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Oncology Rehabilitation: Web-based Learning for Physical Therapists Who Provide Rehabilitation to Patients with Breast Cancer. File #1. Table of Contents Introduction Presenter’s Notes.

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File 1

Oncology Rehabilitation: Web-based Learning for Physical Therapists

Who Provide Rehabilitation to Patients with Breast Cancer

File #1

Table of Contents

Introduction

Presenter’s Notes


File 1

Oncology Rehabilitation: Web-based Learning for Physical Therapists Who Provide Rehabilitation to Patients with Breast Cancer

Submitted by: Michael Coleman

University of Maryland School of Medicine

Department of Physical Therapy and Rehabilitation Sciences

Doctor of Science in Physical Therapy

Project approval by advisor, Frances E. Huber, EdD, PT, OCS

And the Committee assigned to the Project


Table of contents

Table of Contents


File 1

Cover Sheet……………………….……File #1……..……………………………………………….02

Table of Contents……………………..……………………………………………………………….03

Program objectives…………………………..………………………………………………………..06

Presenter’s introduction…………………………..…………………………………………………..08

Pre / Post test…………………………………………..………………………………………….…..11

Presenter’s Notes…………………………………Use folder entitled DScPT Notes…………14-15

Basic Breast Cancer………………..….File #2…..…………..………………………………….…02

Statistics…………………………………………………………………..……………………………04

Cancer defined………………………………………………………………………………………..06

Tissue Evaluation……………………………………………………………………………………..12

Signs of cancer and risk factors…….……………………………………………..…………….…..20

Differential diagnosis…………………………………………………………………..………….…..24

Breast cancer diagnosis and protection…….…………………………………………..…………..26

Pathology and tumor staging……………………………………………………………….………..35

Survival…………………………………………………………………………………………………40

Time Out Test………………………………………………………………………………………….41

The Cancer Team………………………..File # 3……………………...……………………….….…02

Medical interventions……………………………………………………………………………….....08

Chemotherapy…………………………………………………………………………………………09

Hormone Therapy…………………………………………………………………………………….16

Radiation…………………………………………………………….…………………………………19

Surgery………………………………………………………………………………………………....28

Time Out Test………………………………………………………………………………………….48

Bone Marrow Transplants……………………………………………………………………………49

Immunotherapy……………………………………………………………………………………..…57

Intervention side effects………………………………………………………………………………61

Clinical trials and Tumor Markers……………………………………………………………………73

Time Out Test………………………………………………………………………………………….83

TABLE OF CONTENTS


File 1

Breast Cancer Rehabilitation…………………File #4……………....……………………………..…..……….02

Statistics………………………………………………………………………………………..………..04

Niche practice………………………………………………………………………………..………….08

Health Care Reform & ICD 9 Codes……………………………………………………..…………..13

Psychology and Support Issues…………………………………………………….…..……….…... 18

Pain……………………………………………………………………………….……..…..……..……29

Time Out Test………………………………………………………………………..…………………39

Quality Life through Rehabilitation…………………..…………………………..…….……………...40

Rehabilitation options…………………………………………….….…………..……………………..43

Evaluation scales…………………………………………………….….……..……………………….46

Lab Values…………………………………………………………………………………………….…51

General Breast Cancer Exercise Programs…………………….….…..…………………………….56

Documentation……………………………………………………………………………………..…...70

Post-Surgical Rehabilitation Examples……..…………………………….……………………….…74

Out-Patient example………………………………………………………………………….………...99

Research…………………………………………………………………………………………….…108

Modality contraindications………………………………………………………………………….…121

Oncologic Emergencies……………………………………………………………………………….129

Time Out Test………………………………………………………………………………………….135

Complications and Alternatives………………File #5…..…………………………………...…………….…...01

Lymphatic System……………………………………………………………………..….………….....02

Nutrition………………………….………………………………………………………,,….…………..14

Holistic Alternatives…………….…………………….………………………..…………..……………24

Recurrence………………………..…………………….………………………..…………,,………….32 Presentation Conclusion……………………….File #6……………..………….…………..…………...……….02

Case studies………………………………………………….…………….………..……….…...……..03

Survival………………………………………………………………………….……..……………...….08

Physical therapy cancer education…………………………….…..………………..………..…….….11

Conclusion………………………………………………………….…..………………..………..……...16

Answers to Pre / Post Test………………………………………………………..……..……………….…..….…20

References……………………………File #7….Use folder entitled DScPT Reference List…..… 02


Program directions objectives introduction

Program DirectionsObjectives&Introduction


How to complete this presentation

How to complete this presentation

  • This doctoral level presentation is designed to be “user friendly” as well as motivating topromote regular referrals to physical therapy for all patients diagnosed with breast cancer.

