Oncology Rehabilitation Overview

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Questions and Answers

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

Urinary dysfunction

Cognitive deficits

Speech impairment

Hypertension (correct)

What is the primary focus of restorative rehabilitation in oncology?

Preventing the onset of cancer

Restoring previous levels of function despite residual impairments (correct)

Increasing the quality of life through pain management

Promoting psychosocial adjustments during treatment

In which phase of oncology rehabilitation does prehabilitation occur?

Preventative rehabilitation phase (correct)

Restorative rehabilitation phase

Maintenance rehabilitation phase

Palliative care phase

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

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

Which of the following is a common side effect of chemotherapy that can impact rehabilitation?

Chronic fatigue Signup and view all the answers

Which of the following conditions is linked to chemotherapy-induced peripheral neuropathy (CIPN)?

Weakness in limbs Signup and view all the answers

Which complication is specifically associated with radiation therapy effects rather than chemotherapy?

Cystitis Signup and view all the answers

Which intervention is emphasized during the preventative rehabilitation phase?

Patient education Signup and view all the answers

What is the primary goal of supportive rehabilitation in oncology?

To maximize functionality despite declines from cancer Signup and view all the answers

Which type of services are included in post-acute care for oncology rehabilitation?

Home health care agencies Signup and view all the answers

What aspect of patients' lives do rehabilitation programs aim to enhance?

Quality of life by addressing treatment challenges Signup and view all the answers

Which phase of oncology rehabilitation focuses on comfort and function in terminal stages of cancer?

Palliative phase Signup and view all the answers

Which factor is NOT typically addressed in cancer rehabilitation programs?

Nutritional counseling for cancer prevention Signup and view all the answers

What is a key component of rehabilitation services for effective patient recovery?

Tailored programs based on individual needs Signup and view all the answers

What does outpatient therapy in oncology rehabilitation primarily involve?

Patient visits at a therapy center Signup and view all the answers

What is the primary focus of pain management strategies in cancer rehabilitation programs?

Effective coping with pain during recovery Signup and view all the answers

What is the significance of a reduction in diastolic blood pressure by 5-6 mmHg?

It decreases the stroke risk by 42%. Signup and view all the answers

Among patients referred to cardiac rehabilitation, what percentage are affected by diabetes?

26% Signup and view all the answers

What is a fundamental goal of diabetes management in the context of cardiac rehabilitation?

To achieve glycosylated hemoglobin (HbA1c) concentrations of 7% or lower. Signup and view all the answers

Which of the following statements about blood pressure management in cardiac rehabilitation is true?

A decrease in systolic blood pressure by 10 mmHg can decrease cardiovascular mortality significantly. Signup and view all the answers

What percentage of patients with diabetes in cardiac rehabilitation also have hypertension?

54% Signup and view all the answers

What is a primary goal of rehabilitation programs in cancer treatment?

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

Which of the following best describes how cancer rehabilitation programs address emotional support?

By providing holistic care that includes emotional well-being Signup and view all the answers

How do rehabilitation programs assist in improving a patient's self-confidence?

By restoring a positive self-image and coping with changes Signup and view all the answers

What aspect of survivorship does cancer rehabilitation specifically address?

Long-term effects of cancer and the provision of coping strategies Signup and view all the answers

In what way do rehabilitation programs foster a sense of community among cancer patients?

Through group therapies and shared experiences Signup and view all the answers

Which outcome is emphasized in cancer rehabilitation to enhance a patient's daily life?

Helping patients actively engage in enjoyable activities Signup and view all the answers

What challenge do rehabilitation programs address regarding body image for cancer patients?

Recognizing and coping with changes to body image and self-esteem Signup and view all the answers

What is a significant benefit of the emotional support offered in rehabilitation?

Encouraging resilience and a positive outlook during treatment Signup and view all the answers

What is one of the main benefits of oncology rehabilitation in the cancer care continuum?

It reduces healthcare costs associated with cancer care. Signup and view all the answers

Which of the following settings is NOT commonly associated with oncology rehabilitation?

Transitional housing for the homeless Signup and view all the answers

Which phase in the oncology rehabilitation process focuses on assessing the patient’s functional abilities?

Indication Phase Signup and view all the answers

What is one key role of professionals involved in cancer rehabilitation?

To assess the psychological impact of cancer. Signup and view all the answers

Which approach is considered a part of oncology rehabilitation?

Tailored exercise programs for strength and endurance. Signup and view all the answers

Why is understanding the roles of various rehabilitation professionals important in oncology rehabilitation?

