Rehabilitation Nursing Week 14 Quiz

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Questions and Answers

What is the significance of decreasing systolic blood pressure by 10 mmHg?

It can reduce cardiovascular mortality by 20-40%. (correct)

It has no significant impact on health outcomes.

It eliminates the risk of cardiovascular disease completely.

It only affects diastolic blood pressure levels.

What is a common associated risk factor for patients with diabetes in cardiac rehabilitation?

Low blood pressure

Hypercholesterolemia (correct)

Non-smoker status

Underweight

What is the goal of diabetes management in cardiac rehabilitation?

To ensure no dietary restrictions for patients.

To maintain hemoglobin levels below normal range.

To achieve a glycosylated hemoglobin (HbA1c) concentration of 7% or less. (correct)

To completely eliminate insulin dependence.

What is one of the primary focuses during cardiac rehabilitation sessions for managing blood pressure?

Knowledge about medications and their side effects. Signup and view all the answers

What percentage of patients referred to cardiac rehabilitation have diabetes?

26% Signup and view all the answers

What is one important outcome of oncology rehabilitation in the cancer care continuum?

It can reduce cancer-related morbidity. Signup and view all the answers

Which of the following is NOT a setting where oncology rehabilitation occurs?

Fitness centers Signup and view all the answers

Which phase is part of the rehabilitation process for cancer patients?

Rehabilitation planning phase Signup and view all the answers

Who among the following is typically involved in the oncology rehabilitation process?

Rehabilitation nurses Signup and view all the answers

How does oncology rehabilitation improve the quality of life for cancer survivors?

Through physical and psychological support Signup and view all the answers

Which of the following is a core principle of neurological rehabilitation related to cancer care?

Assessment of cognitive function Signup and view all the answers

Which of the following best describes assistive technologies in neurorehabilitation?

They enhance independence and support rehabilitation. Signup and view all the answers

What fundamental aspect should be included in any targeted exercise program for neurological recovery?

Individualized assessment and tailoring to the patient's needs. Signup and view all the answers

What is a primary goal of cancer rehabilitation?

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

How do rehabilitation programs support emotional and mental well-being?

By addressing challenges associated with cancer treatment Signup and view all the answers

Which aspect of self-image does cancer rehabilitation focus on?

Improving body image and self-confidence Signup and view all the answers

What do rehabilitation programs emphasize regarding survivorship?

Providing coping strategies for survivorship challenges Signup and view all the answers

What role does community play in rehabilitation programs?

Fosters solidarity and mutual support Signup and view all the answers

How do rehabilitation programs help improve energy levels in patients?

By designing interventions that enhance energy and endurance Signup and view all the answers

Which of the following is NOT a focus of cancer rehabilitation?

Creating dependency on healthcare providers Signup and view all the answers

What is one of the long-term focuses of cancer rehabilitation?

Long-term psychological support and wellness Signup and view all the answers

What is the primary focus of oncology rehabilitation?

Managing and improving impairments and functional limitations Signup and view all the answers

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

Skin rashes Signup and view all the answers

What is the term used for the interventions aimed at reducing expected disability before cancer treatment begins?

Prehabilitation Signup and view all the answers

Which phase of rehabilitation focuses on restoring patients to their previous level of function after treatment?

Restorative rehabilitation Signup and view all the answers

What is the primary goal of the Rehabilitation 2030 initiative launched by the WHO?

Enhancing global access to rehabilitation for non-communicable diseases Signup and view all the answers

Which of the following is a common side effect of chemotherapy?

Alopecia Signup and view all the answers

Chemotherapy-Induced Peripheral Neuropathy (CIPN) is classified under which category?

Functional limitations Signup and view all the answers

Which of the following conditions would NOT typically be addressed in oncological rehabilitation?

Chronic respiratory disease Signup and view all the answers

Which type of professional develops exercise programs to improve mobility and prevent secondary health issues?

Physical Therapists Signup and view all the answers

What is NOT a focus of the assessments in quality of life measurement?

Dietary habits Signup and view all the answers

Which professional is responsible for addressing speech, communication, and swallowing difficulties?

Speech Therapists Signup and view all the answers

Occupational Therapists assist with which of the following tasks?

Helping with daily living activities Signup and view all the answers

Which aspect is NOT typically evaluated in health-related quality of life assessments?

Post-cancer physical appearance Signup and view all the answers

What role do Psychologists play in cancer rehabilitation?

Focusing on emotional and psychological impacts Signup and view all the answers

Which cancer rehabilitation professional coordinates the rehabilitation process?

Physicians Signup and view all the answers

What primary role do social workers play in cancer rehabilitation?

They help patients navigate the healthcare system and access resources. Signup and view all the answers

Which component is NOT typically included in cardiac rehabilitation programs?

Cosmetic surgery referrals Signup and view all the answers

In nurse navigation and follow-up, what is a key benefit for patients?

Improved rates of screenings and follow-up care Signup and view all the answers

What is the primary focus of supportive and palliative care in cancer treatment?

Addressing psychosocial needs and encouraging self-management Signup and view all the answers

How often do cardiac rehabilitation sessions typically occur in a week?

Two to three times a week Signup and view all the answers

What is one of the core components of cardiac rehabilitation?

Physical activity counseling Signup and view all the answers

What dietary change is commonly recommended for cardiac patients?

