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Source publication
Purpose:
to describe the levels of mobility in older cancer patients receiving palliative care in Korea, and to examine the associations of their mobility with lifestyle factors (sleep disturbance, physical activity) and physical symptoms (pain, fatigue).
Methods:
In this cross-sectional descriptive study, 91 older cancer patients receiving pall...
Contexts in source publication
Context 1
... of 4.0, with a range from 0 to 2.17. The mean VAS scores for pain and fatigue were 3.53 (SD ¼ 3.53) and 4.86 (SD ¼ 2.37) out of 10, respectively (Table 2). ...
Citations
... If we think about this scenario, where some people might face informational barriers to accessing healthcare services, we must ponder different profiles and multiple vulnerabilities. For this reason, we will consider cancer patients, who need to face, beyond the disease itself, the treatment effects (Hewitt, Rowland & Yancik, 2003), agewith higher probability of having another chronic disease, dementia or reduced mobility (Roh et al., 2014), poverty (Tomatis, 1992), etc. Furthermore, cancer is a risk factor for the development of disabilities (Hewitt, Rowland & Yancik, 2003). ...
The paper aims to map informational barriers to promote inclusion and accessibility with safety and autonomy for patients in an outpatient oncological service. We performed an exploratory study through a case study in a Brazilian outpatient oncological service which included non-participant observation. The results were categorized into failures in the signaling of service facilities, lack of alternative communication resources, and lack of accessible communication considering diverse needs. The main barriers observed in the service were mistaking service entrance, verbal call/ written medical requests, and the absence of architectural elements for accessibility. Recommendations were proposed, seeking to include all the diversity of patients, and enabling them to receive information and make their own decisions in the service independently and safely. All the proposed recommendations sought to look at different needs in order to make the service inclusive.
... Mobility is an integral component of physical functional independence 13) and is an important goal of physiotherapists who work with critically ill patients, including those with cancer 14,15) . Early mobility in hospitalized patients is useful to improve patients' awareness and level of consciousness, activities of daily living, QoL, sleep hygiene, mood, and airway clearance and to decrease fatigue 14,15) . ...
... Mobility is an integral component of physical functional independence 13) and is an important goal of physiotherapists who work with critically ill patients, including those with cancer 14,15) . Early mobility in hospitalized patients is useful to improve patients' awareness and level of consciousness, activities of daily living, QoL, sleep hygiene, mood, and airway clearance and to decrease fatigue 14,15) . Campbell et al. observed an association between mobility levels and cancer-induced medical comorbidities, abdominal bloating, fatigue, lack of appetite, numbness/tingling, and pain 16) . ...
Cancer survivors have functional impairments that adversely affect patients’ quality of life
(QoL). Acute rehabilitation helps to reduce disability and improves QoL in cancer survivors. This study investigated the potential improvement in mobility levels and QoL of cancer patients during acute inpatient physical therapy (PT) from admission to discharge. [Participants and Methods] This was a cross-sectional study conducted at King Fahad Medical City, Riyadh. Acute inpatient cancer survivors (n=99) were assessed at their admission and discharge. The primary outcome measure was the AM-PAC “6-Clicks” Basic Mobility, Functional Assessment of Cancer Therapy-General (FACT-G7) and the Karnofsky Performance Scale (KPS). [Results] Overall, 82.8% of cancer patients were discharged home. There were significant improvements in all the three outcome measures for all the patients from admission to discharge. Patients who were discharged home exhibited significantly better improvement in all the scales. Factors that predicted discharge mobility and quality of life were discharge destination, number of PT sessions, and baseline admission scores. [Conclusion] The study found that acute inpatient cancer rehabilitation helps to improve mobility and QoL. Rehabilitation programs available in Saudi Arabia are limited, and it is important to integrate the cancer rehabilitation model into the oncology services.
... Mobility is an integral component of physical functional independence 13) and is an important goal of physiotherapists who work with critically ill patients, including those with cancer 14,15) . Early mobility in hospitalized patients is useful to improve patients' awareness and level of consciousness, activities of daily living, QoL, sleep hygiene, mood, and airway clearance and to decrease fatigue 14,15) . ...
