Oncology Rehabilitation in Cancer Care

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Questions and Answers

What is a significant benefit of oncology rehabilitation in cancer care?

Eliminates the need for surgery

Prevents the onset of cancer

Reduces cancer-related morbidity and healthcare costs (correct)

Increases chemotherapy effectiveness

Which of the following does NOT typically occur in oncology rehabilitation?

Physical therapy interventions

Assessment of functional capacity

Psychosocial support

Counseling on dietary supplements (correct)

Which phase is NOT part of the oncology rehabilitation process?

Assessment phase

Intervention phase

Recovery phase

Preparation phase (correct)

Which professionals are primarily involved in the oncology rehabilitation process?

Cancer rehabilitation specialists Signup and view all the answers

What is one of the primary focuses of oncological rehabilitation nursing?

Enhancing quality of life for cancer survivors Signup and view all the answers

In which setting would you most likely find oncology rehabilitation occurring?

Rehabilitation centers Signup and view all the answers

Which condition is NOT typically treated with neurorehabilitation?

Acute respiratory distress syndrome Signup and view all the answers

What role do assistive technologies play in neurorehabilitation?

They enhance patient independence Signup and view all the answers

What is the focus of oncology rehabilitation?

Managing and improving impairments caused by cancer and its treatment Signup and view all the answers

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

Weight loss Signup and view all the answers

What distinguishes the preventative rehabilitation phase in oncology rehabilitation?

It is called prehabilitation and focuses on patient education before treatment. Signup and view all the answers

Which of the following side effects is associated with chemotherapy?

Pulmonary fibrosis Signup and view all the answers

What is the goal of restorative rehabilitation in cancer patients?

Restore function to previous levels after cancer treatment Signup and view all the answers

Which syndrome is identified as a complication during cancer treatment?

Lymphoedema Signup and view all the answers

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

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

Which term describes the interventions before the onset of oncological treatment aiming to lessen expected disabilities?

Preventative rehabilitation Signup and view all the answers

What is the primary goal of cancer rehabilitation?

To restore patients' physical, emotional, and psychological well-being Signup and view all the answers

Which professional is most likely responsible for helping patients with mobility and balance?

Physical Therapist Signup and view all the answers

Which of the following assessments specifically focuses on cognition?

Neuropsychological tests Signup and view all the answers

Identify the type of therapy that assists with daily activities such as dressing and grooming.

Occupational Therapy Signup and view all the answers

What aspect of health is measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire?

Quality of life related to health status Signup and view all the answers

Which professional would most likely provide strategies to cope with anxiety directly related to cancer treatment?

Psychologist Signup and view all the answers

Which type of therapy focuses on communication and swallowing difficulties?

Speech Therapy Signup and view all the answers

What is a significant factor in the cancer rehabilitation process?

It is patient-centered and tailored to individual needs. Signup and view all the answers

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

It can decrease cardiovascular mortality by 20-40%. Signup and view all the answers

What is the primary goal of diabetes management in cardiac rehabilitation patients?

To maintain a glycosylated hemoglobin (HbA1c) concentration of less than 7%. Signup and view all the answers

Which of the following is an associated risk factor found in patients with diabetes referred to cardiac rehabilitation?

Hypertension. Signup and view all the answers

How does therapeutic education benefit patients in terms of diabetes control within cardiac rehabilitation programs?

By promoting awareness and understanding of diabetes management. Signup and view all the answers

What is the role of blood pressure monitoring during cardiac rehabilitation sessions?

To explain the potential consequences of high blood pressure. Signup and view all the answers

Which of the following roles primarily focuses on providing emotional and practical support to patients and families affected by cancer?

Social Worker Signup and view all the answers

In oncological rehabilitation nursing, which type of care is described as addressing psychosocial needs and encouraging healthy behaviors?

Supportive and Palliative Care Signup and view all the answers

Which component is NOT typically part of cardiac rehabilitation programs?

Surgical Interventions Signup and view all the answers

What is the recommended session frequency for cardiac rehabilitation programs over a typical three-month period?

Two to three times a week Signup and view all the answers

Which responsibility of nurses in cancer rehabilitation directly contributes to increased screening rates?

