RMT Considerations - Chemotherapy Treatment
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Questions and Answers

What type of modifications may be necessary due to tissue fragility shortly after chemotherapy?

  • Increase in physical activity
  • Consuming high amounts of fluids
  • Imposing pressure to prevent bruising (correct)
  • Avoiding all forms of exercise
  • Which blood components may be affected several months after chemotherapy?

  • Only red blood cells
  • All blood components remain stable
  • Platelets and neutrophils (correct)
  • White blood cells only
  • What condition related to low blood oxygen might necessitate certain modifications several months post-treatment?

  • High blood pressure
  • Infection control measures
  • Orthostatic hypotension (correct)
  • Severe fatigue
  • Why might fatigue persist for up to a year after chemotherapy?

    <p>The duration of treatment received</p> Signup and view all the answers

    What sensory changes could be expected to continue after chemotherapy?

    <p>Altered temperature perception</p> Signup and view all the answers

    Which of the following modifications is important due to neutropenia after chemotherapy?

    <p>Adopting stringent infection control practices</p> Signup and view all the answers

    What factor might contribute to the need for ongoing modifications in care post-chemotherapy?

    <p>Persistent sensory changes</p> Signup and view all the answers

    What might be a reason for needing distinct modifications during the recovery phase of chemotherapy?

    <p>Variability in patient response to treatment</p> Signup and view all the answers

    What is a potential adjustment to treatment duration for a patient undergoing chemotherapy?

    <p>Shorten duration due to possible fatigue.</p> Signup and view all the answers

    Which safety measure is most important when treating a patient with neutropenia?

    <p>Maintain strict hygiene and infection control.</p> Signup and view all the answers

    Which of the following is a recommended modification when dealing with chemotherapy-induced peripheral neuropathy?

    <p>Adjusting pressure according to sensory changes.</p> Signup and view all the answers

    What is a key communication factor when treating patients undergoing chemotherapy?

    <p>Being aware of potential 'chemo brain', fatigue, and sleep disruption.</p> Signup and view all the answers

    What should be avoided to ensure patient safety regarding chemotherapy lines during treatment?

    <p>Positioning changes that may tug on the lines.</p> Signup and view all the answers

    How should a therapist manage their interaction with topical chemotherapy agents during a session?

    <p>Treat the patient through clothing and wear gloves.</p> Signup and view all the answers

    What emotional consideration should be made during treatment planning for chemotherapy patients?

    <p>Include the therapeutic relationship in the treatment plan.</p> Signup and view all the answers

    Which aspect should be taken into account concerning hydrotherapy temperature for chemotherapy patients?

    <p>Temperature should be adjusted according to sensory changes.</p> Signup and view all the answers

    Study Notes

    RMT Considerations - Chemotherapy (DURING)

    • Treatments need to be adjusted based on the patient's current chemotherapy cycle and side effects
    • Side effects vary, including fatigue, dyspnea, trophic changes, sensory changes, "chemo brain", sleep disruption, and neutropenia.
    • Treatment modifications may include altering duration, positioning, pressure, communication, hygiene, and hydrotherapy temperature.
    • Consider relaxation and sleep promotion in treatment planning due to fatigue and mood disturbances.
    • Chemotherapy-induced peripheral neuropathy is a specific concern that massage can address.
    • Be aware of potential for chemo agent transference; wear gloves or treat through clothing, avoid touching directly, and ensure patient hygiene.
    • Be extra vigilant with infection control, especially with chemo lines, and follow guidelines like a 4"/10cm rule and avoid tugging or wetting the dressing.

    RMT Considerations - Chemotherapy (AFTER)

    • Body recovery from chemotherapy side effects varies.
    • Modifications may be necessary for months after treatment.
    • Short-term (1-2 months) modifications include addressing high cell turnover tissue concerns (such as skin and blood vessels) and potential pressure-related issues.
    • Several months after treatment, potential modifications relate to blood cell function and associated pressure issues.
    • One year post-treatment, fatigue management and addressing long-term implications are prioritized.
    • Ongoing modifications include sensory changes, bone density, organ issues, and orthostatic hypotension.

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    Description

    This quiz covers essential considerations for registered massage therapists (RMTs) during and after chemotherapy treatments. Focused on tailoring treatments to accommodate patient side effects and ensuring safe practices, it emphasizes the importance of infection control and specific therapy adaptations. Understand how to support patients effectively throughout their chemotherapy journey.

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