... Mobility is an integral component of physical functional independence 13) and is an important goal of physiotherapists who work with critically ill patients, including those with cancer 14,15) . Early mobility in hospitalized patients is useful to improve patients' awareness and level of consciousness, activities of daily living, QoL, sleep hygiene, mood, and airway clearance and to decrease fatigue 14,15) . Campbell et al. observed an association between mobility levels and cancer-induced medical comorbidities, abdominal bloating, fatigue, lack of appetite, numbness/tingling, and pain 16) . ...
[Purpose] Cancer survivors have functional impairments that adversely affect patients' quality of life (QoL). Acute rehabilitation helps to reduce disability and improves QoL in cancer survivors. This study investigated the potential improvement in mobility levels and QoL of cancer patients during acute inpatient physical therapy (PT) from admission to discharge. [Participants and Methods] This was a cross-sectional study conducted at King Fahad Medical City, Riyadh. Acute inpatient cancer survivors (n=99) were assessed at their admission and discharge. The primary outcome measure was the AM-PAC "6-Clicks" Basic Mobility, Functional Assessment of Cancer Therapy-General (FACT-G7) and the Karnofsky Performance Scale (KPS). [Results] Overall, 82.8% of cancer patients were discharged home. There were significant improvements in all the three outcome measures for all the patients from admission to discharge. Patients who were discharged home exhibited significantly better improvement in all the scales. Factors that predicted discharge mobility and quality of life were discharge destination, number of PT sessions, and baseline admission scores. [Conclusion] The study found that acute inpatient cancer rehabilitation helps to improve mobility and QoL. Rehabilitation programs available in Saudi Arabia are limited, and it is important to integrate the cancer rehabilitation model into the oncology services.
... Os programas de caminhada incluídos nesta revisão, estão maioritariamente focados em controlar, não apenas a FAC, mas também as perturbações do sono e a dor (Boehmke et al., 2011;Egan et al., 2013). Outros estudos possuem também como objetivo incrementar a mobilidade, a atividade física e/ou a adesão ao exercício físico (Roh et al., 2014;Shang et al., 2013). ...
Objectivo: Determinar a efetividade das intervenções de enfermagem baseadas no exercício na redução da fadiga associada à doença oncológica. Métodos: Realizada uma scoping review, recorrendo às bases de dados PubMed, CINHAL complete, BVS, Scielo e ao motor de busca google académico. Os estudos eram incluídos se fossem publicados nos últimos 10 anos, em português, inglês ou espanhol e que se referissem a intervenções baseadas no exercício, com impacto na fadiga associada à doença oncológica, implementadas exclusivamente por enfermeiros. O corpus ficou constituído por 11 artigos. Resultados: Os resultados obtidos sugerem que o exercício, durante ou após os tratamentos oncológicos, pode reduzir os efeitos da fadiga na pessoa com diferentes diagnósticos de cancro. Os vários programas de exercício testados incluem o treino aeróbio, de resistência e/ou estiramento muscular, que diferem na sua duração, frequência, intensidade e grau de supervisão. Conclusões: Os enfermeiros podem desenvolver a sua prática na educação da pessoa com doença oncológica para os benéficos do exercício no controlo da fadiga, mas podem ainda desenvolver e supervisionar programas baseados no exercício, integrados numa equipa multidisciplinar, de forma a obterem os melhores resultados possíveis para esta população específica.
... Os programas de caminhada incluídos nesta revisão, estão maioritariamente focados em controlar, não apenas a FAC, mas também as perturbações do sono e a dor (Boehmke et al., 2011;Egan et al., 2013). Outros estudos possuem também como objetivo incrementar a mobilidade, a atividade física e/ou a adesão ao exercício físico (Roh et al., 2014;Shang et al., 2013). ...
