Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

SpeCon > Cancer Rehabilitation > Flashcards

Cancer Rehabilitation Flashcards

(61 cards)

Start Studying
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
timeframe of cancer pain
acute crescendo: pts with cancer who occasionally experience rapidly escalating pain; progressive neoplasm or delirium chronic
26
skeleton is the ---- most common for systematic metastasis
3rd most common
27
osteolytic bony metastases
cancer takes up the bone
28
osteoblastic
instead of taking up the bone, they make more bone
29
most insidious clinical presentation of bony metastases
pain
30
most sensitive test in identifying bone metastasis
triple phase bone scan
31
when to use MRI
patients with localized bone pain, equivocal scan, or neurologic impairment
32
when to use PET scan
lesion is osteoclastic most sensitive when checking cancer patients for metastasis disease
33
exercise prescription for bony metastatic disease should focus on
maintenance of strength maintenance/improvement of endurance function with limited loading or tension of the affected bone
34
fatigue is pathological when
it persists and occurs during our usual activities, does not respond to rest
35
cancer related fatigue likert scale
1 to 3 = mild 4 to 6 = moderate 7 to 10 = severe
36
reversible sources of cancer fatigue
anemia insomnia cytokine release hypothyroidism hypogonadism depression deconditioning steroid myopathy centrally acting medications altered oxidative capacity pain adrenal insufficiency cachexia
37
exercise prescription for endurance
30 mins of moderately vigorous exercise on 5 or more days of the week adults: 45-60 mins children: 60 mins
38
precautions for endurance exercises
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
exercise program for patients undergoing chemotherapy
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
exercise program for patients undergoing marrow transplant
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
most catastrophic neurologic impairment in the cancer population
metastatic brain disease
42
metastatic brain disease occurs most frequently with
lung, breast colorectal, melanoma, and genitourinary cancers
43
metastatic brain disease is 85% in the --- and 15% in the ----
85% in the cerebrum, 15% in the cerebellum
44
signs of metastatic brain disease
progressive ha, hemiparesis, seizures, mental status change
45
best diagnostic imaging for metastatic brain disease
MRI
46
leptomeningeal disease
cancer cells migrate from breast, lung, or some other body part into the CSF/CNS
47
spinal cord involvement: prostate and kidney leads to
lumbar metastasis
48
spinal cord involvement: breast and lung leads to
thoracic metastasis
49
spinal cord involvement: multiple myeloma leads to
metastasis in other bony areas since cancer of blood
50
most common spinal cord involvement
thoracic followed by lumbar
51
pain with spinal cord involvement
progressive, insidious back pain worse when lying down
52
radiation therapy acute side effects
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
radiation therapy delayed effects
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
most common malignancies associated with lymphedema are
breast cancer, melanoma, gynecological malignancies, lymphoma
55
signs of lymphedema
painless, gradual, and colorless swelling with heaviness and loss of limb contour
56
goals for lymphedema
reduce symptoms, preserve cosmesis, maintain function, decrease risk of recurring infection Complex decongestive therapy (MLD): decongestive and maintenance phase
57
signs of malnutrition
serum albumin <3g/dL; can also indicate kidney or liver disease loss of 10% or more of pre illness body weight
58
diagnoses most likely to affect long term employment includ
CNS tumors, head and neck tumors, advanced hematologic malignancies
59
most common malignancy in women
breast cancer
60
post surgical pain syndrome in breast cancer
phantom breast pain incisional allodynia neuroma formation pectoralis muscle pain intercostal neuropathy
61
pts who underwent mastectomy should
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.
© 2025 Bold Learning Solutions. Terms and Conditions