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Most common physical impairments and functional limitations that survivors of cancer may be dealing with in rehab?
Pain and fatigue
Nausea, GI upset, dizzy, neuropathy, fibrosis
Why is understanding a cancer patient’s detailed medical history a crucial aspect of rehab?
Know if/what previous treatments they’ve had, helps to decide if PT is working or not and when they may need to be referred if presentation changes
What other comorbidities (other than hypertension) are at an increased prevalence among cancer survivors?
Osteoporosis, lymphedema, sarcopenia, DM
When can someone say they are a cancer survivor?
Once they begin moving through treatment, beyond the diagnosis phase
Functional changes indicative of metastasis to the: brain
Cognitive status changes, seizures, vertigo, coordination issues, vision changes, balance issues, headaches, word-finding difficulty, “chemo-brain”
Functional changes indicative of metastasis to the: bones
Fractures, non-mechanical pain
Common among: spine, pelvis, ribs, long bones, and the skull
Functional changes indicative of metastasis to the: liver
Jaundice, abdominal pain, loss of appetite, bloating
Functional changes indicative of metastasis to the: lungs
Dyspnea, hemoptysis, reduced tolerance to exercise, persistent cough