The document contains 24 numbered sections, each containing only a date of 2013/10/13 and a section label from I-1 to I-24. It appears to be a log or record of items from October 13, 2013 but provides no other context or descriptive information for the numbered sections.
The document discusses palliative care, which aims to relieve suffering and improve quality of life for patients with serious illnesses. It provides an overview of palliative care goals, processes, interventions, symptoms addressed, and tools used to assess patients' physical functioning and set functional goals. The document also outlines examples of physical therapy interventions for common issues like pain, dyspnea, and fatigue in cancer patients.
This document summarizes treatment for breast cancer, including surgery, radiation therapy, chemotherapy, hormone therapy, and targeted therapy. It discusses different types of breast surgery including mastectomy, breast-conserving surgery, lymph node surgery, and breast reconstruction. It also covers common side effects of chemotherapy and hormone therapy. Physical therapy exercises for breast cancer recovery are proposed in four phases focusing on range of motion, strength, flexibility, and endurance.
The document discusses physical therapy interventions for cancer patients after surgery, focusing on early mobilization, lung hygiene exercises, and specific rehabilitation programs for common cancer types like breast cancer, lung cancer, and gastrointestinal cancers. Post-surgery goals include preventing complications, improving range of motion, and managing symptoms like pain, breathlessness, and bone metastasis. Precautions and considerations for different surgeries are also outlined.
The document provides information about lymphedema including its causes, stages, treatments, and skin complications. It discusses conservative therapies like decongestive lymphatic therapy (DLT) which involves manual lymphatic drainage, compression therapy, skin care, and self drainage exercises. DLT is an effective treatment for lymphedema of various degrees by reducing lymphatic load and improving transport capacity. The document also covers bandaging techniques and compression garments.
The document discusses exercise for cancer patients across the cancer care trajectory. It covers goals of cancer rehabilitation including prevention, restoration, support, and palliation. It then discusses exercise for prevention, detection, coping with treatment, rehabilitation after treatment, survival, health promotion, and palliation. Specific benefits of exercise discussed include reducing cancer risk and recurrence, managing treatment side effects, and improving physical and psychological well-being.
This document discusses physical therapy approaches for cancer patients experiencing common symptoms like fatigue, pain, and breathing difficulties. It covers:
1. Definitions and screening tools for cancer-related fatigue and pain. Fatigue is graded on a scale and can interfere with daily activities. Pain is also assessed for intensity.
2. Non-pharmacological treatments for fatigue and pain including energy conservation, exercise, massage, heat/ice therapy, and electrotherapy. Exercise is recommended for patients during and after cancer treatment.
3. Cancer pain has multiple causes and classifications. The WHO pain ladder provides guidance on pain management strategies from non-opioid to opioid approaches. Physical therapy can help address pain through techniques like
This document discusses bone and soft-tissue tumors. It provides information on different types of bone tumors like osteosarcoma, chondrosarcoma, and Ewing's sarcoma. It also discusses approaches to musculoskeletal tumors including history, imaging, biopsy, and differential diagnosis. Surgical treatment options for bone cancers include resection, reconstruction, and prosthesis replacement. Limb salvage is preferred over amputation when possible. Follow-up care after treatment is also covered.
Radiation therapy can cause complications and side effects. Common early side effects include mucositis, dermatitis, and hair loss affecting areas receiving radiation. Late effects include xerostomia, osteoradionecrosis, brain necrosis, myelitis, fibrosis, and endocrine changes. Trismus, a limited opening of the mouth, is a complication for head and neck cancers. Physiotherapists can help with trismus management and pulmonary rehabilitation. Precautions and symptom management strategies are needed depending on the radiation site and timeline.
This document provides 11 references related to exercise and physical activity for cancer patients and survivors. The references discuss the role of exercise in managing cancer treatment side effects and improving quality of life. They include guidelines from the American Cancer Society on nutrition and physical activity for cancer prevention and survivorship care. The references also cover exercise programming and prescription for cancer rehabilitation in clinical practice settings.
23. 安寧緩和醫療的定義
• WHO definition (1990)
– The active total care of those patients whose
disease is not responsive to curative therapy.
– Control of pain, and of other symptoms, and of
psychological and spiritual problems, is
paramount.
– The goal of palliative care is achievement of
the best quality of life for the patients and
their families.
– Many aspects of palliative care are also
applicable earlier in the course of the illness in
conjunction with anticancer treatment.
24. 安寧緩和醫療的定義
• WHO definition (2002)
– An approach that improves the quality
of life of patients and their families
facing the problems associated with life-
threatening illness, through the
prevention and relief of suffering by
means of early identification and
impeccable treatment of pain and other
problems, physical, psychological and
spiritual.