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exercise prescription > cancer > Flashcards

cancer Flashcards

1
Q

cancer

A

disease in which some of the body’s cells grow and uncontrollably spread to other parts of the body

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2
Q

stage 0 cancer

A

cancer cells found in their earliest form

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3
Q

stage 1 cancer

A

small tumor that hasn’t spread

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4
Q

stage 2 cancer

A

cancer that has grown more deeply into nearby tissue

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5
Q

stage 3 cancer

A

cancer that has spread to lymph nodes or nearby tissue

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6
Q

stage 4 cancer

A

cancer that has spread to distant parts of the body

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7
Q

leading site of new cancer and deaths for males

A

new cases: prostate
death: lungs and bronchus

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8
Q

leading site of new cancer and deaths for females

A

new: breast
death: lungs and bronchus

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9
Q

projection of survivorship of cancer

A

31% increase by 2030

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10
Q

of new cancer cases projected in 2024

A

2M +

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11
Q

of all cancer deaths in people under 50, ____ is now #1 in men and #2 in women

A

colorectal

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12
Q

___ screenable cancers on the rise

A

4

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13
Q

recommendations ___ min of moderate intensity aerobic activity each week and ___ muscle strength activities

A

150, 2 days

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14
Q

benefits of exercising for individuals along the cancer continuum

A

decreased risk of reoccurrence
improved physical function
improved treatment tolerance
decreased lymphedema risk
improved mental health
decreased fatigue

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15
Q

focused clinical evaluation

A

weight/BMI
blood pressure
history of anemia
baseline level of activity, current
barriers to PA
systems
diseases
treatable contributing factors

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16
Q

assessment of comorbitities and treatment effects as appropriate

A

CVD
pulmonary disease
arthritis/musculoskeletal issues
lymphedema
peripheral neuropathy
bone health/strength
incontinence
stoma or ostomy
fall risk assessment
assistive decides
history of anemia/thrombocytopenia
steroid myopathy

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17
Q

cancer treatment

A

surgery
immunotherapy and endocrine therapy
radiation
chemotherapy

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18
Q

cardiovascular and pulmonary considerations (cancer)

A

cardiac: chemotherapy
pulmonary: radiation in lung field, lobectomy
monitor vital signs
obtain medical clearance

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19
Q

aromatase inhibitors

A

estrogen
arthralgia and myalgia

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20
Q

androgen deprivation therapy

A

testosterone
weakness and difficulty building muscle mass

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21
Q

lymphedema

A

abnormal accumulation of protein rich fluid in the tissue which can result in swelling of a body part and fibrosis

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22
Q

who is at risk to develop lymphedema

A

most commonly associated with women with a history of breast cancer
any individual with lymph node removed for biopsy

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23
Q

lymphedema signs and symptoms

A

heavines
fullness
visible swelling
sleeves and jewelry are tight

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24
Q

lymphedema high risk to develop

A

cellulitis infection

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25
Q

complete decongestive therapy:

A

skin and wound care
exercise
compression bandages
manual lymph drainage
phase 1 decongestion
phase 2 maintenance

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26
Q

exercise safely with lymphedema

A

strength after breast cancer program
sno set restrictions
recommendation to wear garment
initiate low and slow
monitor symptoms of exacerbation

27
Q

chemo induced peripheral neuropathy sensory symptoms

A

pain, burning, tingling, numbness, sensitivity to temp and pressure

28
Q

chemo induced peripheral neuropathy motor symptoms

A

muscle atrophy, weakness, balance impairment, gait impairment

29
Q

certain chemotherapy drugs can cause neurotoxicity to also include

A

vestibular symtpoms

30
Q

osteoporosis may be a result of

A

hormone therapy

31
Q

osteoporosis is ____ induced

A

radiation

32
Q

bone metastasis location (cancer)

A

lesion

33
Q

bone metastasis may cause

A

bony compromise with increase risk for fracture

34
Q

with bone metastasis, avoid

A

direct loading to lesions or of muscles proximal
long lever strengthening
high intensity loading
excessive rotation and bending
excessive end range motions

35
Q

bladder main sites of metastasis

A

bone, liver, lung

36
Q

breast main sites of metastasis

A

bone, brain, liver, lung

37
Q

colon main sites of metastasis

A

liver, lung, peritoneum

38
Q

kidney main sites of metastasis

A

adrenal gland, bone, brain, liver, lung

39
Q

lung main sites of metastasis

A

adrenal gland, bone, brain, liver, other lung

40
Q

melanoma main sites of metastasis

A

bone, brain, liver, lung, skin, muscle

41
Q

ovary main sites of metastasis

A

liver, lung, peritoneum

42
Q

pancreas main sites of metastasis

A

liver, lung, peritoneum

43
Q

prostate main sites of metastasis

A

adrenal gland, bone, liver, lung

44
Q

rectal main sites of metastasis

A

liver, lung, peritoneum

45
Q

stomach main sites of metastasis

A

liver, lung, peritoneum

46
Q

thyroid main sites of metastasis

A

bone, liver, lung

47
Q

uterus main sites of metastasis

A

bone, liber, lung, peritoneum, vagina

48
Q

pelvic floor dysfunction

A

bowel and bladder and/pr sexual dysfunction

49
Q

pelvic floor dysfunction common causes in oncology population

A

radiation
post op
treatment side effect
compression due to tumor location

50
Q

pelvic floor dysfunction symptoms considered medical emergency

A

onset of bowel or bladder incontinence

51
Q

stoma and ostomy may be present following

A

resection due to colorectal cancer

52
Q

anemia and thrombocytopenia symptoms

A

weakness
shortness of breath
dizziness/lightheadedness
high bleeding risk/easily bruised

53
Q

steroid myopathy

A

proximal muscle weakness that occurs in individuals with prolonged and chronic steroid use

54
Q

steroid myopathy can affect ___ function

A

respiratory

55
Q

steroid myopathy most commonly seen in individuals with

A

brain cancer

56
Q

HSCT injury risk

A

light intensity avoiding vigorous exercise due to potential immune effects

57
Q

prostate cancer injury risk

A

fracture risk due to hormone therapy, radiation, bony mets

58
Q

breast cancer injury risk

A

fracture risk due to hormone therapy, radiation, bony mets

59
Q

multiple myeloma injury risks

A

high incidence of bony involvement
be mindful of body mechanics and loading as if osteoporotic

60
Q

individuals in active cancer treatment unsafe for exercise if displaying

A

significant weakness
gait pattern change
anemia
signifiant fatigue
any other worsening or change in physical status

61
Q

aerobic FITT for cancer survivors

A

3-5 days
40-60% HRR
30 mins
any preferred

62
Q

resistance FITT for cancer survivors

A

2-3 days, 48 hours in between
60-80% 1RM
>1 set, >8 reps per set 60s rest
all major muscle group

63
Q

flexibility FITT for cancer survivors

A

2-3 days to daily
within limits of pain
10-30 sec
static for major

exercise prescription (16 decks)

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