Cardiac Rehabilitation and Diabetes Management

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Questions and Answers

What is the potential cardiovascular mortality reduction associated with a decrease in systolic blood pressure by 10 mmHg?

5-10%

10-20%

20-40% (correct)

40-60%

Which of the following is a major risk factor for patients with diabetes referred to cardiac rehabilitation?

Regular exercise

Low cholesterol levels

Hypertension (correct)

Normal body weight

What is the primary aim of diabetes management in cardiac rehabilitation programs?

Increase physical activity levels

Reduce medication use

Lower blood pressure readings

Maintain glycosylated hemoglobin (HbA1c) concentration (correct)

Which percentage of patients with diabetes in cardiac rehabilitation have hypertension as an associated risk factor?

54% Signup and view all the answers

What outcome is expected from improved understanding of disease and treatment in high blood pressure patients?

Improved compliance and reduced risk Signup and view all the answers

What is the primary goal of oncology rehabilitation?

To reduce cancer-related morbidity and improve quality of life Signup and view all the answers

Which phase is NOT typically part of the cancer rehabilitation process?

Surgery preparation Signup and view all the answers

Which professionals are involved in the oncology rehabilitation process?

Rehabilitation specialists, nurses, and psychologists Signup and view all the answers

What is NOT a setting where oncology rehabilitation typically occurs?

Gym facilities without professional oversight Signup and view all the answers

How does oncology rehabilitation contribute to cancer care?

By enhancing overall recovery and daily living skills Signup and view all the answers

Which aspect is emphasized in today's lesson about oncological rehabilitation nursing?

Indications and phases of oncology rehabilitation Signup and view all the answers

What can assistive technologies contribute to neurorehabilitation?

They improve independence for patients Signup and view all the answers

Why is attendance important in the context of this course?

To participate in discussions crucial for understanding Signup and view all the answers

Which of the following is NOT an indication for oncology rehabilitation?

Skin infections Signup and view all the answers

What is the aim of the preventative rehabilitation phase in cancer care?

To minimize the disability impact before treatment begins Signup and view all the answers

What does restorative rehabilitation focus on?

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

Which side effect is associated with chemotherapy?

Cardiotoxicity Signup and view all the answers

Which condition involves symptoms that may be addressed in oncology rehabilitation?

Paraneoplastic Syndrome Signup and view all the answers

What is the purpose of the 2030 call to action by the World Health Organization?

To enhance global access to rehabilitation for non-communicable diseases Signup and view all the answers

Which of the following is a common side effect of chemotherapy?

Neuropathy Signup and view all the answers

What is the first step in the cancer rehabilitation process?

Assessment Signup and view all the answers

Why is a tailored rehabilitation plan essential for cancer patients?

It addresses each patient's unique needs and goals. Signup and view all the answers

Which of the following therapies is NOT typically included in the rehabilitation plan?

Nutritional therapy Signup and view all the answers

What is the purpose of monitoring and adjusting the rehabilitation plan?

To track the patient's progress and make necessary changes Signup and view all the answers

What aspect of the patient's status is NOT typically evaluated during assessment?

Nutritional intake Signup and view all the answers

During which phase does the rehabilitation team develop a follow-up care plan?

Discharge planning Signup and view all the answers

What is the primary goal of cancer rehabilitation?

To help patients regain their overall well-being and improve their quality of life Signup and view all the answers

What type of therapy is primarily focused on helping patients with daily living activities?

Occupational therapy Signup and view all the answers

Which professional primarily helps patients improve their mobility and balance?

Physical Therapist Signup and view all the answers

Which of the following best characterizes the rehabilitation process for cancer patients?

An interdisciplinary approach focused on individualized care Signup and view all the answers

Occupational therapists are primarily involved in which of the following?

Assisting with daily living activities Signup and view all the answers

What role do psychologists play in cancer rehabilitation?

Addressing emotional and psychological impacts Signup and view all the answers

Which assessment tools are commonly used to evaluate health-related quality of life in cancer patients?

Patient-reported outcome measures and the Functional Assessment of Cancer Therapy Signup and view all the answers

Which type of cancer rehabilitation professional works specifically with patients experiencing speech or swallowing difficulties?

Speech Therapist Signup and view all the answers

What component of cancer rehabilitation focuses on improving cognition and fatigue management?

Patient-reported outcome measures Signup and view all the answers

Which of the following best describes the cancer rehabilitation process?

Individualized and patient-centered Signup and view all the answers

What role do social workers play in cancer rehabilitation?

Provide practical and emotional support to patients and their families. Signup and view all the answers

Which of the following is NOT a component of cardiac rehabilitation?

Palliative care management Signup and view all the answers

What is the typical duration of cardiac rehabilitation programs?

Three months Signup and view all the answers

Which professional helps with navigation of the healthcare system in cancer rehabilitation?

Social Workers Signup and view all the answers

In cardiac rehabilitation, what is the emphasis of nutritional counseling?

Teaching healthy eating habits and label reading Signup and view all the answers

Which of the following best describes the clinical role of nurses in cancer care?

Perform physical exams and communicate scan results Signup and view all the answers

Which aspect is emphasized in supportive and palliative care for cancer patients?

Empowering patients to self-manage their care Signup and view all the answers

Which component is primarily focused on cardiovascular risk reduction in cardiac rehabilitation?

Aggressive coronary risk-factor management Signup and view all the answers

Study Notes

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's Name & Surname: Dr. Hina Zahoor
E-mail & Phone: [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.

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 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 phase: encompasses the time between the onset of cancer diagnosis and the beginning of oncological treatment.
Restorative rehabilitation: focuses on restoring the cured or controlled patients with residual impairments that cause disability to their previous level of function.
Supportive rehabilitation: provides care to maximize functionality as individuals experience declines due to progressive or stable cancer.
Palliative phase: emphasises the care aiming at comfort and function in the terminal stage of cancer.

Settings For Oncology Rehabilitation

Post-acute care: Includes 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, 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 and Nurturing Community

How Do You Rehabilitate Cancer Patients?

Assessment: The rehabilitation team will conduct a comprehensive evaluation of the patient's physical, functional, and emotional status.
Development of a rehabilitation plan: Based on the assessment results, the rehabilitation team develops a tailored plan.
Implementation of the rehabilitation plan: The team works with the patient to implement the plan.
Monitoring and adjustment of the rehabilitation plan: The team will closely monitor and make adjustments.
Discharge planning and follow-up care: The team develops a discharge plan and provides follow-up care to the patient.

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

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.
Core components in cardiac rehabilitation include patient assessment, exercise training, physical activity counseling, tobacco cessation, nutritional counseling, weight management and 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 period).
Dieticians organize workshops to teach patients healthy eating habits, label reading and cooking demonstrations. General dietary recommendations for cardiac patients include a reduced intake of saturated fats and cholesterol, increased intake of polyunsaturated and monounsaturated fats and increased fiber intake. Recommendations emphasize moderation and plant-based food.
Weight management considerations address central obesity according to waist circumference.
Blood pressure management, important to learn importance of control, medications and therapeutic life changes during cardiac rehabilitation sessions.
Management of diabetes is a priority in cardiac care and includes education and support to achieve better glycemic control. The goal is maintaining glycosylated hemoglobin (HbA1c) concentration of <7%.

Pulmonary Rehabilitation Nursing

Pulmonary rehabilitation is a multidisciplinary approach to improve physical and emotional well-being of patients with chronic respiratory diseases.
Pulmonary rehabilitation includes supervised exercise, education, support, and behavioral intervention to improve daily function and quality of life.
Indications for pulmonary rehabilitation include COPD, Interstitial Lung Disease, Cystic Fibrosis, Pulmonary Hypertension, Severe Asthma, Post-lung transplant, Post-surgical recovery, Pulmonary Fibrosis.
Benefits of pulmonary rehabilitation include improved exercise capacity, reduced breathlessness, improved survival, reduced hospitalizations, reduced anxiety and depression and improved psychological well-being.

Neurological Rehabilitation Nursing-1, Neurological Rehabilitation Nursing-2

Neurological rehabilitation is a program designed to improve function and well-being of patients with neurological conditions.
The goal of neurorehabilitation is to restore health, independence, and functionality, using best rehabilitation strategies to prevent complications
Phases of neurorehabilitation include Long-term acute care hospital, Acute rehab, Subacute rehabilitation in skilled nursing facilities, Long-term care facility or nursing home, home with services.
Assessment Tools include the Barthel Index.
Approaches to neurological rehabilitation include Bobath, Carr and Shepherd approachs, gait re-education transfer rehabilitation and mobility rehabilitation, contracture management, and equipment and adaptations assessment.

Take-Home Topics for Review

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

(List of references)

About the Next Week

Final Exam

Disclaimer

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Description

Test your knowledge on the intersection of cardiac rehabilitation and diabetes management. Explore questions about cardiovascular risks, goals of rehabilitation, and the impact of high blood pressure on treatment outcomes. This quiz will challenge your understanding of key concepts in managing patients with diabetes in cardiac and oncology rehabilitation settings.