Objectivo: Determinar a efetividade das intervenções de enfermagem baseadas no exercício na redução da fadiga associada à doença oncológica. Métodos: Realizada uma scoping review, recorrendo às bases de dados PubMed, CINHAL complete, BVS, Scielo e ao motor de busca google académico. Os estudos eram incluídos se fossem publicados nos últimos 10 anos, em português, inglês ou espanhol e que se referissem a intervenções baseadas no exercício, com impacto na fadiga associada à doença oncológica, implementadas exclusivamente por enfermeiros. O corpus ficou constituído por 11 artigos. Resultados: Os resultados obtidos sugerem que o exercício, durante ou após os tratamentos oncológicos, pode reduzir os efeitos da fadiga na pessoa com diferentes diagnósticos de cancro. Os vários programas de exercício testados incluem o treino aeróbio, de resistência e/ou estiramento muscular, que diferem na sua duração, frequência, intensidade e grau de supervisão. Conclusões: Os enfermeiros podem desenvolver a sua prática na educação da pessoa com doença oncológica para os benéficos do exercício no controlo da fadiga, mas podem ainda desenvolver e supervisionar programas baseados no exercício, integrados numa equipa multidisciplinar, de forma a obterem os melhores resultados possíveis para esta população específica.
... Our primary outcome was the presence of self-reported difficulty walking, defined as responding affirmatively to the question "In the last 3 months, have you had any difficulties with standing or walking (yes/no)." Variables included in our model were those identified in the literature or based on the investigators' clinical experience as potentially related to difficulty walking (21)(22)(23)(24)(25)(26). To increase the sensitivity of our health condition definitions, all conditions were defined as present at baseline based on all available data, i.e., self-report or health administrative data, wherever possible (for details, see Supplementary Open-ended self-reported illnesses or disabilities were coded by 1 physician (LKK) into the following categories: CV diseases, inflammatory arthritis or other rheumatologic diseases, stroke, peripheral vascular disease (PVD), hypertension, diabetes mellitus, dizziness or vertigo, neurologic diseases, lung diseases, malignancy (excluding nonmelanoma skin cancers), and prior hip fracture. ...
... Our results confirmed a significant and independent effect of CV diseases, hypertension, diabetes mellitus, hip fracture, malignancy, mental illness, and neurologic disorders on walking difficulty (21,23,(39)(40)(41)(42)(43)(44). However, the effects of these conditions were relatively small after controlling for OA, BMI, and PVD. ...
... During this period, the goal is to enhance QoL for patients and their families, and for patients with terminal disease, to increase physical and mental well-being [62]. PA can potentially mitigate pain, fatigue, and insomnia in cancer survivors receiving palliative care [63]. Proactive maintenance or enhancement of PA is desirable; however, PA becomes difficult due to cancer progression and associated cachexia. ...
Recently, survival rates for several cancers are increasing as progress is made with therapeutic strategies, leading to an increasing number of cancer survivors. Cancer survivors faced disabilities to daily living can result to decreased physical activity, and this adversely affects the quality of life. Several previous studies have revealed the relationship between cancer and physical activity. Physical activity is very important factor correlated with general health status. Promoting and maintaining physical activity of cancer survivor is a necessary aim in rehabilitation. The results of epidemiological studies have suggested that physical activity is an important therapeutic strategy for delaying relapse and extending life expectancy after a cancer diagnosis, and not just a means of preventing cancer. Promoting physical activity in rehabilitation plays an increasingly important role in the optimization of recovery and symptom control, and palliative and/or prevention of treatment-related toxicity. Physical activity can be important throughout the entire phase from the time of diagnosis to the terminal stage, and promoting physical activity is needed an approach that can involve physical aspects as well as psychosocial aspects.
... Pain Journal of Clinical Nursingas an expected result of cancer and its treatment (Salani 2013). Roh et al. (2014) stated that patients with different type of cancer who engaged in regular physical activity have higher levels of mobility and lower levels of sleep disturbance , fatigue and pain. Moreover, 27Á5% of patients reported feeling as though they were burdens with different intensity (from a little to very much) to their families in this study. ...
