Rehabilitation for Cancer Patients

Rehabilitation for cancer patients aims at reducing the impact of disabling and limiting conditions resulting from cancer and its treatment in order to enable patients to regain social integration and participation. Given current trends in cancer incidenc

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Abstract

Rehabilitation for cancer patients aims at reducing the impact of disabling and limiting conditions resulting from cancer and its treatment in order to enable patients to regain social integration and participation. Given current trends in cancer incidence and survival along with progress in medical treatment, cancer rehabilitation is becoming increasingly important in contemporary healthcare. Although not without limitations, the International Classification of Functioning, Disability, and Health (ICF) provides a valuable perspective for cancer rehabilitation in understanding impairments in functioning and activity as the result of an interaction between a health condition and contextual factors. The structure of cancer rehabilitation varies across countries as a function of their health care systems and social security legislations, although there is a broad consensus with respect to its principal goals. Cancer rehabilitation requires a careful assessment of the individual patient’s rehabilitation needs and a multidisciplinary team of health professionals. A variety of rehabilitation interventions exist, including psycho-oncological and psycho-educational approaches. Research on the effectiveness of cancer rehabilitation provides evidence of improvements in relevant outcome parameters, but faces some methodological challenges as well.

J. Weis (&)  J. M. Giesler Klinik für Tumorbiologie an der Albert-Ludwigs-Universität Freiburg, Psychosoziale Abteilung, Tumor Biology Center at the University of Freiburg, Psychosocial Department, Breisacher Str. 117, 79106, Freiburg, Germany e-mail: [email protected] J. M. Giesler e-mail: [email protected]

U. Goerling (ed.), Psycho-Oncology, Recent Results in Cancer Research 197, DOI: 10.1007/978-3-642-40187-9_7,  Springer-Verlag Berlin Heidelberg 2014

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J. Weis and J. M. Giesler

Contents 1 Increasing Relevance of Rehabilitation in Cancer.............................................................. 2 Focus and Basic Concepts of Cancer Rehabilitation.......................................................... 3 Structure of Rehabilitation Care .......................................................................................... 4 Rehabilitation Needs and Assessment ................................................................................. 5 Goals and Interventions........................................................................................................ 6 Psycho-Oncology in Rehabilitation ..................................................................................... 7 Cancer Rehabilitation: A Multidisciplinary Task ............................................................... 8 Evaluation of Cancer Rehabilitation.................................................................................... 9 Summary and Outlook ......................................................................................................... References.......................................................................