4.9 () Physiotherapy in PC Flashcards
What can be taught by PT to relieve dyspnea
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
What are the four stages of rehabilitation in cancer
preventative
restorative
supportive
palliative
Pulmonary rehab involves multidisciplinary care for patients with COPD and has good evidence of benefit. List 3 benefits of pulmonary rehab
improve dyspnea
improve health status
improve psychological well being
improve exercise capacity
Physiotherapists can assist patients with exercise in the setting of PC. What are three benefits of physiotherapist led exercise for these patients?
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
Physiotherapists can contribute to pain management for palliative patients. List four techniques that physiotherapists can use for managing pain in PC
exercise re-education of posture relaxation TENS (transcutaneous nerve stimulation) acupuncture heat ice massage
List the four cornerstones of therapy for lymphedema that PT can help with
Meticulous skin care
graded exercise and movement
compression (hosiery, specialized garments, bandaging)
lymphatic drainage massage / breathing exercises for thoracic lymphatic drainage
What are three contraindications to chest physio?
osteoporosis
bone mets
hemoptysis
What is the acupuncture point for nausea
neiguan point - inner arm near your wrist
What 3 things does PT maximize?
Function, independence and choice