Cancer Flashcards

1
Q

Lymphedema

A

a buildup of lymph fluid in the fatty tissues under the skin that causes swelling; it is often a sequela to surgery and/or radiation that involves one or more lymph nodes and remains a lifetime risk for people living with cancer.

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2
Q

Metastasis

A

occurs when cancer cells migrate into the bloodstream or lymph system, travel to other parts of the body, and form new tumors.

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3
Q

Palliative care:

A

an approach that aims to improve quality of life for families and patients facing life-threatening illness. It provides relief from pain and other distressing symptoms, support to help patients live as actively as possible, and coping and bereavement assistance.

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4
Q

Peripheral neuropathy:

A

refers to numbness, tingling, and/or pain caused by nerve damage.

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5
Q

Survivorship:

A

the cancer journey phase that begins as patients complete medical treatment and continues throughout the remainder of the patients’ lives.

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6
Q

Cancer survivors face long-term side effects and health risks as a result of

A

both treatment and ongoing fear of recurrence.These challenges may interfere with activity and role performance, necessitating the services of occupational therapists.

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7
Q

The term cancer refers to a

A

group of diseases in which abnormal cells divide without control, can invade nearby tissues, and travel through the blood and lymph systems to other body parts.

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8
Q

Staging is the process of

A

determining the severity of a person’s cancer based on the degree to which a cancer has spread4

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9
Q

Common elements in most staging systems consider

A

the primary tumor site, tumor size and number, spread into lymph nodes, and the presence or absence of metastasis

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10
Q

Stage 0

A

Abnormal cells are present but have not spread to other tissues. This stage is typically highly curable.

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11
Q

Stage I

A

Cancer that is the next least advanced; patients often have good prognosis. This is referred to as early-stage cancer because a small cancer or tumor hasn’t spread to lymph nodes or other body parts.

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12
Q

Stage II-III

A

Cancer involving more extensive disease as indicated by greater tumor size and/or cancer spread to nearby lymph nodes, but not to other body parts.

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13
Q

Stage IV

A

Cancer that has spread to other organs or body parts. This is referred to as advanced or metastatic cancer.

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14
Q

Problems that may interfere with occupational performance with - Breast Cancer

A

weakness, fatigue, body image issues, pain, lymphedema, limited ROM, brachial plexus injury, cognitive inneficiencies

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15
Q

Problems that may interfere with occupational performance with - lung Cancer

A

fatigue, dyspnea, weakness, limited ROM, limited endurance

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16
Q

Problems that may interfere with occupational performance with - Brain Cancer

A

cognitive problems, impaired vision and balance, decreased sensation, dysphasia, hemiparesis, impaired coordination, personality changes

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17
Q

Problems that may interfere with occupational performance with - Sarcoma

A

Possible amputation or issues associated with limb salvage, body image issues, peripheral neuropathy, pain, fatigue, edema

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18
Q

Problems that may interfere with occupational performance with - colorectal

A

Gastrointestinal problems (diarrhea, constipation, incontinence, bowel obstruction), physical and psychosocial challenges associated with managing an ostomy

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19
Q

Cancer-related fatigue (CRF)

A

defined as an upsetting and enduring sense of physical, emotional, and/or cognitive exhaustion that impedes functioning and is inconsistent with recent activity levels.

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20
Q

Cancer-related fatigue (CRF) involves what concurrent symptoms.

A

CRF involves concurrent symptoms such as pain, stress, low red blood cell count, and difficulty sleeping.

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21
Q

What does the The National Comprehensive Cancer Network (NCCN) recommends for cancer related fatigue

A

referral to occupational therapy for nonpharmacological CRF intervention.

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22
Q

What is cancer-related cognitive dysfunction (CRCD; sometimes called chemobrain)?

A

CRCD involves mild but disruptive changes in memory, executive functions, attention, and processing speed

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23
Q

Chemotherapy-induced peripheral neuropathy (CIPN)

A

describes sensory impairment of the peripheral nerves caused by neurotoxicity associated with many commonly used chemotherapy drugs.

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24
Q

proto-oncogene is a

A

normal gene that has the potential to become more active or mutate into a cancer-causing oncogene.

