The Who, What, Why, When, Where, and How of Team-Based Interdisciplinary Cancer Rehabilitation

Raj, Vishwa S.; Pugh, Terrence; Yaguda, Susan; Mitchell, Charles H.; Mullan, Sarah; Garces, Natalie

doi:10.1016/j.soncn.2019.150974

Cited by 24 publications

(15 citation statements)

References 91 publications

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“…Access to interdisciplinary cancer rehabilitation is one such tool. Rehabilitation interventions can help improve outcomes related to pain, fatigue, balance, mobility, cognition, and anxiety and depression [ 54 , 55 ]. Unfortunately, fewer than 10% of cancer survivors who need cancer rehabilitation receive it [ 56 ].…”

Section: Discussionmentioning

confidence: 99%

Cancer Survivors’ Disability Experiences and Identities: A Qualitative Exploration to Advance Cancer Equity

Magasi

Marshall

Winters

et al. 2022

IJERPH

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Eliminating cancer-related disparities is a global public health priority. Approximately 40% of cancer survivors experience long-term effects of cancer which can lead to activity limitations and participation restrictions; yet discussions of disability are largely absent from clinical and research cancer health equity agendas. The purpose of this study was to explore how cancer survivors experience and make sense of the long-term disabling effects of cancer and its treatments. In this qualitative study, data were collected via in-depth semi-structured interviews with survivors of breast cancer, head and neck cancer, and sarcoma (n = 30). Data were analyzed thematically using a 2-phase iterative process proceeding from descriptive to conceptual coding. Survivors experienced a wide range of long-term physical, sensory, cognitive, and emotional effects, that intertwined to restrict their participation in self-care, work, leisure, and social roles. While the interaction between impairments and participation restrictions meets the definition of disability; participants articulated a range of responses when asked about their disability identity, including (1) rejecting, (2) othering, (3) acknowledging, and (4) affirming. Findings may be indicative of structural and internalized ableism which can impede cancer care and survivorship. To support cancer survivors’ transition to post-treatment life, cancer care providers should implement anti-ableist practices and engage in frank discussions about cancer’s long-term impacts.

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Section: Discussionmentioning

confidence: 99%

Cancer Survivors’ Disability Experiences and Identities: A Qualitative Exploration to Advance Cancer Equity

Magasi

Marshall

Winters

et al. 2022

IJERPH

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“…Lo anterior se relaciona con el precepto jurisprudencial del malestar, pues el enfermo de cáncer presenta una serie de impactos en su fisiología, psicología y relaciones sociales, que proponer un tratamiento de soporte no invasivo, obligatorio en el sistema de salud -a partir del ejercicio físico-ayudará que "no solamente amenazan, sino que rompen efectivamente la garantía constitucional señalada en tanto que hacen indigna su existencia" (Sentencia T-860, 1999), razón por la cual se determina que si bien la obligación de establecer un panorama de cumplimiento, atañe al equipo de salud interdisciplinar (Raj et al, 2020), le impele al orden jurídico, pues este es quién establece el mandato legal de cumplimiento. Por ello si esto no se consolida, pues quizá entre en "omisión en la vulneración del derecho a la integridad personal del afectado" (Sentencia T-119, 2000).…”

Section: Dialogía Constitucional Y Ejercicio Físico: Beneficio Para E...unclassified

Cambiando paradigmas: el ejercicio físico y la resignificación jurídico-constitucional de pacientes con cáncer en Colombia

