Cardiac and Oncology Rehabilitation Quiz

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Questions and Answers

What is the significance of a decrease in systolic blood pressure by 10 mmHg during cardiac rehabilitation?

It does not affect cardiovascular health

It can increase cardiovascular mortality by 20-40%

It can decrease cardiovascular mortality by 20-40% (correct)

It has no measurable impact

Which percentage of cardiac rehabilitation patients with diabetes also has hypertension?

26%

54% (correct)

40%

16%

What is considered an effective target for maintaining glycosylated hemoglobin (HbA1c) concentration in patients with diabetes?

Below 5%

Below 10%

Between 5% and 7% (correct)

Above 8%

What impact can a reduction of diastolic blood pressure by 5-6 mmHg have on stroke risk?

It is associated with a reduction of stroke risk by 42% Signup and view all the answers

What is the primary aim of therapeutic education in diabetes management within cardiac rehabilitation?

To help improve diabetes control Signup and view all the answers

What is the primary goal of supportive rehabilitation for cancer patients?

To maximize functionality despite cancer progression Signup and view all the answers

In which setting is outpatient therapy conducted?

Therapy centers Signup and view all the answers

What is the primary focus of oncology rehabilitation?

Reduction of cancer-related morbidity Signup and view all the answers

Which phase of oncology rehabilitation focuses primarily on comfort and function during the terminal stage of cancer?

Palliative phase Signup and view all the answers

Which of the following is NOT a setting where oncology rehabilitation occurs?

Pharmaceutical labs Signup and view all the answers

How do rehabilitation programs help cancer patients manage pain?

Through targeted pain management strategies Signup and view all the answers

Which phase is NOT part of the rehabilitation process for cancer patients?

Surgical phase Signup and view all the answers

What is the anticipated outcome of effective rehabilitation programs for cancer patients?

Enhanced quality of life Signup and view all the answers

Who is NOT typically involved in the oncology rehabilitation process?

Radiologists Signup and view all the answers

What is included in post-acute care for cancer rehabilitation?

Home health care agencies Signup and view all the answers

How does oncology rehabilitation benefit cancer survivors?

Improves quality of life Signup and view all the answers

What type of limitations do patients often face during cancer treatments that rehabilitation seeks to address?

Loss of strength, mobility, and functionality Signup and view all the answers

What is emphasized in the first hour of the daily flow in this course?

Indications and phases of rehabilitation Signup and view all the answers

Which statement best describes the focus of oncology rehabilitation programs?

To enhance physical and emotional well-being Signup and view all the answers

Which of the following is an aspect of neurorehabilitation discussed in the last lesson?

Assistive technologies in neurorehabilitation Signup and view all the answers

Which role is likely to be part of an oncology rehabilitation team?

Nutritionist specialized in oncology Signup and view all the answers

What is a primary focus of rehabilitation programs for cancer patients?

Boosting overall post-treatment quality of life Signup and view all the answers

Which aspect of recovery do rehabilitation programs primarily aim to improve?

Physical endurance and emotional resilience Signup and view all the answers

How do rehabilitation programs support emotional well-being for cancer patients?

By offering emotional and mental support Signup and view all the answers

In what way do rehabilitation programs assist with body image concerns?

By rebuilding self-esteem during recovery Signup and view all the answers

What do rehabilitation programs educate cancer patients about?

Long-term effects of cancer and treatment Signup and view all the answers

What role do group therapies play in rehabilitation programs for cancer patients?

To connect individuals and encourage shared experiences Signup and view all the answers

What does improving survivorship in cancer rehabilitation entail?

Providing coping strategies for managing challenges Signup and view all the answers

What emotional benefit do rehabilitation programs aim to provide for patients?

Reduction in emotional distress Signup and view all the answers

Which of the following is not an indication for oncological rehabilitation?

Skin rash Signup and view all the answers

What term refers to the phase that occurs before oncological treatment starts?

Prehabilitation Signup and view all the answers

Which of the following is a side effect commonly associated with chemotherapy?

Alopecia Signup and view all the answers

The Rehabilitation 2030 call to action addresses improvements in access to rehabilitation for which type of diseases?

Non-communicable diseases Signup and view all the answers

What does restorative rehabilitation primarily focus on?

Restoring patients to their previous level of function Signup and view all the answers

Which of the following symptoms is related to chemotherapy-induced peripheral neuropathy (CIPN)?

Numbness and tingling Signup and view all the answers

Which of these rehabilitation phases emphasizes education to decrease potential disabilities?

Preventative rehabilitation phase Signup and view all the answers

What is the primary objective of the cancer rehabilitation process?

