Rehabilitation Nursing Week 14 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: 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

Disclaimer

• Course presentations are private. Using the texts and images on social media is against the regulations (Law No. 6698).

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.