It helps deliver comprehensive care effectively. Signup and view all the answers

Which cognitive rehabilitation strategy is most focused on nurturing brain function in cancer patients?

Engaging patients in memory and attention exercises. Signup and view all the answers

What role do assistive technologies play in neurorehabilitation?

They enhance independence for patients. 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 type of rehabilitation professional would primarily assist a patient with returning to work after treatment?

Occupational Therapist Signup and view all the answers

Which assessment tool is NOT typically associated with measuring health-related quality of life?

Cognitive Behavioral Test Signup and view all the answers

In the cancer rehabilitation team, who is responsible for developing exercise programs to enhance mobility and prevent secondary health conditions?

Physical Therapist Signup and view all the answers

Which of the following functions is NOT typically addressed by a Speech Therapist in cancer rehabilitation?

Emotional support Signup and view all the answers

Which aspect is commonly measured through patient-reported outcome measures in cancer rehabilitation?

Fatigue levels Signup and view all the answers

What role do Psychologists primarily play in the context of cancer rehabilitation?

They help patients handle the emotional impacts of cancer. Signup and view all the answers

Which of the following best describes instrumental activities of daily living?

Complex activities including managing finances and medication 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 Credits/ACTS: 2
Examination Type: Mcqs
Instructor's Name: 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.

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 Previous 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.
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 (also known as prehabilitation)
Restorative rehabilitation
Supportive rehabilitation
Palliative phase

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

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: (e.g., 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
Nurse (People-Centered Integrated Care, Prevention and Early Detection, Nurse Navigation and Follow-up, Clinical Roles, Supportive and Palliative Care)

Cardiac Rehabilitation Nursing

Cardiac rehabilitation is a complex intervention offered to patients diagnosed with heart disease that 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, and
Psychosocial counseling

Cardiac Rehabilitation Nursing Program Design

Cardiac rehabilitation programs generally span three months, with sessions two or three times a week (usually 36 sessions over a 12-week time period).
General dietary recommendations for cardiac patients include a reduced intake of saturated fats, cholesterol, and increased intake of polyunsaturated and monounsaturated fats to adequate repartition of calories for carbohydrates, protein, and fats, and increased fiber intake.
Recent nutrition and cardiovascular disease studies recommend moderation and plant-based diets.

Weight Management

According to the World Health Organization (WHO), if the waist circumference is 88 cm or more in women and 102 cm or more in men, there is central obesity.
The value of waist circumference determined for Europe, in Turkish society, is risk accepted as > 80 cm for women and > 94 cm for men.
If the body mass index is calculated and this value is > 25 kg/m2, individualized short and long-term targets are determined by considering other risk factors.

Blood Pressure Management

High blood pressure is very prevalent among patients referred for cardiac rehabilitation.
A decrease in systolic blood pressure by 10 mmHg can decrease cardiovascular mortality by 20-40%.
A reduction of diastolic blood pressure by 5-6 mm Hg results in a reduction of stroke risk by 42% and Coronary heart disease events by 15%.
Patients need to understand the importance of blood pressure control, the medications and their side effects, the measures of therapeutic life changes, and the use of blood pressure devices.
Understanding the disease and its treatment improves compliance, reducing the risk associated with high blood pressure.

Diabetes Management

Around 26% of patients referred to cardiac rehabilitation have diabetes.
These patients often have a high cardiovascular risk profile and associated risk factors, such as smoking, hypertension, high cholesterol, being overweight or obese.
Therapeutic education is very important for improving diabetes control, and cardiac rehabilitation programs use therapeutic education tools to help patients achieve better glycemic control.
This has been shown to reduce the risk of cardiovascular morbidity and mortality, and HbA1c concentration should be maintained at below 7%.

Management of Psychosocial and Professional Issues

Patients with heart disease often face psychological and social problems affecting their morbidity and mortality (up to 20% following myocardial infarction).
Cardiac rehabilitation follow-up includes routine screening for anxiety, depression, substance abuse, family, and social problems.
Social workers and other professionals in cardiac rehabilitation centers provide support.

Pulmonary Rehabilitation Nursing

Pulmonary rehabilitation is a multidisciplinary approach improving physical and emotional well-being in patients with chronic respiratory diseases.
It uses supervised exercise, education, support and behavioral interventions to improve daily functioning and enhance quality of life.
Indications for Pulmonary Rehabilitation include Chronic Obstructive Pulmonary Disease (COPD), Interstitial Lung Disease (ILD), Cystic Fibrosis, Pulmonary Hypertension, Severe Asthma, Post-lung transplant, Post-surgical recovery (e.g., pneumonectomy), and Pulmonary Fibrosis.
Benefits of pulmonary rehabilitation include improved exercise capacity, reduced breathlessness, improved survival, reduced hospitalizations, reduced anxiety and depression, improved health-related quality of life, and improved psychological wellbeing and self-management.

