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The International Classification of Functioning (ICF) Core Set for breast cancer – a prospective surveillance tool to identify rehabilitation needs - Marese Cooney
 

The International Classification of Functioning (ICF) Core Set for breast cancer – a prospective surveillance tool to identify rehabilitation needs - Marese Cooney

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A presentation given at the Irish Cancer Society's Survivorship Research Day at the Aviva Stadium, Dublin on Thursday, September 20th, 2013. ...

A presentation given at the Irish Cancer Society's Survivorship Research Day at the Aviva Stadium, Dublin on Thursday, September 20th, 2013.

The International Classification of Functioning (ICF) Core Set for breast cancer – a prospective surveillance tool to identify rehabilitation needs - Marese Cooney

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  • Internationally accepted taxonomy
  • Cognitive dysfunction , social isolation depressive symptoms Poor physical functioning greater fatigue Changes on imaging Von ah et al 2012 RCT improved cognitive function with training Less anxiety and depression Impact on return to work Information provision

The International Classification of Functioning (ICF) Core Set for breast cancer – a prospective surveillance tool to identify rehabilitation needs - Marese Cooney The International Classification of Functioning (ICF) Core Set for breast cancer – a prospective surveillance tool to identify rehabilitation needs - Marese Cooney Presentation Transcript

  • The International Classification of Functioning (ICF) Core Set for breast cancer – a prospective surveillance tool to identify rehabilitation needs Cooney MA1 , Galvin R2 , Connolly E3 and Stokes E1 1 Discipline of Physiotherapy, Trinity College Dublin. 2 Division of Population Health Sciences (General Practice), Royal College of Surgeons in Ireland, 3 Breast Care Department, St. James’s Hospital, Dublin, 8. Department of Physiotherapy, Trinity College Dublin
  • KEY MESSAGES  There are aspects of women's health altered by treatment for breast cancer that are not addressed by health professionals which are remediable  The ICF Core Set for breast cancer may be an appropriate surveillance tool Department of Physiotherapy, Trinity College Dublin
  • Global description of health  International Classification of Functioning (ICF)  Approved World Health Assembly 2001  It contains over 1,400 categories Department of Physiotherapy, Trinity College Dublin
  • Core Set for breast cancer 80 Items Function Structure Activities & participation Environment Department of Physiotherapy, Trinity College Dublin
  • Developed without the voice of women  330 women in an Irish validation study  Mixed methods – focus groups & survey M Cooney, R Galvin, E Connolly & E Stokes “The International Classification of Functioning (ICF) Core Set for breast cancer from the perspective of women with the condition”, Disability & Rehabilitation, 2013 May; 35(9):740-8
  • Not everything was in initial core set Department of Physiotherapy, Trinity College Dublin
  • New categories Attention & Memory >50% Word finding 47% Pace of thought 35% Receiving spoken messages 31% Department of Physiotherapy, Trinity College Dublin
  • 60% of women reported pain in two locations 40% > two locations 87% pain ever, 71% current, Kahn et al., (2012) 74% current Chest/breast 41%Back 46% Lower limb 32% Shoulder/Arm 48% Joint pain 53%
  • All associated with poor quality of life  Energy & drive (77%)  Endurance (63%)  Exercise tolerance (49%)  Sleep (70%)  Joint mobility (59%)  Reduced strength (56%)  Weight maintenance (47%)  Lymphoedema (21%)
  • WORK INTIMATE RELATIONS PREPARATION MEALS HAND & ARM USE DAILY ROUTINE LIFTING & CARRYING
  • Sources of support Health professionals 77% Department of Physiotherapy, Trinity College Dublin 80-83%
  • HELPFUL 56% Wigs Swimsuits Online shopping HINDRANCE 47% Prostheses Seatbelts Department of Physiotherapy, Trinity College Dublin ENVIRONMENTAL FACTORS
  • We propose the revised Core Set as a prospective surveillance tool for women with breast cancer in Ireland Marese Cooney mcooney@tcd.ie Department of Physiotherapy, Trinity College Dublin