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(3) PT in Special Conditions > S2L4: Cancer Rehabilitation > Flashcards

S2L4: Cancer Rehabilitation Flashcards

1
Q

Patients with CA live longer due to:

A. Late detection
B. A limited selection of treatment options
C. Better medical management
D. All of the above

A

C

Early detection
A broad selection of treatment options

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2
Q

2nd leading cause of death in the US and the Philippines

A

ca

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3
Q

ca is 2nd leading cause of death where (2)

A

US and the Philippines

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4
Q

Most common cancers include:

A

Breast,
lung,
colorectal,
liver, and
prostate

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5
Q

_ of every_Filipinos are afflicted with cancer

A

189, 100K

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6
Q

ca is the _ most common cause of _

A

13th, self-reported disability

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7
Q

TorF Throughout the years, detection and treatment
of cancer has already progressed; many survived

A

T

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8
Q

Patients diagnosed with cancer tend to live shorter now than before
TorF

A

F, LONGER

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9
Q

Rehabilitation goals are:

A

○ Restorative
○ Supportive
○ Preventive
○ Palliative

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10
Q

goals THAT are for chronic or life-limiting illnesses

A

Supportive and Palliative

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11
Q

rehab goal: aim to return patients to a previous level of function

A

restorative

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12
Q

rehab goal: attempt to prevent avoidable deterioration in function
related to disease or treatment process (e.g., weakening, LOM)

A

preventive

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13
Q

rehab goal: focus on maximizing functioning, independence
and participation in meaningful activities alongside disability

A

supportive

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14
Q

rehab goal: involve supporting people to adapt to and
come to terms with irreversible changes in function
and associated losses or to ‘habilitate’ to their new reality

A

palliative

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15
Q

rehab goal: (e.g., can’t walk causing further
frustration or tiredness; can give w/c)

A

palliative

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16
Q

rehab goal: Patient has good potential to regain
sufficient strength and balance to transfer independently

A

restorative

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17
Q

rehab goal: Patient is at risk of deconditioning and
further weakness arising from inactivity

A

preventive

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18
Q

rehab goal: Patient is unable to manage the stairs and
will not regain this level of function

A

palliative

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19
Q

rehab goal: Patient has insufficient balance to walk
to toilet independently but is safe with support of a walking aid

A

supportive

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20
Q

rehab goal: Give AD or balance exercises
to prevent or lessen the risk of falls

A

supportive

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21
Q

what percent of ALL cancers occur in people >/= 65 years old

A

60%

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22
Q

60% of ALL cancers occur in people_

A

> /= 65 years old

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23
Q

Cancer is not in our genes TorF

A

F

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24
Q

As we grow old, there is a higher chance to
activate these cancer cells TorF

A

T

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25
Q

Relative survival in 1950

A

35%

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26
Q

Relative survival in 1975-1977

A

51%

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27
Q

Relative survival in 1996-2002

A

66%

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28
Q

CA with high survival rates

A

breast prostate

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29
Q

A medically-based, exercise intervention for cancer survivors

A

PHYSICAL REHAB FOR CANCER

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30
Q

Exercises are composed of _ and _ training

A

resistance, aerobic

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31
Q

Trainers role is to:

A

○ Help navigate patient to exercise programs
○ Help learn how to use the equipment properly,
do different set-ups
○ Monitor their heart rate to ensure patients that
they are exercising at a safe range that will still improve cardiac health, more endurance and
higher fitness level
○ Ensure that patients will perform the exercise
properly

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32
Q

Cancer patients can be more functional prior to the
program TorF

A

F, less functional

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33
Q

They can be very apprehensive at first TorF

A

T

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34
Q

We can use _ to see if the
patient can perform moderately difficult exercises,
and monitor the amount of intensity they exhibit

A

Borg’s scale (RPE Scale)

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35
Q

scale used in classifying functional impairments or
perforamnce status in serious illness

A

KARNOFSKY SCALE

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36
Q

KARNOFSKY SCALE progressions

A

mild, mod , severe

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37
Q

mild progression scores:

A

80, 90, 100

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38
Q

mod progression scores:

A

50, 60, 70

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39
Q

severe progression scores:

A

0, 10, 20, 30, 40

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40
Q

Able to carry on normal activity and to
work; no special care
needed: what progression in the scale?