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 a Pulmonary Rehabilitation Program

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

Thorough health history & clinical assessment
Monitoring vital signs (oxygen saturation, heart rate, blood pressure)
Assessment of physical function (mobility, muscle strength, endurance)
Psychological assessment (anxiety, depression, coping strategies).

Key Nursing Interventions for Pulmonary Rehabilitation

Breathing techniques (diaphragmatic breathing, pursed-lip breathing to reduce dyspnea)
Exercise programs (supervised low-impact aerobic exercises like walking or cycling)
Patient education (medication adherence, oxygen therapy management, energy conservation techniques, avoidance of environmental triggers)
Psychosocial support (emotional support, coping strategies, referrals for psychological support)
Nutritional support (adequate nutrition, especially for patients with weight issues)

Barriers to Pulmonary Rehabilitation Implementation in Nursing Practice

Physical limitations (low exercise tolerance, dyspnea, fatigue)
Psychological factors (anxiety, depression, lack of motivation)
Socioeconomic factors (limited healthcare access, financial constraints)
Cultural factors (lack of understanding or mistrust of healthcare interventions)

Pulmonary Rehabilitation in Special Populations (Older Adults, Obesity Hypoventilation Syndrome)

Older Adults (COPD, ILD, Pulmonary Fibrosis): Modifying programs for older adults to lower intensity, focus on functional independence, and address comorbidities.
Managing polypharmacy and medication side effects.
Patients with Obesity Hypoventilation Syndrome: Focus on weight management and sleep hygiene to address breathing difficulties and the role of CPAP/BiPAP in respiratory support.

Programme Design for Pulmonary Rehabilitation

Six-week structure (two sessions per week, supervised exercise and education, home training)
Content focused on seminars and discussions about health topics
Patient-specific individualized plans

Goal-Oriented Therapy (Pulmonary Rehabilitation)

Personalized goals (e.g., reduce breathlessness, increase mobility)
Self-responsibility (understanding dependence, interdependence, independence)
Empowering patients (taking maximum responsibility, fostering independence and confidence).

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 (evaluating physical, emotional, and psychological impact of ongoing treatments).
Therapies (discussing options like ventilation)
Preferred place of death (understanding and documenting patient wishes).

Neurological Rehabilitation Nursing-1 &2

Neurological rehabilitation is a therapy process to improve function and well-being for people with neurological conditions. It aims to restore health, independence and functionality, using the best rehabilitation strategies.
Phases of Neurological Rehabilitation include: 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 include traumatic brain injuries, spinal cord problems, Parkinson's disease, and other neurological issues.

Aims of Neurological Rehabilitation

Prevent complications
Teach adaptive strategies
Facilitate function in a normal environment

Approaches to Neurological Rehabilitation

Bobath approach (neuro developmental treatment)
Carr and Shepherd approach (functional movements)
Gait re-education (identifying variations to improve gait)
Transfer rehabilitation (teaching techniques for transfers)
Mobility rehabilitation (developing independent movement)
Contracture management (releasing tight muscles)
Equipment and adaptations assessment (using devices like wheelchairs)

Targeted Exercise Programs for Neurological Recovery

Functional Movement Training: Emphasizing activities mirroring daily life, facilitating a seamless transition to everyday activities.
Tailored Workouts: Customized exercise programs tailored to each patient's needs.
Adaptive Equipment Integration: Integrating adaptive tools to overcome physical limitations, promote optimal recovery and an inclusive therapy process.

Assistive Technologies in Neurorehabilitation: Enhancing Independence

Augmented Reality Tools: Interactive renewal tools using augmented reality to enhance engagement and boost patient participation
Smart Wearables: Monitoring patient movement and progress through intelligent wearables providing real-time data for personalized care plans.
Robot-assisted Therapy: Robotics aiding improvement of independence through controlled movements, offering support to patients with specific motor challenges, and embodying individualized and comprehensive treatment approaches.

References, Research, and Resources

Multiple cited academic articles, covering various aspects of rehabilitation research

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Description

Test your knowledge on the various aspects of oncology rehabilitation, including its phases, goals, and common side effects associated with cancer treatments. This quiz covers crucial concepts like prehabilitation and supportive rehabilitation services. Explore how rehabilitation can enhance patients' quality of life post-treatment.