Molina¹,

Silva²

2022

verbaiuris

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En Colombia la tasa de diagnósticos por patologías de cáncer es creciente, 101.893 casos y una tasa bruta de 206.0 según la International Agency for Research on Cancer (2018). Los tratamientos convencionales de quimioterapia y radioterapia -neoadyuvantes o adyuvantes- son invasivos y generan efectos secundarios en pacientes. Los efectos, aminoran el bienestar, la calidad de vida y la supervivencia. Por ello, el paciente debe tener el derecho a elegir tratamientos de soporte no invasivos y los grupos de salud multidisciplinares el deber de prescribirlos, con el fin de mejorar bienestar, calidad de vida y supervivencia como ejes estructurales de la dignidad humana en el paciente enfermo de cáncer en Colombia. En este sentido, el ejercicio físico se ha venido constituyendo en el mundo como un tratamiento de soporte con evidencia clínica robusta. En Colombia aún no hay demasiados registros de aplicación en la población diagnosticada, y repensar este escenario científico y jurídico-constitucional en Colombia, puede lograr la preservación del principio pro homine de los pacientes en tratamiento, a través del sistema de salud, garantizando y satisfaciendo el Estado, derechos, como vida, dignidad humana, salud, integridad física y al deporte. Además, poder incluir este tratamiento de ejercicios específicos para los pacientes dentro del Plan Nacional de Cáncer 2012-2021 o establecer las herramientas constitucionales para que el médico tratante prescriba este tratamiento y sea otro eje para mejorar las comorbilidades y efectos secundarios propios del tratamiento y de la enfermedad. Por tanto, al establecer un diálogo científico- ius constitucional y filosófico, que permita repensar y resignificar el modus vivendi del paciente con cáncer en Colombia, se usó la revisión de literatura como forma de recolección de información y para el análisis de ésta se usó el método sistemático, uso del método analítico- deductivo y hermenéutico.

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“…Cancer survivors are one of the fastest growing populations likely to benefit from rehabilitation services because of early detection, rapidly improving treatments, and subsequently improved prognosis 1,2 . Individuals with cancer make up a small but significant portion of the larger inpatient rehabilitation population 1,3,4 .…”

Section: Introductionmentioning

confidence: 99%

Translation of Karnofsky Performance Status (KPS) for use in inpatient cancer rehabilitation

McNair

Zeitlin

Slivka

et al. 2022

PM&R

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Background: Better tools are needed to predict functional decline and oncologic prognosis in inpatient cancer rehabilitation. The Karnofky Performance Status (KPS) is a widely used scale of functional performance in oncology, although the scale differs from current rehabilitation terminology. Use of the KPS in inpatient rehabilitation may support a shared method of communication between cancer rehabilitation providers and the primary oncology teams. Objective: To establish interrater reliability for translation of the KPS for use in inpatient cancer rehabilitation. Design: Retrospective interrater reliability review. Setting: A large inpatient rehabilitation hospital system. Participants: Fifty randomized charts were chosen for review from a larger database of all patients admitted to an inpatient cancer rehabilitation program in 2020. Intervention: Not applicable. Main Outcome Measures: The KPS scale was translated into common inpatient rehabilitation grading consistent with the Continuity and Assessment Record and Evaluation (CARE) Item Set to support its use in this specialty area. Additionally, a list of best practice guidelines and scoring instructions were created to assist raters in determining appropriate levels within the scale. Members of the inpatient cancer rehabilitation team scored all patients within the larger database (n = 424) throughout 2020. A blinded rater completed retrospective chart reviews to score the 50-chart sample. A two-way random effects model was used to calculate an intraclass correlation coefficient (ICC) for the KPS scores at each of three time points (premorbid, admission, and discharge). Results: The KPS interpretation for rehabilitation proved to be statistically reliable for the 50-chart sample. The premorbid KPS interrater reliability was acceptable (ICC = 0.67; 95% confidence interval [CI]: 0.40-0.82), admission KPS reliability was good (ICC = 0.88, 95% CI: 0.78-0.93), and discharge reliability was excellent (ICC = 0.96; 95% CI: 0.91-0.98). Conclusion:The KPS translation at three time points (premorbid, admission, and discharge) during the inpatient rehabilitation continuum has acceptable interrater reliability.

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The Who, What, Why, When, Where, and How of Team-Based Interdisciplinary Cancer Rehabilitation

Cited by 24 publications

References 91 publications

Cancer Survivors’ Disability Experiences and Identities: A Qualitative Exploration to Advance Cancer Equity

Cancer Survivors’ Disability Experiences and Identities: A Qualitative Exploration to Advance Cancer Equity

Cambiando paradigmas: el ejercicio físico y la resignificación jurídico-constitucional de pacientes con cáncer en Colombia

Translation of Karnofsky Performance Status (KPS) for use in inpatient cancer rehabilitation

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