Cardiac and Oncology Rehabilitation Quiz

Istanbul Gelisim University - Faculty of Health Sciences

• Istanbul Gelisim University was established in 2008.
• The Faculty of Health Sciences offers courses on nursing and other related topics.
• Contact information is available: Phone number +90 212 422 70 00.

Course Information

• 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'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
• AVESIS 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.

Course Policies

• Attendance: Attendance is mandatory for all scheduled lectures.
• Responsibility: Be responsible and come to class on time.
• Discipline: Avoid talking to friends in class and do not use mobile phones.

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 (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 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 (prehabilitation)
• Restorative rehabilitation
• Supportive rehabilitation
• Palliative phase

Settings For Oncology Rehabilitation

• Post-acute care
• Outpatient therapy

Advantages of Cancer Rehabilitation

• Improved Physical Function
• Pain Management
• Enhanced Quality of Life, Increased Energy
• Emotional and Psychological Support
• Improved Body Image and Self-esteem
• Enhanced Survivorship
• Supportive 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, Functional Assessment of Cancer Therapy, Activities of daily living, 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.
• Exercise counseling and training, Education for heart-healthy living, Counseling to reduce stress
• These core components include; 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 for cardiac patients include a reduced intake of saturated fats, cholesterol, increased intake of polyunsaturated and monounsaturated fats.
• Weight Management: Waist circumference, BMI, values for determining obesity.

Diabetes Management in Cardiac Rehabilitation

• Approximately 26% of patients referred to cardiac rehabilitation have diabetes.
• Patients have high cardiovascular risk profile and often have other associated risk factors (smoking, hypertension, hypercholesterolemia, etc.).
• Therapeutic education helps improve diabetes control, and cardiac rehabilitation programs help achieve better glycemic control.

Management of Psychosocial and professional issues

• Patients with heart disease often face psychological and social problems that can affect morbidity and mortality.
• Common issues include depression, anxiety, and denial.
• Social workers and other professionals help patients understand and cope with their conditions.

Pulmonary Rehabilitation Nursing

• Multidisciplinary approach to improve physical and emotional well-being for patients with chronic respiratory diseases.

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, Pulmonary Fibrosis

Benefits of pulmonary rehabilitation

• Improved exercise capacity, Reduced breathlessness, Improved survival, Reduced hospitalizations, Reduced anxiety, Depression, Improved health-related quality of life, Improved psychological wellbeing

Goals of Pulmonary Rehabilitation

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

Components of Pulmonary Rehabilitation

• Exercise training, Inspiratory muscle training, Psychosocial counseling, Nutritional evaluation, Counseling, Education, Drug use

Role of Nursing in Pulmonary Rehabilitation

• Thorough health history and clinical assessment
• Monitoring vital signs, Assessment of physical function
• Psychological assessment, Coping strategies

Barriers to Pulmonary Rehabilitation in Nursing Practice

• Physical limitations, Psychological factors, Socioeconomic factors, Cultural factors, Lack of understanding or mistrust of healthcare interventions

Pulmonary Rehabilitation in Special Populations

• Older Adults (COPD, ILD, Pulmonary Fibrosis)
• Patients with Obesity Hypoventilation Syndrome

Programme Design

• Six-week Structure: National guidelines recommend a six-week program with two sessions per week, Each session includes supervised exercise and education, and Patients are also expected to undertake home training. 
• Content of PR Programme: 12 sessions focused on relevant health topics, Individualized plans tailored to each patient, Long-Term Benefits: Aim to improve physical and psychological conditions, and Promotes long-term adherence to health-enhancing behaviors

Goal Oriented Therapy

• Personalized Goals
• Encouraging Self-Responsibility
• Dependence, Interdependence, Independence
• Empowering Patients

Pulmonary Rehabilitation Nursing Programme

• Relaxation
• Disease education, Dietary 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, Therapies, Preferred Place of Death
• Nurses' Contributions to ACP, Outcome of Effective ACP

Neurological Rehabilitation Nursing-1

• Neurological rehabilitation is a process of engaging in therapy to improve function and well-being, helping patients with neurological conditions recover or increase functionality within their environment
• The goal of every neurorehabilitation program is to restore health, independence, and functionality as much as possible 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, transient ischemic attacks (TIAs), Structural or neuromuscular disorders, Functional disorders, Brain Infections, Neurodegenerative diseases

Aims of Neurological Rehabilitation

• To prevent complications, Teach adaptive strategies, To facilitate function in a normal environment

Approaches to Neurological Rehabilitation

• Bobath approach, Carr and Shepherd approach, Gait re-education, Transfer rehabilitation, Mobility rehabilitation, Contracture management, Equipment and adaptations assessment

Neurological Rehabilitation Nursing-2

• Targeted exercise programs for neurological recovery, Tailored Workouts, Adaptive Equipment Integration, Assistive Technologies in Neurorehabilitation: Enhancing Independence, Augmented Reality Tools, Smart Wearables, Robot-assisted Therapy

Conditions That Can Be Treated With Neuro Rehab

• Traumatic Brain Injuries, Spinal Cord Problems, Parkinson's Disease, Other Neurological Issues

Take-Home Topics for Review

• Indication
• Phases
• Settings For Oncology Rehabilitation
• Rehabilitation process
• Types Of Cancer Rehabilitation Professionals

Questions and Suggestions

• Open-ended question for audience.

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

• (Information about sources of information relevant to the course material from various cited sources)

About the Next Week

• Final Exam

Regulations

• Information about unauthorized use of the presentations and images is against the regulations (Law No. 6698).

Thank You

• Acknowledgement of Attendance

Test your knowledge on cardiac and oncology rehabilitation topics, including body mass index thresholds, diabetes prevalence in rehab patients, and the goals and phases of cancer rehabilitation. This quiz covers the essential aspects of how rehabilitation can aid in these health areas.