presented by Anna L. Schwartz
This course focuses on clinical considerations of the patient with a distant history of cancer. Follow us as we provide relevant information related to late and long-term side effects of cancer that may influence cardiopulmonary, neurologic or musculoskeletal functional ability to safely preform restorative exercises.
Anna L. Schwartz, PhD, FNP, FAAN is a world-renowned pioneer in cancer and physical activity. She is a board certified family nurse practitioner with specialization in oncology and is a member of the American Academy of Nursing. She co-chaired the American College of Sports Medicine’s roundtable to develop exercise guidelines for cancer survivors and is a member of the American Cancer Society Nutrition and Physical Activity board. Schwartz is the author of four books and over a hundred scholarly articles on physical activity for cancer survivors. Anna’s research is funded by the National Institutes of Health, Department of Defense, Oncology Nursing Foundation, and industry. Anna has received numerous awards from national organizations, including the 2012 Rose Mary Carol Johnson Oncology Nursing Society award for writing. She is the author of Cancer Fitness: Exercise Programs for Patients and Survivors (Simon & Schuster, 2004). Her new book, Okie the Wonder Dog (Sunstone Press, 2016), blends her passion for physical activity and living a healthy lifestyle with her knack for telling stories from her animal’s perspective. Her website, annaschwartzphd.com, has links to articles, educational information and more.
In this chapter, we'll give the learner a general understanding of common late and long-term side effects of cancer treatments. After obtaining and reviewing relevant cancer-specific history, we will ask ourselves what we should be thinking about as we talk with our patient.
Late and long-term side effects of cancer treatment may impact a patient's ability to follow a rehabilitation program. In this chapter we will focus on the specific side effects, as well as special considerations for adapting exercise for the long-term adult cancer survivor. We'll discuss clinical considerations related to: cardiopulmonary, neurologic and musculoskeletal effects, and lymphedema, fatigue, and weakness. We'll then take a look at the impact of acute and long-term treatment side effects on functionality.
In this chapter the learner will be able to apply knowledge of cancer, cancer treatment and common side effects to develop a restorative program that is tailored to the individual needs of adult cancer survivors. We'll discuss how to adapt a program for an individual’s limitations, identify reasonable restorative goals within the cancer survivor's ability, and develop a plan for initiating a restorative exercise program. We'll close with a question and answer session where we discuss a program for a long-term cancer survivor.