Nurse Navigation Signup and view all the answers

What essential dietary practice is advised for cardiac patients in terms of fat intake?

Reduce intake of saturated fats Signup and view all the answers

What is one major focus of exercise counseling in cardiac rehabilitation?

Enhancing cardiovascular fitness Signup and view all the answers

Which of the following is included in the components of cardiac rehabilitation?

Psychosocial Counseling Signup and view all the answers

What is the primary goal of supportive rehabilitation in oncology?

To maximize functionality despite cancer-related declines. Signup and view all the answers

Which of the following best describes a palliative phase in cancer care?

It emphasizes comfort and function during terminal stages. Signup and view all the answers

What type of rehabilitation services is categorized under post-acute care?

Inpatient rehabilitation facilities. Signup and view all the answers

How do cancer rehabilitation programs address pain management?

Through targeted pain management strategies. Signup and view all the answers

What is one major advantage of cancer rehabilitation regarding functionality?

It improves patients' physical abilities and mobility. Signup and view all the answers

Which of the following statements about settings for oncology rehabilitation is true?

Home care is a recognized setting for rehabilitation. Signup and view all the answers

What aspect do rehabilitation programs NOT focus on?

Replacing traditional medical treatments. Signup and view all the answers

Which one of the following descriptions does NOT apply to outpatient therapy?

It includes skilled nursing facilities. 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
AVISIT 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.

Notes

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 / 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): The time between cancer diagnosis and treatment. Interventions aim to reduce the impact of expected disability.
Restorative rehabilitation: Focuses on restoring function for the cured/controlled patient.
Supportive rehabilitation: Care to maximize functionality when individuals experience declines due to cancer.
Palliative phase: Emphasizes comfort and function in the terminal stages 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 and stamina
Emotional and psychological support
Improved body image
Enhanced survivorship
Supportive community

How Do You Rehabilitate Cancer Patients?

Assessment: Comprehensive evaluation of physical, functional, and emotional status.
Development of a rehabilitation plan: Tailored plan based on assessment results.
Implementation of the rehabilitation plan: Physical, occupational, speech therapy, and psychological counseling.
Monitoring and adjustment of the rehabilitation plan: Ongoing patient monitoring and necessary adjustments.
Discharge planning and follow-up care: Discharge plan and follow-up care to ensure progress and goal achievement.

Assessment Tools

Health-related quality of life
Functional Assessment of Cancer Therapy
Activities of daily living
Fatigue
Functional mobility
Exercise behavior
Cognition function: Neuropsychological tests
Communication
Sexual function
Return to work

Types of Cancer Rehabilitation Professionals

Physicians: Coordinate and manage related medical issues.
Physical therapists: Improve mobility, balance, strength, and flexibility.
Occupational therapists: Help with daily tasks and provide assistive devices.
Speech therapists: Address speech, communication, and swallowing difficulties.
Psychologists: Address emotional and psychological impact of cancer.
Social workers: Support patients and families with practical and emotional matters.
Nurses: Comprehensive care, prevention and early detection, navigation, clinical assessment.

Cardiac Rehabilitation Nursing

Cardiac rehabilitation is a complex intervention offered to patients diagnosed with heart disease.
It includes components of health education, advice on cardiovascular risk reduction, physical activity, and stress management.
Components include; patient assessment, exercise training, physical activity counseling, tobacco cessation, nutritional counseling, weight management, and aggressive coronary risk-factor management and psychosocial counseling.
Programs generally span three months with sessions two to three times a week.
Dieticians organize workshops on healthy eating, label reading, and cooking.

Weight Management

WHO: Waist circumference of 88cm or more in women and 102cm or more in men indicates central obesity.
Europe/Turkish Society: Waist circumference is considered a risk factor at >80cm for women and >94cm for men.

Blood Pressure Management

High blood pressure is prevalent among cardiac patients.
Reducing blood pressure by 10mm Hg systolic can decrease cardiovascular mortality by 20-40%. The reduction of diastolic blood pressure by 5-6mm Hg can reduce stroke risk by 42% and coronary heart disease events by 15%.

