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palliative care and rehabilitation
Definition Palliative care is specialized medical care for people living with serious illness . It focus on providing relief from the symptoms and stress of serious illness . To goal is improve quality of life at both the patient and that family .
Benefits of palliative care Reduced pain and other distress. Improve health related quality of life. High patient and family satisfaction with care. Increase likelihood of location of death being out side of hospital. Less depression. Less aggressive care at the end of life. Improvement in prevalence of moderate to sever symptoms.
Places where palliative care given Primary palliative care:- Delivered by non palliative care specialists. Specialty palliative care:-Delivered by palliative care specialists- In the hospital In the out patient clinic At home Home palliative care Hospice care.
AIMS To be aware of the concept of rehabilitation in palliative care and the NICE guidelines on supportive and palliative care To understand the role of palliative care physiotherapists To be aware of the physiotherapy service for palliative care patients at Poole Hospital
REHABILITATION DEFINATION:- To minimize some of the effects which the disease or it’s treatment has on them. It is often possible to improve the quality of life regardless of their prognosis by helping them to achieve their maximum potential of functional ability and independence or gain relief from distressing symptoms.
cancer treatment may effect physical ,social psychological and work related abilities. Rehabilitation helps people regain these abilities and maintain independence . Ask your health care team about local rehabilitation options. Many cancer centers and hospital have on –sits rehabilitation services .
HOW CANCER REHABIBITATION CAN HELP Rehabilitation can help you each the following goals – Improve physical strength this can offset limitation caused by cancer and cancer treatment . Increased your ability to care for yourself . This reduce the amount of support needed for care givers. Adjust to actual, perceived and potential losses. Reduce anxiety and depression. Manage symptoms of cancer and treatment. These may include fatigue, sleep problems and pain. Reduce hospital stays.
CANCER REHABILITATION SERVICES Rehabilitation service may include the following :- Patient and family education and counseling. Pain treatment. Nutrition counseling. Exercise programs. Support to quit smoking.
In addition some service help with daily activities such as :- Eating and drinking. Dressing, bathing and using the toilet. Cooking , Doing
THE CANCER REHABILITATION TEAM Depending on your needs , you may visit one or more specialists. These professionals are trained in specific area of rehabilitation. Your heath care team will help you adapt to change. change due to cancer and cancer treatment may be temporary or permanent. Cancer rehabilitation team may include the following :- Oncologist Physiatrist Rehabilitation nurse physical therapist Occupational therapist Lymph edema therapist Recreational therapist Dietitian
Oncologist – the doctor treats cancer ,an oncologist may lead the cancer rehabilitation team . Physiatrist – it is also called a rehabilitation specialist ,the doctors treat injuries and illness that affect how people more and function. The treatment may include pain management. Rehabilitation nurse – this professional people regain physical abilities . services may also include education and counseling. Physical therapist-this professional helps patient improve physical strength and ability to more . People experiencing the following challenges can benefit from physical therapy. Muscle loss from long-term bed rest. difficulty balancing. Dependence on a care or other assistive device. limitation in movement of specific body part after surgery .
Physical therapists may also help with some types of pain . For example certain types of pain can be treated with ultrasound or specialized massages . Occupational therapists – this professional provides method and tools to increased function comfort and safety. Occupational therapists designs a therapy plan specific of each patient. The plan is based on the layout of a home , school or work place. Occupational therapist also teach method to reduce effort for certain tasks this helps patient manage fatigue and other limitations.
LYMPHEDEMA THERAPIST:- It is fluid buildup from damage to lymph nodes . A certified LYMPHEDEMA THERAPIST can help manage this conditions, techniques include compression gaments , specialized massages , bandaging methods and exercise.
RECREATIONAL THERAPIST:- This professional uses games , exercise , arts , crafts, and music. The goal is to reduce stress , anxiety, and depression people build confidence and strengthen personal skills through these activity.
DIETITION:- This is a food and nutritional professional . A dietitian may Help patient understand their special dietary needs. Recommend diets on meals plans based on cancer treatment. Monitor body weight and changing dietary needs. MENTAL HEALTH PROFESSIONAL :- These may include psychologist and psychiatrists among others , they address emotional ,psychological and behavioral needs.