Oncology Rehabilitation
A Comprehensive Guidebook for Clinicians
- 1st Edition - July 23, 2022
- Imprint: Elsevier
- Authors: Deborah Doherty, Chris Wilson, Lori Boright
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 8 1 0 8 7 - 6
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 1 0 8 8 - 3
Use evidence-based intervention techniques to care for persons diagnosed and living with and beyond cancer! Oncology Rehabilitation: A Comprehensive Guidebook for Clinicians descr… Read more
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Request a sales quoteUse evidence-based intervention techniques to care for persons diagnosed and living with and beyond cancer! Oncology Rehabilitation: A Comprehensive Guidebook for Clinicians describes the adverse effects caused by cancer treatment and shows how to use oncology rehabilitation to optimize the quality of life for persons living with and beyond cancer at all stages of life. Guidelines help you build skills in pre-diagnosis, prevention of cancer-related fatigue and pain, active treatment, and end-of-life care, all as an integral part of an interdisciplinary cancer management team. Written by physical therapists for physical therapists, this text provides best practices for manual therapy, exercise testing and exercise programs, and treatment of adverse effects by body system throughout the patient’s cancer journey.
- Coverage of physical therapy patient management includes acute care, outpatient, and multidisciplinary clinical settings, along with in-depth therapeutic management interventions.
- Content on the continuum of cancer care addresses the primordial, primary, secondary, tertiary, and quaternary stages in prevention and treatment.
- Focus on clinicians includes the professional roles, responsibilities, self-care, and values of the oncology rehabilitation clinician as an integral member of the cancer care team.
- Information on inseparable contextual factors helps in dealing with administrative infrastructure and support, advocacy, payment, and reimbursement of rehabilitation as well as public policy.
- Evidence Summary and Key Points boxes highlight important information for quick, at-a-glance reference.
- Clinical case studies and review questions enhance your critical thinking skills and help you prepare for board certification, specialty practice, and/or residency.
- Enhanced eBook version— included with print purchase— allows you to access all of the text, figures, and references from the book on a variety of devices.
- Resources in the eBook include videos, board-review questions, case studies, and a curriculum map to highlight and demonstrate the correlation to the requirements for Oncology Rehabilitation Residency programs and the board certification exam.
- Guidebook approach provides immediate, meaningful application for the practicing oncology rehabilitation clinician.
Physical Therapy (DPT) students – 243 accredited programs; 17 developing programs; 31,380 students enrolled Physical Therapy Assistant (PTA) students – 360 accredited programs; 40 developing programs; 12,945 students enrolled Physical Therapy clinicians [BLS, 2018] – - Physical Therapist (DPT) – 239,000 jobs - Physical Therapist Assistant (PTA) – 140,300 jobs
- Cover Image
- Title Page
- Copyright
- Dedication
- Reviewers
- Contributors
- Biography
- Preface
- Foreword
- Table of Contents
- Video Contents
- Unit I Foundational Oncology Concepts
- Chapter 1 Fundamentals of Cancer
- Chapter Outline
- What Is Cancer?
- Epidemiology
- Hallmarks of Cancer
- Cancer Classifications
- Common Terms and Definitions
- Risk Factors
- Signs and Symptoms of Cancer
- Molecular and Clinical Analysis of Cancer
- Other Considerations
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 2 Foundations of Oncology Rehabilitation
- Chapter Outline
- What Is Oncology Rehabilitation?