A

mild

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41
Q

Unable to care for self; requires equivalent
of institutional or hospital care; disease
may be progressing rapidly: what progression in the scale

A

severe

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42
Q

Unable to work; able to live at home and care
for most personal needs; varying amount of assistance needed:
what progression

A

Moderate

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43
Q

Normal; no complaints; no evidence of disease: what score

A

mild, 100

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44
Q

Normal activity with effort; some signs or symptoms of disease

A

mild, 80

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45
Q

Cares for self; unable to carry on normal activity or do active work

A

mod, 70

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46
Q

Able to carry on normal activity; minor signs or symptoms of disease

A

mild, 90

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47
Q

Requires considerable assistance and frequent medical care

A

mod, 50

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48
Q

Death

A

severe, 0

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49
Q

Severely disabled; hospital admission is
indicated; death not imminent

A

severe, 30

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50
Q

Moribund; fatal processes progressing rapidly

A

severe, 10

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51
Q

Requires occasional assistance; able to care for most
personal needs

A

mod, 60

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52
Q

disabled; requires special care and assistance

A

severe, 40

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53
Q

very sick; hospital admission necessary;
active supportive treatment necessary

A

severe, 20

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54
Q

karnofsky scale used by _ and _

A

doctors and nurses

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55
Q

To be more accurate, what scale is used?

A

Australia-modified Karnofsky Performance Status (AKPS)

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56
Q

Totally bedfast and requiring extensive
nursing care by professionals and/or family

A

20

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57
Q

Normal; no complaints; no evidence of disease

A

100

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58
Q

Comatose or barely rousable

A

10

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59
Q

Cares for self; unable to carry on
normal activity or to do active work

A

70

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60
Q

Almost completely bedfast

A

30

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61
Q

Able to carry on normal activity; minor sign of symptoms of disease

A

90

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62
Q

Normal activity with effort; some signs or symptoms of disease

A

80

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63
Q

In bed more than 50% of the time

A

40

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64
Q

Able to care for most needs; but requires occasional assistance

A

60

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65
Q

Considerable assistance and frequent medical care required

A

50

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66
Q

Non ca patietn improve more than ca pts in terms
of functional gains from in pt rehab TorF

A

F. CA = Non CA patients

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67
Q

Improvement in regular pts can be expected
from those c cancer as well TorF

A

T

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68
Q

Functional improvements gained
from inpatient rehab is maintained _ after D/C

A

3 months

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69
Q

Once we see initial improvement, we cannot
expect to see improvement for at least 3 months after discharge
TorF

A

F, we CAN expect

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70
Q

what has no adverse effect on rehab outcomes?

A

Chemotherapy,
radiation therapy and
specific tumor type

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71
Q

Regardless if pt is under chemotherapy or not,
it is still ideal that they are doing exercises. TorF

A

T

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72
Q

Same improvement for all, normally an improve in_

A

inc VO2Max

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73
Q

VO2Max can be an indicator of lifespan TorF

A

T

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74
Q

CA has greater incidence of transfer back to acute
care from rehab TorF

A

T

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75
Q

Risk factors for transfers of ca pts:

A

Low albumin,
elevated creatinine,
use of feeding tube or indwelling catheter

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76
Q

Pts who are undergoing treatment have a
lower chance of returning to acute care TorF

A

F, HIGHER CHANCE

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77
Q

rehab priorities during initial dx:

A

Detect and manage acute morbidity from cancer treatments
Address worsening of premorbid physical impairments

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78
Q

rehab priorities during surveillance:

A

Physically recondition
Detect and address delayed cancer treatment toxicities
Promote reentry into vocational , social, and family roles

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79
Q

Pts are usually weak especially with _

A

progressive
cancer

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80
Q

Leading cause for those who had undergone
treatment is _

A

cardiotoxicity

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81
Q

Quality of life would greatly depend on their _

A

function

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82
Q

what Comes mainly after a comprehensive assessment

A

Addressing worsening of premorbid physical impairments

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83
Q

rehab priorities during recurrence:

A

Screen for cancer treatment toxicities, given the increased risk
Proactively manage early-stage impairments

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84
Q

○ Assess changes in function
○ Frequent re-eval especially if change
in function is observed
where is this in rehab priorities?

A

recurrence

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85
Q

rehab priorities during temporization:

A

● Control symptoms
● Prevent and proactively address disablement (caused by the disease itself)

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86
Q

rehab priorities during palliation:

A

● Preserve community integration
● Support and educate caregivers/family members
● Maintain functional autonomy as feasible

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87
Q

Quote from proponent of modern palliative care :

A

“Goal is to enable patients to live as actively as
possible”

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88
Q

Just because prognosis is poor, it doesn’t
mean that we would not try to help them TorF

A

T

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89
Q

is not a
contraindication to inpatient rehab if functional gains
are to be expected

A

Poor expected long term survival

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90
Q

Functional gains of patients who are in the advanced
stage of the disease should include _

A

family/caregiver training

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91
Q

highest 5 yr survival local

A

prostate

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92
Q

highest 5 yr survival regional

A

prostate

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93
Q

highest 5 yr survival distant

A

pharynx and oral cavity

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94
Q

lowest 5 yr survival local

A

pancreas

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95
Q

lowest 5 yr survival regional

A

pancreas

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96
Q

lowest 5 yr survival distant

A

pancreas

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97
Q

Common Sites of Metastatic spread for: lung and bronchus

A

Brain, bone, liver, mediastinal lymph nodes

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98
Q

Common Sites of Metastatic spread for: breast

A

Brain, lung, bone, liver

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99
Q

Common Sites of Metastatic spread for: prostate

A

Bone, pelvic lymph nodes

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100
Q

Common Sites of Metastatic spread for: colon and rectum

A

Liver, lung

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101
Q

Common Sites of Metastatic spread for: ovary

A

Peritoneum, pleura

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102
Q

Common Sites of Metastatic spread for: uterine cervix

A

Peritoneum, lung, retroperitoneal lymph nodes

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103
Q

Common Sites of Metastatic spread for: uterine corpus

A

Retroperitoneal lymph nodes, lung

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104
Q

Common Sites of Metastatic spread for: pharynx and oiral cavity

A

Lung, regional lymph nodes

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105
Q

Common Sites of Metastatic spread for: melanoma

A

Brain

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106
Q

Common Sites of Metastatic spread for: stomach

A

Liver, lung, peritoneum

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107
Q

Common Sites of Metastatic spread for: esophagus

A

Liver, lung

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108
Q

Common Sites of Metastatic spread for: pancreas

A

liver

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109
Q

Common Sites of Metastatic spread for: urinary bladder

A

Bone, intraperitoneal

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110
Q

Local means in

A

one organ

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111
Q

Regional means

A

spreads around one organ

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112
Q

Distal means

A

evident metastasis to other organs

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113
Q

When metastasis occurs, Five Year Survival rate
_ significantly.

A

decreases

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114
Q

have a high five-year survival
rate if cancer does not metastasize.

A

Breast cancer patients

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115
Q

have a higher five-year survival rate than breast cancer patients.

A

Prostate cancer patients

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116
Q

Prostate cancer develops in _ patients

A

geriatric

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117
Q

This cancer has a very good prognosis, and patients
will more likely die due to aging than the complications
and effects of cancer.