To meet individual patient needs and goals Signup and view all the answers

Which step follows the comprehensive assessment of a cancer patient's status?

Development of a rehabilitation plan Signup and view all the answers

What types of therapies may be included in the implementation of the rehabilitation plan?

Physical, speech, and psychological therapies Signup and view all the answers

What role does the rehabilitation team play in the monitoring phase?

They monitor progress and adjust the rehabilitation plan as needed Signup and view all the answers

What is a key component of the discharge planning process?

Providing follow-up care to support ongoing progress Signup and view all the answers

Which aspect is assessed in the initial evaluation of a cancer patient?

Psychological well-being Signup and view all the answers

Why might the rehabilitation team adjust the rehabilitation plan?

To customize the plan based on progress and needs Signup and view all the answers

Which of the following statements about the rehabilitation process is false?

Rehabilitation is only for physical recovery. Signup and view all the answers

Study Notes

Istanbul Gelisim University - Faculty of Health Sciences

Istanbul Gelisim University was established in 2008.
The Faculty of Health Sciences has a 100th anniversary logo.
The Faculty of Health Sciences phone number is +90 212 422 70 00.
Website links are included for the university (gelisim.edu.tr) and the faculty (sbf.gelisim.edu.tr).
Social media icons (Facebook, Twitter, YouTube, Instagram, and location) are present.

Course Details - Nursing

Course Code and Name: HEY413E REHABILITATION NURSING
Course Week: 14
Course Day and Time: Tuesday (12:00 to 13:50)
Course Credits: 2
Examination Type: Mcqs
Instructor: Dr. Hina Zahoor
Instructor Email: [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
Avensis Link: https://persis.gelisim.edu.tr/Default.aspx

Weekly Learning Outcomes

Understand the importance of oncology rehabilitation in cancer care.
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 Responsibilities

Attendance is mandatory for all scheduled lectures.
Students are expected to be responsible and come to class on time.
Students should avoid talking to friends in class.
Mobile phones are not allowed in 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 Today's Lesson

Oncological Rehabilitation Nursing 1&2

Daily Flow

12:00-12:50: Indication Phases (1st Hour)
13:00-13:50: Settings For Oncology Rehabilitation, Rehabilitation process, Types Of Cancer Rehabilitation Professionals (2nd Hour)

Oncology Rehabilitation Nursing 1&2

Oncology rehabilitation aims to reduce cancer-related morbidity and healthcare costs.
Often used interchangeably with cancer rehabilitation, focusing on managing and improving impairments and functional limitations.

Rehabilitation 2030

The Rehabilitation 2030 call to action, by the World Health Organization in 2017.
Aims to advance global access to rehabilitation for non-communicable diseases.

Indications and Side Effects

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
Side effects like mucositis, alopecia, pulmonary fibrosis, nausea/vomiting, cardiotoxicity, diarrhea, neuropathy, myalgia, renal failure, local reaction, myelosuppression, cystitis, phlebitis, etc

Four Phases of Oncology Rehabilitation

Preventative (prehabilitation): Interventions before treatment
Restorative: Restoring function to previous level for cured/controlled patients
Supportive: Maximizing function for patients with progressing or stable cancer
Palliative: Comfort and function during the terminal stage of cancer.

Settings for Oncology Rehabilitation

Post-acute care (inpatient rehabilitation, skilled nursing, home health, long-term care)
Outpatient therapy (patient visits at a therapy center for focused 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
Boosted energy and endurance
Emotional and mental support
Improved body image and self-confidence
Enhanced survivorship
Nurturing Community

How to Rehabilitate Cancer Patients?

Assessment: Evaluate patient's physical, functional, and emotional status.
Develop a rehabilitation plan: Tailor the plan to the patient's needs and goals
Implement the rehabilitation plan: Implement physical therapy, occupational therapy, speech therapy, psychological counseling etc
Monitor and adjust the plan
Discharge planning and follow-up care: Ensure patient continues to progress and achieve their goals.

Assessment Tools

Health-related quality of life questionnaires: European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire, the 36-Item Short Form Survey, and the Functional Assessment of Cancer Therapy
Activities of daily living and instrumental activities of daily living
Fatigue
Functional mobility
Exercise behavior
Cognition function
Communication
Sexual function
Return to work

Goals of Cancer Rehabilitation

Help patients regain physical, emotional, and psychological well-being.
Improve their quality of life.
Individualized, patient-centered, and focused on achieving specific goals and objectives.

