Phases of disease | Issues for rehabilitation professionals to address |
I. From diagnosis to treatment planning | - What to expect regarding the impact of cancer treatment on function
- Understanding function and how to preserve it
- Comprehensive rehabilitation pretreatment (eg, ROM, ADL, strength)
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II. Treatment | - Evaluating the effects of treatments on function (surgery, chemotherapy, radiation, biologic agents)
- Preserving and restoring function through exercise, edema management, and increased activity
- Controlling pain using heat, cold, and TENS
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III. Posttreatment | - Developing and supporting a program to help restore daily routines and promote a healthy lifestyle
- Educating the patient about what to self-monitor (strength, ROM, edema, pain, etc)
- Supervising a maintenance program of exercise, edema management, and mobility
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IV. Recurrence | - Educating the patient about the impact of recurrence and its effect on function
- Educating the patient about what to monitor in the context of the new clinical status
- Supervising the patient in an appropriate program to restore function or prevent its decline
- Assisting the patient in maintaining activity and quality of life
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V. End of life | - Educating patient/family regarding mobility training, good body mechanics, and assistive devices
- Pain management (nonpharmacologic treatment) and symptom control
- Maintaining independence and quality of life
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