A

Prostate cancer

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118
Q

Addresses musculoskeletal problems
(lymphedema, contracture, pain, mobility, ADLs, self-care)

A

OUTPATIENT REHABILITATION

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119
Q

one of the most prominent side effects from chemotherapy,
exercising can help increase your energy levels.

A

Cancer related fatigue

120
Q

is more of a chronic disease these days than a death sentence.

A

Cancer

121
Q

is really important for your patients whether it would be
building their endurance again or just in general conditioning

A

Exercise

122
Q

PRECAUTIONS (9)

A

Hematologic profile
Metastatic bone disease
Compression of a hollow viscous vessel or spinal cord
Fluid accommodation in the pleura, pericardium, abdomen or retroperitoneum
CNS depression or coma
Hypo/hyperkalemia, hyponatremia or hypo/hypercalcemia
Orthostatic Hypotension
HR > 110 bpm
Fever >101 F / >38C

123
Q

What we look for in hematologic profile is the:

A

hemoglobin

124
Q

_ = decreased exercise capacity

A

Lower hemoglobin levels

125
Q

Patients can be fatigued easily if they are _.

A

anemic

126
Q

Pt are not allowed to carry _ _, also
_ activities due to the risk for
_ _ because of a _ in
the bone which makes it weaker.

A

heavy weights, high-intensity, pathologic fx, tumor

127
Q

Pain medications may help the patient if they
are _, but pain may persist if they move.

A

immobile

128
Q

Cancer cells metastasize and may impinge the _

A

spinal cord

129
Q

Thoracic level impingement = _

A

possible paraplegic pt

130
Q

Results to resistance to movement of cardiovascular
organs which leads to decreased exercise capacity

A

Fluid accommodation in the pleura, pericardium, abdomen or retroperitoneum

131
Q

As a result of cancer treatment

A

electroylte imbalance

132
Q

Hypo/hyperkalemia, hyponatremia or hypo/hypercalcemia may be
d/t:

A

kidney damage

133
Q

If pt has been bed bound for awhile and
suddenly stands up expect __ since they are not
used to upright position

A

OH

134
Q

Need clearance from MD before participating in
exercise

A

HR

135
Q

Exercise is not performed in pts with _
since it can cause further increase in HR which
will put the pt a risk

A

high HR

136
Q

PTs do not treat pts with _ since there is an
infectious process going on

A

fever

137
Q

Most important if they are undergoing
chemotherapy, as it should not cause a _

A

fever

138
Q

Stop the patient and consult with the doctor if pt has

A

fever

139
Q

_ of patients experience pain

A

60%

140
Q

_ severe pain

A

25-30%

141
Q

CANCER-RELATED PAIN is _

A

(+) pain with other associated symptoms -
decreased functional status

142
Q

First line of rx for cancer related pain:

A

Non-opioid analgesics

143
Q

Opioids example

A

Morphine

144
Q

There are some hesitations regarding pts
who use _ as it can be addictive

A

Morphine

145
Q

morphines are

A

regulated

146
Q

is still used to control immense pain, and
prevent pts from being bedridden (d/t pain) which
can lead to loss of function and decline in QOL

A

Morphine

147
Q

Timeframe of cancer related pain:

A

acute,
crescendo,
chronic

148
Q

Crescendo means

A

increasing pain

149
Q

Pathophysiology of cancer related pain

A

somatic
visceral
neuropathic

150
Q

Temporal cancer related pain

A

continuous,
intermittent,
breakthrough

151
Q

even if they are on pain medications, severity of pain increases.

A

Breakthrough

152
Q

If breakthrough happens, _ such
as drugs will be given

A

adjunct pain Mx

153
Q

adjunct pain Mx regulated by _ or_

A

oncologist, palliative care MD

154
Q

Nonpharmacologic pain management approaches

A

○ Cryotherapy
○ Biofeedback
○ Iontophoresis
○ TENS
○ Massage
○ Relaxation techniques
○ Meditation
○ Art/Music therapy
○ Counseling
○ Aromatherapy

155
Q

There are different theories surrounding pain perception,
but there is only one _ aspect for it.

