Occupational therapy aims to help cancer patients achieve maximum functional independence despite their prognosis. For a 70-year-old woman with breast cancer, chemotherapy caused fatigue, cognitive issues, and lymphedema. Occupational therapy assessed her difficulties with activities of daily living, instrumental activities, and leisure due to fatigue. Interventions included energy conservation strategies, activity modifications, external memory aids, and problem-solving training to improve independence with tasks like morning routines, chores, grocery shopping, and bill paying. The patient demonstrated reduced fatigue and improved cognitive function and satisfaction with occupational performance after therapy.
This presentation was prepared for educating the patients with stroke and their caregivers about the role of Occupational Therapy in stroke. It gives a very BRIEF over view about OT in stroke rehabilitation
This presentation was prepared for educating the patients with stroke and their caregivers about the role of Occupational Therapy in Parkinson's Disease. It gives a very BRIEF over view about OT in Parkinson's Disease rehabilitation
Stroke rehabilitation and its aspects to work with patients with hemiplegia and other effects of stroke, other than that you will see some pictures of the used interventions and adaptive equipment used with stroke patients
This presentation was prepared for educating the patients with stroke and their caregivers about the role of Occupational Therapy in stroke. It gives a very BRIEF over view about OT in stroke rehabilitation
This presentation was prepared for educating the patients with stroke and their caregivers about the role of Occupational Therapy in Parkinson's Disease. It gives a very BRIEF over view about OT in Parkinson's Disease rehabilitation
Stroke rehabilitation and its aspects to work with patients with hemiplegia and other effects of stroke, other than that you will see some pictures of the used interventions and adaptive equipment used with stroke patients
Cancer and role of occupational therapist in cancer Ambreen Sadaf
Introduction to oncology
Role of occupational therapy
Hazards to life due to cancer
Interventional aim to cancer
Lifestyle management
Benefits of occupational therapy in oncology
Occupational service in cancer
Interventions
Role of occupational therapy in cancer or oncology
Cancer and role of occupational therapist in cancer Ambreen Sadaf
Introduction to oncology
Role of occupational therapy
Hazards to life due to cancer
Interventional aim to cancer
Lifestyle management
Benefits of occupational therapy in oncology
Occupational service in cancer
Interventions
Role of occupational therapy in cancer or oncology
This overview of occupational therapy was developed by Karen Jacobs for the promOTing Occupational Therapy to rOTary initiative. Please learn more about this initative at promotingot.org at Facebook at promotingot and Twitter at @promotingot
According to the American Occupational Therapy Association, occupational therapists and occupational therapy assistants help people participate in the things they want and need to do through the therapeutic use of everyday activities, or occupations.
This overview of ergonomics and occupational therapy was developed by Karen Jacobs for the promOTing Occupational Therapy to rOTary initiative. Please learn more about this initiative at promotingot.org at Facebook at promotingot and Twitter at @promotingot
Restraint to Recovery: Asylum to AcceptanceRoger Hawcroft
A "work in progress" presentation relating to the Baillie Henderson Hospital from 1890 to the present day in the context of understanding of mental illness, its historical origins and social factors surrounding it.
all about tihar jail how it functions how it reforms prisoners and so on like how many prisoners does it can lodge and how they spend time by doing or learning work which is helpful for them after they got released and about TJ factory:TJ restaurant.
Learn Tips for Managing Chemobrain or Mental Fogginessbkling
Chemobrain, or mental fogginess, is experienced by many patients during and after cancer treatment. But what are some strategies that help?Dennis Lin, OTD, OTR/L, Occupational Therapist at City of Hope National Medical Center, will provide tips on how you can manage chemobrain and support better engagement in your daily life.
Enhancing Precision Wellness with Knowledge Graphs and Semantic Analytics: O...James Hendler
Talk presented at Bio-IT 2018 (machine learning track) - explores some approaches to overcoming challenges of using machine learning systems in healthcare applications.
Ohio State's ASH Review 2017 - Myeloproliferative DisordersOSUCCC - James
Katherine Walsh, MD
Assistant Professor of Clinical Internal Medicine
The Ohio State University Comprehensive Cancer Center -
Arthur G. James Cancer Hospital and Richard J. Solove Research Institute
Ohio State's ASH Review 2017 - Blood and Marrow TransplantationOSUCCC - James
Basem M. William, MD, MRCP(UK), FACP
Assistant Professor of Internal Medicine
Blood and Marrow Transplant Program
The Ohio State University Comprehensive Cancer Center -
Arthur G. James Cancer Hospital and Richard J. Solove Research Institute
Ohio State's ASH Review 2017 - Benign HematologyOSUCCC - James
Spero R. Cataland, MD
Professor of Clinical Internal Medicine
The Ohio State University Comprehensive Cancer Center -
Arthur G. James Cancer Hospital and Richard J. Solove Research Institute
Ohio State's ASH Review 2017 - Update in MyelomaOSUCCC - James
Don M. Benson Jr., MD, PhD, FACP
Associate Professor of Medicine
Head of Translational Research
Division of Hematology
The Ohio State University Comprehensive Cancer Center -
Arthur G. James Cancer Hospital and Richard J. Solove Research Institute
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
1. The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute
OT Case Study
Rachel Walton OTR/L
April 6, 2016
2. The role of occupational therapy in oncology is “to
facilitate and enable an individual patient to achieve
maximum functional performance, both physically and
psychologically, in everyday living skills regardless of his or
her life expectancy” (p. 75).
