Oncology, Transplant and Burns Flashcards
TNM System
Primary Tumor
Lymph Node Involvement
Presence of Absence of Metatasis
PT considerations for oncology
- nausea and vomitting
- nutritional status..toxicity of chemo
- vital signs
- lab values (platelet, RBC, WBC)
- neutropenic precautions-isolation
- surgical incisions
PT Breast Cancer Considerations
- muscle transfer
- UE ROM restrictions
- post-operative drains
- lymphedema
- equipment needs for self care
Head and Neck Cancer considerations
- impairment of the pulmonary system
- secretion management
- nutrition challenges
- communication challenges
A
asymmetry
B
border/size
C
Color
D
diameter (greater than 6mm)
E
Elevation
Goals for oncology PT
- optimize function
- minimize or prevent CRF
- prevent joint contractures/skin breakdown
- prevent post-operative pulmonary complications
- dedicated equipment
- infection control
Kidney
must be kept above 110mmHg systolic pressure
Liver
deep breathing to decrease atelectasis
lumbar lordosis may be in excess
Lung transplant PT considerations
Coughing techniques: Re-education Breathing techniques Suctioning to remove secretions Vibration/Percussion Incentive spirometry Chest and upper extremity mobilization
PT considerations for transplant recipients
Schedule coordination with nurses Daily lab value assessment Infection control Early mobilization if medically stable Vital signs/RPE Standardized outcome measures appropriate for population being treated
What are the two types of burns?
thermal
electrical
Thermal burn
heat, team, chemical,
-usually top down
Electrical burn
entry and exit (through burn)
-fractures and nerve damage
Considerations for PT with burn patients
Infection control Body temperature maintenance Pain Management Post-surgical considerations -grafting -positioning
How often should aerobic exercise be done for patient with CRF?
3-5 days per week
How often should resistive exercise be done for patients with CRF?
2-3 days per week with 48 hours between sessions
How often should flexibility exercises be done for patients with CRF?
more than 2 days per week
How long should aerobic exercise be for patients with CRF?
20 mins
How long should resistive exercise be for patients with CRF?
1-2 sets of 8-12 repetitions of 8-10 exercises of all muscle groups
Fatigued: 1 set w/increased repetitions of 12-15 for muscular endurance
How long should flexibility exercises be for patients with CRF?
4 repetitions of 10 to 30 second hold of slow static stretches, focusing on cancer treatment deficits or functional needs of patient
What is the function of the integument system?
- temperature regulation
- protection
- sensation
- excretion
- immunity
- blood reservoir
- Vitamin D synthesis
What is the portion after a burn that is irreversibly injured
zone of coagulation
What is nonviable tissue referred to as?
eschar
