Physiotherapy and Rehabilitation in Palliative Care and Interventions in Cancer Patients

Year 2022, Volume: 9 Issue: 1, 191 - 206, 30.04.2022

Hilal Güngör Naciye Vardar Yaglı

Abstract

Purpose: The aim of this review is to examine the methods that can be used in palliative care to reduce symptoms that reduce the quality of life.
Materials and Methods: Studies that used physiotherapy in palliative care patients were examined.
Results: Rehabilitation and palliative care team members share many approaches and goals in patient care. Physiotherapists add value to the comprehensive care plans of many patients receiving palliative care, regardless of the stage of the disease, and even as they approach the end of life. Physical evaluation can reveal new or worsening disorders that affect function. Rehabilitation interventions, including individual exercise programs, therapies, equipment and assistive device prescriptions, and other modalities, can assist in patient care. Conclusion: Patients with severe and life-limiting illnesses often experience a common subset of symptoms including fatigue, mood disturbances, shortness of breath, pain, and functional decline. All these symptoms contribute to a reduced quality of life. Many patients want to maintain functional independence as much as possible and reduce the burden on their caregivers. Physiotherapy is an effective strategy for improving the quality of life. We advocate increased collaboration between the palliative care team and physiotherapists in the care of these complex patient populations, as both work together to optimize physical function and patient satisfaction outcomes.

Keywords

Palliative care, physiotherapy and rehabilitation, cancer

Palyatif Bakımda Fizyoterapi ve Rehabilitasyonun Yeri, Kanser Hastalarında Uygulamaları

Abstract

Amaç: Bu derlemenin amacı kanser haslarında, palyatif bakımda yaşam kalitesini düşüren semptomları azaltmak için kullanılabilecek yöntemleri incelemektir.
Gereç ve Yöntem: Palyatif bakım hastalarında fizyoterapi uygulanan çalışmalar incelenmiştir.
Bulgular: Rehabilitasyon ve palyatif bakım ekibi üyeleri hasta bakımında birçok yaklaşımı ve hedefi paylaşırlar. Fizyoterapistler, hastalık evresine bakılmaksızın ve hatta yaşamın sonuna yaklaşırken palyatif bakım alan birçok hastanın kapsamlı bakım planlarına değer katar. Fiziksel değerlendirme işlevi etkileyen yeni veya kötüleşen bozuklukları ortaya çıkarabilir. Bireysel egzersiz programları, terapiler, ekipman ve yardımcı cihaz reçeteleri ve diğer modaliteler dahil olmak üzere rehabilitasyon müdahaleleri hasta bakımında yardımcı olabilir.
Sonuç: Ciddi ve yaşamı sınırlayan hastalıkları olan hastalar genellikle yorgunluk, duygu durum bozuklukları, nefes darlığı, ağrı ve fonksiyonel düşüş gibi ortak bir semptom alt kümesi yaşarlar. Tüm bu semptomlar azalmış yaşam kalitesine katkıda bulunur. Birçok hasta mümkün olduğunca işlevsel bağımsızlığı korumak ve bakıcıları üzerindeki yükü azaltmak istemektedir. Fizyoterapi yaşam kalitesini artırmak için etkili bir stratejidir. Her ikisi de fiziksel işlevi optimize etmek ve hasta memnuniyeti sonuçları için birlikte çalıştığından bu karmaşık hasta popülasyonlarının bakımında palyatif bakım ekibi ve fizyoterapistler arasında iş birliğinin artması gerektiğini savunuyoruz.

Keywords

Palyatif bakım, fizyoterapi ve rehabilitasyon, kanser

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