activity or manner of moving, changing position impulse, progression, convergence, descent/ascent,...
TRANSCRIPT
Think MovementPhysiotherapy & Cancer
DONNEE NESSMANIP. PHYSIOTHERAPIST
MSc(UK) BSc (RSA)VRT (USA) CLT (USA)
Movement (noun) Activity or manner of moving, changing position
Impulse, Progression, Convergence,
descent/ascent, Plunging, Rotation
A main division of an extended musical composition
The suggestion of motion by a work of art
Action whether organised and consciously propagated or a mere drift
Statistics: Battle talk
www.aortic-africa.org
In 2008, just over 650,000 cases of cancer were diagnosed in Africa, with over 500 000 deaths.
Professor Isaac Adewole, Vice Chancellor at the Universityof Ibadan in Nigeria and President-Elect of AORTIC.
The number of new cases of cancer in Africa is expected to double by 2030
In Africa, there is a general lack of cancer awareness, which leads to late presentation of cancer.
Most African health care systems are not in a good position to address the cancer problem Professor Serigne Gueye : current AORTIC President
Female cancer statistics in Africa:Incidence and mortality.
Ferlay J, Shin HR, Bray F, Forman D, Mathers C and Parkin DM.GLOBOCAN 2008, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 10 [Internet].Lyon, France: International Agency for Research on Cancer; 2010.
http://globocan.iarc.fr
Breast Cervix Ovary
North Africa
Incidence
Mortality
33.6%
26.3%
6.4%
5.6%
5.1%
5.3%
West Africa
Incidence
Mortality
26.4%
21%
25.9%
24.9%
3%
3.4%
CentralAfrica
Incidence
Mortality
22.1%
20.4%
22.0%
14.1%
4.6%
5.2%
East Africa
Incidence
Mortality
14.9%
11.3%
26.2%
24.5%
2.6%
3.6%
Southern Africa
Incidence
Mortality
16.1%
21.0%
22%
24.4%
3.4%
3.2%
The diagnosis: descent, plunged
shattering apart ...... piecing together
Allowing colour and texture
Adjuvant Oncology Treatment
Surgery
Chemotherapy
Radiotherapy
Hormone therapy
Strategic times to focus on movement
Post-operatively
Pre-radiotherapy
Post treatment
Quality of life
Quality of life, perceived by the patient, is constantly changing throughout aRehabilitative process, and is dependenton personality traits- “expectancy ofsuccess”, adaptability, attitude to problemsolving and acceptance
(Eales 2000).
Rehabilitation
Goals of rehabilitation are to use a variety
of measures in a specific time frame toImprove mental, physical and socialaspects of an impaired person’s life
(United Nations 1983).
It’s all about teamwork
Post operatively
progression
Life gets back to normal.....a “new” normal
Post surgery
Changes in:
Surgery scars, muscles, joints and ligaments
Lymphatic fluid drainage from the skin to the
heart
Nerves gliding in their sheaths
Balance and co-ordination
Pre radiotherapy
Education and preventive advice Stretches Skincare cellulitis
Self-Treatment strategies at any stage
Stretches Myofascial releases Exercises- balance, toning, return to function Self massage Neural glides Gait re-education Sport specific co-ordination and training Multi-tasking exercises for cognitive rehab
Post all treatment issues
Cancer Related Fatigue Cognitive issues and the office Postural changes in : office, hobbies, intimacy Lymphoedema
Have you ever been this tired?
CRF (Cancer Related Fatigue)
Cognitive function: Action whether organised and consciously propagated or a mere drift
Cancer, women and her work place
"People who have had treatment for cancer are as productive as people who have not had cancer – they take less time off work than other employees, and in general, perform well in the workplace.“
Schultz, P. et al (2002), Cancer Survivors – Work-related Issues, American Association of Occupational Health Nurses Journal.
Ergonomics
Work Station postural issues
Thinking “out the box”
Femininity
The suggestion of motion by a work of art
What matters most is how you see yourself
Sexuality: A main division of an extended musical composition
Sexuality
"There are two big taboos in conversations about breast cancer. One is death. The other is sex." (Marc Silver)
Breast Cancer Husband, How to Help Your Wife (and Yourself) Through Diagnosis, Treatment and Beyond.
Changing position
Dancing to a different tune
“Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around.” (Leo Buscaglia)
In conclusion...
Take your time choosing your cancer team www.saphysio.co.za for a physio in your area Know your rights and responsibilities as a patient Know your benefits and how to activate them 10 mins walking every 2nd day reduces CRF Radiotherapy stretches must be done for 2 years
after radiotherapy Lymphoedema risk can be reduced with
appropriate treatment
Cancer has a gift for everyone, it takes time to discover the gift.
A woman’s role or many roles
Multi tasking Memory Caring for self Time out
However unusual or unexpected that may be
Plan of action
Chemo and the office Radiotherapy and the office Posture Advocacy Disability act Reports Medical boarding
Cancer in the workplace
Campaign for Cancerwww.campaign4cancer.co.za
Good practice for disability in RSA1345 Employment Equity Act (55/1998): Code ofGood Practice: Key Aspects on the Employment ofPeople with Disabilities
Patient Rights Charterwww.doh.gov.za/docs/misc/healthcharter.pdf
Lets get down to the business
Never forget you are superwoman even if you never show it
First Line Practitioner
Scope of Practice
HPCSA / SASP
Patient Rights and Responsibilities
Advocacy
