Rehabilitation of Individuals with Cancer

Published on 04/03/2015 by admin

Filed under Hematology, Oncology and Palliative Medicine

Last modified 04/03/2015

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Chapter 55

Rehabilitation of Individuals with Cancer

Summary of Key Points

• As cancer treatment improves, more patients are living longer with functional limitations, and quality of life issues become as important as survival.

• Rehabilitation must be patient centered and goal oriented. It requires an interdisciplinary team and the active participation of the patient.

• Impairments, activity limitations, and participation restrictions from cancer dramatically impact quality of life but are amenable to rehabilitation efforts.

• The focus of rehabilitation varies with the phase of the disease process.

• Important impairments include pain, fatigue, cognitive dysfunction, mood disorders, paresis, feeding difficulties, bone and soft tissue involvement, and bladder, bowel, and sexual dysfunction.

• Activity limitations can be ameliorated with training in activities of daily living, exercise, and adaptive equipment.

• Participation in home, vocational, and recreational activities plays a critical role in quality of life. Economic burdens, environmental barriers, and transportation problems often need to be addressed.