A

biological

156
Q

Pain has a _ aspect, and as PTs, it is good to approach
pain Mx using this model.

A

biopsychosocial

157
Q

helps people control their brain and body’s response to stress

A

Biofeedback training

158
Q

In clinics, biofeedback training is seen to help
conditions that are _ such as _ or POTS.

A

dysautonomia, postural
orthostatic tachycardia syndrome

159
Q

_ is the most problematic situations for clinicians

A

Metastasis to the skeleton

160
Q

3rd most common for systemic metastasis

A

Skeleton

161
Q

80% of bone metastasis is attributed
to _ _ _ _ _

A

breast,
lung
prostate,
kidney,
thyroid cancers

162
Q

Bony metastases types

A

osteolytic
osteoblastic
mixed

163
Q

mas lumalaki/dense ang buto

A

Osteoblastic

164
Q

nasisira ang buto

A

Osteolytic

165
Q

Highest rate of osteoclastic activities

A

lymphoma,
multiple myeloma,
thyroid,
renal cell malignancies

166
Q

Most insidious clinical presentation of bony
metastases

A

Pain

167
Q

pain in ca is

A

Insidious,
unrelenting,
not associated with trauma or activity,
present or worse at rest

168
Q

pain is common in the _ and _

A

thoracic spine
shaft of femur

169
Q

what is associated wth pain?

A

Weight loss,
point of tenderness over the involved

170
Q

bone scan for pain

A

Triple phase bone scan

171
Q

Most sensitive in identifying bony metastasis

A

Triple phase bone scan

172
Q

Patients with localized bone pain, equivocal
scan, or neurologic impairment

A

MRI

173
Q

When the lesion is osteoclastic

A

PET Scan

174
Q

Survival Rate (after metastasis)

A

21-33 months

175
Q

Mx for bony metastatic disease?

A

Protection,
pain control,
energy conservation,
maintenance of function

176
Q

mx for Protection and pain control

A

Bracing (prevent fx),
mobility aids (AD),
activity precautions

177
Q

Exercise prescription should focus on:

A

○ Strength
○ Endurance
○ Function with limited loading or torsion of the
affected bone

178
Q

This is the most frequent nuclear type-imaging study.

A

3-Phase Bone Imaging

179
Q

It is used to evaluate vascular flow, blood pool
activity, and delayed bone uptake.

A

3-Phase Bone Imaging

180
Q

3 phase bone scan type of imaging evaluates for _ or
bone infection vs. cellulitis or soft tissue infection
vs. stress fx vs infected joint.

A

osteomyelitis

181
Q

Great challenge for PTs, as pts may not meet
high levels of exercise, or at least moderate physical activity

A

CANCER-RELATED FATIGUE

182
Q

cancer related fatigue may be d/t

A

May be d/t cancer treatment

183
Q

cancer related fatigue is _ when it persists, occurs during our
usual activities, and does not respond to _

A

pathological, rest

184
Q

is central goal of rehabilitation for ca related fatigue

A

Assessment and Rx

185
Q

Used of mild/moderate/severe based on a 0-10 likert
scale

A

CANCER-RELATED FATIGUE

186
Q

mild in likert scale

A

1 to 3

187
Q

moderate

A

4 to 6

188
Q

severe

A

7 to 10

189
Q

omt for cancer related fatigue?

A

FACIT Fatigue Scale

190
Q

Measures how much a patient’s ADLs are
affected by their fatigue

A

FACIT Fatigue Scale

191
Q

Higher score of facit means_

A

better QOL

192
Q

Most common associated factors: for cancer related fatigue?

