Oncology Rehabilitation Programs Quiz

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 and Gradings: 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.

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 (also called 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
• Activities of daily living
• Fatigue
• Functional mobility
• Exercise behavior
• Cognition function
• Communication
• Sexual function
• Return to work

Types Of Cancer Rehabilitation Professionals

• Physicians
• Physical Therapists
• Occupational Therapists
• Speech Therapists
• Psychologists
• Social Workers

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
• Parts of Cardiac Rehab
• Exercise counseling and training
• Education for heart-healthy living
• Counseling to reduce stress
• Components of cardiac rehab 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

Diabetes Management

• About 26% of patients referred to cardiac rehabilitation have diabetes.
• Patients with diabetes have a particularly high cardiovascular risk profile.
• Therapeutic education is crucial in improving diabetes control.

Management of Psychosocial and Professional Issues

• Patients with heart disease often confront psychological and social problems, which can affect both morbidity and mortality.

Pulmonary Rehabilitation Nursing

• Pulmonary rehabilitation is a multidisciplinary approach to improve the physical and emotional well-being of patients with chronic respiratory diseases.
• Rehabilitation uses supervised exercise, education, support, and behavioral interventions to improve daily function and 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 of respiratory conditions (e.g., dyspnea)
• Prevent hospital readmissions
• Enhance emotional well-being and self-management

Components of Pulmonary Rehabilitation

• 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 and clinical assessment
• Monitoring vital signs (e.g., oxygen saturation, heart rate, blood pressure)
• Assessment of physical function (e.g., mobility, muscle strength, endurance)
• Psychological assessment (e.g., anxiety, depression, coping strategies)

Key Nursing Interventions

• Breathing techniques: Teach diaphragmatic breathing, pursed-lip breathing to reduce dyspnea
• Exercise programs: Support and monitor patients during low-impact aerobic exercises like walking or cycling
• Patient Education: Provide information on medication adherence, oxygen therapy, energy conservation techniques, and environmental triggers
• Psychosocial Support: Provide emotional support, discuss coping strategies, and make referrals for psychological support if necessary
• Nutritional Support: Work with dietitians to ensure adequate nutrition, especially for patients with weight management issues (e.g., obesity, hypoventilation syndrome)

Barriers to Pulmonary Rehabilitation

• Physical limitations (low exercise tolerance, dyspnea, fatigue)
• Psychological factors (anxiety, depression, 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 rehabilitation programs for older adults to focus on lower intensity and functional independence
• Addressing comorbidities (e.g., osteoporosis, cardiovascular disease)
• Managing polypharmacy and medication side effects
• Patients with Obesity Hypoventilation Syndrome: Focus on weight management and sleep hygiene, addressing breathing difficulties, and the role of CPAP/BiPAP in respiratory support

Programme Design

• Six-Week Structure: National guidelines recommend a six-week program with two sessions per week. Each session includes supervised exercise and education. Patients are expected to perform home training.
• Content: 12 sessions, seminars, relevant health topics, personalized plans based on thorough assessments.
• Long-Term Benefits: Aims to improve physical and psychological conditions, promoting long-term adherence to health-enhancing behaviors.

Goal-Oriented Therapy

• Personalized Goals: Each patient defines specific goals (e.g., reduce breathlessness, understand their disease, or increasing mobility.)
• Self-Responsibility: Helps patients clarify dependence, interdependence, and independence.
• Empowerment: Encourages patients to take responsibility for achieving their treatment.

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)

• Key Components of ACP
• Burden of Treatment
• Therapies
• Preferred Place of Death
• Nurses' Contribution to ACP: Provide compassionate guidance and facilitate a care pathway tailored to the patient's values and goals. Outcome: Ensuring dignity, autonomy; reduce uncertainty and emotional distress for patients and their families.

Neurological Rehabilitation Nursing-1

• Neurological rehabilitation is a program that helps patients with neurological conditions recover or increase functionality within their environment.
• Goal: Restore health, independence, and functionality using the best rehabilitation strategies.
• Core aspects of phases of neurological rehabilitation, tools used to rate progress, such as the Barthel Index.

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, Ischemic Strokes, Subdural Hematoma
• Transient Ischemic Attacks (TIAs)
• Structural or neuromuscular disorders
• Functional disorders
• Brain Infections
• Neurodegenerative diseases

Aims of Neurological Rehabilitation

• Prevent complications (e.g., worsening of current condition, life-threatening or recovery-curtailing secondary complications)
• Teach adaptive strategies (e.g., enabling patients to function normally despite their condition by learning how to cope in daily tasks and environment)
• Facilitate function in a normal environment (e.g., equip patients and caregivers with knowledge and strategy to adapt to new changes for optimal life beyond hospital).

Approaches to Neurological Rehabilitation

• Bobath Approach (neuro-developmental treatment)
• Carr and Shepherd Approach (functional movements)
• Gait Re-education
• Transfer rehabilitation
• Mobility rehabilitation
• Contracture management
• Equipment and adaptations assessment

Targeted Exercise Programs for Neurological Recovery

• Functional Movement Training: Emphasizes activities mirroring daily life. Promotes seamless transition to everyday tasks. Enhances the practical aspects of rehabilitation.
• Tailored Workouts: Customized exercise programs targeting specific neurological challenges

Assistive Technologies in Neurorehabilitation

• Augmented Reality Tools
• Smart Wearables
• Robot-assisted Therapy

Conditions That Can Be Treated with Neuro Rehab

• Traumatic Brain Injuries
• Spinal Cord Problems
• Parkinson's Disease
• Other Neurological Issues

Study Notes: Other

• There are detailed classifications for types of cancer rehabilitation professionals.
• The use of adaptive equipment for therapy is encouraged to support increased recovery.

Test your knowledge on the goals and aspects of oncological rehabilitation programs. This quiz covers emotional well-being, body image concerns, and the phases of oncology rehabilitation. It's designed for those interested in understanding the comprehensive support available for cancer survivors.