Rehabilitation after oncological diseases

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REHABILITATION OF PATIENTS AFTER ONCOLOGICAL DISEASES IN MOSCOW – THE IRC CENTER

Medical rehabilitation in Oncology, to a great extent, is determined by the disease prognosis, increasing the efficiency therapeutic schedules, aimed for elimination of the tumor of any location.

Using various modes of therapy of oncological diseases creates a great number of adverse effects, caused by the non-selectivity of the effects of cytostatic medications and ionising radiation, as well as related to large-scale resections of the impaired organs.

PATIENTS WITH ONCOLOGICAL DISEASES CAN BE DIVIDED INTO TWO GROUPS:

  1. Patients presenting with common neurological or orthopaedic disorders, which are known in rehabilitation without tumors. Thus, if a patient experiences surgical amputation of the limb, he requires orthopaedic rehabilitation. If the patient had a brain tumor removal surgery, he requires rehabilitation according to the rehabilitation schedule after a cerebrovascular stroke
  2. Patients requiring general rehabilitation therapy

WHAT FOR THE REHABILITATION IS NEEDED?

  1. For many types of cancer the presence of rehabilitation increased survival rates.
  2. Rehabilitation allows for complete relieving or better tolerating the complications, associated with the treatment of tumor diseases (lymphostasis, generalized weakness, absence of appetite, cognitive disorders etc.).
  3. Rehabilitation allows the patient to regain the familiar household habits.
  4. Due to rehabilitation the patient returns to the society (walking, working, doing hobbies).
  5. Because of the rehabilitation, the patient can better tolerate chemotherapy, which increases his chances for recovery.
  6. Regardless of the patient status, the rehabilitation process improves well-being and the quality of life.

REHABILITATION PROGRAM

Patients undergoing cancer therapy develop disorders of the gastrointestinal tract and circulatory disorders, experience exacerbations of chronic diseases, psychoneurological symptoms. The objectives of the physicians include a combined support of the patient: form correcting the somatic disorders to creating a positive mood that increases the chances for complete recovery.

Depending on the severity and the type of concomitant symptoms result because of tumor therapy, the rehabilitation plan shall include the following:

  • Physical therapy training sessions to restore the motor activity, the increase the range of motions, to increase the muscle tone in cases of atony developing after the resection;
  • kinesio- and ergotherapy — methods that allow for restoring the fine motor skills in the fingers, teaching the patient to perform household activities and to adapt to new lifestyle;
  • psychotherapeutic and psychological aid directed to the elimination of depressive disorders, apathy, insomnia, increased anxiety and other pshylogiatric disorders caused by the intake of highly potent medications;
  • diet–therapy allowing to relieve to the minimal level the severity of dyspeptic disorders, the alleviate onsets of nausea, to normalize the functions of the gastrointestinal tract, impaired due to undergoing combined tumor therapy.

Oncology patients that require rehabilitation after surgery are referred to specific doctors: logopaedist, neurologist, orthopaedist, urologist, sexual health physician. Professional aid provided by the physicians helps correcting the speech disorders, restoring the lost motor skills, promotes to renewal of the full-scale sexual life.

STAGES AND DURATION

Rehabilitation program for oncology patients is designed with taking into consideration the tumor stage at the moment of admission. Within the Interdisciplinary Center for Rehabilitation we provide a complex set of medical services to all the categories of patients before and after tumor treatment:

  • those who are newly diagnosed, are recommended to receive a consultation of the psychologist, which can help mentally prepare to forthcoming therapy;
  • during the treatment course and in the early rehabilitation (acute) period there is a need for services provided by the nutrition specialist, massage therapist and physiotherapist (for decreasing the severity of lymphostasis and for correcting the disorders in the gastrointestinal tract);
  • after the treatment of malignant tumor the efforts of the team of doctors are directed to maintaining the achieved results, to stabilization of the patient status and creating the optimal settings for long-term remission.

The duration of rehabilitation in oncologicy patients depends on the duration of taking cytostatic drugs, on the total dosage of radiation received during the treatment course, as well as on the radicality of the surgical intervention.

After radiation exposure and chemotherapy the organism recovers within half a year, after partial resection recovery may require 8 months, after dissection of the organ involved into malignant process — from 10 months to one year. In case of early admission the oncology patient, due to collaborative efforts of the multidisciplinary team of specialists, may require twice less time for rehabilitation.

Before treatment initiation

During the oncology therapy

after treatment termination (acute phase)

chronic phase: supporting rehabilitation and rehabilitation after recurrences

IN THE IRC WE PROVIDE REHABILITATION SERVICES FOR PATIENTS AT ALL THE STAGES OF ONCOLOGY THERAPY:

  • Before treatment initiation
  • During the oncology therapy
  • after treatment termination (acute phase)
  • chronic phase: supporting rehabilitation and rehabilitation after recurrences

PHYSICIANS

A team of specialists headed by the rehabilitation therapist uses individual approach for each patient.

Active participation in the rehabilitation of the patient is provided by the following specialists: kinesiotherapist, oncologist, ergotherapist, art- therapist, psychologist, physiotherapist, massage therapist, logopaedist.

If necessary, the process may also include consulting specialists: neuropsychologist, ophthalmologist, neurologist, nutrition therapist, neuro-urologist, sexual health therapist etc.

ACTIVE PARTICIPATION IN THE REHABILITATION OF THE PATIENT IS PROVIDED BY THE FOLLOWING SPECIALISTS: KINESIOTHERAPIST, ONCOLOGIST, ERGOTHERAPIST, ART- THERAPIST, PSYCHOLOGIST, PHYSIOTHERAPIST, MASSAGE THERAPIST, LOGOPAEDIST.

IF NECESSARY, THE PROCESS MAY ALSO INCLUDE CONSULTING SPECIALISTS: NEUROPSYCHOLOGIST, OPHTHALMOLOGIST, NEUROLOGIST, NUTRITION THERAPIST, NEURO-UROLOGIST, SEXUAL HEALTH THERAPIST ETC.

HOW MUCH DOES THE REHABILITATION OF ONCOLOGICAL PATIENTS COST?

The price of the treatment course is calculated on an individual basis. The pricing factors include the duration of the procedures required for rehabilitation, its type and the rate of developing positive changes. The general direction of rehabilitation procedures and the approximated cost of a complete treatment course is defined by the oncologist and by the rehabilitation therapist.

ALEKSANDR KALININ

Head physician of the IRC

The objective set for the rehabilitation therapists is to create such a type of rehabilitation program that can help regaining the quality of life for the patient. The uncommon term “the quality of life” includes the ability to live a self-sustained life, regaining mental health and the possibility to communicate in a familiar environment, as well as doing hobbies. In other words, rehabilitation program must help a person to feel happy again!

The important difference of the IRC from other rehabilitation centers is that we are working on restoring the functions (motor, cognitive, sensory, linguistic) organism, we also help increasing the self-sustainability and self-sufficiency in everyday life.


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