A

Pain
Emotional distress,
sleep disturbance,
anemia,
nutritional deficiencies,
deconditioning,
medical comorbidities

193
Q

mx for cancer related fatigueL

A

Strengthening
endurance programs,
nutritional management,
sleep optimization

194
Q

Reversible sources of cancer fatigue

A

Anemia
Insomnia or lack of restorative sleep
Cytokine release (e.g. tumor necrosis factor)
Hypothyroidism
Hypogonadism
Depression
Deconditioning
Steroid myopathy
Centrally acting medications
Altered oxidative capacity
Pain
Adrenal insufficiency
Cachexia

195
Q

insomnia causes _

A

easy fatigability

196
Q

Cytokine release d/t

A

chemical build up in the body

197
Q

chemical build up in the body can be excreted by _ or
controlled by _

A

kidneys, medication

198
Q

when cv endurance improves, what increases

A

VO2max increases

199
Q

_ has been associated with increased risk of death for cancer

A

Obesity

200
Q

OW and obesity account for _% cancer deaths in men

A

14 percent

201
Q

OW and obesity account for _% of cancer deaths in women

A

20 percent

202
Q

minimum hours of exercise per week

A

150 mins per week

203
Q

recommended exercise for ca pts:

A

30 minutes of moderately vigorous exercise
on 5 or more days of the week

204
Q

_ is the most favored type of aerobic exercise

A

Cycle ergometry

205
Q

non-WB, easier

A

Cycle ergometry

206
Q

Precautionary measure is taken with _ patients

A

thrombocytopenic

207
Q

Unrestricted exercises can be pursued with _

A

> 30-50k

208
Q

Aerobic exercise okay in patients with _

A

platelets >10-20k

209
Q

Active therapy not advocated with platelet
count _

A

<10k

210
Q

Patients undergoing chemotherapy can sustain
_

A

premature cardiac damage

211
Q

heart changes for pts undergoing chemo:

A

Reduced exercise time,
reduced maximum O2 uptake,
abnormal ST and T wave changes,
exercise induced hypertension

212
Q

“Reduced exercise time,
reduced maximum O2 uptake,
abnormal ST and T wave changes,
exercise induced hypertension”

these can also happen even _ chemotx. this is a _ effect

A

after, long term

213
Q

Supervised _ and _ program
among _ cancer patients at _% _
weekly for _ weeks: improve strength and endurance

A

strengthening, aerobic, breast, 40-60%, twice, 21

214
Q

parameters of aerobic that improves endurance:

A

Aerobic training 3x/week for 15 weeks improves
endurance

215
Q

EXERCISE FOR PATIENTS UNDERGOING
MARROW TRANSPLANT

A

Supine or sitting exercises well tolerated

216
Q

exercise for pts marrow transplant:
_ exercises with the head of the bed _

A

supine, elevated

217
Q

Supine exercises with the head of the bed elevated to avoid
_

A

hypotension

218
Q

exercise for pts marrow transplant:
_ exercises for brief periods to avoid _

A

Standing, gastroc-soleus tightness

219
Q

more exercises for pts marrrow transplant:

A

ROM,
aerobic exercise (walking, cycle ergometry),
light resistive exercises,
deep breathing exercises

220
Q

neurologic complication of ca:

A

METASTATIC BRAIN DISEASE

221
Q

Most common catastrophic neurologic
impairment in the cancer population

A

METASTATIC BRAIN DISEASE

222
Q

metastatic brain disease occur most frequently with

A

lung,
breast,
colorectal,
melanoma,
genitourinary

223
Q

percentage of affectation on brain: metastatic brain disease
in the cerebrum__ and in the cerebellum __

A

85% in the cerebrum, 15% in the cerebellum

224
Q

METASTATIC BRAIN DISEASE sx:

A

Progressive HA,
hemiparesis,
seizures,
mental status change

225
Q

metastatic brain disease seen thru:

A

Magnetic resonance imaging

226
Q

Leptomeningeal disease sx:

A

Back pain,
radiculopathies
cranial nerve dysfunction
mental status changes

227
Q

SPINAL CORD INVOLVEMENT occurs in what percent of all
ca pts

A

5-14% of all CA patients

228
Q

Most common sources of spinal cord involvement:

A

metastases from

prostate,
breast,
lung,
kidney,
multiple myeloma

229
Q

Areas of predilection percent in thoracic

A

70%

230
Q

Areas of predilection percent in lumbar

A

20%

231
Q

Areas of predilection percent in cervical

A

10%

232
Q

when there is sc involvment, what is the type of pain?