- Survivorship
- Onc R for Primary Prevention
- Patient Navigation
- Treatment Summaries and Survivorship Care Plans
- Health Promotion
- Survivorship With Advanced Cancer
- Cancer Wellness/Integrative Oncology
- Patient-Centered Care
- Models of Oncology Rehabilitation
- Standard Setting for Oncology Rehabilitation Services
- Onc R Tools for Plan of Care Development
- Annual Rehab Screening
- Conclusion
- Critical Research Needs
- Case Studies
- Review Questions
- References
- Chapter 3 Evidence-Based Practice in Oncology Rehabilitation
- Chapter Outline
- Evidence-Based Practice Background
- Statistics and Psychometrics
- Outcome Measures
- Evidence-Based Practice Oncology Rehabilitation Resources
- Conclusion
- Review Questions
- References
- Chapter 4 The Biological Basis and Diagnostic Evaluation of Cancer
- Chapter Outline
- Introduction to the Pathophysiology of Cancer
- The Molecular Basis of Cancer
- Diagnostic Imaging
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 5 Medical Management and Cancer Treatments
- Chapter Outline
- Introduction
- History and Background of Cancer Treatment
- Overview of Cancer Treatment
- Cancer Surgery
- Chemotherapy
- Radiation Therapy
- Bone Marrow Transplant
- Biologic Therapies
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- eAppendix 5.1
- References
- Chapter 6 Pharmacological Principles in Cancer Care
- Chapter Outline
- Introduction
- Overview of Important Pharmacological Principles
- Targeting Specific Cell Cycle Phases With Chemotherapy
- Supportive Therapy
- Conclusion
- Critical Research Needs
- Case Studies
- Review Questions
- References
- Unit II Adverse Effects of Oncologic Treatment by System
- Chapter 07 Musculoskeletal System
- Chapter Outline
- Introduction
- Effects on Bone
- Effects on Tissue
- Effects on Muscles and Joints
- Effect on Body Mechanics and Posture
- Assessment of the Musculoskeletal System
- Common Treatments for Musculoskeletal System
- Education Topics in Rehabilitation
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 8 Neurological System
- Chapter Outline
- Introduction
- Anatomy of the Central Nervous System and Peripheral Nervous System (PNS)
- Brain and Spinal Tumors
- Other Considerations of CNS Syndromes
- Medical Assessment Tools
- Medical Treatment for Primary and Metastatic Brain and Spinal Cord Tumors
- Chemotherapeutic Adverse Effects onthe Nervous System
- Hormone and Biological Therapies
- Neurological Rehabilitation Assessment Measures
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 9 Lymphatic and Integumentary Systems
- Chapter Outline
- Lymphatic System
- Integumentary System
- Conclusion
- Critical Research Needs
- Case Studies
- Review Questions
- References
- Chapter 10 Cardiovascular and Pulmonary Systems
- Chapter Outline
- Introduction
- Common Adverse Effects of Treatment
- Measurement Tools to Screen for Adverse Effects
- Contraindications and Indications to Terminate Exercise
- Common Treatments for Adverse Effects
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 11 Gastrointestinal System
- Chapter Outline
- Introduction
- Risk Factors
- Anatomy of the Gastrointestinal System
- Physiology of the Gastrointestinal System
- Primary Versus Secondary Disease
- Diagnosis/Staging Criteria
- Continuum of Care for Gastrointestinal Population
- Common Adverse Effects
- Adverse Effects From Radiation
- Chemotherapeutic Agents and Their Implications
- Chemotherapy During the Continuum of Cancer Treatment
- Immunotherapy
- Implications for Oncology Rehabilitation
- Surgical Interventions and Adverse Effects
- Measurement Tools for Screening and Evaluation of Adverse Effects
- Precautions and Contraindications for Treating Adverse Effects
- Rehabilitation Strategies for Prevention and Management of Adverse Effects
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 12 Genitourinary and Gynecological Systems
- Chapter Outline
- Introduction
- Common Adverse Effects to the Genitourinary and Gynecological Systems
- Genitourinary and Gynecological Adverse Effects of Cancer Treatments
- Measurement Tools to Screen for and Evaluate Adverse Effects
- Common Treatments for Each Adverse Effect
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 13 Immune System
- Chapter Outline
- Introduction
- Innate Immunity
- Adaptive Immunity
- The Pathophysiology of Malignancy and Coagulopathies
- Challenges in Cancer Immunology: Antimicrobial Resistance and Stewardship, Novel Pathogens, and COVID-19
- Common Adverse Effects of Treatments
- Measurement Tools to Screen for and/or Evaluate Each Adverse Effect
- General Considerations for Onc R
- Conclusion
- Critical Research Needs
- Review Questions
- References
- Chapter 14 Psychosocial Considerations
- Chapter Outline
- Introduction
- Newly Diagnosed With Cancer
- Surgery
- Chemotherapy and Immunotherapy
- Radiation
- Hormonal Therapies
- Long Treatment Course
- Post-Treatment Survivorship
- Cognition
- Psychosocial Challenges—A Deeper Dive
- Measurement Tools for Screening or Evaluation
- When Is a Person in Distress?
