Oncology Rehabilitation Overview

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.

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 / 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 (prehabilitation): intervention between diagnosis and treatment to decrease the impact of expected disability.
• Restorative: restoring function to a previous level.
• Supportive: maximizing function during progressive or stable cancer.
• Palliative: comfort and function during the terminal stage.

Settings For Oncology Rehabilitation

• Post-acute care: inpatient rehab 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 and self-esteem.
• Enhanced survivorship
• Supportive community

How Do You Rehabilitate Cancer Patients?

• Assessment: comprehensive evaluation of the patient's physical, functional, and emotional status.
• Development of a rehabilitation plan: addresses specific needs and goals.
• Implementation of the rehabilitation plan: physical, occupational, speech therapy, and psychological counseling.
• Monitoring and adjustment of the rehabilitation plan: includes modifications or adding new interventions as needed.
• Discharge planning and follow-up care: developing discharge plans and follow-up care to ensure continuing progress.

Assessment Tools

• Health-related quality of life and/or quality of life (EORTC QLQ-C30, SF-36, FACT)
• Activities of daily living and instrumental 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
• Physical Therapists
• Occupational Therapists
• Speech Therapists
• Psychologists
• Social Workers
• Nurses (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, which includes health education, advice on cardiovascular risk reduction, physical activity, and stress management.
• Includes exercise counseling and training, education for heart-healthy living, and counseling to reduce stress.
• Core components include patient assessment, exercise training, physical activity counseling, tobacco cessation, nutritional counseling, weight management, aggressive coronary risk-factor management and psychosocial counseling.
• Programs generally span three months, with sessions two or three times a week (usually 36 sessions over a 12-week period).
• Dietary recommendations include a reduced intake of saturated fats and cholesterol and increased intake of polyunsaturated and monounsaturated fats and fiber.
• Weight management considers waist circumference (88cm or greater in women, 102cm or greater in men) and BMI (≥25kg/m2).
• Blood pressure management is crucial and includes understanding disease, treatment, and therapeutic life changes.
• Diabetes management emphasizes maintaining HbA1c levels below 7%.

Pulmonary Rehabilitation Nursing

• Pulmonary rehabilitation (PR) is a multidisciplinary approach improving physical and emotional well-being of patients with chronic respiratory diseases.
• Techniques include exercise management, education, support, and behavioral interventions.
• Indications include COPD, ILD, cystic fibrosis, pulmonary hypertension, severe asthma, post-lung transplant, post-surgical recovery, and pulmonary fibrosis.
• Benefits include improved exercise capacity, reduced breathlessness, improved survival, reduced hospitalizations, reduced anxiety and depression, improved health-related quality of life, and improved psychological wellbeing.
• Goals include improving exercise capacity, enhancing quality of life, reducing symptoms like shortness of breath, preventing hospital readmissions, and improving emotional well-being.
• Components include exercise training, inspiratory muscle training, psychosocial counseling, nutritional evaluation and counseling, and education.
• Nursing plays key roles in assessment including health history, clinical assessment, monitoring vital signs, assessment of physical function, and psychological assessment.
• Interventions include breathing techniques, exercise programs, patient education about medications, and psychosocial/nutritional support.
• Barriers to implementing pulmonary rehabilitation include physical limitations, psychological factors, socioeconomic factors, and cultural factors.
• Special populations include older adults (COPD, ILD, pulmonary fibrosis) and patients with obesity hypoventilation syndrome (treating weight management, sleep hygiene, and the role of CPAP/BiPAP).
• Programme design includes six weeks with two sessions per week, supervised exercise and education, and home training. Content includes seminars, discussions, and individualized plans.

Neurological Rehabilitation Nursing-1

• Neurological rehabilitation focuses on improving function and well-being through therapy, targeting recovery or increased functionality.
• Goal is to restore health, independence, and functionality using best rehabilitation strategies.
• Barthel Index measures functional ability and dependency in activities of daily living (ADLs). (consists of feeding, bathing, grooming, dressing, bowel control, bladder control, toilet use, transfers, mobility, stair climbing).
• Phases of neurological rehabilitation include long-term acute care hospital (LTACH), acute rehab, subacute rehabilitation in skilled nursing facilities, and long-term care facilities/nursing home.
• Approaches to neurological rehabilitation include Bobath, Carr and Shepherd, gait re-education, transfer rehabilitation, and mobility rehabilitation.

Neurological Rehabilitation Nursing-2

• Targeted exercise programs (functional movement training) emphasize activities mirroring daily life to enhance overall functionality.
• Tailored workouts are customized, addressing specific neurological challenges.
• Adaptive equipment integration supports optimal recovery.
• Assistive technologies (augmented reality tools, smart wearables, robot-assisted therapy) promote engagement and personalized care.

Conditions Treated by Neuro Rehab

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

Additional Notes

• Use of texts and images from course presentations on social media without permission is against the regulations. Law No. 6698.

Test your knowledge on the essential aspects of oncology rehabilitation, including its benefits, phases, and roles of various healthcare providers. Explore how rehabilitation impacts cancer survivors and the various strategies employed in neurorehabilitation. This quiz is perfect for healthcare professionals and students in the field.