Study Guide Leftovers 3 Flashcards
What is chronic cancer pain often attributed to?
- bone destruction
- visceral obstruction
- nerve compression
- skin/tissue distention
- tissue inflammation, infection, necrosis
chronic cancer pain: bone destruction caused by
infiltration by malignant cells
chronic cancer pain: visceral obstruction
- obstruction of hollow visceral organ
- usu due to tumor growth
chronic cancer pain: nerve compression
compression of peripheral nerves from adjacent tumor masses
chronic cancer pain: skin/tissue distention
painful stretching due to underlying tumor growth
chronic cancer pain: tissue inflammation, infection, necrosis
may be excruciating
Common side effects of cancer tx
- bone marrow suppression
- fatigue
- cardiopulmonary dysfunction
- radiation skin rxns
- radiation osteonecrosis
What is bone marrow suppression also called?
myelosuppression
If a patient has myelosuppression, what does this mean for PT?
requires infection control!
Bone marrow suppression may lead to:
- leukopenia
- anemia
- thrombocytopenia
Cancer tx side effects: fatigue is closely related to this
anemia
Cancer tx side effects: What sorts of things would result from cardiopulmonary dysfunction and what would you look for?
- pericardial fibrosis
- constrictive pericarditis
**look for exertional dyspnea
What does a radiation skin rxn look like?
sunburn
Cancer tx side effects: radiation osteonecrosis
- irreversible
- should be carefully handed due to high pathologic fx risk
Winningham contraindications for aerobic exercise: What factors are assessed?
- Platelets
- Hemoglobin
- WBC
- Granulocytes
Winningham contraindications for aerobic exercise: platelets
Platelets less than 50,000
*normal 150000-400000
Winningham contraindications for aerobic exercise: hemoglobin
Hemoglobin less than 10
*normal iw W 13-17, M 12-15
Winningham contraindications for aerobic exercise: WBC
WBC less than 3000
*normal 4500-10000
Winningham contraindications for aerobic exercise: granulocytes
less than 2500
Winningham contraindications for aerobic exercise: Is this the standard?
There is no industry standard - use clinical judgment
What is a good idea to consider for exercise with cancer tx?
- vitals
- RPE during exercise
- s/s infection, fever, throbocytopenia, DVT, dehydration, electrolyte imbalance
What are some of the late effects of cancer tx that could impact PT tx?
- fatigue
- lymphedema
- endocrine
- impaired cognition
What is chemobrain?
- mental fogginess during tx course
- can last up to 6 months after chemo