A

Progressive, insidious back pain
worse when lying down

233
Q

S/Sx of sc involvement:

A

Point tenderness,
paresis,
sensory impairment,
upper neuron lesion findings

234
Q

polyneuropathy is _ induced

A

Chemotherapy-induced

235
Q

Disruption of axoplasmic microtubule transport,
axonal “dying back”, has direct effects to the DRG

A

POLYNEUROPATHY

236
Q

polyneurotpathy is the _ of _ _ _, axonal _, has direct
effects to the _

A

disruption, axoplasmic microtubule transport, dying back, DRG

237
Q

for polyneuropathy what type of nerves are more affected

A

Sensory nerves > motor nerves

238
Q

polyneuropathy sx:

A

Dysesthesias,
sensory loss,
allodynia

239
Q

RADIATION THERAPY SIDE EFFECTS acute:

A

● Fatigue
● Nausea
● Vomiting
● Anorexia
● Skin erythema
● Desquamation
● Mucositis
● Xerostomia
● Taste loss
● Proctitis
● Cystitis
● Decreased libido
● Sterility
● Amenorrhea
● Hematological
changes

240
Q

Dryness of or inflamed mucosal membrane

A

Mucositis

241
Q

Dryness of mouth

A

Xerostomia

242
Q

RADIATION THERAPY SIDE EFFECTS delayed:

A

● Soft-tissue fibrosis
● Skin atrophy
● Auditory changes
● Pulmonary fibrosis
● GI stricture
● Thyroid dysfunction
● Brain necrosis
● Myelitis
● Plexopathy
● Lymphedema
● Secondary
malignancies
● Osteonecrosis

243
Q

most common malignancies assoc c lymphedema:

A

Breast cancer
melanoma
gynecological malignancies
lymphoma

244
Q

Since the cancer cells travel along the lymph, it may also
affect the flow of the _

A

lymphatic circulation

245
Q

torf lymphedema has pain

A

f, painless

246
Q

painless, gtradual, colorless swelling with heaviness and loss
of limb contour

A

LYMPHEDEMA

247
Q

lymphedema: _ symptoms, preserve _, maintain function,
decrease the risk of _

A

reduce, cosmesis, recurring infection

248
Q

lymphedema resolved thru:

A

Complexion decongestive
therapy (MLD)

249
Q

phases of complexion decongestive therapy:

A

○ Decongestive phase
○ Maintenance phase

250
Q

As PTs, we do (for lymphedema)

A

Skin care,
stretching,
soft tissue mobilization to proximal limbs
massage
bandaging

251
Q

More commonly a side effect of treatment

A

CANCER-RELATED SEXUAL DYSFUNCTION

252
Q

_and _ may interfere
with sexual attractiveness

A

Physical changes, depression

253
Q

Chemotherapy has adverse
effects in
_ and _ production

A

spermatogenesis, testosterone

254
Q

Because chemotherapy is not selective.
It affects both cancer cells and healthy cells TorF

A

T

255
Q

Permanent _ is side effect for women

A

menopause

256
Q

Diagnoses most likely to affect long term
employment include _ _ _

A

CNS tumors,
head and neck tumors,
advanced hematologic malignancies

257
Q

long term employment is Highly dependent on the _

A

type of cancer

258
Q

SPECIFIC TUMORS AND REHABILITATION NEEDS (7)

A

breast cancer
head and neck cancer
hematologic malignancies
lung ca
GI malignancies
brain tumors
sarcomas of bone and soft tissue

259
Q

Most common malignancy in women

A

BREAST CANCER

260
Q

what do u call the pain present in breast cancer after surgery?

