Lecture 18 - Precautions For Exercise Prescription Flashcards
Lecture 18:
What are the 9 common side-effects of Exercise Prescription in cancer survivors?
1.) fatigue
2.) Edema (swelling) & lymphedema
3.) Leukopenia
4.) Thrombocytopenia
5.) Anemia
6.) Nausea, diarrhea, & dehydration
7.) Incisions & Sutures
8.) Post-Surgical Pain
9.) Skin Reactions due to Radiation
Lecture 18:
When discussing common side-effects in cancer survivors, how does Fatigue impact exercise prescription?
Fatigue varies over time & therefore need to modify prescriptions
Lecture 18:
When discussing common side-effects in cancer survivors, how does Edema & Lymphedema impact exercise prescription?
Must monitor circumferences for swelling & ask survivor if any feelings of tingling, numbness, heaviness, & pain
- refer survivor to physiotherapist if this occurs
Lecture 18:
When discussing common side-effects in cancer survivors, how does Leukopenia impact exercise prescription?
This means immune system is compromised so must be extra careful to not “over do it”
- keep exercise moderate & monitor blood values
*exercise specialists not feeling well should not go to work
Lecture 18:
When discussing common side-effects in cancer survivors, how does Thrombocytopenia impact exercise prescription?
Thrombocytopenia = increased blood clotting time so much be careful with activities that may cause bruising (eg; free weights)
Lecture 18:
When discussing common side-effects in cancer survivors, how does Anemia impact exercise prescription?
Anemia = low red blood cells
- choose low-moderate intensity activities
Lecture 18:
When discussing common side-effects in cancer survivors, how does Nausea/Diarrhea/Dehydration impact exercise prescription?
Wouldn’t exercise if severe & always have water available for patients
Lecture 18:
When discussing common side-effects in cancer survivors, how do Incisions/Sutures impact exercise prescription?
Don’t want to have exercises that produce stress on the incision site
- avoid swimming until completely healed
Lecture 18:
At what point is someone considered fully healed from an incision or surgery?
Could be as long as 8 weeks post surgery
Lecture 18:
When discussing common side-effects in cancer survivors, how does Post-Surgical Pain impact exercise prescription?
Minimize the pain by altering exercises until pain goes away
Lecture 18:
When discussing common side-effects in cancer survivors, how do Skin Reactions impact exercise prescription?
Skin reactions from radiation increase risk of pain & infections so avoid excessive sweating when forming exercise prescription
Lecture 18:
How do Bone Marrow Transplants impact exercise prescriptions & why must you be precautious?
Very low immune function, thrombocytopenia, & anemia are all symptoms that come along with this
*important to be very careful
Lecture 18:
What’s are some reasons for stopping exercise in breast cancer patients?
Changes in arm/shoulder symptoms or swelling (seek medical care)
Lecture 18:
What are some Breast Cancer-Specific Risks of Injury from exercise prescriptions?
- shoulder & arm region
- women with lymphedema should wear compression sleeves
- fractures for those on hormone therapy or with bone metastases
Lecture 18:
What are some Prostate Cancer-Specific Risks of Injury from exercise prescriptions?
No specific cancer-related reasons for stopping exercise
- risk of fracture for patients on ADT (androgen deprivation therapy or bony metastasis
Lecture 18:
What are some Colon Cancer-Specific Risks of Injury & reasons to stop exercise prescriptions?
Hernia &/or osteomy-related infection may require exercise termination
- avoid excessive intra-abdominal pressure for those with ostomy appliances
Lecture 18:
What are some Adult Hematologic Risks of Injury & reasons to stop exercise prescriptions?
- no cancer specific reasons to stop exercise, other than generalized ones
- Cancer specific risk = Multiple Myeloma (treated like osteoporosis patients)
Lecture 18:
What are some Gynecologic Cancer-Specific Risks & reasons to stop exercise prescriptions?
If swelling/inflammation in groin or abdomen, then need medical care before exercising
*changes in swelling/inflammation = reason to stop
- Risk = potential swelling in lower extremities &/or fracture for those treated w hormone therapy
Lecture 18:
What are a few other Precautions to take when providing exercise prescriptions for all types of cancers?
- adverse cardiopulmonary event may be higher in patients on chemotherapy
- Bone metastases = potential risk for fractures so may need to alter intensity, duration, & mode
Lecture 18:
What does it mean to dislodge a PICC line & what should you avoid?
A dislodges PICC line means it has moved out of place in the vein (probably from exercise)
- avoid stretching or straining the arm to prevent dislodging the line
Lecture 18:
What does it mean to displace a PICC line & what should you avoid?
Tip of catheter has moved from superior vena cava and is now in the wrong position
- avoid lifting more than 10-15lbs (either arm)
Lecture 18:
How do you avoid getting an infection in/at a PICC line?
Avoid excess sweating & avoid getting incision point wet
Lecture 18:
What are a few points for safe Resistance Training in patients with PICC lines?
- exercise with caution
- avoid bicep curls or limit weight to no more than 5lbs
- avoid full extension with the effected arm
- avoid crossing the midline of body
- use low weights/light bands, especially on effected side
