Prehabilitation and Rehabilitation
Functional impairments and disability of individuals treated for cancer are common across all points in the cancer care continuum. The need to address potential and actual impairments is recognized by the American College of Surgeons Commission on Cancer (ACoS CoC). ACoS CoC (2015) Cancer Program Standards eligibility requirement 11 mandates, “Policies and procedures are in place to ensure patient access to rehabilitation services either on-site or by referral” (p. 26). According to ACoS CoC (2015), “Cancer rehabilitation services and treatments help patients cope with activities of daily living affected by the cancer experience and enable them to resume normal activities. Rehabilitation assists cancer patients and survivors to improve functional status and quality of life” (p. 26).
The need for rehabilitation services to address cancer symptoms and treatment-related side effects is well documented, and this largely unmet need is increasingly acknowledged as an essential component of holistic cancer care. A national initiative to establish evidence-based cancer rehabilitation recommendations was convened in 2016 to identify opportunities and gaps regarding cancer rehabilitation and greater integration of rehabilitation into oncology care from the point of diagnosis (Stout et al., 2016). Recommendations from this national initiative support the philosophic foundation for interprofessional cancer rehabilitation suggested by Mullan’s (1985) seminal essay on cancer survivorship and later, the work of Miller, Merry, and Miller (2008). This call for collaboration among healthcare professionals throughout the seasons of survival, beginning at diagnosis and extending through recovery, healing, and integration of coping and adaptation strategies, is consistent with resuming life after cancer diagnosis and treatment by addressing survivors’ needs as they arise throughout the survivorship experience. Current models of rehabilitation therapy offer services in acute care settings, inpatient rehabilitation units, and subacute rehabilitation environments, including skilled nursing facilities, homecare services, outpatient ambulatory centers, and telehealth services. This chapter outlines the roles of rehabilitation specialists in all stages of the cancer continuum, using the Prospective Surveillance Model (PSM) as the road map for care delivery (Stout et al., 2012).
Cancer Survivorship: Interprofessional, Patient-Centered Approaches to the Seasons of Survival
Oncology Nursing Society
Berthold, Shari and Fisher, Mary Insana, "Prehabilitation and Rehabilitation" (2019). Books and Book Chapters by University of Dayton Faculty. 59.