- Treatment Interventions
- Coordination of Care
- Compassion Fatigue in the Clinician
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Unit III Management of Common Oncologic Diagnoses
- Chapter 15 Breast Cancer
- Chapter Outline
- Introduction
- Diagnosis, Staging, and Classification of BC
- Breast Cancer Surgeries
- Reconstruction After Mastectomy
- Medical Treatment Modalities for Breast Cancer
- Radiation Therapy
- Common Findings and Evaluation
- Human Movement Issues in Breast Cancer
- Onc R Management Approach
- Special Topics
- Conclusion
- Critical Research Needs
- Case Studies
- Review Questions
- References
- Chapter 16 Genitourinary and Gynecological Cancers
- Chapter Outline
- Introduction
- Cancers of the Genitourinary and Gynecological Systems
- Other Genitourinary and Gynecological Cancers
- Psychosocial Issues in Genitourinary and Gynecological Cancers
- The LGBTQIA+ Experience With Cancer
- Patient Management Model
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 17 Colorectal Cancer
- Chapter Outline
- Anatomy and Physiology of the Colon
- Demographics, Prevalence, and Prognosis
- Medical Diagnosis
- Oncology Rehabilitation Evaluation of Persons Managed by Surgical Intervention
- Chemotherapy Interventions for Colorectal Cancer
- Oncology Rehabilitation Evaluation for PLWBCs Managed With Chemotherapy
- Radiation Therapy for Colorectal Cancer
- Oncology Rehabilitation Evaluation for Persons Managed With Radiation Therapy
- Gastrointestinal System Oncology Rehabilitation
- Metastatic Disease
- Plan of Care
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 18 Lung Cancer
- Chapter Outline
- Overview
- History and Patient Assessment
- Goals of Therapy for Different Phases of Lung Cancer
- Interventions to Improve Function
- Special Considerations Related to Lung Cancer
- Future of Lung Cancer
- Conclusion
- Case Studies
- Review Questions
- References
- Chapter 19 Head and Neck Cancers
- Chapter Outline
- Introduction
- Head and Neck Anatomy
- Medical Management of Head and Neck Cancer
- Multi-Disciplinary Teams
- Patient Client Management
- Evaluation and Diagnosis
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 20 Bone and Soft Tissue Sarcomas
- Chapter Outline
- Introduction
- Epidemiology
- Bony and Soft Tissue Sarcomas
- Soft Tissue Sarcomas
- Etiology and Risk Factors of Soft Tissue and Bony Sarcomas
- Clinical Presentation
- Medical Management for Sarcomas
- Pain
- Roles of Oncology Rehabilitation Clinicians for Patients Living With and Recovering From Sarcomas
- Outpatient Rehabilitation
- Treatment Interventions
- Therapeutic Activity
- Exercise Therapy
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 21 Hematological Cancers
- Chapter Outline
- Introduction
- Leukemia
- Lymphoma
- Multiple Myeloma
- Hematopoietic Stem Cell Transplantation
- Rehabilitation Considerations in the Hematological Cancers
- Assessment
- Differential Diagnoses
- Rehabilitation Interventions
- Conclusion
- Critical Research Needs
- Case Studies
- Review Questions
- References
- Unit IV Important Considerations
- Chapter 22 Cancer Pain
- Chapter Outline
- Introduction
- Physiology of Pain
- Assessment
- Interventions
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 23 Exercise Testing, Prescription, and Intervention
- Chapter Outline
- Introduction
- Molecular Physiology of Mitochondrial Biogenesis, Muscle Hypertrophy, and Muscle Atrophy
- National and International Recognition for the Benefits of E/PA
- Five Levels of Prevention
- Goals and Benefits of Exercise/Physical Activity
- Screening and Assessing Functional Performance Status
- Exercise Prescription
- Conclusion
- Critical Research Needs
- Case Studies
- Review Questions
- References
- Chapter 24 Acute Care and Inpatient Management
- Chapter Outline
- Introduction
- The Varied Inpatient Journey
- The Role of the Oncology Rehabilitation Clinician in the Acute Care Setting
- Establishing Medical Stability in the Acutely Ill Person With Cancer
- Physical Assessments and Selected Interventions in the Inpatient Setting
- Safe Patient Handling and Mobility (SPHM)
- Rehabilitation Interventions in the Acute Setting
- Discharge Considerations for PWCs
- Communication During Care Coordination
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 25 Pediatric Cancer Management
- Chapter Outline
- Introduction
- Childhood Leukemias
- Central Nervous System (CNS) Tumors
- Nephroblastoma