Types of Cancer Rehabilitation Professionals

Physicians: Coordinate, monitor progress and manage medical issues
Physical therapists: Improve mobility, balance, strength, and flexibility
Occupational therapists: Assist with daily living tasks, provide assistive devices
Speech therapists: Help with speech, communication, and swallowing
Psychologists: Deal with emotional and psychological issues, like stress, anxiety, and depression
Social workers: Support patients and their families

Nurse - People-Centered Integrated Care

Provides comprehensive care in line with cancer care continuum.
Ensures optimal communication with patients and the healthcare team.
Prevention and Early Detection: Cancer prevention efforts.
Nurse Navigation and Follow-up: Overcome health system barriers.
Clinical Roles: Physical exams, assessments, chemotherapy, communications
Supportive and Palliative Care: Address psychosocial needs

Revision

Cardiac Rehabilitation - General

Cardiac rehabilitation is a complex intervention for patients with heart disease
Components include health education, advice on cardiovascular risk reduction, physical activity, and stress management

Cardiac Rehabilitation - Components

Exercise counseling and training
Education for heart-healthy living
Counseling to reduce stress

Cardiac Rehabilitation - Organization and Time

Programs typically span three months, with sessions two or three times per week (typically 36 sessions over a 12-week period)

Cardiac Rehabilitation - Nutrition

Dieticians provide workshops on healthy eating habits, label reading, general dietary recommendations, reduced saturated fats and cholesterol, increased polyunsaturated/monounsaturated fats, adequate calorie sources, and increased fiber intake

Cardiac Rehabilitation - Weight Management

Waist circumference >88 cm (women) or >102 cm (men) indicates central obesity.
BMI >25 kg/m2 requires individualized short and long-term targets based on other risk factors

Cardiac Rehabilitation - Blood Pressure Management

High blood pressure is common in referred cardiac patients.
Reducing systolic blood pressure by 10mmHg or diastolic blood pressure by 5-6mmHg reduces cardiovascular and stroke risk.
Cardiac rehab includes education on blood pressure control, medication impacts, therapeutic life changes, and blood pressure devices.

Cardiac Rehabilitation - Diabetes Management

High cardiovascular risk profile for patients with diabetes
Education on diabetes control emphasizes therapeutic education tools for better glycemic control to reduce cardiovascular morbidity and mortality.
Goal for glycosylated hemoglobin (HbA1c) of <7%

Cardiac Rehabilitation - Psychosocial Issues

Patients often face psychological and social problems affecting their morbidity and mortality.
Screening, support for returning to work and daily coping is important aspect of cardiac rehabilitation.

Pulmonary Rehabilitation (PR)

A multidisciplinary approach for patients with chronic respiratory diseases to improve physical and emotional well-being.
Supervised exercise, education, support, and behavioral intervention are used to improve lung disease function in daily living and quality of life

Pulmonary Rehabilitation - Indications

Chronic Obstructive Pulmonary Disease (COPD)
Interstitial Lung Disease
Cystic Fibrosis
Pulmonary Hypertension
Severe Asthma
Post-lung transplant
Post-surgical recovery (e.g., pneumonectomy)
Pulmonary Fibrosis

Pulmonary Rehabilitation - Benefits

Improved exercise capacity
Reduced breathlessness
Improved survival
Reduced hospitalizations
Reduced anxiety and depression
Improved health-related quality of life
Improved psychological well-being

Pulmonary Rehabilitation - Role of Nursing

Thorough health history and clinical assessment
Monitoring vital signs: Oxygen saturation, heart rate, and blood pressure
Assessment of physical function: Mobility, muscle strength, and endurance
Psychological assessment: Anxiety, depression, and coping strategies

Pulmonary Rehabilitation - Key Nursing Interventions

Breathing Techniques (diaphragmatic and pursed-lip breathing)
Exercise programs (low-impact aerobics like walking or cycling)
Patient education (medication, oxygen therapy, energy conservation, triggers)
Psychosocial Support (coping with chronic illnesses, offering psychological referrals)
Nutritional support (adequate nutrition, assisting with weight management issues)

Pulmonary Rehabilitation - Barriers

Physical limitations (low exercise tolerance, dyspnea, fatigue)
Psychological factors (anxiety, depression)
Socioeconomic factors (limited healthcare access, financial constraints)
Cultural factors (lack of understanding or mistrust)

Pulmonary Rehabilitation - Special Populations

Older adults (COPD, ILD, pulmonary fibrosis): Modify programs for lower intensity, focusing on functional independence, addressing comorbidities (e.g., osteoporosis, cardiovascular disease), and managing polypharmacy.
Patients with Obesity Hypoventilation Syndrome: Focus on weight management and sleep hygiene, addressing breathing difficulties and assessing CPAP/BiPAP use.

