Oncology Rehabilitation Overview

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Questions and Answers

What is the primary goal of oncology rehabilitation in cancer care?

Promote reliance on assistive technologies

Eliminate the need for surgery

Increase cancer treatment duration

Reduce cancer-related morbidity and healthcare costs (correct)

Which of the following is a key phase in the rehabilitation process for cancer patients?

Surgery recovery

Indication (correct)

Chemotherapy

Diagnosis

In what setting does oncology rehabilitation occur?

At home only

Only in hospitals

Various healthcare settings (correct)

Only in outpatient clinics

Which professionals play a role in the cancer rehabilitation process?

Various cancer rehabilitation professionals Signup and view all the answers

Which aspect of patient care is significantly enhanced by oncology rehabilitation?

Quality of life for cancer survivors Signup and view all the answers

Which of the following is NOT covered in the principles of neurological rehabilitation?

Chemotherapy administration Signup and view all the answers

What behavior is expected from students during class according to the guidelines?

Prompt attendance Signup and view all the answers

What is one of the daily topics discussed in the oncological rehabilitation nursing class?

Phases of oncology rehabilitation Signup and view all the answers

What is a primary goal of cancer rehabilitation?

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

How do rehabilitation programs specifically help improve energy levels?

By designing interventions to boost energy levels Signup and view all the answers

What aspect of support do rehabilitation programs emphasize for cancer patients?

Emotional and mental support Signup and view all the answers

Which benefit is associated with cancer rehabilitation programs concerning body image?

Restoring positive self-image and confidence Signup and view all the answers

How do rehabilitation programs enhance survivorship for cancer patients?

By educating about long-term effects of cancer Signup and view all the answers

What is one of the social benefits provided by cancer rehabilitation programs?

Cultivating a nurturing community Signup and view all the answers

What psychological aspect do cancer rehabilitation programs address?

Resilience and a positive outlook during treatment Signup and view all the answers

What is the significance of group therapies in cancer rehabilitation?

To foster solidarity and mutual support Signup and view all the answers

What is the primary goal of supportive rehabilitation in oncology?

Maximizing functionality despite declines Signup and view all the answers

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

Palliative phase Signup and view all the answers

What types of settings can oncology rehabilitation services be provided in?

Inpatient, outpatient, or at home Signup and view all the answers

Which of these strategies is NOT a goal of cancer rehabilitation programs?

Enhancing mental health with medication Signup and view all the answers

What aspect of care does post-acute rehabilitation encompass?

Home health care and skilled nursing facilities Signup and view all the answers

Which of the following is an advantage of cancer rehabilitation?

Improvement in functionality and independence Signup and view all the answers

Why is pain management an essential part of oncology rehabilitation?

It helps patients recover and enhances quality of life. Signup and view all the answers

Which of the following best describes outpatient therapy in oncology rehabilitation?

Patient visits to a therapy center for focused intervention Signup and view all the answers

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

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

What percentage of patients referred to cardiac rehabilitation have diabetes?

26% Signup and view all the answers

Which of the following is NOT a risk factor commonly associated with patients who have diabetes in cardiac rehabilitation?

Low cholesterol levels Signup and view all the answers

What is the goal of diabetes management in cardiac rehabilitation?

To maintain glycosylated hemoglobin (HbA1c) concentration. Signup and view all the answers

How do cardiac rehabilitation programs help patients with diabetes improve their condition?

Through therapeutic education and multidisciplinary approaches. Signup and view all the answers

What role do social workers play in cancer rehabilitation?

They help patients and families navigate emotional challenges. Signup and view all the answers

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

Pharmacological treatments Signup and view all the answers

Nurse navigation and follow-up primarily focus on...

Helping patients overcome health system barriers. Signup and view all the answers

What is a recommended dietary change for cardiac patients?

Reduce intake of processed sugars. Signup and view all the answers

How long do typical cardiac rehabilitation programs last?

Three months Signup and view all the answers

What aspect does supportive and palliative care in nursing focus on?

Addressing psychosocial needs of patients. Signup and view all the answers

Which statement best describes the health education component of cardiac rehabilitation?

Involves educational activities for heart-healthy living. Signup and view all the answers

Which of the following is a focus of cancer prevention efforts by nurses?