2
OT Roles in Cancer Rehabilitation
• ADL/IADL training
• Cancer-Related Fatigue
• Caner-Related Cognitive
Dysfunction
• Chemo-Induced Peripheral
Neuropathy
• Cancer-Related Pain
3. National Comprehensive Cancer Network (NCCN):
“Cancer-related fatigue is a distressing, persistent
subjective sense of tiredness or exhaustion related to
cancer or cancer treatment that is not proportional
to recent activity and interferes with usual
functioning.”
3
Cancer-Related Fatigue
Cancer-Related Cognitive Dysfunction
Cancer-related cognitive dysfunction or CRCD,
describes memory or thinking problems that occur as a
side effect from chemotherapy treatments. It can
affect a person’s ability to carry out daily tasks
4. 70 year old female
Medical History
Diagnosed with breast cancer in 2006
Underwent right mastectomy and right axillary
sentinel lymph node biopsy
Received post-op systemic chemotherapy
Patient developed lymphedema in her right arm in
2012
History of mild cerebral palsy affecting her right arm
and seizure disorder
Social History:
Living in an assisted living apartment
Involved in church
Supportive family in a different state
4
Case Study: Jillian
5. 5
Increased Fatigue with daily activities
Mental Fatigue with social
interactions
Difficulty remembering to perform
important tasks and attend
appointments/events
Difficulty multi-tasking and staying
focused on a task
Increased anxiety and stress
Global Complaints
6. Activities of Daily Living (ADL) and Instrumental Activities of Daily
Living (IADL)
Difficulty with upper body dressing and morning routine due
to increased fatigue and limited use of RUE
Increased fatigue after cleaning apartment
Increased fatigue with cooking due to only using LUE
Forgetting to pay bills on time
Difficulty with carrying out grocery shopping
Leisure
Forgetting to attend volunteering events at church and
increased fatigue with attending Sunday morning church
service
Increased mental fatigue with social gatherings at assisted
living apartment
6
Impact of Jillian's Functional Ability
7. Canadian Occupational Performance Model (COPM): looks at
self-reported occupational performance problems
7
OT Assessments
Performance
Problems
Satisfaction Performance
Morning Routine 5 5
Cleaning house 2 3
Grocery Shopping 5 4
Money
Management
4 6
Performance: 1= not able to do at all ----------------- 10 = able to it extremely well
Satisfaction: 1= not satisfied at all ----------------- 10 = extremely satisfied
8. Multidimensional Assessment of Fatigue Scale: 40.1 (50 =
severe fatigue)
Highest self-rated fatigue scores were with household chores,
bathing/dressing, shopping/errands
FACT-COG (2008): assesses perceived cognitive dysfunction
quality of life measure
Perceived Cognitive Impairments
Perceived Cognitive Abilities
Comments from Others
Impact on Quality of Life
8
OT Assessments
9. 9
OT Intervention
Patient will verbalize at least 5 different fatigue management
and energy conservation strategies utilized with morning
routine.
• One handed dressing
techniques for UB/LB dressing
• Adaptive equipment
education
• Adapt patient’s home and
bathroom environment in
order to ensure optimal
performance with morning
routine.
• Organization
• Energy conservation
strategies
10. 10
OT Intervention
Patient will be able to complete weekly routine chores,
without experiencing an increase in symptoms, utilizing
compensatory strategies.
• Activity modification
• Developed a weekly
schedule
• Schedule in rest breaks
• Energy conservation
strategies
12. 12
• Education on external memory
aides (calendar's, making a list,
task reminders on smart phone,
written instructions on
refrigerator, memory book)
• Organize a routine schedule for
paying bills each month
• Develop a checklist of bills that
need to be paid and review it
last week of the month
Patient will be educated on and demonstrate independent use of 2-3
compensatory strategies to improve functional memory skills in order
to increase independence with money-management tasks.
OT Intervention
13. 13
Develop an action plan
• Break down task and decide what makes the
task difficult
• Develop strategies/alternative ways of
performing task
• Trail new strategies
• Modify as needed based on patient success
Patient will independently utilize cognitive strategies to initiate, plan, and
organize functional tasks in therapy to promote independence with
grocery shopping.
OT Intervention
14. 14
Develop An Action Plan
• Break down task and decide what makes the task difficult
• Scheduling transportation
• collecting all needed items
• making sure your within budget
• getting back to bus on time
• Develop strategies/alternative ways of performing task
• Write bus schedule in calendar/memory book/post on refrigerator
• Choose the same time to catch bus each week
• Make a grocery list, start at one end of store and work your way
down
• Decide budget before leaving, plan meals for the week
• Set phone alarm 15 minutes before bus arrives, as well as when bus
arrives
• Trail new strategies
• Modify as needed based on patient success
Problem solving steps repeated for maintaining budget.
16. 16
Conclusion
Global Fatigue Score went from 40 to 27.
Patient demonstrated a 8 point increase on FACT-Cog – demonstrating
minimal detectable change
Patient reported feelings of being more equipped to take on the challenges
of fatigue and cognitive dysfunction.
COPM Initial Assessment Re-Assessment
Performance
Problems
Satisfaction Performance Satisfaction Performance
Morning Routine 5 5 7 7
Cleaning house 2 3 5 5
Grocery Shopping 5 4 7 6
Money
Management
4 6 7 7
18. Thank You
18
For more information on OT’s role in
cancer rehabilitation please contact:
Rachel Walton OTR/L
Stephanie Spielman Oncology
Rehabilitation
rachel.walton@osumc.edu