Physiotherapy in palliative care
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Physiotherapy in palliative care presented by Melissa Ng Senior Physiotherapist Yishun Community Hospital
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- 1. PHYSIOTHERAPY IN PALLIATIVE CARE Melissa Ng Senior Physiotherapist Yishun Community Hospital
- 2. Palliative Care An approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. World Health Organization
- 3. Palliative Care World Health Organization
- 4. Common Physical Symptoms Association of Chartered Physiotherapists in Oncology and Palliative Care ◂Loss of appetite and weight loss ◂Dehydration ◂Nausea and vomiting ◂Constipation ◂Functional Decline ◂Dyspnea ◂Pain ◂Fatigue Fatigue Disease Pain Shortness of breath Depression Difficult emotions Stress & Anxiety
- 5. When a person is seriously ill, the awareness of how important the physical body is for all experiences and emotions becomes obvious The state of the body decides what the patient can take part in and do in everyday life
- 6. Role of PT in Palliative Care ◂Promoting / optimizing physical activity ◂Symptoms management ◂Education and training of MDT as well as patients and carergivers ◂Dissemination of information to MDT with key role in discharge planning ◂Communication and collaboration between primary and secondary care Association of Chartered Physiotherapists in Oncology and Palliative Care
- 7. Conducting an Initial Assessment ◂Primary diagnosis ◂Localization of tumor / possible metastasis ◂Prognosis & ongoing medical treatment ◂Secondary diagnoses ◂Contraindications ◂Patient’s awareness of condition ◂Psychosocial well being ◂Current functional status
- 8. Common Physical Symptoms Association of Chartered Physiotherapists in Oncology and Palliative Care ◂Loss of appetite and weight loss ◂Dehydration ◂Nausea and vomiting ◂Constipation ◂Functional Decline ◂Dyspnea ◂Pain ◂Fatigue Fatigue Disease Pain Shortness of breath Depression Difficult emotions Stress & Anxiety
- 9. ◂ Relaxation techniques ◂ Controlled breathing ◂ Postural Education ◂ Stretches / Breathing Exercises ◂Effective coughing techniques / Huffing ◂Oxygen therapy Managing Dyspnea
- 10. ◂Physical Activity / Mobilization ◂Massage / Relaxation Techniques ◂Heat Pack ◂TENS Managing Pain
- 11. ◂Physical Activity ◂Energy Conservation Techniques ◂Use of assistive devices ◂Frequent rest intervals ◂Supported activities ◂Smaller meals but more frequent Managing Fatigue
- 12. ◂Natural reaction to threat and severe stress and can show as fear, worry, anger and panic ◂Is it possible to divert? Is the patient taking medication for anxiety? ◂Soft tissue massage, music therapy, relaxation techniques Managing Anxiety
- 13. ◂Bed mobility and transfer techniques ◂Providing ambulatory assistance ◂Use of assistive devices ◂Breathing / Relaxation techniques ◂Energy conservation techniques ◂Fall precautions ◂Chest PT techniques Caregiver Training
- 14. Goals Setting Desired Function Current Function Prognosis Symptoms
- 15. Creating moments Adding life to days