M8: 1 Flashcards
How does exercise benefit the pt with cancer, in general?
- ease cancer related fatigue, MSK deficits
- lymphedema mgmt
- restoration of function
- prevent/minimize 2˚ disability
- sx relief with palliative care
What is the role of exercise in cancer prevention?
- Reduced risk of developing breast and colon cancer
2. Possible association with reduced risk of endometrial, prostate, and lung cancers
What risks are associated with exercise in cancer?
- Circulatory system distress
- Pathologic fx
- Lymphedema
- Immune response to physical stress
What types of circulatory system distress can occur with exercising a cancer pt?
- anemia
- thrombocytopenia
- cardiomyopathies
Lab values: platelets
Exercise not appropriate
Under 20K
Lab values: platelets
Exercise with caution
20-50K
Lab values: platelets
Exercise appropriate
Over 50K
Lab values: HCT
Exercise not appropriate
Under 25%
Lab values: HCT
Exercise with caution
25-30%
Lab values: HCT
Exercise appropriate
Over 30%
Lab values: HgB
Exercise not appropriate
Under 8
Lab values: HgB
Exercise with caution
8-10
Lab values: HgB
Exercise appropriate
Over 10
Lab values: WBC
Exercise not appropriate
Over 7000 and fever
Lab values: WBC
Exercise appropriate
5000-7000
Lab values: neutrophils
Exercise not appropriate
Under 500
Lab values: neutrophils
Exercise with caution
500-1000
Lab values: neutrophils
Exercise appropriate
1000
Gen’l PT implications of:
Low HgB/RBCs
- SOB
- excessive fatigue
- angina
- may need longer rest periods
- perform exercises at lower intensity and duration
Gen’l PT implications of: low platelets
- bleeding after minor trauma
- easy bruising
- bleeding of gums/nose
- avoid bumping pt and falls
- caution with stretching, PREs, grade III/IV mobs
Gen’l PT implications of: low WBC
- leukocytosis
- fever
- s/s infection
- inflammation or trauma
Wash yo hands
Gen’l PT implications of: high PTT/INR
- potential for spontaneous bleeding, hemarthrosis
- avoid aggressive PREs, stretching, or soft tissue mobs
PRE =
Progressive resistance exercise