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25
Q

Oncogenes allow

A

cells to grow and survive when they normally would not.

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26
Q

Benign tumors

A

do not spread into or invade nearby tissues, although they can still cause damage to the body.

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27
Q

Malignant tumors can

A

destroy normal cells and invade other tissues. As a tumor grows, some cancer cells can break off, traveling in the bloodstream or the lymphatic system to other body parts.

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28
Q

metastasis

A

When cancer cells can break off, traveling in the bloodstream or the lymphatic system to other body parts. This process is known as

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29
Q

Hyperplasia

A

occurs when cells divide faster than normal, and there is a buildup of extra cells or an increase in cell mass.

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30
Q

Intrinsic risk factors are those over which the individual has

A

no control

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31
Q

Dysplasia is

A

a buildup of cells that appear abnormal microscopically, and there are differences from normal cells noted in cell organization, size, and shape.

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32
Q

extrinsic risk factors may be

A

modifiable and and thus preventable.

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33
Q

examples of intrinsic risk factors for cancer

A

age, heredity, hormones, immune system competence, and metabolic abnormalities.

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34
Q

Five main categories of cancer In situ:

A

In Situ, localized, regional, distant, unknown

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35
Q

In situ:

A

Abnormal cells are present only in the layer of cells in which they developed.

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36
Q

Localized:

A

Cancer is limited to the organ in which it began no evidence of spread.

37
Q

Regional:

A

Cancer has spread beyond the primary site to nearby lymph nodes, tissues, or organs.

38
Q

Distant:

A

Cancer has spread from the primary site to distant tissues or organs or to distant lymph nodes.

39
Q

Unknown:

A

There is not enough information to determine the stage.

40
Q

survivorship

A

long term impact of cancer after cancer is gone.

41
Q

NY state most common occurring cancer

A

Prostate
Breast (female)
Lung & bronchus

42
Q

Areas of occupation most frequently impacted by cancer

A

Bathing/showering; dressing; eating/feeding

43
Q

areas of body function most frequently impacted by cancer

A

Attention; memory; physical energy & endurance

44
Q

performance skills most impacted by cancer

A

Bending; reaching; coordinating body movements

45
Q

T =
N =
M =

A

Tumor, Node, Metastasis

46
Q

Tumor 1-4

A

Indicates growth of tumor
T1= smaller tumor
T4= larger tumor that has grown into another organ

47
Q

Nodes
0-2

A

Shows if cancer has grown to lymph nodes
N0 = no lymph no growth
N1 = cancer spread to 1-3 nodes
N2 = cancer spread to 4 or more nodes

48
Q

Metastasis
0-1

A

Shows if cancer has spread to other distant parts of the body
M0= cancer has not spread
M1= cancer has spread

49
Q

Common Metastasis Sites

A

Bone
Brain
Lungs
Liver
Lymph nodes

50
Q

87% of patients with cancer have what kind of needs?

A

rehabilitation needs

51
Q

qualifying conditions with cancer for OT

A

ADL/IADL
Debility, fatigue
Neuropathy
Lymphedema
Cognitive decline
UE impairment
Balance issues
Pain
Falls

52
Q

How does an OT intervene with cancer patient for Preventative
Care

A

talk to them about post surgery and how to manage and keep things from getting worse.

53
Q

Restorative care with patients with cancer

A

how to get back to normal level of function

54
Q

Supportive role for OTs in cancer care

A

keeping them as strong as possible to maintain strength and keep them indipendent in their own home.

55
Q

palliative care is

A

looking at quality of life. looking at balance between function and comfort.

56
Q

what is the challenge for palliative care

A

healthcare doesn’t pay for palliative care.

