Cancer

Question 1

Side effects of chemotherapy

Answer 1

alopecia, fatigue, anemia, diminished hearing or vision, peripheral neuropathy, thrombocytopenia

Question 2

Precautions with chemotherapy.

Answer 2

Use of a mask because of compromised immunity; restricted diet because of yeast infection in the mouth; screening for anxiety, depression, and fatigue; extra care to avoid dropping
things; monitoring for excessive bleeding

Question 3

Radiation side effects

Answer 3

burns

Question 4

Radiation precautions:

Answer 4

Assistance to maintain joint ROM while avoiding pulling the burned skin, use of water-based ointments

Question 5

A potential side-effect of a mascectomy is?

Answer 5

Lymphedema

Question 6

Precautions for surgery to remove cancer include

Answer 6

refraining from bathing the area until staples or sutures removed, prevention of depen-
dent edema

Question 7

Hormone therapy in cancer treatment aims to decrease which hormone due to it’s ability to increase the spread of some cancers

Answer 7

Estrogen

Question 8

Side effects of hormone therapy include

Answer 8

Menopause like symptoms, including hot flashes and mood swings

Question 9

Precautions for hormone therapy include

Answer 9

monitoring of room temperature and client mood

Question 10

List 5 common assessments used for individuals with cancer

Answer 10

A. Canadian Occupational Performance Measure (to aid in constructing client occupational profile)

B. Occupational Performance History Interview–II (to gather life history and impact of cancer as disability)

C. Brief Fatigue Inventory (determine description of activities that cause fatigue after cancer diagnosis)

D. M. D. Anderson Symptom Inventory (gather multisymptom client-reported outcomes

E. Functional Assessment of Cancer Therapy–General
(general quality of life assessment)

Question 11

OT interventions for cancer

Answer 11

1. Training in energy conservation, fatigue management, and activity and exercise tolerance to manage
   the side effects of medical treatment
2. Independence and safety in ADLs and IADLs
3. Adaptive equipment and assistive technology
4. Psychosocial support, including education in realistic expectations for recovery
5. Caregiver training and support
6. Sensory education and desensitization
7. Scar management
8. Wheelchair seating and positioning
9. Fall prevention and home safety
10. Lymphedema treatment after radical mastectomy
11. Physical agent modalities
12. End-of-life care