  • This program has been divided into 7 files to make online learning beneficial.

  • File 1 Introduction

  • File 2 Basic Breast Cancer Information

  • File 3 The Cancer Team

  • File 4 Breast Cancer Rehabilitation

  • File 5 Complications / Alternatives

  • File 6 Conclusion

  • File 7 References


Program objectives upon completion the therapist will be able to

Program ObjectivesUpon completion the therapist will be able to:

  • demonstrate an in-depth understanding of breast cancer.

  • understand medical interventions and side effects of cancer care.

  • have an awareness of the emotional aspects of a breast cancer diagnosis.

  • gain knowledge to establish treatment goals for breast cancer.

  • understand how the lymphatic system can influence breast care.

  • understand how survivorship leads to rehabilitation.

  • explore opportunities in breast cancer rehabilitation.


Introduction

Introduction:

  • I would like to welcome you to a self study program for physical therapists who provide or would like to provide rehabilitation to patients diagnosed with breast cancer. With over 30 years experience as a physical therapist, I have found that many patients have not received quality rehabilitation after the cancer diagnosis.

  • I believe the physical therapist plays a vital role in promoting a higher quality life for the breast cancer patient. Due to early detection, diagnostic techniques, treatment plans and increased exercise research, we are able to promote realistic goals for the increased number of cancer survivors.

  • This program has been designed to promote confidence and expertise in the treatment of breast cancer. I personally feel that anyone that treats breast cancer patients, must have a complete understanding of cancer.


File 1

  • Again, I welcome you to this program. I hope it will be a stimulating experience and will motivate you in a very rewarding specialty of rehabilitation for the patient diagnosed with breast cancer.

    Thank you.

    Michael S. Coleman, PT


Pre post test

Pre / Post Test


File 1

PRE / POST STUDY TEST (Answer on a separate sheet of paper)

Oncology / Breast Cancer Review

 1.Define cancer: ______________________________________________________________________

2.List the seven warning signs of cancer.

C_____________________________________________________________________

A_____________________________________________________________________

U_____________________________________________________________________

T_____________________________________________________________________

I______________________________________________________________________ O_____________________________________________________________________

N_____________________________________________________________________

3.List 5 risk factors of breast cancer.

______________________________________________________________________

4.What does TNM mean in the diagnosis of breast cancer?

______________________________________________________________________

5.List the professionals that make up the Cancer Team.

____________________________________________________________________________________________________________________________________________

6.Where would you go for update physical therapy information concerning breast cancer?

______________________________________________________________________

7.Why should physical therapy be involved with breast cancer patients?


File 1

8.Where is the best location to treat a breast cancer patient?

A. Hospital B. Out-patient facility C. Home care D. All facilities listed

9.List five benefits of exercise after medical interventions for breast cancer.

_______________________________________________________________

10.Describe the types of surgery completed for cancer.

Diagnostic_______________________________________________________

Curative________________________________________________________

Palliative________________________________________________________

Prophylactic_____________________________________________________

11.What medical intervention might follow a lumpectomy?

_______________________________________________________________

12.What modalities would you choose to treat lymphedema?

_______________________________________________________________

13.Where are two of the three major lymph node regions?

_______________________________________________________________

14.List five contraindications of exercise following breast cancer.

_______________________________________________________________

15.How would you market breast cancer rehabilitation to physicians and the general public?

_______________________________________________________________

Comments: _____________________________________ (Answers: File #6)

SUPPORT THE ONCOLOGY SECTION of the A.P.T.A.


Presenter s notes

Presenter’s Notes


Dscpt presenters notes

DScPT Presenters Notes

  • Open folder entitled DScPT Notes

  • Each file corresponds with presentation slides according to file and slide numbers.

  • Copy each set of notes to follow along with slide show presentation.


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