Cardiac and Oncology Rehabilitation Quiz

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is considered a body mass index (BMI) threshold for setting individualized health targets?

25 kg/m² (correct)

35 kg/m²

30 kg/m²

20 kg/m²

How much can a decrease in systolic blood pressure by 10 mmHg reduce cardiovascular mortality?

40-60%

10-20%

30-50%

20-40% (correct)

What percentage of patients referred to cardiac rehabilitation have diabetes?

30%

15%

20%

26% (correct)

Which factor is most commonly associated with diabetic patients in cardiac rehabilitation?

Hypertension Signup and view all the answers

What is the goal of diabetes management in cardiac rehabilitation?

Maintain HbA1c concentration Signup and view all the answers

What is a primary focus of oncology rehabilitation?

Reduce cancer-related morbidity and healthcare costs. Signup and view all the answers

Which of the following settings is relevant for oncology rehabilitation?

Cancer treatment centers Signup and view all the answers

What is one of the key phases of the rehabilitation process for cancer patients?

Assessing individual patient needs. Signup and view all the answers

What type of professionals play a role in cancer rehabilitation?

Rehabilitation therapists Signup and view all the answers

How does oncology rehabilitation contribute to cancer survivors' quality of life?

It addresses physical and emotional recovery. Signup and view all the answers

During the 1st hour of the lesson, what topic is indicated?

Phases of oncology rehabilitation. Signup and view all the answers

What is one of the cognitive rehabilitation strategies mentioned?

Nurturing brain function. Signup and view all the answers

What can assistive technologies in neurorehabilitation help enhance?

Independence of individuals. Signup and view all the answers

What is the primary goal of cancer rehabilitation?

To help patients regain their physical, emotional, and psychological well-being Signup and view all the answers

Which professional is primarily involved in helping patients improve mobility, balance, strength, and flexibility?

Physical Therapist Signup and view all the answers

Which type of therapy focuses on assisting with everyday activities like bathing and dressing?

Occupational Therapy Signup and view all the answers

What aspect of recovery do psychologists focus on in cancer rehabilitation?

Emotional and psychological impact Signup and view all the answers

Which professionals coordinate the rehabilitation process and manage medical issues related to cancer?

Physicians Signup and view all the answers

Which of the following is NOT a focus area of health-related quality of life assessment?

Dietary preferences Signup and view all the answers

What role do speech therapists play in the rehabilitation of cancer patients?

They address speech, communication, and swallowing difficulties Signup and view all the answers

What type of tests measure cognitive function in cancer rehabilitation?

Neuropsychological tests Signup and view all the answers

What is the primary goal of cancer rehabilitation programs?

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

Which of the following promotes improved body image and self-confidence during recovery?

Rehabilitation programs that address body image concerns Signup and view all the answers

What aspect of patient care is emphasized alongside physical recovery in rehabilitation programs?

Emotional and mental support Signup and view all the answers

How do rehabilitation programs enhance survivorship for cancer patients?

By empowering patients through education about long-term effects Signup and view all the answers

What is the first step in the cancer rehabilitation process?

Assessment Signup and view all the answers

Which service is focused on improving communication and swallowing for cancer patients?

Speech therapy Signup and view all the answers

What is one major benefit of group therapies offered in rehabilitation programs?

Nurturing a sense of community Signup and view all the answers

Rehabilitation programs aim to empower patients by...

Encouraging them to engage in enjoyable activities Signup and view all the answers

What does the rehabilitation team create after the assessment step?

A tailored rehabilitation plan Signup and view all the answers

What is a common emotional challenge faced by cancer patients during treatment?

Feeling isolated from their peers Signup and view all the answers

What is monitored and adjusted throughout the rehabilitation process?

Rehabilitation plan Signup and view all the answers

What is the goal of discharge planning and follow-up care?

To provide guidelines for future care Signup and view all the answers

Which of the following best describes the focus of rehabilitation programs?

Holistic care for overall patient recovery Signup and view all the answers

Which assessment is NOT typically included in the initial evaluation of a cancer patient?

Nutritional status evaluation Signup and view all the answers

What type of therapy helps patients with activities of daily living?