Pulmonary Rehabilitation - Programme Design

Six-week program, 2 sessions per week
Sessions incorporate supervised exercises and education; home training also expected
Include 12 sessions focused on health topics.
Develop individualized plans based on assessment

Pulmonary Rehabilitation - Goal-Oriented Therapy

Each patient sets specific goals (e.g., reducing breathlessness, understanding their disease, improving mobility).
The six-week program is structured around these goals.
Focus on dependence, interdependence, and independence
Encourage self-responsibility and empowerment

Pulmonary Rehabilitation - Programme Content

Relaxation
Disease education
Dietary advice
Benefits advice
Energy conservation
Medication advice
Chest clearance
Breathing control techniques

Pulmonary Rehabilitation (PR) - Advance Care Planning

Burden of treatment: Assess physical, emotional, and psychological impact of ongoing treatments.
Therapies: Discuss ventilation options and their quality of life implications.
Preferred Place of Death: Understand and document patient wishes.
Nurses' role: Guided compassion, navigation, and the creation of a care pathway to ensure patient centered end of life care.

Neurological Rehabilitation Nursing - General

Rehabilitation refers to engaging in therapy to improve function and well-being.
Aims to help patients with neurological conditions recover or increase functionality within their environment.

Neurological Rehabilitation Nursing - Goals

Restore health, independence, and functionality as much as possible using best rehabilitation strategies.

Neurological Rehabilitation - Barthel Index

Measures functional ability and dependency in activities of daily living (ADLs).
Assesses progress and effectiveness of interventions through 10 basic ADLs. Scoring from 0-20 (total dependency) to 100 (full independence)

Neurological Rehabilitation - Phases of Rehabilitation

Long-Term Acute Care Hospital (LTACH): First level of critical care after inpatient stays. Needs intense clinician supervision and management
Acute Rehab: Requires 3 hours of skilled therapies per day. Focus on transitioning to home therapy or subacute rehab.
Subacute Rehabilitation: Patients are stable but not independent, requiring skilled nursing facilities and less rigorous supervision and care compared to acute rehab patients
Long-Term Care Facility or Nursing Home: Provides care for those unable to receive care at home. Assist with ADLs

Neurological Rehabilitation - Conditions

Traumatic Brain injuries
Spinal cord injuries
Hemorrhagic/ischemic strokes, hematoma
Neuromuscular disorders/Bell's Palsy
Functional disorders: headaches, seizure, etc.
Brain infections, Encephalitis
Neurodegenerative diseases
Alzheimer's, Epilepsy, Huntington's disease

Neurological Rehabilitation - Aims

Prevent complications
Teach adaptive strategies
Facilitate function in a normal environment

Neurological Rehabilitation Approaches

Bobath Approach (neuro-developmental treatment)
Carr and Shepherd Approach
Gait re-education
Transfer rehabilitation
Mobility rehabilitation
Contracture management
Adaptive equipment

Neurological Rehabilitation - Adaptive Equipment

Assistive mobility devices (wheelchairs and walkers)
Smart wearables (monitoring movement and optimizing rehabilitation).
Augmented Reality tools

Neurological Rehab - Additional Notes

Quality neuro rehab helps patients to regain mobility with consistent movement.
This form of rehab can minimize symptoms caused by trauma & neurological conditions in patients recovering.
Neuro rehab also teaches patients & caregivers how to adapt to changes after receiving the care they need.

Take-Home Topics

Indication
Phases
Settings for Oncology Rehabilitation
Rehabilitation Process
Types of Cancer Rehabilitation Professionals

Questions and Suggestions

Recommended Daily Studies

McPherson, K, Gibson, BE & Leplege, A 2015, Rethinking Rehabilitation: Theory and Practice, CRC Press, NW, Florida.
Hoeman, SP 2008, Rehabilitation Nursing: Prevention, Intervention and Outcomes, 4th edn, Mosby, St Louis, United States

References (Partial)

World Health Organization
Various Journal Articles (specified by numbers) on physical activity, cancer rehabilitation, etc.

About the Next Week

Final Exam

Important Note

Private course presentations contents cannot be shared without instructor permission. (Law No. 6698)

Thank You

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Description

Test your knowledge on the significance of blood pressure changes and the role of rehabilitation in cardiac and cancer care. Explore key aspects such as diabetes management and effective rehabilitation settings. This quiz covers essential concepts related to therapeutic education and supportive approaches in rehabilitation.