monthly meeting 1 (002).docx

REHABILITATION ADMINISTRATION DEPARTMENT OF ONCOLOGY and LYMPHEDEMA MANAGEMENT **Safety, Precautions, and Modalities in Cancer Rehabilitation: an Updated Review** Providing rehabilitation to patients with cancer can be challenging due to the medical complexity associated with the illness and its...

REHABILITATION ADMINISTRATION DEPARTMENT OF ONCOLOGY and LYMPHEDEMA MANAGEMENT **Safety, Precautions, and Modalities in Cancer Rehabilitation: an Updated Review** Providing rehabilitation to patients with cancer can be challenging due to the medical complexity associated with the illness and its treatments. I will show you a summary of frequently encountered medical conditions in the Cancer Population and associated safety considerations and precautions. An update on treatment modalities commonly used for symptom management will also be presented. Rehabilitation of patients with cancer poses unique challenges due to the medical complexity and the dynamic trajectory of their illnesses. Not only does the malignancy cause local and systemic changes to the body, but so can oncologic treatments, which include chemotherapy, radiation, surgery, stem cell therapy, and immunotherapy.  - Multi-organ Compromise - Cardiorespiratory considerations - Neurologic considerations - Osseous considerations - Laboratory Abnormalities: Cytopenias Electrolyte abnormalities +-----------------------------------+-----------------------------------+ | **Lab type** | **Lab values and precautions** | +===================================+===================================+ | Platelets | **\50,000 cells**/uL: monitor | | | for symptoms (i.e., | | | **bleeding)**, progressive | | | aerobic and resistive exercise as | | | tolerated | | | | | | **\>30,000** cells/uL: moderate | | | and active range of motion | | | exercise, aquatic therapy if | | | candidate, monitor symptoms | | | (i.e., **bleeding**) | | | | | | **\>20,000** cells/uL: light | | | exercise and ambulation, | | | activities of daily living | | | without strenuous effort, monitor | | | symptoms (i.e**., bleeding**), | | | assess fall risk, and implement | | | fall precautions | | | | | | **\11.0 10^9^/L or \