57
Q

what would OT intervene with in Acute Care:

A

general mobility, endurance, cognitive stim, positioning, self care

58
Q

what would OT intervene with in Rehab/Subacute:

A

Restore function, strengthening, energy conservation, ADLs

59
Q

what would OT intervene with in Home Care:

A

Restore daily ADLs, equipment, compensatory strategies, caregiver training, progress indep

60
Q

what would OT intervene with in Outpatient:

A

improve ROM, strength, endurance for function

61
Q

Assessments areas for cancer

A
  • ADL/IADL - BI, AMPAC
  • Fatigue - Cancer Fatigue Scale
  • Neuropathy - Sensation
  • Lymphedema - Circumferential measurements
  • Cognitive decline - TFLS, CPT, MMSE, MoCA
  • UE Impairment - DASH, ROM, MMT, Dynamometer, pinch meter, goniometer, sensation,
  • Balance - Berg, TUG, 5XSST,
  • Falls - Functional React Test, TIS
  • Pain - Pain Analog Scale
62
Q

What are the type of treatments a person with cancer may have all at the same time

A

Surgery
Chemotherapy
Radiation
Hormone
Alternative Approaches

63
Q

debulking-

A

remove part of malignant tumor to enhance effectiveness of chemo/radiation TX

64
Q

types of surgery

A

Mastectomy or lumpectomy
Ovarian (bilateral salpingo-oophorectomy)
Cystectomy - removal of part of bladder.

65
Q

with anytime of abnominal surgery what type of bed mobility are we doing

A

log rolling

66
Q

post surgery what the weight lifting precautions?

A

no more than 5lbs with affected side no more than 10 with both.

67
Q

abdominal surgery precautions

A

Log roll
No lift > 5-10 lbs
Avoid strain
Binder
Body mechanics
Back protection

68
Q

What are some things to be cautious of for someone who’s had surgery after cancer

A

Drains & lines
Glad press & seal to cover in shower
Check BP first bf shower
Transfers

69
Q

Side effects of chemotherapy

A

Nausea
Vomiting
Mouth Ulcers
Hair Loss
Fatigue
Decreased WBC

70
Q

oral hygiene and chemo

A

chemo can cause bleeding in gums. offer a soft brush and being very careful with flossing.

71
Q

a person receiving chemo is considered to be what kind of risk?

A

immunocompromised. it lowers white count and makes them more at risk for infection.

72
Q

radiation therapy

A
  • Shrinks tumor via gamma or x-ray
  • May occur prior to surgery or along with other therapies
  • can cause a burn on the skin.
73
Q

Gliomas (Supportive Tissue)

A

Astrocytoma Brain or SC
Cerebrum
Glioblastoma Multiforme (GBM)
Young adults affected
Neurological presentation may be cognitive, sensory, motor

74
Q

secondary brain tumors

A

Cancer cells originate elsewhere & spreads through metastasis

75
Q

Multiple Myeloma:

A

Cancer of plasma cells of bone marrow (check weight bearing status, pathological FX)

76
Q

Vital Organ cancers:

A

Kidney, liver, lung, pancreas, or stomach

77
Q

Reproductive Organ cancers:

A

Uterine, ovarian, fallopian tubes, prostate

78
Q

platelet more tha 5000

A

May be on bedrest

79
Q

platelets more than 10000

A

No ex. but can walk in room or bathroom if steady

80
Q

platelets between 10 and 19,000

A

AROM & Cardio ok without strain or signs of bleeding (no PROM)

81
Q

20,000 & 49, 000 platelets

A

Strength & cardio of if no bleeding but without strain. NO massage

82
Q

50,000 - 100,000 platelet count.

A

Cardiovasc ex and strengthening w/ resistance ok – if no bleeding

83
Q

Hematocrit (HCT): must be

A

> than 25% for any form of exercise
25 light ex, shower
30-32 resistive ex as tolerated

84
Q

Hemoglobin (HB): must be

A

> than 8.5 for any form of exercise
8-10 light exercise
10 resistive exercise

85
Q

Precautions of working with a patient with cancer

A

Blood levels - but OT’s don’t need to know that but they nurses may weigh in.

Mucositis: side effect of chemo mouth ulcers or painful swallow

Steroid Myopathy: weakness of prox to distal ms . weakness of hands and hips.

hand to foot syndrome - looks like they have sunburn on hands and feet.

86
Q

With hand and foot syndrome why does it happen , how to modify

A

side effect of chemo. be cautious of textures, transfers, no friction on skin. water temp is mild. Make sure gate belt doesn’t go directly on skin.

87
Q

what consideration would use to choose assessment

A

type of cancer and what symptoms the cancer is created. consider what setting you are in. are they post-op, outpatient, etc.

88
Q
A