4.9 () Physiotherapy in PC Flashcards

1
Q

What can be taught by PT to relieve dyspnea

A

Position:
sitting forward while resting forearms on thighs
forward lean standing
relaxed sitting
high side lying - knees slightly bent, shoulders raised and rolled slightly prone

Breathing exercise:
Diaphragmatic, paced, relaxed breathing
Pursed lipped breathing

Using tools:
Fans

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2
Q

What are the four stages of rehabilitation in cancer

A

preventative
restorative
supportive
palliative

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3
Q

Pulmonary rehab involves multidisciplinary care for patients with COPD and has good evidence of benefit. List 3 benefits of pulmonary rehab

A

improve dyspnea
improve health status
improve psychological well being
improve exercise capacity

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4
Q

Physiotherapists can assist patients with exercise in the setting of PC. What are three benefits of physiotherapist led exercise for these patients?

A
maintaining joint range
preventing muscle shortening 
preventing contractures
reducing spasticity
reducing pain
improvement in muscle strength
improvement in balance
improvement in endurance
Improvement in joint range
improvement in functional capacity
reduction in anxiety and depression
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5
Q

Physiotherapists can contribute to pain management for palliative patients. List four techniques that physiotherapists can use for managing pain in PC

A
exercise
re-education of posture
relaxation
TENS (transcutaneous nerve stimulation)
acupuncture
heat
ice
massage
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6
Q

List the four cornerstones of therapy for lymphedema that PT can help with

A

Meticulous skin care

graded exercise and movement

compression (hosiery, specialized garments, bandaging)

lymphatic drainage massage / breathing exercises for thoracic lymphatic drainage

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7
Q

What are three contraindications to chest physio?

A

osteoporosis
bone mets
hemoptysis

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8
Q

What is the acupuncture point for nausea

A

neiguan point - inner arm near your wrist

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9
Q

What 3 things does PT maximize?

A

Function, independence and choice

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