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Think Movement Physiotherapy & Cancer

Think Movement Physiotherapy & Cancer. DONNEE NESS MANIP. 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

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Think Movement Physiotherapy & Cancer

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  1. Think MovementPhysiotherapy & Cancer DONNEE NESS MANIP. PHYSIOTHERAPIST MSc(UK) BSc (RSA) VRT (USA) CLT (USA)

  2. 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

  3. Statistics: Battle talk

  4. 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 SerigneGueye : current AORTIC President

  5. 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

  6. The diagnosis: descent, plunged

  7. shattering apart ...... piecing together

  8. Allowing colour and texture

  9. Adjuvant Oncology Treatment • Surgery • Chemotherapy • Radiotherapy • Hormone therapy

  10. Strategic times to focus on movement • Post-operatively • Pre-radiotherapy • Post treatment

  11. Quality of life Quality of life, perceived by the patient, is constantly changing throughout a Rehabilitative process, and is dependent on personality traits- “expectancy of success”, adaptability, attitude to problem solving and acceptance (Eales 2000).

  12. Rehabilitation Goals of rehabilitation are to use a variety of measures in a specific time frame to Improve mental, physical and social aspects of an impaired person’s life (United Nations 1983).

  13. It’s all about teamwork

  14. Post operatively

  15. progression

  16. Life gets back to normal.....a “new” normal

  17. 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

  18. Pre radiotherapy • Education and preventive advice • Stretches • Skincare • cellulitis

  19. 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

  20. Post all treatment issues • Cancer Related Fatigue • Cognitive issues and the office • Postural changes in : office, hobbies, intimacy • Lymphoedema

  21. Have you ever been this tired?

  22. CRF (Cancer Related Fatigue)

  23. Cognitive function: Action whether organised and consciously propagated or a mere drift

  24. 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.

  25. Ergonomics

  26. Work Station postural issues

  27. Thinking “out the box”

  28. Femininity

  29. The suggestion of motion by a work of art

  30. What matters most is how you see yourself

  31. Sexuality:A main division of an extended musical composition

  32. 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.

  33. Changing position

  34. Dancing to a different tune

  35. “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)

  36. 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.

  37. Thank You for your time D Ness Physio Solutions nessphysiosolutions@gmail.com

  38. A woman’s role or many roles • Multi tasking • Memory • Caring for self • Time out

  39. However unusual or unexpected that may be

  40. Plan of action • Chemo and the office • Radiotherapy and the office • Posture • Advocacy • Disability act • Reports • Medical boarding

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