Diabetes Management

Diabetes affects about 26% of cardiac rehabilitation patients.
These patients often have other risk factors, such as smoking, hypertension, hypercholesterolemia, overweight, and obesity.
Therapeutic education improves diabetes control, allowing for better glycemic control and possibly reduced cardiovascular morbidity and mortality.
The goal is to maintain glycosylated hemoglobin (HbA1c) concentration below 7%.

Management of Psychosocial and professional Issues

Patients with heart disease often experience psychological and social problems, which affect morbidity and mortality.
Depression, anxiety, and denial occur in up to 20% of patients after myocardial infarction.
Social workers and other professionals help patients navigate care, access resources, and cope with the social and emotional impact of the disease.

Pulmonary Rehabilitation Nursing

Pulmonary rehabilitation (PR): Multidisciplinary approach to improve physical and emotional well-being of patients with chronic respiratory diseases.
PR uses 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

Role of Nursing in Pulmonary Rehabilitation

Nursing assessment: Thorough health history and clinical assessment, monitoring vital signs (oxygen saturation, heart rate, blood pressure), physical function (e.g., mobility, muscle strength, endurance), and psychological assessment (anxiety, depression, coping strategies).
Key nursing interventions: Breathing techniques, exercise programs, patient education, psychosocial support, and 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). Modifying programs, addressing comorbidities (e.g., osteoporosis, cardiovascular disease), and managing polypharmacy and medication side effects are necessary in this group.
Patients with Obesity Hypoventilation Syndrome: Focus on weight management and sleep hygiene, and addressing breathing difficulties and respiratory support.

Programme Design

Six-week structure, with two sessions per week: Supervised exercise and education, and home training.
Content of PR programme: Sessions focused on relevant health topics, individualized plans tailored to each patient after thorough assessment.
Long-term benefits: Improve physical and psychological conditions, and promote long-term adherence to health enhancing behaviours.

Goal-Oriented Therapy

Personalized goals: Patients define specific goals that the six-week programme addresses.
Encouraging self-responsibility: Helps patient understand dependence, interdependence, and independence.
Empowering patients: Encourages patients to take responsibility for achieving their treatment goals.

Pulmonary Rehabilitation Programme

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, therapies, and preferred place of death.
Nurses' contributions to ACP: Provide compassionate guidance to patients and carers, helping them navigate complex decisions. Outcome of effective ACP: Ensures dignity, autonomy, patient centered approach to end of life care and reducing uncertainty and emotional distress for patients and their families.

Neurological Rehabilitation Nursing-1

Neurological rehabilitation: Therapy to improve function and well-being, with tailored programs and adaptive equipment.
Purposes of rehabilitation: Teach adaptive strategies, 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: Assistive mobility devices (wheelchairs, walkers).

Neurological Rehabilitation Nursing-2

Targeted exercise programs and adaptive equipment integration enhance recovery by addressing various aspects, ranging from physical function and well-being to emotional well-being.

Assistive Technologies in Neurorehabilitation

Augmented reality tools and smart wearables improve rehabilitation programs to foster resilience and empowerment.

Conditions That Can Benefit from Neuro Rehab

Traumatic brain injuries
Spinal cord problems
Parkinson's disease
Other neurological issues (e.g., Alzheimer's, epilepsy, Huntington's disease).

Aims of Neurological Rehabilitation

Prevent complications
Teach adaptive strategies
Facilitate function in a normal environment

Take-Home Topics for Review

Indication
Phases
Settings for oncology rehabilitation
Rehabilitation processes
Types of cancer rehabilitation professionals

Questions and Suggestions

Question and suggestion session.

Recommended Daily Studies

McPherson, K, Gibson, BE & Leplege, A 2015, Rethinking Rehabilitation: Theory and Practice
Hoeman, SP 2008, Rehabilitation Nursing: Prevention, Intervention and Outcomes

References

List of references for all the discussed topics.

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Description

Test your knowledge on oncology rehabilitation and its significance in cancer care. This quiz covers various aspects, including phases of rehabilitation, roles of professionals, and indications for treatment. Understand the focus and goals of oncological rehabilitation nursing and the influence of assistive technologies.