Study Guide Leftovers 3

Question 1

What is chronic cancer pain often attributed to?

Answer 1

• bone destruction
• visceral obstruction
• nerve compression
• skin/tissue distention
• tissue inflammation, infection, necrosis

Question 2

chronic cancer pain: bone destruction caused by

Answer 2

infiltration by malignant cells

Question 3

chronic cancer pain: visceral obstruction

Answer 3

• obstruction of hollow visceral organ

- usu due to tumor growth

Question 4

chronic cancer pain: nerve compression

Answer 4

compression of peripheral nerves from adjacent tumor masses

Question 5

chronic cancer pain: skin/tissue distention

Answer 5

painful stretching due to underlying tumor growth

Question 6

chronic cancer pain: tissue inflammation, infection, necrosis

Answer 6

may be excruciating

Question 7

Common side effects of cancer tx

Answer 7

• bone marrow suppression
• fatigue
• cardiopulmonary dysfunction
• radiation skin rxns
• radiation osteonecrosis

Question 8

What is bone marrow suppression also called?

Answer 8

myelosuppression

Question 9

If a patient has myelosuppression, what does this mean for PT?

Answer 9

requires infection control!

Question 10

Bone marrow suppression may lead to:

Answer 10

• leukopenia
• anemia
• thrombocytopenia

Question 11

Cancer tx side effects: fatigue is closely related to this

Answer 11

anemia

Question 12

Cancer tx side effects: What sorts of things would result from cardiopulmonary dysfunction and what would you look for?

Answer 12

• pericardial fibrosis
• constrictive pericarditis

**look for exertional dyspnea

Question 13

What does a radiation skin rxn look like?

Answer 13

sunburn

Question 14

Cancer tx side effects: radiation osteonecrosis

Answer 14

• irreversible

- should be carefully handed due to high pathologic fx risk

Question 15

Winningham contraindications for aerobic exercise: What factors are assessed?

Answer 15

• Platelets
• Hemoglobin
• WBC
• Granulocytes

Question 16

Winningham contraindications for aerobic exercise: platelets

Answer 16

Platelets less than 50,000

*normal 150000-400000

Question 17

Winningham contraindications for aerobic exercise: hemoglobin

Answer 17

Hemoglobin less than 10

*normal iw W 13-17, M 12-15

Question 18

Winningham contraindications for aerobic exercise: WBC

Answer 18

WBC less than 3000

*normal 4500-10000

Question 19

Winningham contraindications for aerobic exercise: granulocytes

Answer 19

less than 2500

Question 20

Winningham contraindications for aerobic exercise: Is this the standard?

Answer 20

There is no industry standard - use clinical judgment

Question 21

What is a good idea to consider for exercise with cancer tx?

Answer 21

• vitals
• RPE during exercise
• s/s infection, fever, throbocytopenia, DVT, dehydration, electrolyte imbalance

Question 22

What are some of the late effects of cancer tx that could impact PT tx?

Answer 22

• fatigue
• lymphedema
• endocrine
• impaired cognition

Question 23

What is chemobrain?

Answer 23

• mental fogginess during tx course

- can last up to 6 months after chemo