Rehabilitation Across the Cancer Care Continuum (Recorded Webinar)

presented by Nicole L. Stout, DPT, CLT-LANA, FAPTA

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Disclosure Statement:

Financial: Nicole Stout receives compensation from MedBridge for the production of this course. She has no other relevant financial relationships.

Nonfinancial: Nicole Stout is a board member with the West Virginia Oncology Society and Appalachian Community Cancer Alliance and receives grant funding from the NIH/NIGMS, PROTEUS Consortium, and NIH/NCI. She has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 160 Minutes; Learning Assessment Time: 19 Minutes

This course is a recording of a previously hosted live webinar event. Polling and question submission features are not available for this recording. Format and structure may differ from standard MedBridge courses.

Cancer care occurs across a protracted timeline, commonly over at least a year. Individuals with advanced cancer may be on active treatment for the remainder of their lives. Rehabilitation services should be incorporated into cancer care from the point of a cancer diagnosis and can provide effective interventions aimed at improving and restoring function throughout the duration of the individual's life span. This webinar will discuss the evidence base for rehabilitation interventions across the cancer care continuum. We will discuss the four domains of cancer rehabilitation--preventive, restorative, supportive, and palliative--and will emphasize the importance of prospective screening for functional morbidity and early intervention for cancer treatment-related impairments throughout this care continuum.

Meet Your Instructor

Nicole L. Stout, DPT, CLT-LANA, FAPTA

Dr. Nicole L. Stout is a research assistant professor in the School of Medicine, Department of Hematology/Oncology at West Virginia University Cancer Institute and with the School of Public Health, Department of Health Policy, Management, and Leadership. She also serves as the associate director of the WVU Cancer Institute's Survivorship Program, where she coordinates the…

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1. Rehabilitation Across the Cancer Care Continuum

The cancer care continuum is the period from when a cancer diagnosis is made through the remainder of the life span of the individual, with distinct phases of cancer treatments involving different treatment interventions based on disease type and severity. This session will review the relevance of the four domains of cancer rehabilitation and how they integrate into the cancer care continuum.

2. Prehabilitation: Optimizing Function Prior to Cancer Treatment

Strong evidence suggests that a prehabilitation care plan for some types of cancer can optimize a patient’s performance status prior to treatment and improve the patient’s tolerance to cancer treatments. This session will review the evidence for rehabilitation as one component of a multimodal prehabilitation program.

3. Rehabilitation During Active Cancer Treatment

Cancer treatment involves multiple interventions using various treatment modalities with a host of side effects and symptoms, which often have a deleterious impact on function. The protracted timeline over which cancer care occurs results in a trajectory of accumulating burden of physical, cognitive, social, and psychological impairment. This session will review the evidence for rehabilitation interventions that can mitigate and even prevent functional morbidity burden during treatment.

4. Long-Term Survivorship

Cancer treatments may result in late effects and long-term functional morbidity, which can inhibit an individual’s ability to return to prior level of function and limit their ability to participate in life roles. Rehabilitation remains an important consideration for individuals even after cancer treatments are completed, as rehabilitation interventions can promote improved function and enhance participation in professional, social, and family roles.

5. Advanced Cancers and Palliative Care

For individuals in whom cancer is advanced or has spread to multiple regions in the body, cancer care delivery will be ongoing for the remainder of their lives. These patients will experience multiple changes in their treatment care plans, along with the introduction of new and sometimes experimental treatments. Patients may eventually choose to discontinue curative treatment and follow a course of care that palliates symptoms. Rehabilitation remains an important part of the care plan.

6. Question and Answer Session

This chapter is a viewer-submitted question and answer session facilitated by the instructor, Nicole Stout.