Aim: The aim of this study was to identify gynecologic cancer patients’ palliative care needs using the three levels of needs questionnaire
Background: Measuring both the burden of symptoms and patient-reported palliative care needs is valuable to improve cancer care. Data representing the palliative care needs of cancer patients in Turkey remain limited.
Design: A cross-sectional descriptive study
Methods: A total of 134 cancer patients were included in the study at an oncology hospital in Turkey. A data collection form, a short-form medical outcomes health survey, and the 3LNQ were used to collect data.
Results: The mean age of participants was 59 ± 8.76, of 69.4% were diagnosed with ovarian cancer and 52.2 % had stage-3-4 cancer. Of patients, 69.3% had no desire for sexual intimacy, 33.5% expressed feeling as though they burden their families and 28.4% feel lonely at some level. The most prevalent problems were tiredness, to feel depressed, and problems performing physical activities. The most frequent unmet needs were tiredness (60.5%), feel depressed (47.4%), and lack of appetite (38.5 %).
Conclusions: Gynecologic cancer patients have relatively high prevalence of symptoms and unmet palliative care needs. Health professions mostly were unable to recognize and properly manage tiredness, depression as well as lack of appetite as an integral part of quality cancer care.
Relevance to clinical practice: Nurses trained in palliative care are needed to evaluate and meet cancer patients' needs regularly to improve quality of palliative care. Nurses should examine the underlying reasons for most prevalent problems and give nursing care accordingly.
Key words: Palliative care, cancer, gynecology, nursing
Purpose: Palliative care has an important role in the late stages of diseases. Long-term hospitalizations significantly reduce the functional level of the patients. Patients deal with many symptoms and the caregiver experiences hardship in this process. Physiotherapy approaches are an essential part of palliative care in symptom control. This study was planned to investigate the level of independence of the patients in their activities, their performance status, symptoms, rehabilitation needs, and caregivers’ expectations. Methods: Ninety individuals aged between 18 and 65 years were included in this study. Their demographic data were obtained. Care needs during palliative care were assessed with the Palliative Performance Scale. Independence level was assessed by the Barthel Index. The severity of the symptoms that the patients frequently experienced was investigated. Caregivers reported their primary expectations from physiotherapy. Results: The most common diagnosis was found to be cerebrovascular accidents. The mean age of the patients was 64±20 years. The mean age of the caregivers was 49±13 years. The mean the Palliative Performance Scale score of the patients was 31%±17. Most of the patients were totally dependent according to the Barthel Index. Most of the patients faced symptoms, such as reduced muscle strength (94.44%), atrophy (93.33%) and swallowing problems (82.22%). Improved physical functions was the most reported expectation among caregivers. Conclusion: The study found that a large majority of patients were unable to meet their needs. Over 90% of the patients were totally dependent and they had to deal with many symptoms. This result once again highlights the importance of physiotherapy. Caregivers expected the patient to be able to meet their own needs independently. This is very important for the caregiver, and the patient and caregiver should be in cooperation with the physiotherapist.
Objectives: This systematic review aims to assess and explore various determinants of cancer- related fatigue. Methods: A systematic search of various determinants of Cancer-related fatigue (CRF) was performed in different databases like PubMed, Google Scholar, Science Direct and Clinical Key dating from 1990 to September 2020. Results: A total of 6115 studies were screened and 95 articles related to determinants of fatigue were retained. Various modifiable and non-modifiable determinants including socio-demographic, clinical, treatment related, plasma biomarker related, genetic, behavioural, concurrent symptoms related and psychological determinants were identified. Depression was one of the significant factors reported in 28% of studies, followed by pain, (17%), performance status (16%), chemotherapy and anxiety (15%). Conclusion: It is recommended that nurses and clinicians should anticipate, identify and take appropriate interventions to manage those modifiable factors. Ultimately, managing the modifiable factors helps in the comprehensive care of cancer patients.
