Cardiac and Oncology Rehabilitation Quiz

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 Information

• Instructor's Name & Surname: Dr. Hina Zahoor
• E-mail: [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 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 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 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): encompasses the time between the onset of cancer diagnosis and the beginning of oncological treatment. Interventions aim to decrease the impact of expected disability.
• Restorative rehabilitation: focuses on restoring the cured or controlled patients with residual impairments.
• Supportive rehabilitation: provides care to maximize functionality as individuals experience declines due to progressive or stable cancer.
• Palliative phase: emphasises the care aimed at comfort and function in the terminal stage of cancer.

Settings For Oncology Rehabilitation

• Post-acute care: inpatient rehabilitation facilities, skilled nursing facilities, home health care agencies, and long-term care hospitals
• Outpatient therapy: 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
• Emotional & Psychological Support
• Improved Body Image & Self-esteem
• Enhanced Survivorship
• Supportive Community
• Boosted Energy & Endurance
• Emotional & Mental Support
• Improved Body Image & Self-confidence
• Enhanced Survivorship
• Nurturing Community

How Do You Rehabilitate Cancer Patients?

• Assessment
• Development of a rehabilitation plan
• Implementation of the rehabilitation plan
• Monitoring and adjustment of the rehabilitation plan
• Discharge planning and 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, 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: Neuropsychological tests, patient-reported outcome measures
• Communication
• Sexual function
• Return to work

Types Of Cancer Rehabilitation Professionals

• Physicians
• Physical Therapists
• Occupational Therapists
• Speech Therapists
• Psychologists
• Social Workers
• Nurses

Cardiac Rehabilitation Nursing

• Cardiac rehabilitation is a complex intervention offered to patients diagnosed with heart disease, including health education, advice on cardiovascular risk reduction, physical activity, and stress management.
• Exercise counseling and training
• Education for heart-healthy living
• Counseling to reduce stress
• Components & organization of cardiac rehabilitation: patient assessment, exercise training, physical activity counseling, tobacco cessation, nutritional counseling, weight management, aggressive coronary risk-factor management and psychosocial counseling
• Cardiac rehabilitation programs generally span three months with sessions two or three times a week (usually 36 sessions over a 12-week time period).
• Dietary recommendations include a reduced intake of saturated fats, cholesterol, increased intake of polyunsaturated & monounsaturated fats, adequate calorie sources, and increased fiber intake.
• Weight management: waist circumference (88 cm or more in women, 102 cm or more in men); body mass index (BMI) >25 kg/m2.
• Blood pressure management
• Diabetes management

Pulmonary Rehabilitation Nursing

• Pulmonary rehabilitation is a multidisciplinary approach designed to improve the physical & emotional well-being of patients with chronic respiratory diseases.
• The use of supervised exercise, education, support, and behavioral intervention to improve daily life functions and enhance quality of life.
• Indications for Pulmonary Rehabilitation: Chronic Obstructive Pulmonary Disease (COPD), Interstitial Lung Disease (ILD), Cystic Fibrosis, Pulmonary Hypertension, Severe Asthma, Post-lung transplant, Post-surgical recovery (e.g., pneumonectomy), Pulmonary Fibrosis
• Benefits of pulmonary rehabilitation: Improved exercise capacity, reduced breathlessness, improved survival, reduced hospitalizations, decreased anxiety & depression, improved health-related quality of life, and improved psychological wellbeing
• Goals of Pulmonary Rehabilitation: Improve exercise capacity, Enhance quality of life, Decrease symptoms, Prevent hospital readmissions, Enhance emotional well-being & self-management
• Components of pulmonary rehabilitation: Exercise training, Inspiratory muscle training, Psychosocial counseling, Nutritional evaluation and counseling, Education on proper use of prescribed drugs
• Role of Nursing in Pulmonary Rehabilitation: Thorough health history & 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, & coping strategies)
• Key Nursing Interventions: Breathing techniques (diaphragmatic, pursed-lip breathing), Exercise programs, Patient education, Psychosocial support, Nutritional support
• Barriers to Pulmonary Rehabilitation: physical limitations, psychological factors, socioeconomic factors, cultural factors
• Pulmonary Rehabilitation in Special Populations: Older adults, Patients with Obesity Hypoventilation Syndrome
• Programme Design: Six-week structure (national guidelines recommend 2 sessions per week), sessions include supervised exercise and education, patients expected to undertake home training. Content of program includes 12 sessions focused on seminars and discussions, individualized plans tailored to each patient. Long-term benefits include improving physical and psychological conditions and promoting long-term adherence to health-enhancing behaviors.
• Goal-Oriented Therapy: Personalized goals (each patient defines specific goals such as reducing breathlessness or increasing mobility), six-week program is structured around these goals. Encouraging Self-Responsibility (dependence, inter-dependence, independence), Empowering Patients fostering independence.
• Pulmonary Rehabilitation Program: Relaxation, Disease, education, Dietary advice, Benefits advice, Energy conservation, Medication advice, Chest clearance, Breathing control techniques.
• Advance Care Planning in Pulmonary Rehabilitation (PR): Burden of Treatment/Therapies/Preferred Place of Death; Nurses' contributions to Advance Care Planning; Outcome of Effective ACP.

Neurological Rehabilitation Nursing-1

• Neurological rehabilitation refers to the process of engaging in therapy to improve function and well-being, aiming to restore health, independence, and functionality. - Phases of Neurological Rehabilitation: Long-Term Acute Care Hospital (LTACH), Acute Rehab, Subacute Rehabilitation in Skilled Nursing Facilities, Long-Term Care Facility or Nursing Home, Home with services
• Conditions that benefit from neurological rehabilitation: Traumatic brain injuries, Spinal cord problems, Parkinson's disease, Other neurological issues
• Aims of neurological rehabilitation: To prevent complications (neurological conditions may lead to more complications; to teach adaptive strategies (teaching patients how to adapt to their conditions; to facilitate function in a normal/normal environments (patients in a normal environment; Approaches to neurological rehabilitation: Bobath approach, Carr and Shepherd approach, Gait re-education, Transfer rehabilitation, Mobility rehabilitation, Contracture management, Equipment & adaptations assessment.

Neurological Rehabilitation Nursing-2

• Targeted Exercise Programs: Functional Movement Training, Tailored Workouts, Adaptive Equipment Integration
• Assistive technologies: Augmented Reality Tools, Smart Wearables, Robot-assisted Therapy

Disclaimer

• Using the texts and images contained in these slides without permission from the course instructor is against the regulations Law No. 6698.

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

(Various references for various specialties)

Test your knowledge on the impacts of blood pressure on cardiovascular health, the role of diabetes in cardiac rehabilitation, and the essentials of oncology rehabilitation. This quiz encompasses the critical aspects of rehabilitation in both cardiac and cancer care, focusing on therapeutic education, patient outcomes, and healthcare costs.