- Neuroblastoma
- Hematopoietic Stem Cell Transplant (HSCT)
- Rehabilitation Management of Pediatric Oncology
- Pediatric and Treatment Specific Considerations
- Conclusion
- Critical Research Needs
- Case Studies
- Review Questions
- References
- Chapter 26 Young Cancer Survivors
- Chapter Outline
- Introduction
- Building a Therapeutic Working Relationship
- Rehabilitation Considerations for the AYA Living With or Beyond Cancer
- Supporting Participation in Life Activities and Roles
- Mental Health, Motivation, and Engagement: Issues for Clinical Practice
- Other Needs of AYAs
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 27 Prehabilitation
- Chapter Outline
- Introduction
- Components
- Outcome Measures
- Interventions
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 28 Long-Term Survivorship and Late Effect Management
- Chapter Outline
- Long-Term Survivorship
- Late Effects
- Rehabilitation Implications for Long-Term Survivorship and Late Effects
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 29 Palliative and End of Life Care
- Chapter Outline
- Cancer Remains a Terminal Illness for Some
- The Palliative Care Philosophy and Approach
- Burden of Chronic Diseases
- Integrating With the PC Team
- The Process of Advance Care Planning
- Rehabilitation in Palliative and End of Life Care
- Courses of Disease Processes
- Care Transitions Within PC
- Communication Keys With Palliative Care
- Saying Goodbye as a Healthcare Provider
- Functional Outcome Measures
- Family and Caregiver Issues
- Terminal Cancer Pain
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 30 Wellness, Health Promotion, and Prevention
- Chapter Outline
- Wellness Scope of Practice
- Prevention
- Motivational Interviewing
- Wellness (Supportive Care) and Symptom Reduction
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Unit V Administrative Aspects of Oncology Rehabilitation
- Chapter 31 Building and Sustaining an Oncology Rehabilitation Program
- Chapter Outline
- Introduction
- Establishing a Philosophy of Care
- The Impetus for Developing an Oncology Rehabilitation Program
- Value-Based Oncology Rehabilitation
- The Science of Program Implementation
- Strategies for Integration of Rehabilitation Into the Cancer Team
- Building the Program Processes and Procedures
- Accreditation Guidelines and Supporting Organizations
- Building the Program for the Entire Disease Journey
- Marketing Oncology Rehabilitation Services
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 32 Advocacy and Public Policy
- Chapter Outline
- Describing Advocacy
- The Current State of the Field of Oncology Rehabilitation
- Unjust Oncology Rehabilitation Services
- Advocating for Just Oncology Rehabilitation Services
- Opportunities for Advocacy
- Education and Awareness Raising for Community Members
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- References
- Chapter 33 Ethical, Legal, and Financial Aspects
- Chapter Outline
- Introduction
- Ethical Considerations
- Legal Aspects
- Financial Aspects and Considerations
- Conclusion
- Critical Research Needs
- Review Questions
- References
- Chapter 34 Billing, Coding, and Documentation
- Chapter Outline
- Introduction
- Documentation
- Documenting the Evaluation
- Diagnostic Coding for Payment
- Treatment Note
- Progress Reports
- Discharge Note
- Documentation for Telehealth
- Billing
- Maintenance Therapy
- Prehabilitation
- Audits and Denials
- Documenting Equipment Needs
- Conclusion
- Critical Research Needs
- Case Study
- Review Questions
- An Audit Awareness Checklist
- Billing
- Administration
- References
- Letter of Medical Necessity for a Lymphedema Garment
- Letter of Medical Necessity for a Walker
- Evaluation Results
- Letter of Medical Necessity for a Wheelchair and/or Cushion
- Manual Wheelchair
- Wheelchair Cushion
- References
- Chapter 35 Research and Scholarship
- Chapter Outline
- Introduction
- State of the Literature and Clinical Practice
- The Research Journey
- Institutional Review Board
- Deciding on the Research Study Type
- Participating in Multi-Site or Consortium Studies
- Funding for Clinical Research
- Implementing the Research Study
- Disseminating the Research
- Conclusion
- Case Study
- Review Questions
- References
- Answer Key
- Index
- Edition: 1
- Published: July 23, 2022
- Imprint: Elsevier
- No. of pages: 848
- Language: English
- Hardback ISBN: 9780323810876
- eBook ISBN: 9780323810883