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19 - Rehabilitation medicine interventions
- from SECTION VI - REHABILITATION AND PSYCHOLOGICAL INTERVENTIONS
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- By JACK B. FU, The University of Texas M. D. Anderson Cancer Center, KI Y. SHIN, The University of Texas M. D. Anderson Cancer Center, THERESA A. GILLIS, The Helen F. Graham Cancer Center
- Edited by Eduardo D. Bruera, University of Texas, Houston, Russell K. Portenoy, Albert Einstein College of Medicine, New York
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- Book:
- Cancer Pain
- Published online:
- 06 July 2010
- Print publication:
- 12 October 2009, pp 354-376
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- Chapter
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Summary
Introduction
Rehabilitation has become an increasingly prominent tool for cancer pain management. Generally speaking, rehabilitation may be defined as the process of restoration and maximization of quality of life through enhancing function and mitigating disability. A person's function is influenced by abilities and limitations, and includes domains of physical health, emotional status, intellect/cognition, vocation and vocational activity, social activity, and role fulfillment. The burden of pain is manifested in an individual through suffering but also through impaired function, activity, and alterations in social roles and self-image. Successful pain management can improve mobility, function, and quality of life. Pain management is an important component in the successful rehabilitation of the cancer patient.
Pain can limit one's function. Conversely, rehabilitation techniques help reduce and manage pain.
The pain management and functional improvement goals are never exclusive and frequently coexist for cancer patients throughout the course of the disease. Functionally oriented efforts may involve the application of strengthening, coordination, balance, and other training exercises; use of therapeutic equipment; and adaptive education. This chapter focuses on interventions directed toward pain management. Some movement-based therapies are used for pain management, although their more frequently recognized benefits are strength, coordination, endurance, and balance.
Rehabilitation philosophy
The rehabilitation physician's expertise is based on musculoskeletal and neurological anatomy and pathophysiology. Rehabilitation has traditionally been viewed as an intervention used after a chronologically discrete onset of disability, such as may follow a cerebrovascular accident, traumatic spinal cord injury, or amputation.
14 - Rehabilitation medicine interventions
- from SECTION IV - NONPHARMACOLOGICAL APPROACHES
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- By Theresa A. Gillis, Christiana Care Health System and the Helen F. Graham Cancer Center
- Edited by Eduardo D. Bruera, University of Texas, M. D. Anderson Cancer Center, Russell K. Portenoy
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- Book:
- Cancer Pain
- Published online:
- 08 October 2009
- Print publication:
- 23 June 2003, pp 238-260
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- Chapter
- Export citation
-
Summary
Introduction
Rehabilitation is a term not frequently associated with the management of cancer pain. However, the rehabilitation concept is a framework in which cancer pain management resides. Rehabilitation may be defined as the process of restoration and maximization of quality of life through enhancing function and mitigating disability. A person's function is influenced by abilities and limitations, and includes domains of physical health, emotional status, intellect/cognition, vocational and avocational activity, social activity, and role fulfillment.
The burden of pain is manifested in an individual through suffering but also through impaired function and consequent reduction in independence, as well as alterations in social roles and self-image. Successful pain management, therefore, may bring about improved mobility and function, and thus quality of life. Pain management becomes an essential step in the successful rehabilitation of the cancer patient.
Rehabilitation interventions include both pain-managing and pain-relieving techniques, as well as efforts to improve function. Functionally oriented efforts may involve the application of strengthening, coordination, balance, and other training exercises; use of therapeutic equipment; and adaptive education. This chapter focuses on those interventions directed toward pain management. Some movement-based therapies are used for pain management, although their more frequently recognized benefits are strength, coordination, endurance, and balance. The pain management and functional improvement goals are never exclusive and frequently coexist for cancer patients throughout the course of the disease.
Rehabilitation philosophy
Rehabilitation has traditionally been viewed as an intervention used after a chronologically discrete onset of disability, such as may follow a cerebrovascular accident, traumatic spinal cord injury, or amputation. This model is widely accepted in both lay and medical professional populations, and the course of functional recovery is somewhat predictable (Fig. 14.1).