Conclusion Cancer is a devastating disease, but many patients can be successfully treated and resume their normal lives. Unfortunately, many of these patients are left with significant impairments and functional limitations such as pain, decreased flexibility, weakness, and difficulty performing their usual daily activities. As cancer survivorship increases, so does the need for comprehensive programs that help patients overcome the side effects and aftereffects from both the disease and its treatments. Oncology rehabilitation programs are designed to assist patients Resources APTA Oncology EDGE Task Force Articles ● Fisher, M. I., Davies, C., Lacy, H., Doherty, D. (2018). Oncology Section EDGE Task Force on Cancer: Measures of Cancer-Related Fatigue—A Systematic Review. R ehabilitation Oncology , 36( 2), 93-105. ● Harrington, S. E., Gilchrist, L., Lee, J., Westlake, F. L., Baker, A. (2018). Oncology Section EDGE Task Force on Cancer: A Systematic Review of Clinical Measures for Pain. Rehabilitation Oncology , 36(2), 83-92.
in regaining function and preventing disability. These programs are provided by an interdisciplinary team that includes, among others, physical therapists, occupational therapists, and speech therapists. In these programs, each specialist assesses the patient to determine the impairments and functional limitations, then designs a personalized treatment plan to meet the patient’s needs. Oncology rehabilitation can be effective throughout the continuum of care for patients diagnosed with cancer.
Websites ● APTA Oncology
https://oncologypt.org/ An academy of the American Physical Therapy Association ● American Cancer Society www.cancer.org ● Livestrong https://www.livestrong.org/ A non-profit organization dedicated to supporting people affected by cancer
APPENDIX A Standard Form – 36 (SF-36)
Patient Name: Date: Standard Form 36 Survey : The SF-36 Form is one of many outcomes assessments designed by the Medical Outcomes Trust in Boston, MA. It is designed to approximate the improvement in health status from a medical intervention. INSTRUCTIONS : This survey asks for views about your health. This information will help keep track of how you feel and how well you are able to do your usual daily activities. Answer every question marking the answer as indicated. If you are unsure about how to answer a question, please give the best answer you can. 1. In general, would you say your health is (circle one):
1 - Excellent 2 - Very good 3 - Good
4 - Fair 5 - Poor
2. Compared to one year ago , how would you rate your health in general at this time (circle one)?
1 - Much better now than one year ago 2 - Somewhat better now than one year ago 3 - About the same as one year ago 4 - Somewhat worse than one year ago 5 - Much worse now than one year ago
3. The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? (Circle the appropriate number for each question.) ▪ Vigorous activities , such as running, lifting heavy objects, or participation in strenuous sports. ▪ Moderate activities , such as moving a table, vacuuming, bowling or golfing.
Yes, Limited a Lot
Yes, Limited a Little
No, Not Limited
1
2
3
1
2
3
▪ Lifting or carrying groceries. ▪ Climbing several flights of stairs. ▪ Climbing one flight of stairs. ▪ Bending, kneeling, or stooping. ▪ Walking more than a mile .
1 1 1 1 1 1 1 1
2 2 2 2 2 2 2 2
3 3 3 3 3 3 3 3
▪ Walking several blocks .
▪ Walking one block .
▪ Bathing or dressing yourself.
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