Cancer Final Review

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Author:
dmshaw9
ID:
301670
Filename:
Cancer Final Review
Updated:
2015-04-28 00:02:21
Tags:
Cancer Final Review
Folders:
NPTE,Final Review
Description:
NPTE: Final Review
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  1. Cancer Staging
    • 0 = carcinoma in situ
    • 1 = localized, < 2 cm, no spreading to lymph nodes
    • 2 = locally advanced, 2-5 cm, with or without lymph node involvement
    • 3 = locally more advanced, spread to lymph nodes 
    • 4 = mets
  2. Effects of Radiation
    • Pain
    • Radiation sickness
    • Fibrosis
    • Delayed wound healing
    • Hair loss
    • Fatigue
    • Immunosuppression
    • Burns
    • Edema
    • CNS effects (demyelination, radiation encephalopathy)
  3. Effects of Chemotherapy
    • Fatigue
    • Bone marrow suppression (anemia, leukopenia, thrombocytopenia)
    • Neuropathies
    • Hair loss
    • GI sx (diarrhea, ulcers, hemorrhage, anorexia, nausea, vomiting) 
    • Skin rashes
    • Phlebitis
  4. Effects of Immunotherapy
    • Fatigue
    • Weight loss
    • Fever
    • Chills
    • Nausea
    • Vomiting
    • Anorexia
    • Fluid retention
  5. Effects of Hormonal Therapy
    • GI symptoms
    • HTN
    • Hot flashes/sweating
    • Impotence
    • Steroid-induced diabetes and neuropathy
    • Weight gain
    • AMS
  6. Cancer: PT Goals, Outcomes, and Treatment
    • Isometrics and lightweight isotonics safe for most patients with cancer
    • Pts with significant bony mets, osteoporosis, low platelet count (<20,000) → AROM, ADL exercise only (WB may be restricted)
    • Low-mod intensities (40-60% O2/HRR), 11-13/20 RPE, 3-5 days/week, 20-60 min/session
  7. Cancer: Exercise Contraindications
    • Day of IV chemo or within 24 hours of treatment
    • Severe reaction to radiation therapy
    • Acute infection/febrile illness
    • Severe nausea/vomiting/diarrhea within 24-36 hours
    • Dizziness, lightheadedness, disorientation, confusion, blurred vision, ataxia
    • Unusual/extreme fatigue, muscle weakness, recent bone pain
    • Chest pain, rapid/slow HR, elevated BP, swelling of ankles
    • Severe dyspnea, pain on deep breath, coughing/wheezing
  8. Low Platelets: Symptoms
    • SOB
    • Excessive fatigue
    • Possible angina
    • May develop petechiae, purport, ecchymosis, hematuria, anemia, hematochezia
  9. Post-Mastectomy: PT Intervention
    • Restore painfree and full ROM of shoulder
    • Prevent/reduce edema
    • Stress early stop exercise
  10. Post Bone Marrow Transplant
    • Prolonged hospitalization and inactivity (~30 days) 
    • Prolonged chemo/radiation
    • Strict isolation

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