Tobacco control measures. Signup and view all the answers

Which professional is primarily responsible for improving a patient's mobility and physical function during rehabilitation?

Physical Therapist Signup and view all the answers

What aspect of life does the term 'functional mobility' refer to in cancer rehabilitation?

The capability to move and navigate physical environments safely Signup and view all the answers

Which type of therapist assists patients with communication issues due to cancer treatment?

Speech Therapist Signup and view all the answers

What is a common approach used to assess health-related quality of life in cancer patients?

The Functional Assessment of Cancer Therapy Signup and view all the answers

Which of the following is NOT considered an instrumental activity of daily living?

Walking Signup and view all the answers

What role do psychologists play in cancer rehabilitation?

They help patients manage emotional and psychological challenges Signup and view all the answers

Which statement best describes how cancer rehabilitation programs are structured?

The rehabilitation process is individualized and patient-centered 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 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 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 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

Rehabilitation 2030

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 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: Although palliative care is not limited to the end of life, this model uses this term to emphasize 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 and Increased Energy
Emotional and Psychological Support
Improved Body Image and Self-esteem
Enhanced Survivorship
Supportive Community

Boosted Energy and Endurance

Cancer treatments can be physically and emotionally exhausting.
Procedures like chemotherapy and surgeries reduce energy and endurance.
Rehabilitation programs design interventions to boost energy levels.

Emotional and Mental Support

Rehabilitation programs offer emotional and mental support.
Support addresses the challenges of undergoing cancer treatment.
Focus extends beyond physical recovery to emotional well-being.
Encourages resilience and a positive outlook during treatment.
Aims to provide holistic care for overall patient recovery.

Improved Body Image and Self-confidence

Cancer treatments can lead to changes and psychological distress.
Rehabilitation programs address body image concerns and self-confidence.
Support is provided to rebuild self-esteem during the recovery.
Programs help patients cope with physical and emotional changes.

Enhanced Survivorship

Rehabilitation programs focus on enhancing survivorship for cancer patients.
Educate individuals about the long-term effects of cancer and treatment.
Provide coping strategies for managing survivorship challenges.
Empower patients to adapt to life post-treatment with confidence.
Support holistic recovery and long-term well-being.

Nurturing Community

Rehabilitation programs nurture a sense of community for cancer patients.
Group therapies enabling individuals to connect with peers.
Shared experiences foster solidarity and mutual support.
Participants feel reassured they are not alone in their journey.
Encourages emotional healing and a supportive recovery environment.

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: 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

Types of Cancer Rehabilitation Professionals

Physicians: They play a critical role in coordinating the rehabilitation process, monitoring the patient's progress, and managing any medical issues related to the cancer and its treatment.
Physical Therapists: They help patients improve their mobility, balance, strength, and flexibility. They also develop exercise programs to help patients regain their physical function and prevent the development of secondary health conditions.
Occupational Therapists: They help patients with activities of daily living, such as bathing, dressing, and grooming, and provide assistive devices and adaptations to help them perform these tasks more easily and safely.
Speech Therapists: They work with patients who have speech, communication, and swallowing difficulties as a result of cancer treatment.
Psychologists: They help patients deal with the emotional and psychological impact of cancer and its treatment, including stress, anxiety, and depression.
Social Workers: They help patients and their families with practical and emotional support, such as navigating the healthcare system, accessing financial and social resources, and coping with the social and emotional impact of cancer.
Nurse: People-Centered Integrated Care, providing comprehensive care in line with the cancer care continuum, ensuring optimal communication with patients and the healthcare team.

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 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).
Dieticians organize practical 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 (<7% of total calories) and cholesterol (<200 mg/d), increased intake of polyunsaturated (about 10% of total calories) and monounsaturated fats (20% of total calories), and increased fiber intake (about 20-30 g/d).

Weight Management

According to the WHO, if the waist circumference is 88 cm or more in women and 102 cm or more in men, there is central obesity.

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% and 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 learn the importance of blood pressure control, the medications and their side effects, measures of therapeutic life changes that will impact their blood pressure, and the use of blood pressure devices.

Diabetes Management

About 26% of patients referred to cardiac rehabilitation have diabetes.
Therapeutic education is a very important tool that helps improve diabetes control.
Cardiac rehabilitation programs can help achieve a better glycemic control.

