ISTANBUL GELİŞİM UNIVERSITY Rehabilitation Nursing PDF

Name of Department : NURSING Course Code and Name : HEY413E REHABILITATION NURSING Course Week : WEEK 14 Course Day and Time : Tuesday (12:00 to 13:50) Course Credit/ACTS Information : 2 Examination Type and Gradings : Mcqs Instructor’s Name & Su...

Name of Department : NURSING Course Code and Name : HEY413E REHABILITATION NURSING Course Week : WEEK 14 Course Day and Time : Tuesday (12:00 to 13:50) Course Credit/ACTS Information : 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.  | NOTE | Attendance Attendance is mandatory for all scheduled lectures.  | NOTE | Be Responsible Come to class on time.  | NOTE | Be disciplined Avoid talking to friends in the class.  | NOTE | Show discipline 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  | Oncological Rehabilitation Nursing 1&2| Oncology rehabilitation is an area that has the potential to reduce cancer-related morbidity and healthcare costs.  | Oncological Rehabilitation Nursing 1&2| 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.  | Oncological Rehabilitation Nursing 1&2| 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.  | Oncological Rehabilitation Nursing 1&2| 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 Side effects of chemotherapy: alopecia, mucositis, Amputations pulmonary fibrosis, nausea/vomiting, cardiotoxicity, Functional Limitations diarrhoea, neuropathy, myalgia, renal failure, local reaction, myelosuppression, cystitis, phlebitis.  | Oncological Rehabilitation Nursing 1&2| Four Phases of Oncology Rehabilitation According to the model developed by Dr. Dietz Jr. in 1980 , cancer rehabilitation includes four stages: Preventative rehabilitation phase: More recently called prehabilitation in cancer care, encompasses the time between the onset of cancer diagnosis and the beginning of oncological treatment. The interventions during this period include patient education and therapies that aim to decrease the impact of expected disability from oncological care. It has been found by researchers that it is beneficial to undergo rehabilitation prior to beginning cancer treatment.  | Oncological Rehabilitation Nursing 1&2| Four Phases of Oncology Rehabilitation Restorative rehabilitation: It focuses on restoring the cured or controlled patients with residual impairments that cause disability to their previous level of function.  | Oncological Rehabilitation Nursing 1&2| Four Phases of Oncology Rehabilitation Supportive rehabilitation: This phase provides care to maximize functionality as individuals experience declines due to progressive or stable cancer.  | Oncological Rehabilitation Nursing 1&2| Four Phases of Oncology Rehabilitation Palliative phase: Although palliative care is not limited to the end of life, this model uses this term to emphasize the care aiming at comfort and function in the terminal stage of cancer.  | Oncological Rehabilitation Nursing 1&2| Settings For Oncology Rehabilitation Currently, rehabilitation services can be administered in various settings, including inpatient, outpatient, or at home. However, these services are generally classified into post-acute care and outpatient therapy: 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  | Oncological Rehabilitation Nursing 1&2| Advantages Of Cancer Rehabilitation  | Oncological Rehabilitation Nursing 1&2| Advantages Of Cancer Rehabilitation 1.Function: Rehabilitation programs improve cancer patients' 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.  | Oncological Rehabilitation Nursing 1&2| Advantages Of Cancer Rehabilitation 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.  | Oncological Rehabilitation Nursing 1&2| Advantages Of Cancer Rehabilitation 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  | Oncological Rehabilitation Nursing 1&2| Advantages Of Cancer Rehabilitation 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.  | Oncological Rehabilitation Nursing 1&2| Advantages Of Cancer Rehabilitation 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.  | Oncological Rehabilitation Nursing 1&2| Advantages Of Cancer Rehabilitation 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.  | Oncological Rehabilitation Nursing 1&2| Advantages Of Cancer Rehabilitation 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.  | Oncological Rehabilitation Nursing 1&2| Advantages Of Cancer Rehabilitation 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.  | Oncological Rehabilitation Nursing 1&2| How Do You Rehabilitate Cancer Patients? Cancer rehabilitation is a personalized and interdisciplinary approach that is tailored to meet the individual needs and goals of each patient. The rehabilitation process typically involves the following steps: Assessment: Development of a rehabilitation plan: Implementation of the rehabilitation plan: Monitoring and adjustment of the rehabilitation plan: Discharge planning and follow-up care:  | Oncological Rehabilitation Nursing 1&2| How Do You Rehabilitate Cancer Patients? Assessment: The rehabilitation team will conduct a comprehensive evaluation of the patient's physical, functional, and emotional status. This may include assessments of strength, range of motion, balance, and mobility, as well as assessments of psychological well-being and quality of life.  | Oncological Rehabilitation Nursing 1&2| How Do You Rehabilitate Cancer Patients? Development of a rehabilitation plan: Based on the assessment results, the rehabilitation team will develop a tailored rehabilitation plan that addresses the patient's specific needs and goals. This plan will outline the type and frequency of rehabilitation services, as well as any modifications or accommodations that may be necessary.  | Oncological Rehabilitation Nursing 1&2| How Do You Rehabilitate Cancer Patients? Implementation of the rehabilitation plan: The rehabilitation team will work with the patient to implement the rehabilitation plan. This may include physical therapy to improve mobility, strength, and flexibility; occupational therapy to help with activities of daily living; speech therapy to improve communication and swallowing; and psychological counseling to address stress, anxiety, and depression.  | Oncological Rehabilitation Nursing 1&2| How Do You Rehabilitate Cancer Patients? Monitoring and adjustment of the rehabilitation plan: The rehabilitation team will closely monitor the patient's progress and make any necessary adjustments to the rehabilitation plan. This may include modifying the type or frequency of rehabilitation services or adding new interventions as needed. Discharge planning and follow-up care: The rehabilitation team will work with the patient to develop a discharge plan and provide follow-up care to ensure that the patient continues to make progress and achieve their goals.  | Oncological Rehabilitation Nursing 1&2| Assessment Tools The outcome measures that used in studies to assess the patient's status after the treatment/interventions are listed below. Health-related quality of life and/or quality of life: The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, the 36-Item Short Form Survey, and the Functional Assessment of Cancer Therapy. Activities of daily living and instrumental activities of daily living Fatigue Functional mobility Exercise behavior Cognition function: Neuropsychological tests, patient-reported outcome measures. Communication Sexual function Return to work  | Oncological Rehabilitation Nursing 1&2| The goal of cancer rehabilitation is to help patients regain their physical, emotional, and psychological well-being and improve their quality of life. The rehabilitation process is individualized, patient- centered, and focused on helping patients achieve their specific goals and objectives.  | Oncological Rehabilitation Nursing 1&2| Types Of Cancer Rehabilitation Professionals Physicians: They play a critical role in coordinating the rehabilitation process, monitoring the patient's progress, and managing any medical issues related to the cancer and its treatment.  | Oncological Rehabilitation Nursing 1&2| Types Of Cancer Rehabilitation Professionals Physical Therapists: They help patients improve their mobility, balance, strength, and flexibility. They also develop exercise programs to help patients regain their physical function and prevent the development of secondary health conditions.  | Oncological Rehabilitation Nursing 1&2| Types Of Cancer Rehabilitation Professionals Occupational Therapists: They help patients with activities of daily living, such as bathing, dressing, and grooming, and provide assistive devices and adaptations to help them perform these tasks more easily and safely.  | Oncological Rehabilitation Nursing 1&2| Types Of Cancer Rehabilitation Professionals Speech Therapists: They work with patients who have speech, communication, and swallowing difficulties as a result of cancer treatment.  | Oncological Rehabilitation Nursing 1&2| Types Of Cancer Rehabilitation Professionals Psychologists: They help patients deal with the emotional and psychological impact of cancer and its treatment, including stress, anxiety, and depression.  | Oncological Rehabilitation Nursing 1&2| Types Of Cancer Rehabilitation Professionals Social Workers: They help patients and their families with practical and emotional support, such as navigating the healthcare system, accessing financial and social resources, and coping with the social and emotional impact of cancer.  | Oncological Rehabilitation Nursing 1&2| Types Of Cancer Rehabilitation Professionals Nurse People-Centered Integrated Care: Provides comprehensive care in line with the cancer care continuum, ensuring optimal communication with patients and the healthcare team. Prevention and Early Detection: Engages in cancer prevention efforts such as tobacco control and cervical cancer screening. Nurse Navigation and Follow-up: Helps patients overcome health system barriers, facilitates outcomes like increased screening rates, and often leads follow-up care. Clinical Roles: Performs physical exams, assesses chemotherapy, communicates scan results, and conducts procedures like paracentesis. Supportive and Palliative Care: Addresses psychosocial needs, encourages healthy behaviors, and empowers patients to self- manage through all stages of cancer care. REVISION  | 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.  | Cardiac Rehabilitation Nursing | Cardiac rehab has three equally important parts: Exercise counseling and training Education for heart-healthy living Counseling to reduce stress  | Cardiac Rehabilitation Nursing | Components and organization of cardiac rehabilitation These core components include; patient assessment, exercise training, physical activity counseling, tobacco cessation, nutritional counseling, weight management, aggressive coronary risk-factor management and psychosocial counseling  | Cardiac Rehabilitation Nursing | Cardiac rehabilitation programs generally span three months, with sessions two or three times a week (usually 36 sessions over a 12-week time-period)  | Cardiac Rehabilitation Nursing | Dieticians organize practical workshops to teach patients healthy eating habits, label reading and cooking demonstrations. General dietary recommendations for cardiac patients include a reduced intake of saturated fats ( 94 cm for men. If the body mass index is calculated and this value is> 25 kg / m2, individualized short and long term targets are determined by considering other risk factors  | Cardiac Rehabilitation Nursing | Blood pressure management High blood pressure is very prevalent among patients referred for cardiac rehabilitation. A decrease in systolic blood pressure by 10 mmHg can decrease cardiovascular mortality by 20-40% and a reduction of diastolic blood pressure by 5-6 mm Hg results in a reduction of stroke risk by 42% and Coronary heart disease events by 15%. During cardiac rehabilitation sessions, they will learn the importance of blood pressure control, the medications and their side effects, the measures of therapeutic life changes that will have an impact on their blood pressure and the use of blood pressure devices. Understanding of the disease and its treatment will certainly improve patients' compliance and reduce the risk associated with high blood pressure.  | Cardiac Rehabilitation Nursing | Diabetes management About 26% of patients referred to cardiac rehabilitation have diabetes. These patients have a particularly high cardiovascular risk profile. The majority (93%) will have another associated risk factor (smoking 16%, hypertension 54%, hypercholesterolemia 51%, overweight 40%, obesity 34%). Therapeutic education is a very important tool that helps improve diabetes control. Because of their multidisciplinary approach and the use of therapeutic education tools, cardiac rehabilitation programs can help achieve a better glycemic control. This has been shown to reduce cardiovascular morbidity and mortality. The goal of diabetes management is to maintain glycosylated hemoglobin (HbA1c) concentration of