Reduced intake of saturated fats Signup and view all the answers

What is a benefit of comprehensive care in People-Centered Integrated Care?

Optimal communication with patients and the team 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 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: Indication Phases (1st Hour)
13:00-13:50: Oncology Rehabilitation, Rehabilitation processes, Types of Cancer Rehabilitation Professionals (2nd Hour)

Oncological 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 (prehabilitation) encompasses the time between the onset of cancer diagnosis and the beginning of oncological treatment.
Restorative rehabilitation focuses on restoring cured or controlled patients to their previous level of function.
Supportive rehabilitation maximizes functionality for individuals experiencing declines due to progressive or stable cancer.
Palliative phase emphasizes comfort and function in the terminal stage of cancer, though it is not exclusively end-of-life care.

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 for focused rehabilitation.

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

1. Function

Rehabilitation programs improve cancer patient's physical abilities.
Cancer often reduces strength, mobility, and functionality.
Loss of functionality can hinder independent self-care.
Rehabilitation professionals create tailored programs for individual needs.
Programs aim to help patients regain strength, mobility, and functionality.

2. Pain Management

Cancer treatments often cause significant pain.
Patients undergoing treatment may struggle with pain management.
Rehabilitation programs provide targeted pain management strategies.
These strategies aim to help patients cope with pain effectively.
Pain management supports smoother recovery and improved quality of life.

3. Quality of Life

Rehabilitation programs enhance quality of life for cancer patients.
They address challenges faced during and after treatment.
Effective pain management techniques are provided.
Programs focus on improving physical and emotional well-being.
The ultimate goal is to boost overall post-treatment quality of life.

4. 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.
Focus on enhancing physical endurance and emotional resilience.
Patients are empowered to engage in activities they enjoy actively.

5. 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.

6. 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 journey.
Programs help patients cope with physical and emotional changes.
Aim to restore a positive self-image and confidence in daily life.

7. 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.

8. Nurturing Community

Rehabilitation programs nurture a sense of community for cancer patients.
Group therapies and activities enable 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?

Cancer rehabilitation is a personalized and interdisciplinary approach tailored to meet the individual needs and goals of each patient.
Assessment, development of a rehabilitation plan, implementation of the rehabilitation plan, monitoring and adjustments to the rehabilitation plan, and discharge planning and follow-up care.

Assessment

Comprehensive evaluation of the patient's physical, functional, and emotional status.
Assessments of strength, range of motion, balance, and mobility, psychological well-being and quality of life.

Development of the rehabilitation plan

Based on assessment results, the rehabilitation plan addresses the patient's specific needs and goals.
It outlines the type and frequency of rehabilitation services, and any modifications or accommodations.

Implementation of the rehabilitation plan

The rehabilitation team works with the patient to implement the plan.
This may include physical therapy, occupational therapy, speech therapy, and psychological counseling.

Monitoring and adjustment of the rehabilitation plan

Closely monitor the patient's progress and make necessary adjustments to the plan.
Modifying the type or frequency of rehabilitation services, or adding new interventions as needed.
Discharge planning and follow-up care.

Discharge planning and follow-up care

The rehabilitation team develops a discharge plan and provides follow-up care.
Ensures that the patient continues to make progress and achieve their goals.

Assessment Tools

Health-related quality of life and/or quality of life.
European Organization for Research and Treatment of Cancer Quality of Life Questionnaire.
36-Item Short Form Survey.
Functional Assessment of Cancer Therapy.
Activities of daily living and instrumental activities of daily living.
Fatigue
Functional mobility
Exercise behavior
Cognition function
Communication
Sexual function
Return to work.

The goal of cancer rehabilitation

Regain physical, emotional, and psychological well-being.
Improve quality of life.
Individualized, patient-centered, and focused on helping patients achieve their specific goals and objectives.

Take-Home Topics for Review

Indication
Phases
Settings for Oncology Rehabilitation
Rehabilitation process
Types of Cancer Rehabilitation Professionals

Questions and Suggestions

Any question?

Recommended Daily Studies

McPherson, K, Gibson, BE & Leplege, A 2015, Rethinking Rehabilitation: Theory and Practice, CRC Press, NW, Florida.
Hoeman, SP 2008, Rehabilitation Nursing: Prevention, Intervention and Outcomes, 4th edn, Mosby, St Louis, United States

References

World Health Organization. Global action plan on physical activity 2018-2030: more active people for a healthier world (2019).
Gimigliano F, Negrini S. The World Health Organization "rehabilitation 2030: a call for action". European Journal of Physical and Rehabilitation Medicine (2017).
Smith SR, Zheng JY, Silver J, Haig AJ, Cheville A. Cancer rehabilitation as an essential component of quality care and survivorship from an international perspective (2020).
Cheville A, Smith S, Barksdale T, Asher A. Cancer rehabilitation. Braddom's Physical Medicine and Rehabilitation (2021).
Sleight A, Gerber LH, Marshall TF, Livinski A, Alfano CM, Harrington S, Flores AM, Virani A, Hu X, Mitchell SA, Varedi M. Systematic review of functional outcomes in cancer rehabilitation (2022).

About the Next Week

FINAL EXAM

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Description

Test your understanding of oncology rehabilitation and its importance in cancer care. This quiz covers the different settings, phases, and professionals involved in the rehabilitation process, and how it improves the quality of life for cancer patients. Prepare to assess your knowledge on these crucial aspects of rehabilitation nursing.