Management of Psychosocial and Professional Issues

Patients with heart disease are often confronted with psychological and social problems that can affect both morbidity and mortality.
Depression, anxiety, and denial occur in up to 20% of patients following myocardial infarction.
During cardiac rehabilitation follow-up, patients undergo a routine screening to identify anxiety, depression, substance abuse and familial or other social problems.

Pulmonary Rehabilitation Nursing

Pulmonary rehabilitation is a multidisciplinary approach designed to improve the physical and emotional well-being of patients with chronic respiratory diseases.
Pulmonary rehabilitation is the use of supervised exercise, education, support, and behavioral intervention to improve how people with chronic lung disease function in daily life and enhance their quality of life.

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 wellbeing

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

Role of Nursing in Pulmonary Rehabilitation

Thorough health history and clinical assessment
Monitoring vital signs: Oxygen saturation, heart rate, and blood pressure
Assessment of physical function: Mobility, muscle strength, and endurance
Psychological assessment: Anxiety, depression, and coping strategies
Breathing Techniques to reduce dyspnea
Exercise Programs
Patient Education: Medication adherence, Oxygen therapy management, Energy conservation techniques, and Avoidance of environmental triggers
Psychosocial Support: Provide emotional support, coping strategies, and referrals for psychological support
Nutritional Support

Barriers to Pulmonary Rehabilitation

Physical limitations: Low exercise tolerance, dyspnea, fatigue
Psychological factors: Anxiety, depression, and lack of motivation
Socioeconomic factors: Limited access to healthcare, financial constraints
Cultural factors: Lack of understanding or mistrust of healthcare interventions

Pulmonary Rehabilitation in Special Populations

Older Adults (COPD, ILD, Pulmonary Fibrosis): Modifying programs, addressing comorbidities, managing polypharmacy, and medication side effects
Patients with Obesity Hypoventilation Syndrome: Focus on weight management and sleep hygiene, addressing breathing difficulties, and CPAP/BiPAP in respiratory support.

Programme Design

National guidelines recommend a six-week PR program with two sessions per week.
The program incorporates supervised exercise and education, and patients are expected to undertake home training.
Content of the PR program involves seminars and discussions on health topics. This leads to the creation of personalized plans tailored to each patient.

Goal-Oriented Therapy

Each patient defines specific goals (e.g., reducing breathlessness, understanding their disease, or increasing mobility).
The six-week program is structured around these goals.
This helps patients understand and clarify dependence, interdependence, and independence.

Pulmonary Rehabilitation Program Components

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 (Advance Care Planning) in PR: Burden of Treatment, Therapies, Preferred Place of Death
Nurses' Contributions to ACP: Provide compassionate guidance, facilitate the creation of a care pathway, and ensure dignity, autonomy.
Outcome of Effective ACP: Ensures dignity, autonomy, and a patient-centered approach to end-of-life care, and reduces uncertainty and emotional distress.

Neurological Rehabilitation Nursing-1

Neurological rehabilitation is a program that helps patients with neurological conditions recover or increase functionality within their environment.
The goal is to restore health, independence, and functionality as much as possible.
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 Benefit from Neurological Rehabilitation: Traumatic brain injuries, Spinal cord injuries, Hemorrhagic strokes, Ischemic strokes, Subdural hematoma, and Transient ischemic attacks (TIAs), Structural or neuromuscular disorders, Functional disorders, Brain Infections, and Neurodegenerative diseases
Aims of Neurological Rehabilitation: Prevent complications, 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, and Equipment and adaptations assessment

Neurological Rehabilitation Nursing-2

Targeted Exercise Programs for Neurological Recovery
Emphasizing daily life activities
Tailored Workouts: Customized exercise

Assistive Technologies in Neurorehabilitation: Enhancing Independence

Augmented Reality Tools: Interactive renewal tools.
Smart Wearables: Monitoring and enhancing patient movement and progress is made seamless.
Robot-assisted Therapy: Robotics, controlled movements, precise support for individual needs

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Description

Test your knowledge on the key concepts and goals of oncology rehabilitation in cancer care. This quiz covers the rehabilitation process, the roles of professionals involved, and the benefits for patients. Understand how rehabilitation enhances energy levels and body image among cancer survivors.