A

Post-surgical pain syndrome (post-mastectomy
pain syndrome)

261
Q

Phantom breast pain is also called

A

Post-surgical pain syndrome (post-mastectomy
pain syndrome)

262
Q

Post-surgical pain syndrome in breast ca:

A

○ Phantom breast pain
○ incisional allodynia
○ neuroma formation
○ pectoralis muscle pain
○ Intercostal neuropathy

263
Q

mx for breast cancer:

A

Cutaneous desensitization,
soft tissue mobilization,
stretching,
shoulder ROM,
thermal modalities with caution

264
Q

If cold modalities works on the patient, we must opt
for the:

A

cold modalities instead of heating modalities

265
Q

Breast cancer-related shoulder dysfunction is d/t:

A

operation

266
Q

what perectn affected for breast ca related shoulder dyfucntion:

A

> 50% affected

267
Q

most common long term morbidity

A

Breast cancer-related shoulder dysfunction

268
Q

HEAD AND NECK CANCER type of cell

A

Squamous cell carcinoma

269
Q

head and neck ca d/t

A

Alcohol and tobacco use

270
Q

head and neck also causes _ dyfunction

A

swallowing

271
Q

Swallowing dysfunction causes:

A

loss of oral intake,
weight loss,
fatigue,
decreased survival

272
Q

Effects of radiation therapy

A

○ Mucositis
○ Xerostomia

273
Q

HEMATOLOGIC MALIGNANCIES often produce

A

fatigue

274
Q

why hematologic malignancies produce fatigue?

A

because red blood cells are affected

275
Q

Most common pain in hema malignancies:

A

neuropathic pain

276
Q

hematologic malignancies:

A

Hodgkin’s vs Non-Hodgkin’s lymphoma
Leukemia

277
Q

LUNG CANCER produce _ and _

A

fatigue and deconditioning

278
Q

LUNG CANCER type of lung tumor:

A

Apical lung tumor (Pancoast tumor)

279
Q

lung ca MX:

A

Pulmonary hygiene and breathing exercises,
coughing exercise
pursed-lip breathing
diaphragmatic breathing
segmental breathing

280
Q

to keep the cough productive for easier expulsion of sputum

A

coughing exercises

281
Q

done if the patient complains of difficulty in breathing

A

pursed-lip breathing

282
Q

to preserve lung function

A

segmental breathing

283
Q

is the 4th most common cancer in the US

A

Colorectal cancer

284
Q

2nd leading cause of cancer death

A

GI MALIGNANCIES

285
Q

The only major malignancy equally affecting
males and females

A

GI MALIGNANCIES

286
Q

_ is the only curative treatment for gi malignancies

A

Surgery

287
Q

BRAIN TUMORS could be:

A

benign
malignant

288
Q

are the most common primary malignancies of the bone

A

Osteosarcoma,
chondrosarcoma,
pediatric Ewing’s sarcoma,
malignant fibrous histiocytoma

289
Q

Usually, if these are early detected, the patients are required to
undergo _

A

amputation

290
Q

Patients with _ usually has a good prognosis if they
undergo amputation and treatment

A

Pediatric Ewing’s Sarcoma

291
Q

Most common malignancy in men

A

PROSTATE CANCER

292
Q

Has high chance of survival

A

PROSTATE CANCER

293
Q

True or False: prostate cancer is treatable

A

t

294
Q

are the most common causes of death in prostate cancer

A

Bone metastasis
complications of androgen deprivation

295
Q

PROSTATE CANCER may experience _ or _

A

incontinence or impotence

296
Q

OMTs

A

australian modified karnofsky performance scale
barthel ADL index
FACIT
zarit caregiver burden assessment instruments

(3) PT in Special Conditions (40 decks)

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