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Questions and Answers
What is a primary goal of oncological rehabilitation programs?
What is a primary goal of oncological rehabilitation programs?
Which aspect of cancer rehabilitation focuses on emotional well-being?
Which aspect of cancer rehabilitation focuses on emotional well-being?
How do rehabilitation programs assist patients with body image concerns?
How do rehabilitation programs assist patients with body image concerns?
What do rehabilitation programs educate cancer survivors about?
What do rehabilitation programs educate cancer survivors about?
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Which condition is NOT commonly associated with oncological rehabilitation?
Which condition is NOT commonly associated with oncological rehabilitation?
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What is the primary focus of restorative rehabilitation in oncology?
What is the primary focus of restorative rehabilitation in oncology?
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Which benefit of rehabilitation is related to social support?
Which benefit of rehabilitation is related to social support?
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What is a crucial element that rehabilitation programs aim to enhance?
What is a crucial element that rehabilitation programs aim to enhance?
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Which phase of oncology rehabilitation is referred to as 'prehabilitation'?
Which phase of oncology rehabilitation is referred to as 'prehabilitation'?
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What type of support does oncological rehabilitation emphasize for patients?
What type of support does oncological rehabilitation emphasize for patients?
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What organization launched the Rehabilitation 2030 call to action?
What organization launched the Rehabilitation 2030 call to action?
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Which of the following is a common side effect of chemotherapy?
Which of the following is a common side effect of chemotherapy?
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What challenge do rehabilitation programs specifically address related to cancer treatment?
What challenge do rehabilitation programs specifically address related to cancer treatment?
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What type of problem is NOT typically addressed in oncological rehabilitation?
What type of problem is NOT typically addressed in oncological rehabilitation?
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What is the aim of interventions during the preventative rehabilitation phase?
What is the aim of interventions during the preventative rehabilitation phase?
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Which of the following is NOT listed as a symptom of lymphoedema?
Which of the following is NOT listed as a symptom of lymphoedema?
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What is a primary responsibility of social workers in cancer rehabilitation?
What is a primary responsibility of social workers in cancer rehabilitation?
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Which component is NOT part of cardiac rehabilitation?
Which component is NOT part of cardiac rehabilitation?
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What is a key role of nurses in the cancer care continuum?
What is a key role of nurses in the cancer care continuum?
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How long do typical cardiac rehabilitation programs last?
How long do typical cardiac rehabilitation programs last?
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What is a specific focus of the nurse's role in cancer prevention?
What is a specific focus of the nurse's role in cancer prevention?
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Which aspect is NOT addressed in supportive and palliative care for cancer patients?
Which aspect is NOT addressed in supportive and palliative care for cancer patients?
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What is the first step in the cancer rehabilitation process?
What is the first step in the cancer rehabilitation process?
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Which of the following is a component of the exercise aspect of cardiac rehabilitation?
Which of the following is a component of the exercise aspect of cardiac rehabilitation?
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Which type of therapy is primarily focused on improving mobility, strength, and flexibility during cancer rehabilitation?
Which type of therapy is primarily focused on improving mobility, strength, and flexibility during cancer rehabilitation?
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Which of the following dietary recommendations is advised for cardiac patients?
Which of the following dietary recommendations is advised for cardiac patients?
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What is the purpose of monitoring and adjusting the rehabilitation plan?
What is the purpose of monitoring and adjusting the rehabilitation plan?
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Which component of the rehabilitation process involves creating a strategy for continued patient care after discharge?
Which component of the rehabilitation process involves creating a strategy for continued patient care after discharge?
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What is included in the comprehensive assessment conducted by the rehabilitation team?
What is included in the comprehensive assessment conducted by the rehabilitation team?
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In cancer rehabilitation, which therapy helps patients with daily living activities?
In cancer rehabilitation, which therapy helps patients with daily living activities?
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Which factor is least likely to be addressed during the assessment phase of cancer rehabilitation?
Which factor is least likely to be addressed during the assessment phase of cancer rehabilitation?
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How does psychological counseling benefit cancer rehabilitation patients?
How does psychological counseling benefit cancer rehabilitation patients?
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What is one of the goals of oncology rehabilitation in cancer care?
What is one of the goals of oncology rehabilitation in cancer care?
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Which phase is NOT typically included in the oncology rehabilitation process?
Which phase is NOT typically included in the oncology rehabilitation process?
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In which setting is oncology rehabilitation likely to occur?
In which setting is oncology rehabilitation likely to occur?
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Which professionals are involved in the oncology rehabilitation process?
Which professionals are involved in the oncology rehabilitation process?
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How does oncology rehabilitation contribute to healthcare costs?
How does oncology rehabilitation contribute to healthcare costs?
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Which statement is true regarding the principles of neurological rehabilitation?
Which statement is true regarding the principles of neurological rehabilitation?
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What is an example of a strategy in cognitive rehabilitation?
What is an example of a strategy in cognitive rehabilitation?
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Which of the following is a key learning outcome of oncology rehabilitation nursing?
Which of the following is a key learning outcome of oncology rehabilitation nursing?
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What is the primary goal of cancer rehabilitation?
What is the primary goal of cancer rehabilitation?
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Which of the following tasks is NOT typically associated with the role of an occupational therapist in cancer rehabilitation?
Which of the following tasks is NOT typically associated with the role of an occupational therapist in cancer rehabilitation?
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Which professionals are primarily responsible for developing exercise programs in cancer rehabilitation?
Which professionals are primarily responsible for developing exercise programs in cancer rehabilitation?
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What aspect of a patient's recovery is primarily addressed by psychologists in cancer rehabilitation?
What aspect of a patient's recovery is primarily addressed by psychologists in cancer rehabilitation?
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Which of the following reflects an effectiveness measure used in assessing health-related quality of life?
Which of the following reflects an effectiveness measure used in assessing health-related quality of life?
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What is a key focus area for speech therapists working with cancer patients?
What is a key focus area for speech therapists working with cancer patients?
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Which of the following is considered one of the instrumental activities of daily living?
Which of the following is considered one of the instrumental activities of daily living?
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How is the rehabilitation process described in oncological rehabilitation nursing?
How is the rehabilitation process described in oncological rehabilitation nursing?
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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 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.
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Description
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.