Occupational therapy Signup and view all the answers

What is a key characteristic of cancer rehabilitation?

It is a personalized and interdisciplinary approach. Signup and view all the answers

What does oncology rehabilitation primarily focus on?

Managing and improving impairments and functional limitations Signup and view all the answers

Which of the following is NOT indicated for intervention in oncology rehabilitation?

Obesity Signup and view all the answers

What is the term used for the phase between cancer diagnosis and the beginning of oncological treatment?

Preventative rehabilitation Signup and view all the answers

What is one goal of restorative rehabilitation in oncology?

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

Which aspect is NOT a common side effect of chemotherapy?

Hearing loss Signup and view all the answers

The Rehabilitation 2030 call to action aimed to advance global access to rehabilitation for which types of diseases?

Non-communicable diseases Signup and view all the answers

Which phase of oncology rehabilitation is focused on therapies to decrease the impact of expected disabilities?

Prehabilitation Phase Signup and view all the answers

Which of the following conditions is classified as a symptom related to chemotherapy?

Lymphoedema Signup and view all the answers

Study Notes

Istanbul Gelisim University

Istanbul Gelisim University was established in 2008
The university has a Faculty of Health Sciences
Contact number is +90 212 422 70 00
Website Address: https://www.gelisim.edu.tr

Nursing Course Information

Course Code: 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's 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
A-VESIS Link: https://persis.gelisim.edu.tr/Default.aspx

Weekly Learning Outcomes

Understanding the importance of oncology rehabilitation in the cancer care continuum
Identifying the different settings where oncology rehabilitation occurs
Recognizing the key phases of the rehabilitation process for cancer patients
Understanding the roles of various cancer rehabilitation professionals involved in the rehabilitation process
Gaining knowledge of how oncology rehabilitation contributes to improving the quality of life for cancer survivors

Important Notes

Attendance is mandatory for all scheduled lectures.
Be responsible and come to class on time.
Avoid talking to friends in class.
Mobiles 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 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.
The 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 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
Restorative rehabilitation
Supportive rehabilitation
Palliative phase

Settings For Oncology Rehabilitation

Post-acute care: 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
Boosted Energy and Endurance
Emotional and Mental Support
Improved Body Image and 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
Communication
Sexual function
Return to work

Types Of Cancer Rehabilitation Professionals

Physicians
Physical Therapists
Occupational Therapists
Speech Therapists
Psychologists
Social Workers
Nurse

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
Cardiac rehab has three equally important parts: Exercise counseling and training; Education for heart-healthy living; Counseling to reduce stress

Components and organization of cardiac rehabilitation

Patient assessment
Exercise training
Physical activity counseling
Tobacco cessation
Nutritional counseling
Weight management
Aggressive coronary risk-factor management
Psychosocial counseling

Cardiac Rehabilitation Programs

Usually span three months, with sessions two or three times a week (usually 36 sessions over a 12-week time-period)

Dietary Recommendations for Cardiac Patients

Reduced intake of saturated fats (<7% of total calories) and cholesterol (<200 mg/d)
Increased intake of polyunsaturated (about 10% of total calories) and monounsaturated fats (20% of total calories)
Adequate repartition of calorie sources (about 50-60% of total calories for carbohydrates, 15% for protein and 25-35% for fat)
Increased fiber intake (about 20-30 g/d)

Weight Management

Waist circumference > 88 cm in women and >102 cm in men indicates central obesity
Risk is accepted as > 80 cm for women and >94 cm for men.
BMI >25 kg/m2, individualized targets are determined.

Diabetes Management

About 26% of patients referred to cardiac rehabilitation have diabetes.
Most patients (93%) have another associated risk factor (smoking, hypertension, hypercholesterolemia, overweight, obesity)
Therapeutic education, improves diabetes control.
Glycemic control is important.
Goal of diabetes management is to maintain glycosylated hemoglobin (HbA1c) concentration of <7%.

Management of Psychosocial and professional issues

Patients with heart disease often confront psychological and social problems that can affect morbidity and mortality.
Depression, anxiety, and denial occur in up to 20% of patients following myocardial infarction.
Patients undergo a routine screening to identify anxiety, depression, substance abuse, and familial or other social problems.

