Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

SpeCon > Cancer Rehabilitation > Flashcards

Cancer Rehabilitation Flashcards

1
Q

cancer is caused by

A

dysregulated cell growth and systemic spread

rapid cell turnover, hormone sensitivity, regular exposure to mutagens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Patients with CA live longer due to

A

early detection
broad selection of treatment options
better medical management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

cancer is the ______ leading cause of death in the US and Philippines

A

2nd

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

most common cancers include

A

breast, lung, colorectal, liver, prostate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

rehab goals are

A

restorative
supportive
preventive
palliative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Karnofsky scale score 100

A

normal; no complaints; no evidence of disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

karnofsky scale 90

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

karnofsky scale 80

A

normal activity with effort; some signs or symptoms of disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

karnofsky scale 70

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

karnofsky scale 60

A

requires occasional assistance
able to care for most personal needs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

karnofsky scale 50

A

requires considerable assistance and frequent medical care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

karnofsky scale 40

A

disabled; requires special care and assistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

karnofsky scale 30

A

severely disabled; hospital admission is indicated; death not imminent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

karnofsky scale 20

A

very sick; hospital admission necessary; active supportive treatment necessary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

karnofsky scale 10

A

moribund; fatal processes progressing rapidly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

risk factor for transfer back to acute care

A

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

low albumin: functioning of circulatory system is low

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Cancer phases

A

initial diagnosis
surveillance
recurrence
temporization
palliation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

rehab priorities during initial diagnosis

A

detect and manage acute morbidity from cancer treatments
address worsening of premorbid physical impairments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

rehab priorities during surveillance

A

physically recondition
detect and address delayed cancer treatment toxicities
promote reentry into vocational, social, and family roles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

rehab priorities during recurrence

A

screen for cancer treatment toxicities, given the increased risk

proactively manage early-stage impairments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

rehab priorities during temporization

A

control symptoms
prevent and proactively address disablement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

rehab priorities during palliation

A

preserve community integration
support and educate caregivers/family members
maintain functional autonomy as feasible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Precautions

A

hematologic profile: low hemoglobin levels = lower exercise capacity

metastatic bone disease: do not carry heavy weights, no high intensity activities

compression of hollow viscous vessel or spinal cord

fluid accomodation in pleura, pericardium, abdomen, or retroperitoneum

VNS depression or coma

hypo/hyperkalemia, hyponatremia, hyper/hypocalcemia

orthostatic hypotension

HR>110 bpm: need clearance from MD before participating in exercise

Fever>101 F/>38 C: do not treat pts with fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

first line of rx for pain

A

non-opioid analgesics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

timeframe of cancer pain

A

acute
crescendo: pts with cancer who occasionally experience rapidly escalating pain; progressive neoplasm or delirium
chronic

26
Q

skeleton is the —- most common for systematic metastasis

A

3rd most common

27
Q

osteolytic bony metastases

A

cancer takes up the bone

28
Q

osteoblastic

A

instead of taking up the bone, they make more bone

29
Q

most insidious clinical presentation of bony metastases

A

pain

30
Q

most sensitive test in identifying bone metastasis

A

triple phase bone scan

31
Q

when to use MRI

A

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

32
Q

when to use PET scan

A

lesion is osteoclastic
most sensitive when checking cancer patients for metastasis disease

33
Q

exercise prescription for bony metastatic disease should focus on

A

maintenance of strength
maintenance/improvement of endurance
function with limited loading or tension of the affected bone

34
Q

fatigue is pathological when

A

it persists and occurs during our usual activities, does not respond to rest

35
Q

cancer related fatigue likert scale

A

1 to 3 = mild
4 to 6 = moderate
7 to 10 = severe

36
Q

reversible sources of cancer fatigue

A

anemia
insomnia
cytokine release
hypothyroidism
hypogonadism
depression
deconditioning
steroid myopathy
centrally acting medications
altered oxidative capacity
pain
adrenal insufficiency
cachexia

37
Q

exercise prescription for endurance

A

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

adults: 45-60 mins
children: 60 mins

38
Q

precautions for endurance exercises

A

thrombocytopenic patients

unrestricted exercises for 30-50k platelet count

aerobic exercises okay in patients with 10-20k platelet count

active therapy not advocated for <10k platelet count

39
Q

exercise program for patients undergoing chemotherapy

A

supervised strengthening and aerobic program among breast cancer patients at 40-60% twice weekly for 21 weeks

aerobic training 3x/week for 15 weeks

40
Q

exercise program for patients undergoing marrow transplant

A

supine or sitting exercises well tolerated
supine exercises with head of bed elevated
standing exercises for brief periods to avoid gastrocsoleus tightness
ROM, aerobic exercise, light resistive exercise, deep breathing

41
Q

most catastrophic neurologic impairment in the cancer population

A

metastatic brain disease

42
Q

metastatic brain disease occurs most frequently with

A

lung, breast colorectal, melanoma, and genitourinary cancers

43
Q

metastatic brain disease is 85% in the — and 15% in the —-

A

85% in the cerebrum, 15% in the cerebellum

44
Q

signs of metastatic brain disease

A

progressive ha, hemiparesis, seizures, mental status change

45
Q

best diagnostic imaging for metastatic brain disease

A

MRI

46
Q

leptomeningeal disease

A

cancer cells migrate from breast, lung, or some other body part into the CSF/CNS

47
Q

spinal cord involvement: prostate and kidney leads to

A

lumbar metastasis

48
Q

spinal cord involvement: breast and lung leads to

A

thoracic metastasis

49
Q

spinal cord involvement: multiple myeloma leads to

A

metastasis in other bony areas since cancer of blood

50
Q

most common spinal cord involvement

A

thoracic followed by lumbar

51
Q

pain with spinal cord involvement

A

progressive, insidious back pain worse when lying down

52
Q

radiation therapy acute side effects

A

fatigue
nausea
vomiting
anorexia
skin erythema
desquamation: skin degrades
mucositis
xerostomia: decreased saliva production
taste loss
proctitis: inflammation of lining of rectum
cystitis: inflammation of bladder
decreased libido
sterility
amenorrhea: loss of menstrual cycle
hematological changes

53
Q

radiation therapy delayed effects

A

soft tissue fibrosis
skin atrophy
auditory changes
pulmonary fibrosis
GI stricture: hardening of GI
thyroid dysfunction
brain necrosis
myelitis
plexopathy
lyphedema
secondary malignancies
osteonecrosis

54
Q

most common malignancies associated with lymphedema are

A

breast cancer, melanoma, gynecological malignancies, lymphoma

55
Q

signs of lymphedema

A

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

56
Q

goals for lymphedema

A

reduce symptoms, preserve cosmesis, maintain function, decrease risk of recurring infection

Complex decongestive therapy (MLD): decongestive and maintenance phase

57
Q

signs of malnutrition

A

serum albumin <3g/dL; can also indicate kidney or liver disease

loss of 10% or more of pre illness body weight

58
Q

diagnoses most likely to affect long term employment includ

A

CNS tumors, head and neck tumors, advanced hematologic malignancies

59
Q

most common malignancy in women

A

breast cancer

60
Q

post surgical pain syndrome in breast cancer

A

phantom breast pain
incisional allodynia
neuroma formation
pectoralis muscle pain
intercostal neuropathy

61
Q

pts who underwent mastectomy should

A

mobilize shoudler early
cutaneous desensitization
soft tissue mobilization
stretching
shoulder ROM
thermal modalities with caution

SpeCon (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions