management
    • Dietary recommendations: reduced saturated fats, cholesterol, increased unsaturated fats, and fiber
    • Weight management: waist circumference and BMI are important factors
    • Diabetes management and maintaining HbA1c levels

    Pulmonary Rehabilitation Nursing

    • Pulmonary rehabilitation is a multidisciplinary rehab program improving physical and emotional well-being of individuals with chronic respiratory diseases.
    • Covers exercise, education, support, and behavioral interventions

    Pulmonary Rehabilitation Nursing - Indications

    • Chronic Obstructive Pulmonary Disease (COPD)
    • Interstitial Lung Disease (ILD)
    • Cystic Fibrosis
    • Pulmonary Hypertension
    • Severe Asthma
    • Post-lung transplant
    • Post-surgical recovery
    • Pulmonary Fibrosis

    Pulmonary Rehabilitation Nursing - Benefits

    • Improved exercise capacity
    • Reduced breathlessness
    • Improved survival
    • Reduced hospitalizations
    • Reduced anxiety and depression
    • Improved quality of life

    Pulmonary Rehabilitation Nursing - Program Design

    • Six-week program with 2 sessions a week, supervised exercise and education.
    • Individualized plans tailored to each patient.

    Pulmonary Rehabilitation Nursing - Goals

    • Improve exercise capacity
    • Enhance quality of life
    • Decrease symptoms
    • Prevent hospital readmissions
    • Enhance emotional well-being
    • Self-management

    Pulmonary Rehabilitation Nursing - Components

    • Exercise training
    • Inspiratory muscle training
    • Psychosocial counseling
    • Nutritional evaluation & counseling
    • Education (medications)

    Pulmonary Rehabilitation Nursing - Nursing Assessment

    • Comprehensive heath history & clinical assessment: monitoring vital signs (e.g., oxygen saturation, heart rate, blood pressure)
    • Physical function assessment (mobility, muscle strength, endurance)
    • Psychological assessment (anxiety, depression, coping strategies).

    Pulmonary Rehabilitation Nursing - Key Nursing Interventions

    • Breathing Techniques
    • Exercise Programs
    • Patient Education
    • Psychosocial Support
    • Nutritional Support

    Barriers to Pulmonary Rehabilitation

    • Physical limitations: low exercise tolerance, dyspnea, fatigue
    • Psychological factors: anxieties, depression
    • Socioeconomic factors: Limited access to healthcare
    • Cultural factors: Lack of understanding or mistrust of healthcare

    Implementing Pulmonary Rehabilitation in Nursing Practice

    • Focus on tailored and modified programs for different populations (e.g., older adults).
    • Address comorbid conditions and medication side effects
    • Address issues like obesity hypoventilation syndrome.

    Neurologic Rehabilitation Nursing

    • Neurologic rehabilitation is a therapy for improving well-being and function in patients with neurologic conditions.
    • The goal of this process is to restore health, independence, and functionality.

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    Description

    Test your knowledge on the impacts of cardiovascular and oncology rehabilitation. This quiz covers various aspects such as the effects of blood pressure changes, diabetes management, and the roles of professionals in rehabilitation. Gain insights into the significance of therapeutic education and quality of life improvements in these settings.

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