Pulmonary Rehabilitation Nursing

Pulmonary rehabilitation is a multidisciplinary approach designed to improve the physical and emotional well-being of patients with chronic respiratory diseases.
It involves supervised exercise, education, support, and behavioral intervention.

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
Reduced anxiety and depression
Improved health-related quality of life
Improved psychological well-being

Goals of Pulmonary Rehabilitation

Improve exercise capacity
Enhance quality of life
Decrease symptoms (e.g., dyspnea)
Prevent hospital readmissions
Enhance emotional well-being and self-management

Components of Pulmonary Rehabilitation

Exercise training
Inspiratory muscle training
Psychosocial counseling
Nutritional evaluation and counseling
Education, including on proper use of prescribed drugs

Role of Nursing in Pulmonary Rehabilitation

Nursing Assessment
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

Key Nursing Interventions in Pulmonary Rehabilitation

Breathing techniques (diaphragmatic breathing, pursed-lip breathing)
Exercise programs (low-impact aerobic exercises)
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 (COPD, ILD, Pulmonary Fibrosis)
Patients with Obesity Hypoventilation Syndrome.

Programmed Design

Six-Week Structure/National guidelines/Sessions per week/Exercise and education/Home training/Health topics/Individualized plans

Goal-Oriented Therapy

Personalized goals
Patient defines specific goals (e.g., reducing breathlessness, understanding their disease, or increasing mobility)
Six-week program structured around these goals.
Encouraging Self-Responsibility:
Dependence/Interdependence/Independence
Empoering patients

Pulmonary Rehabilitation Programs

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

Advance Care Planning in Pulmonary Rehabilitation (PR)

Key Components of ACP in PR:
Burden of Treatment: Physical, emotional, and psychological impact of ongoing treatments.
Therapies: Ventilation and quality of life implications.
Preferred Place of Death: Patient's wishes.
Nurse’s Contributions to ACP:
Provide compassionate guidance.
Facilitate the creation of a care pathway.
Ensures dignity, autonomy, and a patient-centered approach.
Reduces uncertainty and emotional distress.

Neurological Rehabilitation Nursing-1

Neurological rehabilitation refers to the process of engaging in therapy to improve function and well-being.
Neurological rehabilitation program helps patients with neurological conditions recover or increase functionality within their environment.
Goal of every neurorehabilitation program is to improve health, independence, and functionality using the best rehabilitation strategies.

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 Can Benefit From Neurological Rehabilitation

Traumatic brain injuries
Spinal cord injuries
Hemorrhagic strokes, ischemic strokes, subdural hematoma, and transient ischemic attacks (TIAs)
Structural or neuromuscular disorders
Functional disorders
Brain Infections
Neurodegenerative diseases

Aims of Neurological Rehabilitation

Prevent complications (neurological conditions, deterioration of conditions, secondary complications)
Teach adaptive strategies
Facilitate function in a normal environment

Approaches to Neurological Rehabilitation

Bobath approach - neuro-developmental treatment (NDT)
Carr and Shepherd approach- functional movements
Gait re-education
Transfer rehabilitation
Mobility rehabilitation
Contracture management
Equipment and adaptations assessment

Neurological Rehabilitation Nursing-2

Targeted Exercise Programs for Neurological Recovery: Functional Movement Training / Tailored Workouts / Adaptive Equipment Integration
Assistive Technologies in Neurorehabilitation:
Augmented Reality Tools
Smart Wearables
Robot-assisted Therapy

Conditions That Can Benefit From Neuro Rehab

Traumatic Brain Injuries
Spinal Cord Problems
Parkinson's Disease
Other neurological issues (Alzheimer's, Epilepsy, Huntington's Disease)

References

Various articles and reports from World Health Organization (WHO)
Other research articles, specifically focusing on rehabilitation nursing in cancer, physical medicine, and rehabilitation.

Take-Home Topics for Review

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

Questions and Suggestions

General questions and suggestions are welcome

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

About the Next Week

Final Exam

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge on key aspects of cardiac and oncology rehabilitation, including BMI thresholds, diabetes management, and the roles of professionals in cancer rehabilitation. This quiz covers important strategies and goals for improving patient outcomes in these fields.