Cancer

  • 19 million Americans expected to live with cancer by 2024-b/c of early detection, treatments, & aging

  • A group of diseases where cells divide without control, invade nearby tissues, and travel via blood and lymph to other body parts

  • classified by location and tissue type at location

  • metastasized cancer, named by the originating location, then spread

  • Lymphatic system

    • tissues and organs that produce, store, and carry WBC that fight infections and diseases

  • 6 cancer types described based on body location and reflected diagnostic groups seen by OT

    • Breast cancer

      • issues that

    • Lung cancer

      • I

    • Brain cancer

      • I

    • Head and neck cancer

      • I

    • Sarcoma

      • I

    • Coloretcal

      • I

  • Phases of cancer

    • Need to have diff convo of is pallitive care approprate

  • Treatment

    • Surgery

      • after surgry pain and complications

    • Chemothreapy

      • loosing hair, taste change

    • Rediation

      • sepration from fam if someone is sick, fever, chills, tired, skin irration

    • Immunothearpy

      • wakened immune system

  • Treatment Method Impact on cognition

    • Symptoms may effect how they do their ADLS and we need to help them be able to complete them

    • making appointments, med mangement, safe ambulation

  • Precautions

    • radation may need to avoid ouching and limit close contact

    • may need to avoid bodily dluids of a person recving radiation

    • make sure they can be safe but loved

  • Dietary needs

    • how are things cooked

    • Not a lot of processed food

    • but also be carfeul that they can feel like they have some control

  • Pt’s have life long effects

    • Even in remision Pt may have more doctoers appt

    • worried about it coming back

    • revaulation of life roles and activies from which they get purpose from

  • evaluation/assesment tools

    • Katz

    • fatigue

    • COPM

    • cognitive assesment

    • functional assesment of cancer

    • brief fatigue invatory

    • kettle test

  • OT eval

    • Inital assesment

    • Pt priorties & resiuces

    • specify problems and imparments

    • establish goals for care

    • make sure you help them mange meds and help with keeping bloodwork good

    • devlop intervention plan, determine which services are needed, and devlop thearputic partnership

  • OT intervention approches

    • taking about cancer related problems

      • debility, fatigue, poor endurance, neropathy, lymphema, cognitive decline

    • enable Pt to learn to mange chonic symotoms or impariments

    • Arm functuon

      • may be restricted, lymphenedma, swelling, pain, numbness

      • lymohedma tharpist teach self amgement: wrapping, garmet fitting, teaching self magement

    • Fatigue (CRF)

      • Sense of physical, emotional, and/or cog exaustion

      • concurent symptoms: pain, stress, low RBC, diff sleeping

      • Interventions

        • Self magament, self motor, enegry conservation, Pt & fam edu

    • Cognition

      • brain fog

      • changes in memory exuctive functions

    • Peripheral Neuropathy

      • Sensory imparment of peripheral nerves cause by neurotoxity

      • severity and peripheral N involvement

      • pain numbness and or tingling, cold intolerance

  • Resumption of everyday activies and roles

    • Change but make sure they can do activies they want and need

  • Support groups are great!